GeriPal

FEBRUARY 8, 2024

Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health , and Naomi Saks, chaplain at UCSF. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. Family member, and with some chagrin- Eric: Powerful nudge. 2023 Dec 20:S1524-9042(23)00202-3. 2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. I think for families and for other providers who are not trained in that, it’s very hard to predict. Sarah 07:12 It’s mostly our decompensated cirrhosis patients.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

NOVEMBER 17, 2022

But why I decided to look at medical and mental health care and assisted living. So, we’ve been seeing that there’s this increasing need for attending to the medical and mental health wellbeing of people in assisted living more so than before, because it’s not really just a social model of care.

Community 97

Community IT Mental Health Medical 97

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Have you had a family history of substance use disorder? Jessie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . There was no conversation with the patient or the family about this.

Illness 109

Illness IT Family Families 109

GeriPal

JUNE 22, 2023

It’s like a long, I don’t know, almost like a quarter-mile centipede with legs, and the legs are the housing units, the medical units, inpatient mental health. We have about 450 inpatient mental health beds. In many cases, the families were the victims of the crime. They suffered from it.

Family 132

Family Families IT Community 132

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? Eloise is a palliative care NP at Stanford and co-founder of The Radicle Health Clinician Network. They want to be able to manage their own symptoms.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. Jace 29:36 We see higher rates of mental health challenges that I think are due to overcoming adversity.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

APRIL 14, 2022

Management of chronic pain in the elderly: focus on transdermal buprenorphine. And how am I going to manage their pain? And then part of our role as folks in palliative care who as Katie mentioned, really try to help folks manage distress around serious illness. Two great videos on buprenorphine initiation. Transcript.

Illness 102

Illness Patient-Centered IT Nurse Practitioner 102

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. LaVera: I trained at UCSF in family medicine. It meets in-person, once a month, over nine sessions. link] Transcript Eric: Welcome to the GeriPal podcast.

IT 99

IT Patient-Centered Family Families 99

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. They may have few family members, live alone.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place. Yeah, yeah.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). What happened is that firstly, in terms of my clinical background, my background is psycho-oncology, so that’s working with patients with cancer and their families, including when they’re going through periods.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. Because, for example, we get a lot of pieces on wellness and mental health. ” I think that’s what I’m talking about with action, or it might be family leave policies. Liz: That’s right.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

AUGUST 31, 2023

He studies the mental health system in the ways in which it has failed children and adolescents, and he writes about his experience with cancer in a blog, the Billgardner.substack.com, Billgardner, one word. I was asking about what was going to be special about the trip or if they were going to do things with their family.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 20, 2025

And so even being asked, you know, like, it’s very hard for an individual to feel, to say, yes, I’ve had recurrent trauma in my life and that’s affected my mental health, my physical health, my cognitive health, et cetera. Mariah 25:13 Substance Abuse Mental Health Services Administration, saa.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

DECEMBER 7, 2023

So it’s just every single part of our life is affected and mental health issues. Eric: I guess, Ruth, the question for you is what’s the role of the healthcare system in all of this? Why is it up to the healthcare system? I mean, many people in their mid to older years are on certain medications.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 20, 2023

When they think about homelessness, their mind goes to what I would call the individual risk factors, things like having a substance use disability or mental health disability. It is completely disconnected, like a scatter plot, between things like rates of substance use and mental health. Those are structural factors.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

SEPTEMBER 19, 2024

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. Eric 23:45 Yeah, I love that, too, because I think that one for me really is, can our interventions need to target the patient population that we’re managing?

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. We see our patients and our families throughout the illness trajectory into the hospital. It’s hard for your family to know. It’s part of our family mythology. Is that right?

Illness 98

Illness Patient-Centered IT Family 98

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.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JUNE 2, 2022

And if you look at the span of history of infectious diseases, we have always managed to control all infectious diseases because we have tools because it’s the other, it’s not yourself. But we have managed to control it. Eric: We’ll talk about the management, paxlovid, too. Infectious disease is always other.

Vaccination 100

Vaccination IT Hospital Management 100