GeriPal

JANUARY 12, 2023

Alex: And we’re delighted to welcome back to the GeriPal Podcast, Stephanie Rogers, who’s a geriatrician and medical director of UCSF’s, age-friendly health systems. And those that are out there in this space tend to be grouped together in academic medical centers. Kellie, welcome to the GeriPal Podcast.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? Happy to be here.

Diabetes 73

Diabetes Management Patient-Centered Family 73

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. One thing we’ve looked at a little bit, but it has not been well studied is the accumulation of ototoxic medications.

IT 102

IT Screening Hospital Clinic 102

GeriPal

NOVEMBER 9, 2023

My wife, who’s a PhD nurse practitioner, who actually was a founding dean of the nursing school at GW, and I were thinking about, well, we’re not sure we want to work for somebody else all the time. Led the American Geriatric Society. Now, wait, you’re mostly doing coaching now? Is that right? It’s funny.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

Mesa Family Physician

MARCH 13, 2025

In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. We don’t believe in one-size-fits-all medicine.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

OCTOBER 24, 2024

David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. laughter] Alex 01:39 Material here for songs related to medical marijuana or marijuana in general. David 00:26 Thanks.

Medical 98

Medical IT Patient-Centered Healthcare 98

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). This was the hot topic at AHPM. Katie: Thank you.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JANUARY 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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 30, 2025

Alex 01:32 For us, answering that question today, we have Joe Greer, who’s a psychologist and associate professor of psychology at MGH and Harvard Medical School. And I think we need an in person presence in the medical center, in the cancer center. Joe, welcome to the GeriPal Podcast. Joe 01:42 Thanks so much for having me.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

NOVEMBER 2, 2023

Alex: Today we’re delighted to welcome Jerry Gurwitz, who is a geriatrician and professor of medicine at the UMass Chan Medical School. I talked about lack of prestige and respect, and I talked about how healthcare system leaders and medical school deans don’t always seem to value the field of geriatrics.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Yael, welcome to GeriPal.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JUNE 5, 2025

And assisted living doesn’t offer the same level of medical supportive services as nursing homes. That services need to be in the building, I think is an important one to talk about because people in nurses nursing homes do have a lot of medical issues. It is intended to be a continuum of care.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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?

Family 144

Family Families Patient-Centered IT 144

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. Michelle, welcome to GeriPal. Michelle 01:22 Thanks for having us today. DorAnne, welcome to GeriPal.

Screening 119

Screening IT Family Families 119

GeriPal

FEBRUARY 27, 2025

Alex 00:27 And we’re delighted to welcome S a ch Kale, who is a palliative care doc at the Ohio State University Wexner Medical Center. But my medical training kicked in. Or they might, you know, they might sell their medication, which this population is also prone to. Janet, welcome back to the GeriPal Podcast.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). What’s up with Medical aid in dying in Canada? Eric: So again, the topic is going to be medical aid in dying in Canada. Four percent. Transcript Eric: Welcome to the GeriPal Podcast. This is Eric Widera.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 31, 2023

We have a wide ranging conversation that touches on how to place aging, disability, and multimorbidity in the context of serious illness conversations, “striving toward normal,” stoicism, existentialism, psychedelics, the goals of medicine, medical aid in dying and more. We could have talked for hours! Bill: Thank you. Juliet: Lund, yeah.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

JANUARY 20, 2023

As somebody who works in a nursing home, I can barely read a nursing home note anymore because if it’s on electronic medical record, it’s usually a bunch of check boxes, several pages. We might evaluate that in a small number of nursing homes and go from there. Eric: I’m going to push you on that.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. Katie, welcome back to GeriPal. Bragging rights. Alex: Yeah.

Illness 136

Illness Patient-Centered Screening Clinic 136

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.

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. We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. Welcome back to GeriPal, Lauren. Lauren: Thanks for having me.

IT 113

IT Provider Patients Family 113

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. Ruth: Sure.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

DECEMBER 8, 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. Oh my gosh.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

SEPTEMBER 22, 2022

Alex: Today, we’re delighted to welcome Josh Briscoe, who is assistant professor of medicine and psychiatry at Duke, and a palliative care physician at the Durham VA Medical Center. Versus, Patrice Lars, one of our nurse practitioners, she would use touch all the time, and that’s her. That’s what she does.

Illness 101

Illness IT Patient-Centered Patients 101

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. Oh my gosh.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” Really important person, who later in his life got very interested in healthcare.

IT 99

IT Patient-Centered Family Families 99

GeriPal

APRIL 10, 2025

Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? For residents and nurse practitioners, primary outcome was the quality of communication. So we know these patients are really, really sick. That’s not news to us. Basically vital talk. No difference.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JULY 6, 2023

Not just with our aging and independent services, but also with our behavioral health services, with our public health services, with our medical care services, to really have everyone see older people as part of their work. 60% of all medical costs have nothing to do with your health diagnosis. And then, the system responds in turn.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 29, 2022

So many times, family caregivers have to argue with their loved ones about getting more help in the home or moving them to a place that has safety, has close proximity to medical care. But that’s something that we never get taught in medical school, and it’s not a bad thing to negotiate with somebody.

Family 96

Family Families IT Patient-Centered 96

GeriPal

JUNE 6, 2024

I actually went to planned parenthood of Rhode island, and as a practicing oncologist, sat with folks, some of who had just graduated high school, others who were nurse practitioners, and they started from the very, very basics of pelvic anatomy. These are oncology nurse practitioners.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 13, 2023

So somebody had to write something down in the medical record that talked about goals of care, and there was no template, there was no form that you filled out for this. We really said anything that’s looking at overarching goals of medical care. You just have to be talking about the overarching goals of medical care.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

DECEMBER 21, 2023

But for other- Diane: And it’s on the medical side. They can be nurse if you want to. They can be advanced nurse practitioner. I think Care Ecosystem, it was the navigator patient dyad with a family member, but there was also a social worker, nurse and pharmacist that was part of this team. Malaz: The MVP.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. You’re short on nurses and nurse aids so now you have to help deliver meals.”.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

SEPTEMBER 14, 2023

And we then did a bunch of work to develop medical criteria, to choose the right patients for hospital-at-home. For the most part, programs are doing, twice a day, nursing visits. They’re doing, once a day, either MD, or MP, or nurse practitioner visits in the home as well. Eric: Virtual or in person, for the MD?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115