GeriPal

MAY 5, 2022

Meg is a researcher and professor of Gerontological Nursing and a Geriatric Nurse Practitioner in the School of Nursing at UCSF. COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults.

IT 102

IT Screening Hospital Clinic 102

GeriPal

JUNE 8, 2023

We debate the merits of use of CGM in the nursing home and other late life settings (Eric and I argue against CGM and lose). AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) Listen in to learn more! Eric: And Alex, we’ve got a full house today. Alex Smith: We have a full house.

Diabetes 74

Diabetes Management Patient-Centered Family 74

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. Arizona’s climate and lifestyle present specific health considerations that our Mesa-based medical professionals are specially trained to address.

Family Physician 100

Family Physician Preventative Care Preventive Care Family 100

GeriPal

OCTOBER 24, 2024

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. Summary Transcript CME Summary Cannabis is complicated. Do you want one?

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care.

IT 114

IT Provider Patients Family 114

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. Summary Transcript Summary.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JANUARY 25, 2024

Alex: And we’re delighted to welcome Lyndsay DeGroot, who’s a nurse researcher and T32 postdoc at the University of Colorado Anschutz Medical Campus. MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 Welcome to GeriPal, Lyndsay.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 30, 2025

Alex 01:43 And we have Simone Rinaldi, who’s a palliative care nurse practitioner and director of nursing for the MGH Division of Palliative Care and Geriat ric medicine. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out! Who will emerge victorious? Vicki 02:10 Thank you.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 10, 2024

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. Interprofessional palliative care has a ton of great authors, an inter professional list of amazing authors.

Screening 120

Screening IT Family Families 120

GeriPal

APRIL 14, 2022

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). But does this drug really live up to the hype?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JANUARY 16, 2025

All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Alex 01:57 Joe, which city are you joining from? Joe 01:59 Ann Arbor. Alex 02:00 Ann Arbor, where I went to undergrad. Yael, welcome to GeriPal. Yael 02:12 Thank you. I’m excited. Eric 02:13 So we ve got a lot to cover today. He died in 2024.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. I’ve seen this question come up a lot since finishing fellowship nearly two decades ago.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

JUNE 5, 2025

And so as you think about the conditions that mean that you need care and support in a nursing home, it’s easy to see why many of us feel that palliative care, there are a lot of palliative care needs of nursing home residents just because of the nature of the conditions and reasons that got you there. Alex 02:09 Well, oops.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JANUARY 18, 2024

Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Simple, right? Alex: (Singing).

Family 144

Family Families Patient-Centered IT 144

GeriPal

DECEMBER 8, 2022

My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube. Summary Transcript Summary. Eric and I weren’t sure what to call this podcast – storytelling and medicine? Narrative medicine? We discussed it with today’s guests Heather Coats, palliative care NP-scientist, and Thor Ringler, poet.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 20, 2023

She was a member of the committee that wrote the National Academy’s report that we’re going to be talking about today on Improving Nursing Home Quality. We’re going to be talking about improving nursing home quality. I know you’ve been a strong advocate for nursing home patients particularly in California.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

FEBRUARY 27, 2025

I remember as a fellow, I would come in and our nurse practitioner on our hospice team, I would say the word narcotics, and f or half an hour, she would just lay into me. Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). See Sachs write up about setting up this clinic in JPSM.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Today we talk with Josh about how to anticipate and avoid the uncanny valley. And talk about times when we’ve fallen into it. . Key message: Listen to the music. All the time. ;). We’ll have links to it.

Illness 101

Illness IT Patient-Centered Patients 101

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. So what do we do about it? Don’t palliative care clinicians already know how to explain things with empathy?

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

AUGUST 31, 2023

You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. I am honored to introduce Bill Gardner, who’s a child psychologist and professor of psychiatry and epidemiology at the University of Ottawa.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. They got training in Vital Talk and ELNEC. They got feedback. So did it matter? Fernanda 01:16 I do have a song request.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. The number of people who have used MAID in Canada since it was legalized in 2016 has increased year on year from about 1,000 people in the first year to over 13,000 people in 2022. It is the slippery slope made real. Oh my gosh.

Illness 144

Illness IT Medical Provider 144

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. . Eric: And Alex, we got a full house today. Thanks, Alex.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 6, 2023

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 meets in-person, once a month, over nine sessions. For inquiries or to apply, please contact gayle.kojimoto@ucsf.edu. The theme is death.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 29, 2022

Conflicts Experienced by Caregivers of Older Adults With the Health-Care System. Journal of Patient Experience. December 2020. Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. Transcript. Eric: Welcome to the GeriPal Podcast. This is Eric Widera. Alex: This is Alex Smith. Eric: Yeah.

Family 96

Family Families IT Patient-Centered 96

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. They found a difference of 4% in documented goals of care discussions. Is 4% meaningful? I think it’s you, Bob. Alex: I love that song.

Patient-Centered 84

Patient-Centered IT Patients Hospital 84

GeriPal

JUNE 6, 2024

Don Dizon, oncologist specializing in pelvic malignancies at Brown, suggests speaking in plain language, starting by normalizing sexual health issues, to paraphrase, “Many of my patients experience issues with intimacy and sexual health. Is that an issue for you? I’m happy to talk about it at any time.” This is Eric Widera. Ra ra ra ra.

Illness 130

Illness IT Physicals Patients 130

GeriPal

DECEMBER 21, 2023

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. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursing home. It requires a fight. It’s been going on for many decades now. Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JULY 14, 2022

Jim Wright , the medical director at Canterbury Rehabilitation and Healthcare Center in suburban Richmond. That was his literally his life during those spring months of 2020 and it scared the hell out of me. . Welcome back to GeriPal, Darrell. But before we dive into that topic, I think Darrell, do you have the song request for Alex?

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

SEPTEMBER 14, 2023

In addition to discussing these outcomes, we also discuss: The history of the hospital-at-home movement. The practicalities of how it works including who are good candidates, where does it start (the ED?), what happens at home, do you need a caregiver, what happens if they need something like imaging? How is it financed and what comes next?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115