Mesa Family Physician

MAY 8, 2025

These visits help catch illnesses before they become more serious, reduce healthcare costs in the long term, and improve overall quality of life. Why Preventive Health Maintenance Matters The importance of public health and individual wellness cannot be overstated. The goal is to avoid disease, not just treat it.

Preventative Care 100

Preventative Care Preventive Care Wellness Visit Physicals 100

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Assessing Accompanying Symptoms in fever In addition to temperature measurement, we doctors evaluate accompanying symptoms to determine the potential causes of illness. F (38°C) is generally regarded as indicative of illness. FEVER FAQs (contd.)

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Eric 01:34 Oh, I love that. Dani 01:36 More to talk about there.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

JUNE 12, 2025

Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. I didn’t really know, similar to what Evie was talking about, how to provide any anticipatory guidance or to know what to expect in residency. Evie, welcome to GeriPal. Evie 00:41 Thank you.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. With their regular providers? The article we discuss today, also published in JAMA , addresses these two gaps. In their communities?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Eric 01:42 So we’ ve got an exciting topic today. Eric 05:03 Nice.

IT 133

IT Illness Families Family 133

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. That’s where it really gets to this individual risks and balances, individual situation. I’m going to first turn to Emmy.

IT 102

IT Families Family Diagnosis 102

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. You have a patient with dementia severe enough that she cannot recognize relatives.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 4, 2023

I wonder from a provider perspective, if you’re open to talking about your team. There’s all this stuff that we’re supposed to be doing at that stage of life and then you add the complexity of the serious illness. Eric: Yeah. From a personal emotional perspective, what do you think makes it hard?

IT 83

IT Families Family Illness 83

GeriPal

MARCH 9, 2023

Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is Eric Widera. Eric: Lynn or Anne?

Family 98

Family Families Patient-Centered IT 98

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. AMA PRA Category 1 credit(s) ™.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. We provide critical education. Ann: No, he was very excited.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . Where does POLST fit in with this debate? This is Eric Widera. Alex: This is Alex Smith.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. those experiencing homelessness). Really looking forward to the conversation.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. Had multiple physical, psychological complications as a result of that. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Participants were critically ill and intubated. P AI R stands for Palliative and Advanced Illness Research Center. What is sludge?

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

MAY 25, 2023

Complicated grief? And I wonder when we think about targeting particular population, it’s not just, you know, how seriously ill they are. I think one of the strengths of a group visit is that you can choose the materials that you want that are actually most helpful to the individuals who come to your clinic. Depression?

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

JUNE 9, 2022

We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. And bringing more palliative care to the living with serious illness instead of dying from serious illness population.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

AUGUST 25, 2022

And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices. Although I saw that hospice was providing a lot of really great quality care for these patients, I also saw a lot of problems.

Families 107

Families Family IT Patients 107

GeriPal

OCTOBER 19, 2023

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. I think that policy in the emergency department is showing that no matter what that provider is looking to see if a patient has a preference.

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

NOVEMBER 7, 2024

We also briefly mention Susan Wong’s terrific studies that found a disconnect between older adults with renal failure’s expressed values, focused on comfort, and their advance care planning and end-of-life care received, which focused on life extension; and another study that found quality of life was sustained until late in the illness course.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. Lauren: Yeah. That’s just one hypothesis. Lauren: Yeah.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

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. Like, would you include the doctors that I work with, healthcare providers where I live in Marin? So their caregivers did focus groups.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”? .” Pain Manag Nurs.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 12, 2022

When we think about palliative care delivered here, like individuals with chronic pain, non-serious illness chronic pain, non-life threatening illness, oftentimes if we get consulted on them, we don’t even see them, may just be discontinued in most palliative care places. What do you think about that?

Community 116

Community IT Relationship Healthcare 116

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. Eric: Nudge it. Kate: Nudge it.

Consulting 116

Consulting Patient-Centered IT Patients 116

GeriPal

SEPTEMBER 8, 2022

Alex: Their own death in advance, terminally ill people. It’s complicated, it’s messy. How does that defer from is it complicated grief, prolonged grief disorder? Eric: Is that the same as complicated grief? Bargaining just so you know is more end of life before the death. Holly: In advance.

IT 100

IT Complication Relationship Specialization 100

East Cary Family Physicians

OCTOBER 9, 2023

RSV: A Lesser-Known Respiratory Threat Respiratory Syncytial Virus (RSV) may not be as familiar as the flu, but it poses a significant risk, especially to specific demographics, including older adults, immunocompromised individuals, and young children. COVID: Staying Vigilant in Fall COVID remains a concern, even as we transition into fall.

Families 52

Families Family Vaccination Family Physician 52

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. So the palliative performance scale, or PPS, is essentially a tool to help clinicians with prognostication for seriously ill or palliative care populations.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. And I became more and more involved in it, including becoming involved in research and developing some of the programs initially to provide care for people with both drug use and HIV related problems, women with HIV vulnerable populations.

Primary Care 96

Primary Care IT Clinic Provider 96