The Clinical Problem Solvers

FEBRUARY 8, 2023

Between 2007 – 2019, Black individuals experienced a higher death rate for opioid overdose deaths than any other racial or ethnic group. These narratives have vilified individuals who would benefit from comprehensive, person-centered substance use treatment, rather than incarceration and other adverse harms.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

The Clinical Problem Solvers

APRIL 5, 2022

This is the last of three episodes interrogating the relationships between race, place, housing, and health. Push back against individual narratives that blame individuals for systemic injustice. If we are not part of the solution, we are complicit in structural injustice. Push back against dehumanizing language.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. I’ve seen patients post transplant when they start having complications. They are complicated. They’re complicated from a symptom standpoint.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

JULY 21, 2022

If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. But I think then the other factor in this that makes it complicated is the decision for someone in Manhattan might be very different than the decision for someone in, like, rural Wyoming. Alex: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. It used to be a much more complicated model. As a nurse, how challenging would it be to do eight hours of training and jump into this complicated world? AMA PRA Category 1 credit(s) ™. David: Right. David: Yeah. Eric: Okay.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships. Relational autonomy was was first introduced to bioethics by feminist scholars, who observed that most people do not make decisions as isolated islands.

Families 98

Families Family Patient-Centered IT 98

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

IT 137

IT Families Family Physicals 137

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. We’ve done work with medical improvised, we’ve done work in museum based education. There’s this therapeutic relationship.

IT 133

IT Illness Families Family 133

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. It can influence education systems. So I think you can see how there’s a lot of work to do among multiple sectors within healthcare, including education and training.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

MARCH 6, 2025

Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Today we discuss: What is the best terminology?

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

APRIL 10, 2025

Yeah, that’s a more complicated story. But yeah, it’s complicated. The one thing that we know is that education alone will not actually deliver behavior change. You’d have to tailor it to each individual emergency department because you couldn’t. And it was like 29eds. Is that right? Yeah, yeah.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? So we created these heat maps where you could see for each individual what actually happened in the days and you. Widera and Smith have no relationships to disclose. Eric 06:16 To it in our show. And we have these.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. It sets space between us and the individuals we’re trying to take care of. John: Yeah.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. This is, you know, has to do with our personal relationship. Andrew, you might remember more about it with individuals who I think were maybe in the neuro ICU and they are undergoing resuscitation. It, like, looks real good. And the Clin.

Families 94

Families Family IT Patient-Centered 94

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. So absolutely, it is complicated. Our consultation.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

JULY 28, 2022

But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families. We needed to build the relationships and trust and really provide a really good example of the value of palliative care outside of end of life care and advanced care planning.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. AMA PRA Category 1 credit(s) ™.

Illness 144

Illness IT Medical Provider 144

Family Medicine Initiative

APRIL 10, 2024

This graph illustrates that the benefit of long-term GP-patient relationships is even dose-dependent (longer GP-patient-relationship = lower risk of dying prematurely): Why do long-term GP-patient relationships improve health and reduce costs? GPs improve chronic disease management, which prevents complications.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. AMA PRA Category 1 credit(s) ™.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MARCH 27, 2025

But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. There’s also education that goes with it, educating, like, what does that mean? And is it at all individualized to the patient? It’s a lot. Yeah, yeah.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

MAY 1, 2025

But the HIV we do see, and it feels tragic because the people who are dying of and affected by the more kind of traditional, if you call it that, kinds of complications, some of which can be fatal of HIV AIDS are the people who are not on treatment. Older adults may not have received AIDS education. Meredith 17:07 Yes.

Primary Care 96

Primary Care IT Clinic Provider 96

Mesa Family Physician

MARCH 6, 2025

Tertiary Prevention: Managing Existing Conditions Tertiary preventive care focuses on managing existing chronic diseases to prevent complications, improve quality of life, and reduce the negative impact of disease. These measures are taken after a disease has been diagnosed.

Preventative Care 100

Preventative Care Preventive Care Family Physician Screening 100

GeriPal

JANUARY 5, 2023

And the argument was framed more as a healthcare choice made by individuals in conjunction with their clinicians. By way of… Sort of starting this off, it’d be great if one of you would come up and help educate our audience in some lay terms, what are rights of consciousness? Robert: Professional relationship.

Provider 19

Provider Medical Hospital Patient-Centered 19