GeriPal

JUNE 23, 2022

Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. This is about cancer screening in older adults. Summary Transcript Summary. Mara: Thank you so much.

Screening 100

Screening PCP PCP IT 100

GeriPal

NOVEMBER 14, 2024

What are ways we should screen for falls? If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. People don’t ask about it, they don’t screen about it. Alex 04:10 Wow.

IT 125

IT Patient-Centered Screening Community 125

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. What can we do as a community?

Community 116

Community Transportation IT PCP 116

GeriPal

OCTOBER 10, 2024

So we took this idea of, and it’s really an invitation from the national consensus project that every member of the team should be screening in all domains. So that means that we all screen for every domain in our interactions. And a screening is one to two simple sentences to identify need in that or distress in that domain.

Screening 121

Screening IT Families Family 121

GeriPal

MARCH 9, 2023

Psychedelics have been used by communities around the globe for hundreds of years (or more). Stacy: We’re using anxiety, baseline anxiety, as our screening. Alex: So that’s not our prototypical screening ESAS question. Ethical issues , including colonization of psychedelics by big pharma.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JULY 21, 2022

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Certainly my bias is that healthcare professionals really do have a role in this discussion. “Do you guys do this?” Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

JANUARY 25, 2024

In their communities? If I remember correctly, I think the average was, people were screening positive for depression in this study. They’re mostly living at home and living their lives in the community.” With their regular providers? Like, you can’t really improve good quality of life? David: Exactly.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

MAY 8, 2025

So it really helped form community between patients and helped build community with the palliative team that was involved. And also Yvonne Bessant, who is a good friend of ours, is a very important way to encourage community help with integration, but also to kind of nourish the spiritual transformation that goes on here.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. How to talk to patients about screening colonoscopies. Ken 10:29 Yes.

IT 65

IT Hospital Screening Patients 65

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below. So yeah, stay tuned.

Clinic 68

Clinic IT Patients Medical 68

GeriPal

FEBRUARY 8, 2024

There’s so many things that are happening, but I think we’re still just learning as a community to bring all of the professions together, all of our wisdom with the wisdom of the people to really learn, how do we actually address that? ” That’s not a spiritual screen. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . James: Yeah. Eric: What other decisions?

IT 95

IT Clinic Screening Patients 95

GeriPal

DECEMBER 5, 2024

So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. I think it started off from a need, a hunger in the community. There’s obviously a lot of flaws in the healthcare system. A love letter kind of back to my community.

IT 108

IT Community Patients Families 108

GeriPal

APRIL 6, 2023

We are also joined by LaVera Crawly, a physician turned chaplain, now VP of Spiritual Care at Common Spirit Health (and author of another of my favorite and most cited papers on palliative care in the African American Community ). It is a screening? And the screening questions would just allow you to know that. Lexy: Great.

IT 99

IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Eric 04:27 Yeah, I gotta ask about the community advisor. So I don’t want my Marin community to.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

JANUARY 16, 2025

Tim 40:33 Yeah, I was going to say, I think, you know, we talked about kind of external to the health system, but within health systems, I think certainly things like social determinants of health screening that gets at a lot of these issues of loneliness, transportation. For any MOC questions, please email moc@ucsf.edu.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Let me share my screen here. But yeah, there’s a growing community of graphic medicine folks. See, I’m still struggling exactly what to call this.

IT 145

IT Hospital Patients Illness 145

GeriPal

MAY 22, 2025

You might see me on the TV screens next year. We’re looking at community based organizations and we’re just going to keep synthesizing this to try and construct a picture of music in everyday life. So I’m, I’m, I might be. Eric 35:35 This is the. We knew her when. Tyler 35:38 That’s right.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. So there’s a lot of different ways to think about it.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

JUNE 5, 2025

Yes, I know Lynn Flinton, who’s a frequent guest host of this podcast, was actually one of the interventionists in her studies is like, would be the palliative care doc who’s looking on a screen and being wheeled into somebody’s room on a monitor. Eric 30:01 That’s beautiful. right there. So it makes perfect sense.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 28, 2022

I had it on my screen. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. And for the most part, it’s really hard to start building an evidence base in the community setting. Most people aren’t coming to UCSF or MGH for their healthcare.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

SEPTEMBER 8, 2022

We say it’s about 4% of those who are bereaved, who are from community-based samples. The post Prolonged Grief Disorder: Holly Prigerson appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. So it’s different. Eric: Yeah. What are effective treatments? Or do we have any?

IT 100

IT Complication Relationship Specialization 100

GeriPal

MARCH 10, 2022

Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. I was like, how do you disseminate this knowledge out to these community nursing homes in rural Georgia so that people know about this? Eric: What does unpleasant look like?

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. Ruth: That’s not prevention, that’s screening. What does that actually look like?

Healthcare 130

Healthcare IT Education Community 130

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. My mom, who’s half chinese and half hawaiian, helped rally the asian american community in Michigan after the Vincent Chin incident.

Mental Health 118

Mental Health Community Screening IT 118

GeriPal

APRIL 21, 2022

This has become a community of people all over the world who come together every week. They’ve created a whole community of people who know each other just by listening to the words that they allow through and the vulnerability that they show to people they don’t even know. Alex: Mm-hmm (affirmative).

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

APRIL 20, 2023

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. So the other part of that thing I would say is all of those things are true about the difference in rates between a community.

Mental Health 124

Mental Health IT Community Individual 124

GeriPal

MAY 1, 2025

So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? Is that what you’re seeing as a palliative care provider now or.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

AUGUST 1, 2024

Well, the irony is that this diethye resurrected from the poorest communities in the mediterranean region. The post Optimizing Nutrition in Aging: A Podcast with Anna Pleet, Elizabeth Eckstrom, and Emily Johnston appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 118

IT Diabetes Chronic Disease Patient-Centered 118

GeriPal

DECEMBER 21, 2023

So I thought… And I was doing this for the United States Preventive Services Task Force because we were looking at the evidence to what’s the benefit and harm of screening, and I had to look all over. Whereas with comprehensive dementia care, what you really need is a lot of the support that is delivered in the community.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

JULY 14, 2022

Darrell: And so I’d set up in conjunction with our emergency room team and our hospitalist, a 24/7 screening process for, at the time, anybody who’s over 65. The hospitalist didn’t want them screened, didn’t want to have any discussions with goals of care. The screening process is obviously shifted.

Nurse Practitioner 137

Nurse Practitioner Patient-Centered Vaccination Emergency Room 137

GeriPal

JUNE 2, 2022

We in the medical community would know it because our hospitals would be full of cardiovascular disease, of pulmonary disease, of other things. Because I think that we cannot underestimate, in the medical community, the deep distrust of the mRNA vaccines because of misinformation. Eric: Yeah. PEs and DVTs was number two in that.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

And I think that it was percolating in a lot of the palliative care community. I mean people can walk to your office and you can have all kinds of problems recorded to your prescription just because they came to your office rather than you looked at them on a computer screen doesn’t really change. Go ahead Eric. I’m sorry.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73