Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. Then we chat with Scott Bauer, internist and researcher at UCSF, about how to assess and manage lower urinary tract symptoms in men. So I actually got started in cancer screening also, thanks to some mutual colleagues.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

OCTOBER 10, 2024

For instance, a family meeting or an update or communication with families. I’ve worked in palliative care for years, and there’s some times where I’m in the family meeting, I’m facilitating the family meeting, and then I’m reporting out to the referring doctors, and I say, what happened?

Screening 119

Screening IT Family Families 119

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Jessie, last time we had you on in 2017, we asked you the question, should palliative care fellowship training include management of chronic pain? Jessie, welcome back to GeriPal. Katie: Yeah.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms?

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Family member, and with some chagrin- Eric: Powerful nudge. 2023 Dec 20:S1524-9042(23)00202-3.

IT 137

IT Family Families Physicals 137

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

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And so there’s complexity in Understanding how each state manages this. Because I mean, California is different. They have an advance directive.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. David: Exactly.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 27, 2024

We then walk through how we should screen for anxiety and how we should think about a differential. I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Lastly, we talk about both non-pharmacologic and pharmacologic treatments. Brianna 00:41 Thanks. Great to be here.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. And it was like the lights came on. This guy came alive.

IT 96

IT Patient-Centered Patients Board-Certified 96

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. It is a screening? LaVera: I trained at UCSF in family medicine. It meets in-person, once a month, over nine sessions. This is Eric Widera. Lexy: Great.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 5, 2025

Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. And so I tried to get her actually to pain management, and I couldn’t. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. I had it on my screen. 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. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. Same thing with kind of medication management. In addition to the grab bars, we have also helped train the EMS professionals in different lenses about screening.

Community 114

Community Transportation IT PCP 114

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. Ashwin Kotwal: Oh, wow.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Mariah 20:13 I completely agree. Mariah 23:02 Right. I’m going to be.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Whereas the home with the low rate of feeding tube use involved families in decision making. Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. But once I got into medicine, I found myself attracted to the field of psychiatry.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JULY 3, 2025

09:04 And I think that’s where the irony came from as well, because of the not only confusion within our field, but the confusion of patients and families who are the consumers of palliative care and the referral sources. Their family may be impacted, they may have social pain. Is that what I’m hearing, Laura? 23:35 Right.

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52

GeriPal

FEBRUARY 2, 2024

And, of course, this is what families of patients undergoing palliative care go through. Did they screen charts? Talked about things like pragmatic ways to manage volume, anticipated volume, gave them projections of volume based on enrollment that was going on in usual care, and just really did a lot of palliative care.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

DECEMBER 7, 2023

Nursing’s had a problem getting it there, and we may get there at some point, but medicine is working on that, and there’s an organization called Global Consortium for Climate and Health Education that is really leading the way for all healthcare providers for information on how to do that. What does that actually look like?

Healthcare 129

Healthcare IT Education Community 129

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor. Who are our guests?

Primary Care 94

Primary Care IT Clinic Provider 94

GeriPal

AUGUST 1, 2024

But at any age, like, as Emily said, it is so important to pay attention to nutrition and healthy eating because it’s not just about, oh, chronic disease prevention or even treatment and management. So I lived with a family there. And I think that’s something that we can really focus on, especially with geriatric patients.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. It’s hard for your family to know. Juliet: Because even in the ICU, they’ll often have multiple meetings just to try and help a family move along before they can make a decision. It’s part of our family mythology.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

APRIL 20, 2023

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. A huge portion of that difference in wealth you can trace back to the fact that their families were not able to get into the housing market.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

APRIL 21, 2022

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). That’s coming out in JP… Redwing: JPSM, Journal of Pain and Symptom Management, yeah. Eric: Like since a little kid? Eric: Yeah? Redwing: Yeah.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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

DECEMBER 1, 2023

Heather: I’m requesting the song Don’t You Forget About Me, which is one of the things that I think matters most to patients and families living with Alzheimer’s disease. I’ve got the Alzheimer’s that has me needing someone to manage my checkbook. Lon: No, that’s a straight out screen.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

JULY 14, 2022

Lucky, Jim and many others like him were willing to come on to our podcast those first several months of the pandemic and share their experiences and lessons learned caring for COVID positive patients and their family members. . The hospitalist didn’t want them screened, didn’t want to have any discussions with goals of care.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

JANUARY 5, 2023

He has an interest in hospice and of life care, pain management and medical ethics. So, they were finding that their miscarriage management was constrained and sometimes less safe, honestly, because of the restrictions. That’s what I had done with my abortion research, and I had also studied newborn screening policies evolving.

Provider 19

Provider Medical Hospital Patient-Centered 19

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

GeriPal

JULY 20, 2023

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. It may have come to a care manager.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73