Mesa Family Physician

MARCH 13, 2025

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. 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 Preventive Care Preventative Care Family 100

Rao Doctor

APRIL 3, 2025

When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause. What are the Management and Treatment Options in a case of fever?

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

FEBRUARY 22, 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.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Eric 10:25 Great.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 27, 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.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? But I gave this talk, and one of the questions I asked a group of maybe 150 residents was, do you talk to your healthcare provider about your medical cannabis use?

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

JULY 21, 2022

And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all?

IT 102

IT Family Families Diagnosis 102

GeriPal

JANUARY 16, 2025

But you worry that the advance directive does not provide enough guidance for the specific decision at Yael Jo, do you. So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. And so there’s complexity in Understanding how each state manages this.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JULY 11, 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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

APRIL 3, 2025

Ken 12:14 I’ll remind you, Nancy, that this is an honor for companies that manage to make lots of money despite having a product that’s worthless or doesn’t. And this complete lack of attention to the real needs of persons with dementia is really kind of a shameful part of US healthcare. Ken 26:17 You presented that.

IT 64

IT Hospital Screening Patients 64

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. You present your. And so as I was launching my research career in San Francisco, I specifically wanted to better understand being a gay person and non binary one. Just how you.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Wonderful work. Every Veteran has a story.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. Providers are not providers that people want answers and determinations and decisions.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

SEPTEMBER 12, 2024

I must admit, though, sometimes it just feels off… inauthentic, as if it’s not a genuine desire to improve our lives as health care providers, but rather a metric to check off or a desire to improve productivity and billing by making the plight of workers a little less miserable. And that’s how the names have really changed.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

OCTOBER 26, 2023

We provide critical education. We provide critical conversations with colleagues and families to coordinate transition planning.” So pacing strategies for breathlessness in different patient conditions, repositioning and different pain management modalities for pain and different end stage disease.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MAY 8, 2025

Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. Ali John, welcome to the GeriPal Podcast. So 5ht2 was.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. those experiencing homelessness). Who, his name was Terry. We just hired a nurse.

Healthcare 100

Healthcare IT Community Illness 100

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? It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

DECEMBER 15, 2022

And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? It started here at Madison at one and it’s also spread outside the VA now to hospitals in Boston, Providence and now starting up actually in California and UCLA and UCSF. Alex: Yeah.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

OCTOBER 17, 2024

People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. 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.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). But there was this expectation once the Supreme Court ruling went through and as legislation was being developed that palliative care physicians would be the ones providing this. AMA PRA Category 1 credit(s) ™. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 13, 2024

I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine.

Illness 133

Illness Patient-Centered Patients IT 133

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. So it’s a lot of palliation. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 101

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. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004. 2023.11.004. Epub ahead of print.

IT 137

IT Family Families Physicals 137

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MARCH 3, 2022

And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. I think we’re probably managing sicker patients on the floor. That’s just one hypothesis.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). People saw that there were people who needed to have supportive care, didn’t need to have the level of nursing that was provided in nursing homes, and there was money to be made. Another one had to do with the category of medical and mental healthcare providers and care.

Community 97

Community IT Mental Health Medical 97

GeriPal

MAY 22, 2025

So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. It is the CME activity providers responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Jenny 04:15 Good question.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

SEPTEMBER 7, 2023

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. William: Not the future, but the present. It’s really up to the oncologist.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. And then the family tells me they can’t keep an appointment, they can’t manage their finances. And a primary care provider has 18 minutes.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. I think I feel more comfortable as a provider in trying to support people in their isolation.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). And that could extend beyond 18 months. We just don’t know that.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

NOVEMBER 21, 2024

Like, how do we help ourselves maintain psychological integrity in the face of the stressors that we have to manage? Eric 11:58 So going back to the case that you presented at the start, so you’re seeing this person use a whole lot of humor. That’s how I managed without screaming at my 4 year old who was coping.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

APRIL 10, 2025

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. We weren’t randomizing providers or patients. It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. No, no, no.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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