GeriPal

JANUARY 12, 2023

Number four, again, structure and process that promotes early mobilization which may or may not require a formal OT and PT consultation. Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics. And so there’s not a lot of added cost.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

OCTOBER 13, 2022

And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults. 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 97

Complication Patient-Centered IT Patients 97

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. It has to do with movement and food in a lot of ways- Tamryn: Physical activity, nutrition, dietary changes. Summary Transcript Summary Diabetes is common. Absolutely.

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). She directs UCSF MERI’s patient, family, and clinician support with classes and consultation on resiliency, well-being, and grief. And then again, I tell them about this improv.

Community 101

Community IT Individual Patient-Centered 101

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. And one of the parts of that was actually doing physicals for the students and putting them in job placements. Alex: Great story. Eric: Yeah.

IT 102

IT Screening Hospital Clinic 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. The physics and mathematics that went into radiation therapy planning. Eric 04:49 Drew me to the field physics and math. So you have the consultation. Evie, welcome to GeriPal.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Rao Doctor

APRIL 3, 2025

Importance of Physical Examinations Physical examinations also play a significant role in diagnosing health conditions. During the examination, healthcare providers assess vital signs, such as heart rate and blood pressure, and look for physical signs of infection or illness.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Plum Health

OCTOBER 11, 2024

They also provide immunizations and lifestyle advice tailored to your specific needs. It creates a continuous health history that benefits both you and your provider. They're designed to provide quick, efficient medical attention for conditions that require timely care but aren't life-threatening.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. This requires emergency treatment.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

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. I think, as providers, we don’t get to see that.

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

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! That’s what I’m waiting for, Alex.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 9, 2022

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. I have never myself called a palliative care consult as a trainee because we didn’t have one. And I practiced both on the palliative care consult team and in the ICU.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

AUGUST 29, 2024

And for many years, I think there was a focus on physicians and then providers. Gordon 12:01 One absolute right answer to all these questions, and we will provide that. I mean, how do you negotiate that with the oncologist who is the one who consulted you, by the way, Eric, who does that go to? All right, experts, are you ready?

IT 132

IT Illness Families Family 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

DECEMBER 8, 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. So it’s a very scary culture for people who are not in healthcare.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. Gender expression is your physical outward manifestation of how you express your gender identity. It was personal to me, but also right. Caregivers too.

Individual 81

Individual Community IT Chronic Condition 81

GeriPal

MAY 8, 2025

And I spent the past couple years just collecting data from several hundred early palliative care patients and did a network analysis, which basically just looks at the Correlations between different constructs, whether they’re physical, emotional, social or spiritual. Sorry, Demoralization and chronic pain.

Illness 107

Illness IT Patient-Centered Patients 107

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. So it’s a very scary culture for people who are not in healthcare.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 4, 2023

I wonder from a provider perspective, if you’re open to talking about your team. I think that as everyone is already starting to allude to, I think that there’s this in between space with adolescence and young adulthood that falls between our two areas of pediatrics and adult provider work. Eric: Yeah.

IT 83

IT Families Family Illness 83

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. Nathan: Yeah.

IT 145

IT Hospital Patients Illness 145

GeriPal

JUNE 15, 2023

I actually like reading books and the physical,” and what the internet 2.0 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. Eric: Really? Eric: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

OCTOBER 12, 2023

I’m just wondering, how do we get surgeons, and maybe, how do we teach surgical trainees to move away from this fix-it mentality into the space of deliberation where deliberation is actually invited and prioritized in the surgical consultation? People think of the phases of a typical clinical consultation. ” Eric: Yeah.

IT 128

IT Families Family Patient-Centered 128

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 that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. They can’t believe it, but we come back again and again and again gently to provide that support. And so the attitude has unfortunately become like, we just don’t provide care to folks.

Healthcare 100

Healthcare IT Community Illness 100

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

OCTOBER 5, 2023

Sunita: Honestly, I’d be happy to provide the vocals. I point this out a lot more nowadays to the resident teams that consult. If the consult is for “code status,” I always ask them, take a look at your past conversations. So I requested Alex to play Meet Me in the Woods by Lord Huron. laughter] Alex: Great.

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. I think I feel more comfortable as a provider in trying to support people in their isolation.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 24, 2025

I think they may not be likely to provide much benefit, but because they’re water soluble and you just pee it out, they’re probably not causing much harm, except for potentially financial harm if they’re very costly. It’s just that he was foregoing things that we think would have provided him more benefit.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

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 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes. I was really struck by the difference in care provided to people with advanced dementia. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

DECEMBER 19, 2024

This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. Eric 12:11 And we consult psychiatry.

Illness 101

Illness Mental Health IT Patient-Centered 101

Tiny Physician

MARCH 30, 2022

She was a post-graduate in Obstetrics and Gynaecology (the branch which covers pregnancy and the female reproductive system) and she had won various accolades during her student and consultant days. For example, a doctor working at a primary health center may not able to provide adequate care for a pre-term newborn child.

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

SEPTEMBER 22, 2022

One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. Stop thinking the physical exam or the differential diagnose, whatever, and just be there. Josh: Mm-hmm. Yeah, totally. Stop being the expert.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

MAY 12, 2022

What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. And then there are a number of groups that go out in vans and cars and go out into the surrounding community of Kerala to provide care for patients who are in their homes. We know that a department of healthcare cannot give it.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MARCH 13, 2025

Eric 01:44 And we’re going to be talking about the roots of palliative care, and I think importantly, not just looking back, but what does that mean for our future as hospice and palliative care providers. But before we do, I think, Justin, you have a song request for Alex. Justin 01:59 Absolutely. It’s I Got a Name by Jim Croce.

IT 104

IT Patient-Centered Families Family 104