PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

DECEMBER 2, 2022

Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. How do you maintain successful aging, which is often free of disease or illness or disability? You have this brain disease, it will get worse.

Community 102

Community IT Individual Patient-Centered 102

Tiny Physician

FEBRUARY 15, 2022

This may result in errors in the diagnosis of the patient whom the doctor was examining initially. Studies have shown that increasing manpower at hospitals has resulted in improvements in resident perceived educational value and clinical experience of ward rounds [7].

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

GeriPal

OCTOBER 13, 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 I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill.

Complication 97

Complication Patient-Centered IT Patients 97

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 8, 2023

Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? And so a lot of it’s the education for patients and their care partners, “This is why we’re doing the things we’re doing. Listen in to learn more! Nadine: Yeah.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Katie, before we jump into the topic of buprenorphine in serious illness, what’s the song request?

Illness 103

Illness Patient-Centered IT Patients 103

GeriPal

FEBRUARY 6, 2025

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. Absolutely.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

JANUARY 18, 2024

Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. Eric: So, before we jump into the topic of substance use disorder in aging and serious illness, I think someone has a song request. AMA PRA Category 1 credit(s) ™. Who do we have with us today?

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. But we all know there is a lot of gatekeeping when it comes to access to palliative care and hospice services, and there are a lot of folks out there trying to navigate a serious illness all by themselves.

Education 128

Education IT Illness Healthcare 128

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Eric 01:34 Oh, I love that. Dani 01:36 More to talk about there.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. During the podcast, we reference a newly released second-edition book that our guests published titled “ Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.” Eric 01:42 So we’ ve got an exciting topic today.

IT 133

IT Illness Families Family 133

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 127

IT Patient-Centered Illness Education 127

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. 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.” How did you both get interested in this as a topic?

IT 102

IT Families Family Diagnosis 102

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. Transcript.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. AMA PRA Category 1 credit(s) ™.

Illness 144

Illness IT Medical Provider 144

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 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 23, 2023

In general, the case is a patient who wound up with a new diagnosis of metastatic cancer during the course of the admission and at a certain point had full capacity, was able to make decisions and communicate. Anne Kelly: I was just going to add, and to some extent the idea, we have escorted many people through different stages of illness.

Family 98

Family Families Patient-Centered IT 98

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Anyways, the current study is looking at the impact of music on well being after a new dementia diagnosis. And this has been really interesting because people are like, they just got their diagnosis. I forgot about.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. It’s used a lot in the education world. What does this diagnosis mean to you?

IT 102

IT Families Family Clinic 102

FDA Law Blog

MARCH 13, 2023

For example, at a recent EL-PFDD meeting for Metachromatic Leukodystrophy (MLD) , caregivers shared stories of receiving an MLD diagnosis and then starting to look into possible gene therapy clinical trials. One family’s daughter was the first U.S. recipient in a gene therapy trial and seems to be doing very well.

Patients 98

Patients Patient-Centered Families Family 98

GeriPal

SEPTEMBER 28, 2023

A “Three-Stage Protocol” for Serious Illness Conversations: Reframing Communication in Real Time Transcript Eric: Welcome to the GeriPal podcast. What proportion of time do surrogates of seriously ill patients in the ICU rely solely on the doctor’s prognosis? Patient Values: Three Important Questions-Tell me more?

Families 144

Families Family Patient-Centered IT 144

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 110

Patient-Centered IT Patients Clinic 110

GeriPal

MARCH 7, 2024

He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. I can name probably 10 organizations across the United States where you can get education on being an end-of-life doula and they’re all slightly different.

Provider 119

Provider Illness IT Healthcare 119

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. ” We make sure that we talk about illness understanding and prognosis.

IT 129

IT Families Family Patient-Centered 129

GeriPal

OCTOBER 24, 2024

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. So we have a whole suite of education available. Eric 49:57 Great.

Medical 100

Medical IT Patient-Centered Healthcare 100

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 I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 20, 2025

We discussed what makes an illness terminal, what goes into assessing capacity for an action as simple as requesting something to drink, and whether the TV show Severance illuminates any of these answers. But before we talk about this subject, about nutrition, hydration at the end of life, people with advanced illness, or maybe not so much.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. 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.

Illness 131

Illness IT Physicals Patients 131

GeriPal

JUNE 26, 2025

I think part of this does stem from a clinical experience and also some of the theoretical models that have evolved around serious illness, you know, to think specifically about dementia. And so trying to think a little bit more about what could be driving some of those alterations in the trajectory for all kinds of serious illness.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

SEPTEMBER 19, 2024

Alex 12:36 And most of our listeners are like clinician, practicing clinicians caring for older adults, people with serious illness. Within eight weeks of diagnosis of advanced disease. So in chronically critically ill patients, the idea that one visit is going to do anything is just. Is this superior to that? Palliative care.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. 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. Alex: This is Alex Smith.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MARCH 27, 2025

Alex 02:44 Still suffering from some illness from there, which is why I was sick and not in the office with Eric today. There’s also education that goes with it, educating, like, what does that mean? Like, how close to the end of life is it all just in seriously ill patients, I guess. Like if somebody just drops.

Primary Care 80

Primary Care IT Clinic Illness 80

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 96

Primary Care IT Clinic Provider 96

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. So the palliative performance scale, or PPS, is essentially a tool to help clinicians with prognostication for seriously ill or palliative care populations.

Families 108

Families Family Patient-Centered Patients 108