GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And so a lot of it’s the education for patients and their care partners, “This is why we’re doing the things we’re doing.

Diabetes 73

Diabetes Management Patient-Centered Families 73

GeriPal

JUNE 12, 2025

During my training, I didn’t receive much education about radiation oncology, and I’m not entirely sure what some of the terms mean (hypofractionated means fewer sessions, right?). Anish 07:54 I would say sort of echoing what Emily was just referring to is education is key. So I think education is key.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. To note that I am an individual who goes through this world. And we also need it.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

FEBRUARY 15, 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.

Community 114

Community Transportation IT PCP 114

GeriPal

JANUARY 25, 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 122

Patient-Centered IT Illness Patients 122

GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. Eric: So how do you put that all together? Eric: Okay.

Consulting 115

Consulting Patient-Centered Patients IT 115

GeriPal

OCTOBER 26, 2023

It’s very challenging from a hospitalist standpoint because I think there’s definitely a population of people who are not educated well about what are the outcomes when people go to subacute rehab, who benefits from that. We provide critical education. Sarguni: I hear what you’re saying and I struggle.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. They’re asking you for a consultation.

IT 132

IT Illness Families Family 132

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? And so we do have consultants who come in the building. And usually it’s simply for a consultation. Reasons why people thought about consulting palliative care. But we, we do a lot of, a lot of care in the facility. Connie 21:45 Right, right.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. AMA PRA Category 1 credit(s) ™. Who do we have with us today?

Illness 136

Illness Patient-Centered Screening Clinic 136

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. Not anymore.”

Family 97

Family Families Patient-Centered IT 97

GeriPal

MAY 8, 2025

So classically with preparation, in individual settings or even in group settings, you have one or two people supporting people through psychoeducation, what to expect, life review. 7 out of 10 of these patients said it was one of the top five most educational and meaningful experiences of their entire lives. And they drive.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

APRIL 13, 2023

I think some of that is from some of my thinking about maybe what I can potentially think about with the individual to support them. The idea of listening with your ear, so E being educate, A, assess, and R, respond. The educate is really about these are the risk factors, and they are significant. I would say that.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 4, 2024

Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. I think probably you’ve been hospitalists at some point in your life, you do palliative care consultations. Eric: Yeah, I feel like a lot of value that we provide as a palliative care consult service is to do that legwork.

Families 112

Families Family Patient-Centered IT 112

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. So those questions we ask when we’re doing a palliative care consult. So I’m a writer, I’m a poet.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 20, 2023

Then there’s workforce, so thinking about the education and training of the workforce and how do we enhance that. As well as, there are significant issues across the workforce when thinking about education and training, for example, that need to be addressed. Jasmine: Technology. Tell me about that. So it’s give and take.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

FEBRUARY 13, 2025

You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. Marie 03:42 So probably the most important thing is we developed the consultation as a culturally based consultation process. And then we incorporated that information into the consultation process.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. The one thing that we know is that education alone will not actually deliver behavior change. So that’s great. It’s a hard outcome.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

OCTOBER 20, 2022

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. And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes. Devika: Thank You.

Complication 52

Complication Patient-Centered IT Patients 52

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 100

Healthcare IT Community Illness 100

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. We tested two different nudges individually and then we combined them. And especially that requires a lot of education. What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. I thought I was going to be a professor or educator, decided I didn’t like that.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 24, 2023

I think some individuals thought there was cherry-picking of stories that made it seem like hospice is this bad thing, that it’s taking advantage of vulnerable individuals and it didn’t talk enough about the good things that hospice does. On the other side, there’s another group that thinks, you know what?

IT 113

IT Provider Patients Families 113

GeriPal

JANUARY 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.

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 14, 2022

So for those of you listening via YouTube, here’s the live version for those of you who are listening on the podcast, you’re going to get my prerecorded version with lots of loops and I’m doing consultation with my new music teacher who’s a music producer in LA. Alex: So we’ll see what these come out like.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. For those individuals, how do you think about that? And we’ve been consulted multiple times. And then we sign off and then eventually get consulted again because the team put him on IV Dilaudid. I think it is just about any clinician.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

DECEMBER 19, 2024

Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on Psychiatry and Palliative Care: Growing the Interface Through Education. So we’re going to be talking about palliative care for individuals with mental illness. Eric 12:11 And we consult psychiatry. Oh, yeah, yeah. Good artist.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. Years and years ago, the first few years as an attending physician, I was consulted to take care of a gentleman with metastatic esophageal cancer. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 7, 2024

It sets space between us and the individuals we’re trying to take care of. I think that consistency of what is the expectation of our roles is crucial in a lot of ways, but that role is determined by the individuals we’re serving. Eric: When I try to think about what a doula does, should I call it a consult?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 10, 2022

That’s a problem in our healthcare financing system. Caroline: Again, just further educating on the front lines and families in particular, I think is really important as well as these policy implications. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. If they don’t, they don’t. It’s not case finding.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 25, 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.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

AUGUST 1, 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.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 12, 2024

And really they’re trying to understand what reasonable quality of life can this person expect to achieve and just agonizing over those decisions, over every individual decision. We do consults all the time on these where different people will say, no, it makes sense to try. Do we do antibiotics or no antibiotics?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JULY 20, 2023

But in California where I practice medical aid and dying is legal and similar to other issues that are controversial in some places, many physicians do not prescribe or do visits for medical aid and dying consultations. Eric: Well, can I ask about that, Joe? Because that’s an interesting one because we were talking about boards.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73