GeriPal

JUNE 20, 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 121

IT Patient-Centered Patients Clinic 121

Rao Doctor

APRIL 3, 2025

One of the primary tools used in diagnosing fever is the thermometer, an instrument that measures body temperature. This information can help pinpoint possible causes of illness and guide further investigations. Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Plum Health

OCTOBER 11, 2024

Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. But when should you consider visiting an urgent care clinic?

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.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JULY 21, 2022

Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Certainly my bias is that healthcare professionals really do have a role in this discussion. And what should we be doing as far as assessment?

Family 102

Family IT Families Diagnosis 102

GeriPal

JANUARY 18, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. And here, just to clarify, we’re using that term to mean, people diagnosed with cancer, not necessarily people who were treated with curative intent. Jessie: Yes. Devon: Yes.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

JUNE 27, 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 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

JUNE 15, 2023

Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. And this case has been worked out the best in terms of the artificial intelligence suggesting diagnoses the clinician may have missed. The information there and you limit it in that way.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

FEBRUARY 22, 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.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

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. And this is for all of us, that when we’re going into this space of providing inclusive and affirming care, it really starts out with humility, because there’s a lot to learn.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 23, 2023

And several times now, I read the notes and it’s just that someone has copied the contact information for someone into that note, but no one has actually contacted them or confirmed that they would want that person present. Emily: Looks like informed decision making around family involvement. Eric: Lynn or Anne?

Family 98

Family Families Patient-Centered IT 98

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Eric 10:25 Great.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JUNE 16, 2022

For example, we once thought that the lower urinary tract was sterile, but we now know it has its own microbiome, which may even provide protection against infections. Eric: And then as we talk about Venn diagrams, probably the most common reflexive thing that providers do when they hear about lower urinary tract symptoms is they check a UA.

Management 123

Management IT Medical Patient-Centered 123

GeriPal

OCTOBER 17, 2024

And so, unfortunately, I think for a while, this condition, for many people, isn’t diagnosed until you end up seeing a cardiologist or a heart failure doctor who’s really honed in on this to say, actually, this is a heart failure syndrome. Is your impression that HFpEFde is under diagnosed in older adults?

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

MARCH 24, 2023

This was an investigative report about fraud and healthcare, pure fraud, pure victimization of vulnerable people. She happened to focus on some specific for-profit hospice providers. They were all actually publicly traded or private equity owned for-profit hospice providers. It feels somewhat random in some ways.

IT 115

IT Provider Patients Family 115

GeriPal

JUNE 9, 2022

We can’t possibly meet the needs of all people with newly diagnosed serious illness. Kate: You just embed it into routine care and workflows, and you really aim for a broader population,, outcomes that are routinely collected care that can be provided in the course of routine care, and not trying to manipulate and control all of the factors.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. AMA PRA Category 1 credit(s) ™.

Family 113

Family Families Patient-Centered IT 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

MAY 9, 2024

Why focus on the public rather than other health care providers? How do they deal with professional barriers and the barrage of comments? It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. AMA PRA Category 1 credit(s) ™.

Education 128

Education IT Illness Healthcare 128

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. 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 119

Provider Illness IT Healthcare 119

GeriPal

AUGUST 17, 2023

So these folks who are taking it for the first time are going to be part of the new information that we have. And many people, many geriatricians and colleagues are going to be participating in databases where we collect information about people who are on these drugs. And we’ve been diagnosing it at Penn.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

AUGUST 25, 2022

I think that there are some really great for-profit hospices out there that are actually able to provide more services and more open access for patients. Although I saw that hospice was providing a lot of really great quality care for these patients, I also saw a lot of problems. And then at the regional level-. Eric: A minute.

Family 107

Family Families IT Patients 107

GeriPal

JUNE 23, 2022

And that’s another huge source of data and that’s the data that generally informs the USPSTF and other guidelines. If you know that there’s a group that you don’t treat even after they’re diagnosed, it causes anxiety, but you’re not causing them harms from treatment. What are your thoughts?

Screening 100

Screening PCP PCP IT 100

GeriPal

JULY 28, 2022

And as a resident, I just was drawn, similar to many oncology clinicians and fellows, to just be traumatic and difficult experience of patients with blood cancers during prolonged and intense hospitalizations, where they experience a lot of physical symptoms, emotional trauma related to the diagnoses. And those two are closely aligned.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

AUGUST 24, 2023

And the role of the palliative care provider is to figure out, knowing that different things affect different people, is what causes somebody in that particular instance to feel their dignity is being undermined. And the data was saying, “What is really important is the way you, the care provider, experience that person.”

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 27, 2025

But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. Like if a person has an issue, struggle with alcohol, I’m not their alcohol provider, but I may be their opioid provider. First one responds gets the first response. You know the case.

Patients 74

Patients Clinic Patient-Centered Illness 74

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. It’s going to feel like they’re in free fall.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

APRIL 3, 2025

And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. And this complete lack of attention to the real needs of persons with dementia is really kind of a shameful part of US healthcare. The post GeriPal Takeover!

IT 65

IT Hospital Screening Patients 65

GeriPal

FEBRUARY 2, 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.

Consulting 122

Consulting Hospital Patient-Centered IT 122

GeriPal

OCTOBER 27, 2022

But we know from previous studies that a lot of older adults actually want this information, but might not feel comfortable bringing it up. And really providing these estimates of how long a person has to live affects a lot of the decisions we have to make clinically. Those have a very, very long time horizon.

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 9, 2023

And I think the crisis that we’re in right now in healthcare delivery, the idea of laying down my badge, I think that’s maybe a metaphor for being a sheriff, but what about being a healthcare provider? So that’s the interpersonal between the provider and the patient. So I just can’t keep going.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

JUNE 13, 2024

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. AMA PRA Category 1 credit(s) ™. That patient past cache.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

FEBRUARY 16, 2023

Keri: It’s all normal, and it’s all data that can better inform our practice. And also the whole potential psychiatric diagnoses. And I think limiting the visits really triggered a deep sense of abandonment in him from a provider that he felt attached to. Eric: Bored, thinking about- Dani: Feel helpless. Eric: Yeah.

Patients 110

Patients IT Family Families 110

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized. So at our cancer center, we have physicians, advanced practice providers.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 6, 2023

I’ve been on a quest to build those services and support so that people can make true, informed decisions for themselves and their families. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. Susan: Yeah, I don’t think the word even surfaced.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 26, 2025

May not even know that the patient has dementia, or they might think that, but it’s not been diagnosed. And so spouses are typically the ones for patients who provide most of the caregiving support. And that’s in addition to the financial, emotional companionship, and psychosocial support that spouses typically provide.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. It was information about our ACP facilitator. This is what I do here.

Primary Care 80

Primary Care IT Clinic Illness 80