The Clinical Problem Solvers

AUGUST 25, 2020

Pearls Defining Structural Racism Structural racism is a term that acknowledges that racism is perpetuated beyond individual interactions and interpersonal racism, but is present in the systems and policies that govern our everyday lives. Stolen Breaths. N Engl J Med 2020; 383:197-199. doi: 10.1016/S0140-6736(18)31130-9.

Community 52

Community Patient-Centered Education Relationship 52

Physician's Weekly

JUNE 15, 2025

The following is a summary of “Stigmatisation of survivors of political persecution in the GDR: attitudes of healthcare professionals,” published in the June 2025 issue of Frontiers in Psychiatry by Schott et al. A total of N=1357 practitioners from the German healthcare system participated.

Mental Health 52

Mental Health Healthcare Professional Healthcare Individual 52

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JANUARY 25, 2024

I’d be operating at the top of what I’m capable of doing, to provide really tailored and individualized care for my patients and their care partners, where they are. So, I love how tailored and individualized it was, and that’s what this process evaluation is really showing us, so far.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

BMJ

FEBRUARY 8, 2021

The health risks may even be higher when these prescription medications are laced with other substances to increase their bulk weight or alter their psychoactive effects. Besides the risks to an individual, there are also population-level harms from normalizing certain harmful behaviors (e.g.,

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

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

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And the nurse can’t dose it, they have to individually dose it.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

MARCH 9, 2023

It’s broader than just psychedelic assisted psychotherapy because there’s non-psychotherapists often involved, and it’s different from what we do in conventional mental health. People experiencing homelessness, as I mentioned before, have a lot of trauma, mental health issues, substance use disorders.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JANUARY 11, 2024

There was a case in BC a few months ago of a woman with mental health issues who had suffered from depression, chronic suicidality at times. So it started off for individuals with a terminal illness. Eric: And now is it including mental health, psychiatric disorders? Leonie: Right. That’s the reality.

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 13, 2023

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. Really, only thing that I think was really in the biomedical health services literature at that time was probably Carla’s paper on loneliness. I would say that. Ashwin Kotwal: Yeah, that’s right.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. Mariah 04:37 Exactly. Is that also a trauma?

Patient-Centered 66

Patient-Centered IT Screening Patients 66

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. Can you come and be in our clinic once a week?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 22, 2023

Eric: So in some ways, this is kind of like the VA, where you don’t have to follow Medicare guidelines, but you can actually actively do concurrent care for these individuals. We have about 450 inpatient mental health beds. We also look at their mental health. Michele: Yeah. We have that. Alex: Mm-hmm.

Family 132

Family Families IT Community 132

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Health and health justice. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de. Is it individual? those experiencing homelessness).

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 8, 2024

With the mental health, we pulled out the medical model. The post The Nature of Suffering: BJ Miller and Naomi Saks appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Eric: And thank you to all of our listeners for your continued support.

IT 137

IT Family Families Physicals 137

GeriPal

APRIL 14, 2022

Janet: So as Julie Childers often says in the same way that as palliative care clinicians we can take a first pass to address distress from depression without being necessarily mental health counseling specialists or a psychiatrist. And it started off with Tylenol then it went to low dose morphine.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

APRIL 6, 2023

Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. They followed them during the course of their hospital stay.

IT 99

IT Patient-Centered Family Families 99

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. It’s all individual. We have a Canadian theme going. We just had Harvey Chochinov on. It’s impressive.

Illness 128

Illness IT Diagnose Medical 128

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’m an empowered patient advocate, individual, and I feel like the motions, the feels were not necessarily in my essay at all.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. So their caregivers did focus groups. Our consultation.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. Today we find inspiration for my kids: there are adults who care deeply about this issue, particularly for older adults who are much more vulnerable to health effects of climate change. And then access to those.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

APRIL 20, 2023

What are the structural factors and individual factors that contribute to homelessness? ” On that grand rounds, you differentiated structural factors from … I forget what the word was, individual- Margot: Individual risk factors. Why do we say “over 50” is “older” for homeless persons, why not 65?

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. And that’s where a lot of hospice referrals happen for these individuals when they’re really declining and they get discharged with, with hospice.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Again, as Greg said, where the individual chooses what works best for them. ” And then, the health plan can say, “Can you follow-up on this? To Susan’s point.

Community 89

Community Nurse Practitioner Provider IT 89

BMJ

AUGUST 20, 2021

With prescribing and dispensing of some medications increasing as much as 50% above forecast levels during the early months of the pandemic, results from such databases may have additional implications for planning of pharmaceutical supply chains, as well as for individual prescribers.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

DECEMBER 21, 2023

So if you think about dementia, it’s on the intersection of aging stigma and mental health stigma. Eric: … you’re getting paid for individual encounters, not going to people’s homes, not being paid for all of the additional support that’s needed for comprehensive cancer care. You get double whammy.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

DECEMBER 12, 2024

And really they’re trying to understand what reasonable quality of life can this person expect to achieve and just agonizing over those decisions, over every individual decision. Dave Wendler, Jenny Blumenthal-Barby, Teva Brender appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Part of our recovery is mental health and seeing each other’s faces.

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Vaccination IT Hospital Management 100