The Clinical Problem Solvers

APRIL 24, 2025

Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network.  References 1. Benton TD , Boyd RC , Njoroge WF.

Mental Health 52

Mental Health Community Hospital Appointment 52

Family Physicians of Greeley

MAY 17, 2023

If you struggle with sleep difficulties, consider implementing relaxation techniques or consulting with a healthcare professional. Surround yourself with supportive and positive individuals who uplift you and provide a sense of belonging. By doing so, you can lead a happier, more fulfilling life.

Mental Health 40

Mental Health Physicals Healthcare Professional Relationship 40

GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Attendee 13: I am most hopeful that we will continue to really promote culture change for our healthcare system that desperately needs it.

Specialization 93

Specialization Illness Healthcare Patient-Centered 93

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). She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. Anne: Is there a movement? I love them.

Community 101

Community IT Individual Patient-Centered 101

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 is the role of the family caregiver system, how they play a role? We don’t need to check sugars all the time,” that also is a shock for patients and families.

Diabetes 73

Diabetes Management Patient-Centered Families 73

GeriPal

MAY 5, 2022

COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults. So this is a podcast going at the geriatricians and palliative care providers. Alex: Great story. Eric: And let me ask both of you.

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IT Screening Hospital Clinic 102

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. And, of course, this is what families of patients undergoing palliative care go through.

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Consulting Hospital Patient-Centered IT 120

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. And for many years, I think there was a focus on physicians and then providers. All right, experts, are you ready?

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IT Illness Families Family 132

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. And the sort of the ask was, “Oh yeah, you can talk to the family, right?

Families 97

Families Family Patient-Centered IT 97

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.

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Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. But watch out! Alex 01:06 Yeah, go in person.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. But you worry that the advance directive does not provide enough guidance for the specific decision at Yael Jo, do you. They have an advance directive.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. laughter] Alex: We love the family theme. Their job was done.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 5, 2025

Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. So we see a lot of problems with symptom management, a lot of family conflict. That’s a big question.

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. If they didn’t do it all by themselves, they talked to the family and it was a conversation, but also there wasn’t a whole lot that doctors can do then. Eric: And Laurie for this patient, were you the outpatient provider?

Families 112

Families Family Patient-Centered IT 112

GeriPal

MAY 4, 2023

I wonder from a provider perspective, if you’re open to talking about your team. It is really difficult for the patients and the families. Eric: Yeah. From a personal emotional perspective, what do you think makes it hard? You’re recognizing that, wow, this could happen to me, and I wonder sometimes about the challenges.

IT 83

IT Families Family Illness 83

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

JUNE 9, 2022

But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. And palliative care was as a program was just growing at Penn moving from just consult hospice to actually having a team when I was training. And I practiced both on the palliative care consult team and in the ICU.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. This is like, back in 2013, and I joined the faculty at the Icahn School of Medicine at Mount Sinai.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 12, 2023

” Somehow, there’s this signal that the patients and families had to pick up that maybe the surgeon wasn’t so enthusiastic, or if I just dump risk on them, maybe they’ll say, “I don’t want this.” We hope you enjoy this episode. And that’s how we connected. You mentioned this term, fix-it.

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IT Families Family Patient-Centered 128

GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. So those questions we ask when we’re doing a palliative care consult.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. And that grew into a group of volunteers coming back and at least providing support groups, giving those men a place where they could talk at least. Michele: Yep.

Families 132

Families Family IT Community 132

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 115

Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 24, 2023

2021 Association of Hospice Profit Status With Family Caregivers’ Reported Care Experiences. I’m very proud of the work that we do every day and we take care of patients and families no matter where they live or who they are to help them meet their end of life goals. JAMA Health Forum. Eric: Great.

IT 113

IT Provider Patients Families 113

GeriPal

OCTOBER 24, 2024

Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. Eloise is a palliative care NP at Stanford and co-founder of The Radicle Health Clinician Network.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

APRIL 28, 2022

So when I make a cartoon, usually I’m sending it to a few people before it’s ever seeing the light of social media, to make sure it’s not going to come across as insensitive either to patients or to my fellow providers. And so here’s a picture of four healthcare providers behind bars. Eric: Yeah.

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IT Hospital Patients Illness 145

GeriPal

JUNE 15, 2023

I think the AI can allow for that complexity but still provide some guidance. So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. Matt: We have seen pilot level studies, interventions like that one to do clinical ethics consultation.

IT 99

IT Patient-Centered Patients Healthcare 99

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

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. Is that right too?

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

OCTOBER 5, 2023

Sunita: Honestly, I’d be happy to provide the vocals. So I first want to just say thank you to Ernesto’s family. And I met with his family over Zoom, which was how many of us had to meet with families during that time. So I requested Alex to play Meet Me in the Woods by Lord Huron. Maybe, no promises, maybe.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

NOVEMBER 21, 2024

But if we’re going to have a family meeting, that’s a different circumstance. 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. So help serves and hinders in everybody.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

JANUARY 20, 2023

To me, I think the Greenhouse folks have proven that you can provide quality care in a home-like environment cost effectively if it’s done right. It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents? Mike, you’re nodding your head no.

Finance 95

Finance Board-Certified IT Provider 95

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 may have few family members, live alone.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. Jill Schneiderhan, a family medicine and integrative medicine doc, helps us think through this. Ivermectin to treat cancer. Stem cell treatments.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

SEPTEMBER 22, 2022

And in response, the family or patient looked at you like you were from another planet? Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Links: – Uncanny Valley post on Josh’s fantastic substack Notes from a Family Meeting.

Illness 101

Illness IT Patient-Centered Patients 101