Permanente Medicine

MAY 20, 2025

I know we go back quite a ways and that this is a very important topic for all of us to really to talk about and to be educated about. And I quickly found myself in a role of access lead for Orange County and where I managed over 300 doctors. Khang Nguyen (01:45): Thank you so much, Chris.

Patient-Centered 52

Patient-Centered Patients IT Medical 52

PEMBlog

OCTOBER 2, 2024

The role of lifestyle and dietary modifications in management. Management of gastritis and the consideration of Helicobacter pylori infection. Gastroesophageal Reflux: Management Guidance for the Pediatrician. They do, though, have distinct pathophysiologies and management strategies. J Pediatr Gastroenterol Nutr.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Intervention: Exposures of interest included being socially vulnerable due to at least one of the following: (i) poverty or lower socioeconomic status; (ii) ethnic or socio-cultural background; (iii) gender or sex; (iv) lower level of education (no university degree); (v) low levels of literacy and/or health knowledge.

Chronic Condition 130

Chronic Condition Family Physician Family Families 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?). Anish 07:54 I would say sort of echoing what Emily was just referring to is education is key. So I think education is key.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. For example, with peritoneal dialysis and conservative management.

Management 116

Management Patient-Centered Patients IT 116

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 85

Individual Community IT Chronic Condition 85

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. And so someone knocked on my door when I was in fellowship and said, it was the EMS coordinator, the emergency medical service coordinator next door, our educator, and said, “Hey, we have this really weird problem. AMA PRA Category 1 credit(s) ™.

Community 114

Community Transportation IT PCP 114

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. AMA PRA Category 1 credit(s) ™. Who do we have with us today?

Illness 136

Illness Patient-Centered Screening IT 136

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? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. Alex: And, it means pain management. We’re willing to spend $50,000 a year for individuals for their expensive pharmacy medication. AMA PRA Category 1 credit(s) ™.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. AMA PRA Category 1 credit(s) ™.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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 21, 2022

That’s where it really gets to this individual risks and balances, individual situation. Because how that is approached can have lasting effects on relationships, unfortunately. So just starting to unpack what’s happening in an individual’s life can maybe then lead to more conversations and assessment.

IT 102

IT Family Families Diagnosis 102

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. AMA PRA Category 1 credit(s) ™. Eric: Oh, wow. We joke about this a lot.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? It’s the relationships to the world.

IT 137

IT Family Families Physicals 137

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

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. If you own and operate a nursing home and you’re taking people in, and you’re admitting new residents, what’s their accountability for how they manage compensation and quality delivery?

Finance 95

Finance Board-Certified IT Provider 95

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

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. And Covid was just.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. I would say that.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. We’ve done work with medical improvised, we’ve done work in museum based education. Is the sort of task to manage. All right, Anne.

IT 132

IT Illness Family Families 132

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

MAY 18, 2023

I feel like geriatricians have a, maybe it’s more of a hate/hate relationship with NSAIDs right now. Ruining the patient doctor relationship because you get into a fight about what anti-coagulants should be on. Eric: Or another good example is like for individuals with dementia. Eric: So NSAIDs is a good example of this.

Medical 97

Medical IT Patients Clinic 97

GeriPal

MAY 8, 2025

And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. Due to this sense of allostatic overload, like you’re just overwhelmed and you don’t have the resources, the self efficacy or the self esteem to manage it. Do you educate them not to drive?

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. Lexy: The domains were meaning and purpose, relationships, transcendence and peace, and self-worth and identity, and we developed those.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Cognitive impairment.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. 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. No, no, no.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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. But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families.

Illness 110

Illness Hospital Patient-Centered Patients 110

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 Screening Patients 66

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. It sets space between us and the individuals we’re trying to take care of. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

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. Tell me about your illness.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. So it started off for individuals with a terminal illness. AMA PRA Category 1 credit(s) ™. Eric: And let me just clarify.

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. That could include a robust home care plan to manage his symptoms. And so often, like, if you have a good relationship with them and you can understand what that root is, there’s so many other ways to come at it and they’re willing to back away.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. I thought I was going to be a professor or educator, decided I didn’t like that. ” And my interview guide for the narrative analysis methods were, tell me about you.

IT 105

IT Patient-Centered Healthcare Illness 105

Family Medicine Initiative

APRIL 10, 2024

This graph illustrates that the benefit of long-term GP-patient relationships is even dose-dependent (longer GP-patient-relationship = lower risk of dying prematurely): Why do long-term GP-patient relationships improve health and reduce costs? GPs improve chronic disease management, which prevents complications.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

JUNE 29, 2023

And I actually shared that story with Bonnie’s manager and she just thought it was pretty cool that the whole thing had come full circle, the song that she was inspired by them and then they were so moved by the song that she wrote. I am there with individuals who are dying. So that touches you. I work at the VA.

IT 97

IT Family Families Board-Certified 97

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. Our focus is on advocating on policy at the national state, local level, educating on ways to mitigate, going all electric, getting heat pumps, things like that. This is Eric Widera. Alex: This is Alex Smith.

Healthcare 129

Healthcare IT Education Community 129