GeriPal

DECEMBER 2, 2022

So on today’s podcast we invite four brilliant individuals to talk about their perspective on how to change how we as a society and health care system partner with individuals with dementia. Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Transcript. Eric: Welcome to the GeriPal podcast.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

MAY 11, 2023

Certainly education, quality of education is extremely important. Some of them, like education, definitely social determinants of health. Like, education, is it that it prevents you from getting Alzheimer’s disease, or does it just give you more reserve so Alzheimer’s peeks out later?

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

OCTOBER 13, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 97

Complication Patient-Centered IT Patients 97

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. To note that I am an individual who goes through this world. And we also need it.

Individual 81

Individual Community IT Chronic Condition 81

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

JULY 21, 2022

That’s where it really gets to this individual risks and balances, individual situation. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. Alex: Yeah. Terri, I wonder if you could comment on that. Absolutely.

IT 102

IT Family Families Diagnosis 102

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. But in spite of that, it is a lot of work for three individuals to pull all this together. So that this is not something that might affect the individual clinician patient decision.

IT 64

IT Hospital Screening Patients 64

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Tim 43:15 I’m an educator at heart.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

SEPTEMBER 21, 2023

I started going to the literature and I noticed that communities of color, those with the Hispanic background, Black individuals were disproportionately impacted by dementia, and I couldn’t believe it. I think, again, it’s the person’s individual, their preference. Alex: Yeah, I like that approach too.

Community 128

Community Family Families IT 128

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. I’m a prescriber.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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. And that’s something we have to just think about.

IT 102

IT Families Family Clinic 102

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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 26, 2023

It’s very challenging from a hospitalist standpoint because I think there’s definitely a population of people who are not educated well about what are the outcomes when people go to subacute rehab, who benefits from that. We provide critical education. Sarguni: I hear what you’re saying and I struggle.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MAY 8, 2025

Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. What I presented at HPM was findings of several hundred outpatients and the two most salient constructs were depression. Do you educate them not to drive? So when we did have.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Wonderful work. Every Veteran has a story.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

APRIL 13, 2023

No, I mean, I think I had the initial feeling or thought about this being present after I learned about it and were thoughtful with senior mentors about it. I think some of that is from some of my thinking about maybe what I can potentially think about with the individual to support them. You just knew it? Thomas: Yeah, yeah.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

NOVEMBER 2, 2023

Graduated in 2013, did a two-year clinician educator track. And like you, Jerry, have never regretted that a day in my life and have dedicated my career as a clinician educator, now a fellowship program director, but I’ve also been a clerkship director in the past. All this weight now is on your shoulder. How long ago?

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

JANUARY 20, 2023

Then there’s workforce, so thinking about the education and training of the workforce and how do we enhance that. As well as, there are significant issues across the workforce when thinking about education and training, for example, that need to be addressed. It needs to be presented in a way that they can understand.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. It sets space between us and the individuals we’re trying to take care of.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. In addition to that long list, I was also a chaplain educator.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. It’s baked into people’s belief systems, who ultimately make laws and make policies, and it can influence healthcare. It can influence education systems.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

MARCH 6, 2025

Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Today we discuss: What is the best terminology?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 8, 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 137

IT Families Family Physicals 137

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Eric: I think about it as the first one to address individuals’ curative therapy. Welcome, Corita and Kate and Tom.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 6, 2025

Nate 26:42 And so if we’re going to be using that term in a new way, there’s a lot that has to go into the education and reframing of that. Of these interventions in those individuals. And I pretty much present it as. Eric 41:31 Also worry that like part of this is the, the taint that educated me put over everything.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. Well, being a pretty comprehensive definition.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

DECEMBER 15, 2022

I thought I was going to be a professor or educator, decided I didn’t like that. You would love this because in that story that was in that patient CHR was a particular song that had meant a lot to this individual. So I allow family members to be present if they want them to. So I’m a writer, I’m a poet.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 4, 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 112

Family Families Patient-Centered IT 112

GeriPal

MARCH 24, 2022

Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. So it’s an example of something that can start outside of the healthcare system and move its way in. I think Bob also noted documenting it.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is Eric Widera. Not anymore.”

Family 97

Family Families Patient-Centered IT 97

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

APRIL 10, 2025

Alex 10:52 And did you have algorithms you’d present to them, like given this patient’s circumstance, these are recommendations? The one thing that we know is that education alone will not actually deliver behavior change. You’d have to tailor it to each individual emergency department because you couldn’t.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MAY 29, 2025

I think if someone were to ask me what a tagline is from what I’ve learned in studying lucidity, I would say, like, assume consciousness present, which. So if we had this perspective that something might be present, would we have a different opportunity to see all that’s present and all that could be demonstrated?

Family 93

Family Families IT Patient-Centered 93

GeriPal

DECEMBER 19, 2024

Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on Psychiatry and Palliative Care: Growing the Interface Through Education. So we’re going to be talking about palliative care for individuals with mental illness. I think it’s very present in maid. Oh, yeah, yeah.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. But I have to be careful how I present you with this because you’ve already sort of dug into a worldview that isn’t going to accept necessarily my opinion. So I’m going to present a case. Laura 07:03 That could be a PULET.

Patient-Centered 77

Patient-Centered IT Patients Illness 77