GeriPal

OCTOBER 17, 2024

If we can be a little bit more holistic and think through what are the medicines that are going to provide the greatest bang for your buck and get rid of the stuff that probably isn’t going to do anything. So I just wanted to add that layer of how I think about these things, because I agree. I don’t know.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 24, 2025

I think they may not be likely to provide much benefit, but because they’re water soluble and you just pee it out, they’re probably not causing much harm, except for potentially financial harm if they’re very costly. It’s just that he was foregoing things that we think would have provided him more benefit.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

AUGUST 24, 2023

And the role of the palliative care provider is to figure out, knowing that different things affect different people, is what causes somebody in that particular instance to feel their dignity is being undermined. And the data was saying, “What is really important is the way you, the care provider, experience that person.”

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. We weren’t randomizing providers or patients.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Rehabbed to Death. Ruth: Aw, thanks. Ruth: Sure. Ruth: Mm-hmm (affirmative).

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

FEBRUARY 13, 2025

Summary Transcript CME Summary In todays podcast we were delighted to be joined by the presenters of the top scientific abstracts for the Annual Assembly of the American Academy of Hospice and Palliative Medicine ( AAHPM ) and the Hospice and Palliative Medicine Nurses Association ( HPNA ). Eric 00:42 Great. Eric 14:42 Okay.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

OCTOBER 3, 2024

And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. First you have to be a volunteer and see what it’s like to be present at the bedside. The rules are really quite simple: Find another person. Frank 08:43 Well, briefly.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MAY 29, 2025

I think if someone were to ask me what a tagline is from what I’ve learned in studying lucidity, I would say, like, assume consciousness present, which. So if we had this perspective that something might be present, would we have a different opportunity to see all that’s present and all that could be demonstrated?

Families 93

Families Family IT Patient-Centered 93

GeriPal

APRIL 11, 2024

What about ambivalence on the part of the provider? Eric: So not from the patient perspective or family, but from the provider perspective? Mary: And I want to piggyback on that, Josh, because you make some great points both for when it occurs in patients and also when it occurs in providers. And then we have providers.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there. They deal with that.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 26, 2024

Some numbers to back it up: ELNEC has trained more than 48,000 providers in a train the trainer model Over 1.5 Eric: So not from the patient perspective or family, but from the provider perspective? And then we have providers. So that’s my answer. Mary: Yes, very much so. What is ambivalence? Leave me alone.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. This is what I do here. Did it matter if you had dementia or if you had.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 25, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Families 106

Families Family Patient-Centered Patients 106

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.” ” You know?

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

DECEMBER 12, 2024

Butstay with us heremight AI help to address some of the major issues present in surrogate decision making? Algorithms using millions of direct observations of a persons behavior to provide an authentic portrait of the way a person lived? You may be thinking the same. Or does it raise more issues than it solves? Jenny 01:27 Thanks.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108