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. We would make referrals to psycho oncology. I would make referrals to Joe as well as part of the team. Alex, who is gonna be answering that question?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 5, 2025

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. Practical strategies to overcome these barriers and enhance care.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 21, 2022

Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive. Certainly my bias is that healthcare professionals really do have a role in this discussion. They’re really not. Emmy: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? I was always critical care bound since medical school. And do we have entirely a clinician referral-based practice?

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

SEPTEMBER 7, 2023

” Whether it’s referrals that need to be made, or whether they’re specific actions that the person at home needs to take, like a home safety change. Mazie, I know it changes locale to locale, because your referral sources are going to be different. Mazie: Yes. And he did beautifully. He had six extra months.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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

FEBRUARY 15, 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.

Community 114

Community Transportation IT PCP 114

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

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. ” Thoughts on that?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

MARCH 6, 2025

[link] Promising Practice Recognition PEACH was named a Promising Practice in equity-oriented palliative care as part of a national initiative funded by Health Canada, operated by Healthcare Excellence Canada & the Canadian Partnership Against Cancer. To medical directors, chiefs, and some were really cool to talk to me.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. So I get all the referrals from my great colleagues in primary care.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

AUGUST 24, 2023

Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. Medical Assistance in Dying and Palliative Care: Shared Trajectories Transcript Eric: Welcome to the GeriPal Podcast. And we published in the Journal of the American Medical Association.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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

MARCH 20, 2025

Summary Transcript CME Summary Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking ( VSED ), and multiple episodes about the ethical issues surrounding medical aid in dying ( MAID ). Alex 00:14 We have a very full house today.

IT 87

IT Patient-Centered Patients Medical 87

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. When you are talking with a patient, you are already in a medical context. Welcome to the GeriPal Podcast, Marian.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

OCTOBER 27, 2022

But if they’re not going to live another 20 years, then there’s no point in giving them the extra medication for lowering their A1C. The post New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 95

IT Clinic Screening Patients 95

GeriPal

JULY 3, 2025

We’ve invited two palliative care doctors to talk about survivorship with us: Laura Petrillo , a physician-researcher at Mass General Hospital and Harvard Medical School, and Laura Shoemaker , an outpatient palliative care doctor at the Cleveland Clinic. Spoiler: It’s more complicated than it seems. 00:34 Thrilled to be here.

52

52

GeriPal

MARCH 10, 2022

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. Ruth: Then we saw at the other extreme where people thought that feeding tubes prolonged life, improved quality of life, made it easier to give medications, which it does do, and that they should be used. That was the middle world.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. I don’t know if we captured where the hospice referral came from. So the problem of, hey, look at us, we promise we’ll be helpful.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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. And that referral can be done in real time, a soft handoff. I think most states have them.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JUNE 6, 2024

We sort of set physicians, or I would say we set medical providers up a little bit when we say, you really should us ask, but then we don’t give them the resources or the sense of training about what to do next. One of the things that I do think a lot of men really actually have enjoyed is non medication strategies.

Illness 130

Illness IT Physicals Patients 130

GeriPal

FEBRUARY 24, 2022

And then you can make a medical recommendation that matches with what they’ve told you. Get the hospice referral. Tell me what would you… Juliet: Fully Integrated electronic medical records system that made this very easy for clinicians to do. You have to hear what they understand. And that skill is hard.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. And Eric, you asked about whether the ACP conversation would happen before.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 20, 2023

Alex: We are delighted to welcome Joe Rotella, who’s the Chief Medical Officer of the American Academy of Hospice and Palliative Medicine. So now that the emergency response has ended, what’s to be done? Joe, welcome to the GeriPal podcast. Joe: Great to be here. Eric: Yeah.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73