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 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” Certainly my bias is that healthcare professionals really do have a role in this discussion. Is this our role?

IT 102

IT Family Families Diagnosis 102

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 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. AMA PRA Category 1 credit(s) ™. Who do we have with us today? Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. And how am I going to manage their pain? And then part of our role as folks in palliative care who as Katie mentioned, really try to help folks manage distress around serious illness. Two great videos on buprenorphine initiation. Transcript.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. And this has been really interesting because people are like, they just got their diagnosis.

IT 96

IT Patient-Centered Patients Board-Certified 96

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

JULY 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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? I mean, I think, you know, people talk about withdrawal syndrome and it is an official DSM for diagnosis, but I’m not sure it’s. Is that your feeling, too?

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

FEBRUARY 29, 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 126

IT Patient-Centered Illness Education 126

GeriPal

OCTOBER 17, 2024

And I think one key part is educating the field, not just my fellow cardiologists, but also primary care doctors, geriatricians, that there’s this heart failure syndrome that is kind of sneaky, and it’s kind of difficult to diagnose any. Eric 12:05 Any pearls on the diagnosis of HFpEF. GDMT was mentioned a couple times.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? That’s what we do.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). There’s a lot of stops along the way for education.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JULY 28, 2022

But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. They supported patients, they gave them a holding environment, they did symptom management, yada, yada, yada, like all the things we know palliative care clinicians do.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. So it’s a lot of palliation. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

AUGUST 29, 2024

We’ve done work with medical improvised, we’ve done work in museum based education. So the first thing, explain the diagnosis. Is the sort of task to manage. And then we’ve had colleagues that have helped us think about other ways to grow some of these. What should I say? So you got to be better than AI.

IT 132

IT Illness Family Families 132

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. Designation University of California, San Francisco, designates this enduring material for a maximum of 0.75 AMA PRA Category 1 credit(s) ™.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? It can help prevent disability, or it can make a diagnosis and that’s it. Gretchen: It can help you live longer. Surgery does nothing else. Alexis: Yeah.

IT 128

IT Family Families Patient-Centered 128

GeriPal

OCTOBER 20, 2022

And they should be forced by doing research, followed by translating research into practice and continued education of a wide variety of individuals to then care for our aging population. And number two, maybe we should allow gentle occasional use of NSAIDs for chronic pain management if it means keeping somebody off of opioids.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 7, 2024

Healthcare, just the way healthcare is structured, that’s not something that’s feasible unless there’s a specific symptom management need that allows for more care, but just to provide simple care doesn’t exist. Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 20, 2025

And we’ll say that we will link to an article that Hope and Thaddeus and others, I think Tim Quill was on there, wrote in journal, Pain and symptom Management, I think it was. Just got the diagnosis based on blood tests of amyloid. Then just got the diagnosis. Thaddeus 39:58 That’s how she decided to manage it.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. Eric 23:45 Yeah, I love that, too, because I think that one for me really is, can our interventions need to target the patient population that we’re managing? It’s not just about physical symptom management. So I think that was one of the key eligibility criteria.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. It could be in housing, it could be a standalone senior center, home delivered meals, nutrition counseling and nutrition education done by registered dieticians.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MAY 1, 2025

Alex 16:55 My guess is probably not something that most geriatricians or internists or family medicine docs caring for older people have on their differential diagnosis. Is a new diagnosis of HIV. Older adults may not have received AIDS education. If they did, it was before AIDS was a diagnosis. Meredith 17:07 Yes.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. Redwing, who is a cancer survivor, shares poems about her experiences with cancer.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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.

Family 106

Family Families Patient-Centered IT 106

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. There’s also education that goes with it, educating, like, what does that mean?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

APRIL 20, 2023

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed?

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. And that really is what prompted me to get certified as a sexual education provider. And as I was walking, literally outside of the room, she said, doctor Aljawari, can I ask you one question before you leave? And I said, sure.

Illness 130

Illness IT Physicals Patients 130

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? And then another, which was released under the Bush administration by a council with a different sort of philosophical Benton worldview which still managed to come to the same conclusion in support of a brain based definition, death. Alex 04:49 Amyloid.

IT 113

IT Family Families Patient-Centered 113

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. I had the tenacity and education to try to figure this out. And I was terrified.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

The other way to think about who’s eligible… I talked about coming at this from a diagnosis point of view, people with certain conditions that you need to be hospitalized for. By the year 2000, everyone will be in a Medicare managed care plan.” We’re not paid, as part of a DRG, for any particular diagnosis.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JANUARY 5, 2023

He has an interest in hospice and of life care, pain management and medical ethics. So, they were finding that their miscarriage management was constrained and sometimes less safe, honestly, because of the restrictions. I got it the second time. What are we talking about here? What does this ethical precept mean? Lori: Absolutely.

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

JULY 14, 2022

And we now continue to manage all the comfort care patients, which in the setting of a packed hospital, that’s really done some great offloading. Darrell: But for me personally, I actually got involved with David Kessler’s organization in Southern California, and went through a grief educators program for him.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136