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? They’re often angry.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

OCTOBER 10, 2024

Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc. Alex 01:23 And we’re delighted to welcome DorAnne Donesky, who is a palliative care nurse practitioner at Queen of the Valley Medical center in Napa and professor emeritus at the UCSF School of Nursing.

Screening 119

Screening IT Family Families 119

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Within the VA it’s now at 70 VA hospitals.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

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. Katie, welcome back to GeriPal. Bragging rights. Alex: Yeah. Jessie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

JANUARY 16, 2025

All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. And so there’s complexity in Understanding how each state manages this. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that. Joe 01:59 Ann Arbor.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. This is Eric Widera. Alex: Yeah.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 10, 2022

While we like to think about how our goals and preferences will influence what that life looks like, including whether you will get potentially burdensome interventions, your fate is probably influenced more by factors like where you live and what nursing home you happen to end up in. . Who do we have with us? Ruth: Thank you. Joan: Thanks.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

OCTOBER 6, 2022

Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. Marian: I have been a palliative care nurse practitioner for a number of years. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. How many patients is my hospice nurse case manager responsible for on any given day? Management, it’s hard. Eric: Alex, we have some great guests with us today. Who sees you?

IT 113

IT Provider Patients Family 113

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

JANUARY 20, 2023

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? We might evaluate that in a small number of nursing homes and go from there. What are they accountable for? Eric: Great.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). So we from the very beginning had an option of clinician administered medical assistants in dying or lethal drugs administered by either a nurse practitioner or a physician or self-administered. And like 99.8%

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. 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.

IT 99

IT Patient-Centered Family Families 99

GeriPal

SEPTEMBER 22, 2022

Versus, Patrice Lars, one of our nurse practitioners, she would use touch all the time, and that’s her. I like to tell my trainees… Often with the earliest stage trainees, they’ll go in the room and they’ll ask the patient what brought them to the hospital. That’s what she does. Alex: Mm-hmm.

Illness 101

Illness IT Patient-Centered Patients 101

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. Equally as important, is if you wind up in an ED or being hospitalized or wind up in rehab, eventually you’re going to be discharged back home. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 29, 2022

Negotiation Training for Case Managers to Improve Older Adult Acceptance of Services. Prof Case Manag. I chose, not healthcare management, which a lot of my colleagues have done, but I actually chose negotiation and dispute resolution, which I thought was fun, as well as marketing. Geriatrics.

Family 96

Family Families IT Patient-Centered 96

GeriPal

JUNE 6, 2024

Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers. These are oncology nurse practitioners. Alex 00:03 This is Alex Smith. Eric 00:04 And Alex, who do we have with us today? Don, welcome to GeriPal. Areej 34:19 Yeah, sure.

Illness 130

Illness IT Physicals Patients 130

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 14, 2022

In fact, no one in this hospital died that was not on comfort care. And we now continue to manage all the comfort care patients, which in the setting of a packed hospital, that’s really done some great offloading. We have lost so many nurses. We are a community-based hospital. Just really powerful.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136