GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. But you’re right, there has been a shift in policy to incentivize patients and providers to choose home therapies.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

APRIL 28, 2022

Nathan is a Palliative Care doctor and an assistant professor of Medicine at Johns Hopkins. He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Times , The BMJ , and Annals of Internal Medicine. . Like, oh no, I said it.

IT 145

IT Hospital Patients Illness 145

GeriPal

MAY 22, 2025

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 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

MAY 18, 2023

So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. But it does kind of provide that caution, it kind of slows things down to make sure you’re really paying attention.

Medical 97

Medical IT Patients Clinic 97

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. I thought I was going to be a professor or educator, decided I didn’t like that. So it sounds like them.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . That was one thing.

Illness 109

Illness IT Families Family 109

GeriPal

FEBRUARY 27, 2025

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. We have this.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

DECEMBER 15, 2022

I thought I was going to be a professor or educator, decided I didn’t like that. And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? So it’s a very scary culture for people who are not in healthcare. So it sounds like them.

IT 105

IT Patient-Centered Healthcare Illness 105

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

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. We weren’t randomizing providers or patients.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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

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. So I just wanted to add that layer of how I think about these things, because I agree.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Rehabbed to Death. Ruth: Aw, thanks. Ruth: Sure. Ruth: Mm-hmm (affirmative).

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. And especially that requires a lot of education. Prior-auth forms? You know what I mean?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And then I’d also imagine from a quality of life perspective, like a one time visit by a palliative care provider, I can’t imagine it really significantly improving quality of life unless there was robust like the symptom.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MAY 29, 2025

Any depictions of paradoxical acidity that you’ve seen in media or movies that strike you as accurate, or any links we could provide to YouTube videos or anything like that. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. AMA PRA Category 1 credit(s) .

Family 93

Family Families IT Patient-Centered 93

GeriPal

MARCH 20, 2025

And is there a middle path to provide some degree of comfort while also hastening the end of life? I mean, you know, we’re trying to both honor what, what the surrogate believes is the, the patient’s preference, which we do all the time with all kinds of other medical interventions and provide comfort in a humane way.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

OCTOBER 3, 2024

You can find her illustrations online at her Twitter account, particularly those about the anti-asian hate study that we did recently and had a podcast about, as well as in annals of internal medicine. It’s put its emphasis much more on educational work, which is fantastic. Lingsheng, welcome back to GeriPal.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there. They deal with that.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 26, 2024

ELNEC (End-of-Life Nursing Education Consortium) celebrates it’s 25th anniversary in 2025. Some numbers to back it up: ELNEC has trained more than 48,000 providers in a train the trainer model Over 1.5 Some numbers to back it up: ELNEC has trained more than 48,000 providers in a train the trainer model Over 1.5 Doing home care?

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

APRIL 11, 2024

What about ambivalence on the part of the provider? Eric: So not from the patient perspective or family, but from the provider perspective? Mary: And I want to piggyback on that, Josh, because you make some great points both for when it occurs in patients and also when it occurs in providers. And then we have providers.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. AMA PRA Category 1 credit(s) ™. Great to be here.

IT 116

IT Diabetes Patient-Centered Chronic Disease 116

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. This is what I do here. How can we have this conversation with you today?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

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 Patients 106

GeriPal

APRIL 21, 2022

We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. And along the way, we really felt like we got to the heart of things.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. This question, while providing an opportunity to talk about direct and indirect experiences, can be asked of all patients, and opens the door to conversations about anti-semitism, islamophobia, or anti-Black racism. Lingsheng 38:03 Yeah.

Mental Health 116

Mental Health Community IT Screening 116

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.”

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Using data from wearable devices, internet searches, and purchasing history?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108