GeriPal

JANUARY 23, 2025

Summary Transcript CME Summary Its another deprescribing super special on today’s GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes.

Specialization 120

Specialization IT Patient-Centered Medical 120

The Clinical Problem Solvers

AUGUST 25, 2020

Trainees may use this foundation to question how this might impact their medical education and think about this educational legacy may be reformed through curricular and structural changes at their institutions. This includes thinking about our roles as mandated reporters and police presence in emergency departments.

Community 52

Community Patient-Centered Relationship Education 52

Tiny Physician

FEBRUARY 15, 2022

However, the core problem in our medical system is yet to be addressed which actually results in these unfortunate incidents. Nevertheless, PG doctors have to work 80 to 100 hours a week without any holidays and this tiring schedule does affect their physical and mental health. patients show their frustration at doctors.

Patient-Centered 52

Patient-Centered Government Referral Hospital 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. And for people with dementia and their caregivers, who both feel very devalued in the social system, support systems, their communities, the medical system.

Community 102

Community IT Individual Patient-Centered 102

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? When I’m on nursing home call, the most common page I receive is for a blood sugar value. How high is too high?

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

OCTOBER 13, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. And one of the parts of that was actually doing physicals for the students and putting them in job placements. How to screen for hearing loss. I don’t see myself in that world.”

IT 102

IT Screening Hospital Clinic 102

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. You just got to take a good history and do a physical examination, especially when the symptoms are typical, like regurgitation, heartburn, or epigastric pain in an older child or adolescent.

Diagnosis 52

Diagnosis Management Patient-Centered IT 52

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 12, 2025

During my training, I didn’t receive much education about radiation oncology, and I’m not entirely sure what some of the terms mean (hypofractionated means fewer sessions, right?). I was really fascinated not only with the medical side of things, but some of the. The physics and mathematics that went into radiation therapy planning.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. So medication adjustments. This is Eric Widera. Alex 00:03 This is Alex Smith.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. He’s a palliative care doctor and he is Medical Director of Palliative Care at Ascension Illinois Palliative Care. He was also the one who we have to thank for suggesting this podcast! Does that sound about right?

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

The Clinical Problem Solvers

MAY 2, 2022

Okah is a family medicine clinician and NRSA research fellow at the University of North Carolina School of Medicine, and she studies the association between the use of race in medical decision-making and beliefs regarding the etiology of disparities in health outcomes. Race and the Utilization of Security Responses in a Hospital Setting.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. David: Thank you.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. But what I tell them is, keep yourself physically active. I mean, come on.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. And so I knew that I wanted to do something related to palliative care because I work with people with advanced and serious illness.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

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. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Eric 01:42 So we’ ve got an exciting topic today. Eric 05:03 Nice.

IT 133

IT Illness Family Families 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

PEMBlog

MAY 24, 2023

This entails utilizing the least invasive non-pharmacologic means of assisting them, before moving to physical or chemical restraints. Deaths due to physical restraint. Physical and chemical restraints. Patient that are agitated should always be treated with dignity and respect. Dtsch Arztebl Int. 2012 Jan;109(3):27-32.

Management 55

Management Patient-Centered Physicals Transportation 55

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is a difference, too, between physical suffering, and we have to also give that its dignity.

IT 137

IT Family Families Physicals 137

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. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Tell me about your illness.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. And so I went into medical school wanting to cure cancer. Additional links: Editorial on Areej’s study. Transcript.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). 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. Four percent. This is Eric Widera.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive. Or somebody who has other physical cognitive problems at any age.

Family 102

Family IT Families Diagnosis 102

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.

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Individual Community IT Chronic Condition 82

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Tell me about your illness. I thought I was going to be a professor or educator, decided I didn’t like that.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

NOVEMBER 17, 2022

You’re independent, drive in and out, and the more help you need, so for example, now you need somebody to help with medication administration. But why I decided to look at medical and mental health care and assisted living. I mean we know medical care has been really important to people who live in assisted living communities.

Community 97

Community IT Mental Health Medical 97

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. His work has been published in places like the L.A.

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IT Hospital Patients Illness 145

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ?

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. We’ll talk about is it in medical practice yet? It came after engaging her.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count? I think we were very conscious of not wanting this to be sort of, you know, traditional medical interventions versus others.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

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 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 102

Healthcare IT Community Illness 102

Blood, Sweat, and Tears

FEBRUARY 24, 2023

I often have deep thoughts about how some people would react and behave in the current South African medical scene. It’s mentally draining, physically taxing and if patients have died in front of you, it’s plain traumatic. Instead of kind, reassuring voices, demanding tones laced with arrogance and ill intent.

ER 52

ER Management IT Consulting 52

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Well, being a pretty comprehensive definition. Eric 04:19 Yeah.

Patient-Centered 67

Patient-Centered IT Individual Screening 67