GeriPal

FEBRUARY 8, 2024

Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health , and Naomi Saks, chaplain at UCSF. 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. Naomi, your thoughts on this?

IT 137

IT Family Families Physicals 137

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. Eric: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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

JUNE 22, 2023

We really like the community doctors to know, so those of you listening, that our patients, they’ve lost their physical freedom, but they have autonomy in terms of their medical decision-making just like anybody else. We have about 450 inpatient mental health beds. In many cases, the families were the victims of the crime.

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Family Families IT Community 132

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

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. Gender expression is your physical outward manifestation of how you express your gender identity.

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Individual Community IT Chronic Condition 85

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

JULY 11, 2024

We get a bit of, in the veteran population, kind of a mix of a lot of mental health issues thrown into these comorbid illnesses, including cirrhosis, but it’s usually the decompensated cirrhotics or the folks with liver cancer and cirrhosis, or one of both. I could imagine that could lead to conflict.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 6, 2023

That’s why we use the terms assessment and intervention and we think of assessment as a skill of a very advanced skill that chaplains have of doing an in-depth evaluation of a patient or family member, and then the interventions should certainly follow naturally from that. LaVera: I trained at UCSF in family medicine.

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

JANUARY 11, 2024

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. Eric: And now is it including mental health, psychiatric disorders? But that was separate from MAID.

Illness 144

Illness IT Medical Provider 144

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 25:13 Substance Abuse Mental Health Services Administration, saa. Well, being a pretty comprehensive definition. Eric 04:19 Yeah.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

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.

Healthcare 100

Healthcare IT Community Illness 100

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. We did not just rely on a physical symptom measure, which many of our colleagues are doing. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

AUGUST 15, 2024

And in our reporting center, we tracked physical assaults, verbal harassment. And also, you know, do they know of anyone, friends, family, coworkers who’s been attacked, were assaulted as a part of these incidents? When you think about anti-asian hate, how should I think about defining the hate component? Alex 15:37 Yeah.

Mental Health 116

Mental Health Community Screening IT 116

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

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

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.

Illness 98

Illness Patient-Centered IT Patients 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

Our department chair is always tweeting, and I think there was a fourth shot and then a mild infection in a family member. And then maybe KN95s, FFP2s and KF94s, if you wear them, at least in physical science studies, if you’re inside in a crowded where Warrior stadium or something, that should provide you some self protection.

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Vaccination IT Hospital Management 100