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. This is Eric Widera. Alex 00:12 This is Alex Smith. So we got a lot to cover.

Management 116

Management Patient-Centered Patients IT 116

My Green Doctor

MAY 29, 2025

In the United States, extreme weather events and air pollution are already costing the healthcare system over $820 billion annually. We must transform healthcare into a frontline responder for climate resilience. At My Green Doctor, we help clinics and health professionals build climate resilience from the ground up.

Healthcare Professional 52

Healthcare Professional Healthcare Finance Education 52

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

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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. So there’s an event or a series of events. So there’s an event or a series of events. Kate 04:53 As well as how they cope with that event.

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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.

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GeriPal

OCTOBER 26, 2023

We provide critical education. We provide critical conversations with colleagues and families to coordinate transition planning.” So pacing strategies for breathlessness in different patient conditions, repositioning and different pain management modalities for pain and different end stage disease.

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Patient-Centered Hospital Patients IT 132

GeriPal

SEPTEMBER 12, 2024

I must admit, though, sometimes it just feels off… inauthentic, as if it’s not a genuine desire to improve our lives as health care providers, but rather a metric to check off or a desire to improve productivity and billing by making the plight of workers a little less miserable. And that’s how the names have really changed.

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IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. And this is really traumatic event for his street family and the street community that he knew. They can’t believe it, but we come back again and again and again gently to provide that support.

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Healthcare IT Community Illness 100

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I think we’re probably managing sicker patients on the floor.

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Patient-Centered Patients IT Illness 96

GeriPal

JUNE 13, 2024

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

OCTOBER 17, 2024

People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. If we can be a little bit more holistic and think through what are the medicines that are going to provide the greatest bang for your buck and get rid of the stuff that probably isn’t going to do anything.

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Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 17, 2022

This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. So these are really relevant outcome events. So we provide a range of these clinically meaningful benefits. See screenshot below. You can either access it directly here.

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Clinic IT Patients Medical 67

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. They supported patients, they gave them a holding environment, they did symptom management, yada, yada, yada, like all the things we know palliative care clinicians do.

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Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. Usually events open up some insight into the person themselves as they’re describing the suffering. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print. PMID: 38129210. Kleinman, A.

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GeriPal

MAY 22, 2025

Our volunteers are starting to take over ownership of this program, so we’re kind of like building a team to help kind of maintain it, manage it, and make sure that everything’s on the up and up with it. And we’re. We’re sort of. Theresa 19:34 So you’ve hit on something really interesting there with the vinyl.

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IT Patient-Centered Patients Board-Certified 96

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

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Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. And that grew into a group of volunteers coming back and at least providing support groups, giving those men a place where they could talk at least. Michele: Yep.

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Family Families IT Community 132

GeriPal

APRIL 3, 2025

So if you haven’t been to this event, there is a literature review where we. Ken 12:14 I’ll remind you, Nancy, that this is an honor for companies that manage to make lots of money despite having a product that’s worthless or doesn’t. Alex, you’ve probably penned about 50 songs, which is also amazing.

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IT Hospital Screening Patients 64

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? What does it mean for functional status, symptom management, location of care? You had a magic wand, you can make one change around this topic, policy, individual provider, patient, family, anything, Samir, what are you going to use that magic wand on?

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. What I think so special about palliative care is that there’s some really radical and important ideas that sort of undergird our work and that provided a foundation for our work.

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IT Patient-Centered Family Families 104

GeriPal

MAY 15, 2025

At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. The events are conditions that’ll be set into place unless some active choice to the contrary is chosen. I think it’s good to place nudges in context. So that’s by far the best studied.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 12, 2023

I just was going to jump in and say that I think, in surgical training, the focus is, obviously, on the technical aspects and how do you do the surgery and how do you manage somebody both pre- and post-operatively. Wasn’t that the Provide Your Opinion, Don’t Hide It? We hope you enjoy this episode. Alexis: Yeah.

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IT Family Families Patient-Centered 128

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). I would look at their functional ability. So that’s the logic.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 2, 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.

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Consulting Hospital Patient-Centered IT 120

GeriPal

SEPTEMBER 19, 2024

So at our cancer center, we have physicians, advanced practice providers. They had access to the cancer center resources, but they didn’t have access to sort of regular contact with palliative care mental health professionals. As Pahlavi said, you could refer to other providers. Pallavi 19:45 It’s interesting.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. Eric: And Susan?

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Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 7, 2023

And so any additional stressor such as heat or an extreme weather event or having to move from your home because of a climate related disaster can really tax an older adult whose window of resilience is more limited. What do we do to very concretely provide heat shelters and cool shelters?

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Healthcare IT Education Community 129

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work. Turns out, it’s maybe not.

Healthcare Professional 102

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GeriPal

AUGUST 1, 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 116

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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 IT 106

GeriPal

APRIL 21, 2022

To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). AlexSmithMD .

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

APRIL 20, 2023

Sometime after the age of 50, we could identify an event where the folks who were first homeless before 50, there wasn’t a clear crisis that precipitated it. Folks who were first homeless after 50, there was an event, and usually those events could be described in one of four categories. But they were poor, really poor.

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