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. What are the risks and rewards of new classes of medications? When I’m on nursing home call, the most common page I receive is for a blood sugar value. Happy to be here.

Diabetes 73

Diabetes Management Patient-Centered Families 73

GeriPal

DECEMBER 2, 2022

He wrote a book titled “ Psychiatric consultation in long term care ” that has a strengths based approach to staging dementia (how cool is that). Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. I’m going, well, is there any way to start educating people how to make these things more inclusive?

Community 101

Community IT Individual Patient-Centered 101

GeriPal

OCTOBER 13, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 5, 2022

Nick: More than obesity, more than education, that’s the one that people pay attention to. One thing we’ve looked at a little bit, but it has not been well studied is the accumulation of ototoxic medications. Alex: Can I tell an anecdote here? Eric: Yeah. Anecdote away. Alex: Yeah. Eric: Is that a good thing or a bad thing?

IT 102

IT Screening Hospital Clinic 102

The Medical Futurist

JUNE 21, 2025

Their success is understandable : they offer a fast and easy method to check any skin conditions, typically for a fraction of the cost of a traditional healthcare appointment. Self-surveillance solutions, disease guides, educational apps as well as telehealth platforms appeared naturally in dermatology in the past decade.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

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?). I was really fascinated not only with the medical side of things, but some of the. So I think education is key. Anish 04:13 Yeah. Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

OCTOBER 24, 2024

David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. laughter] Alex 01:39 Material here for songs related to medical marijuana or marijuana in general. Eric 01:34 Yeah.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. and consulting for Papa Health. So in this case consultations. Because now it requires another step to cancel the consult.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

OCTOBER 10, 2024

Today we talk with DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace about the notion that we should revolutionize our education programs, training programs, teams, incentive structures, and practice to be intentionally interprofessional in all phases. Michelle 01:22 Thanks for having us today. DorAnne, welcome to GeriPal.

Screening 119

Screening IT Families Family 119

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

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

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. Tamra: I wrote this… Eric: Thinking that the perceived role for inpatient physical therapist is a discharge consultant.

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. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. Noelle Marie, welcome to the GeriPal Podcast. Noelle Marie 00:57 Hi, everyone.

Individual 85

Individual Community IT Chronic Condition 85

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. You’re better at this than me.

IT 132

IT Illness Families Family 132

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 IT Patients 115

GeriPal

JUNE 5, 2025

And assisted living doesn’t offer the same level of medical supportive services as nursing homes. That services need to be in the building, I think is an important one to talk about because people in nurses nursing homes do have a lot of medical issues. And so we do have consultants who come in the building.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 4, 2024

Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. This topic came up with Bernie published an article in New England Journal called Deciding for Patients Who Have Lost Decision-Making Capacity Finding Common Ground in Medical Ethics. AMA PRA Category 1 credit(s) ™.

Families 112

Families Family Patient-Centered IT 112

GeriPal

MAY 8, 2025

What made this trial, I would say, unique, is that you have a palliative care physician and nurse following people with medication tapering in order to be dosed. So medication adjustments. 7 out of 10 of these patients said it was one of the top five most educational and meaningful experiences of their entire lives. Like all of.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

FEBRUARY 23, 2023

Emily is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania. And then we were involved, palliative care was consulted when the patient was really sick and decompensating in the ICU. And I know we’re talking a lot about medical decision making. That can all start with you.”

Families 97

Families Family Patient-Centered IT 97

GeriPal

OCTOBER 12, 2023

Alex: And we’re delighted to welcome Justin Clapp, who is assistant professor of anesthesia and critical care and medical ethics and health policy. He’s a linguistic and medical anthropologist at the University of Pennsylvania. You’re a linguistic and medical anthropologist. Gretchen: Thank you. Justin: Hello.

IT 128

IT Families Family Patient-Centered 128

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Nathan: I have drawn for my entire life, but I gave up cartoons because I thought I had to during medical school and residency. And then also potentially from an educational standpoint.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 13, 2023

Julianne: It’s interesting because I think I read somewhere that a finding in science often takes about, on average, 17 years to make it into medical practice. We’ll talk about is it in medical practice yet? She tried to extend conversations beyond what was medically, I think, necessary for the encounter.

IT 99

IT Community Patient-Centered Medical 99

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

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). What’s up with Medical aid in dying in Canada? Eric: So again, the topic is going to be medical aid in dying in Canada. Four percent. AMA PRA Category 1 credit(s) ™. Transcript Eric: Welcome to the GeriPal Podcast.

Illness 144

Illness IT Medical Provider 144

GeriPal

JANUARY 20, 2023

As somebody who works in a nursing home, I can barely read a nursing home note anymore because if it’s on electronic medical record, it’s usually a bunch of check boxes, several pages. Then there’s workforce, so thinking about the education and training of the workforce and how do we enhance that. Jasmine: Technology.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

FEBRUARY 27, 2025

Alex 00:27 And we’re delighted to welcome S a ch Kale, who is a palliative care doc at the Ohio State University Wexner Medical Center. But my medical training kicked in. I see this in the hospital when I’m doing addiction medicine consults. Who’s going to manage these medications? Oh, my goodness.

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. They are recruiting for a Medical Director of Palliative Care Services to lead and grow innovative outpatient and inpatient palliative care programs.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. AMA PRA Category 1 credit(s) ™. Who do we have with us today?

Illness 136

Illness Patient-Centered Screening IT 136

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

APRIL 24, 2025

And so this term was developed by our group to capture either non traditional therapies or really conventional medical therapies that patients may be pursuing with little hope of reaching a goal of care and significant risk. 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

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. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? So that’s great.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

NOVEMBER 21, 2024

And so I let him educate me. It’s amazing how often when we’re taking care of somebody in the hospital, if you have Say, you know, a family member who is not showing up for visits with the medical team or who is. It’s not in the capacities of what we can do medically. I sort of called out the coping.

Illness 125

Illness IT Patient-Centered Patients 125

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 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. Eric: When I try to think about what a doula does, should I call it a consult?

Provider 117

Provider Illness IT Healthcare 117