GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Attendee 13: I am most hopeful that we will continue to really promote culture change for our healthcare system that desperately needs it. We need good Docs.

Specialization 93

Specialization Illness Healthcare Patient-Centered 93

GeriPal

JANUARY 12, 2023

Yes, you need some protected time for leaders to provide training and structure and oversight and ongoing quality assurance, but the heaviest sort of cost lift sometimes is redesigning the physical space. Because when you’re really converting the team, you’ve got all the people you need working on the unit for the most part.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

JUNE 8, 2023

Today we are delighted to welcome from the East Coast, we have Nadine Carter, who’s a nurse practitioner who spent seven years in outpatient endocrinology and is now a hospice and palliative care fellow at Dartmouth Health and instructor at Dartmouth. Eric: And Alex, we’ve got a full house today. It maxes out.

Diabetes 74

Diabetes Management Patient-Centered Family 74

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 Preventative Care Preventive Care Family 100

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

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. And I returned to school to become a nurse practitioner.

Medical 99

Medical IT Patient-Centered Healthcare 99

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 01:43 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. We didn’t think that there was something unique to the modality delivery in which palliative care was providing that care. Eric 10:25 Great.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 5, 2025

Connie 13:10 So generally what, what I see, very rural, is a nurse practitioner that’s out of our local home health and hospice agency that is palliative care certified. So the palliative care service doesn’t necessarily need to provide those potentially. Do they need a palliative care doctor, nurse practitioner?

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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). Learn about using the low dose buprenorphine patch:

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. But you worry that the advance directive does not provide enough guidance for the specific decision at Yael Jo, do you. It doesn’t provide enough guidance for the clinicians to make decisions. Joe 01:59 Ann Arbor.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. This was an investigative report about fraud and healthcare, pure fraud, pure victimization of vulnerable people. She happened to focus on some specific for-profit hospice providers.

IT 114

IT Provider Patients Family 114

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.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 20, 2023

To me, I think the Greenhouse folks have proven that you can provide quality care in a home-like environment cost effectively if it’s done right. I think the bottom line is they’re nursing homes. 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

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. AMA PRA Category 1 credit(s) ™. Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

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.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JANUARY 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.

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. . Archives of Internal Medicine 2010. Rehabbed to Death.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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. But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. That’s right.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

SEPTEMBER 28, 2023

Before we talk about miscommunication, would love to hear briefly from each of you, how or why did you get interested in this topic at all just around patient communication, patient-doctor communication, patient-provider communication. Don, you started us off with a song, what got you interested in this? Alex: Yeah, yeah, so common.

Family 144

Family Families Patient-Centered IT 144

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. Marian: I have been a palliative care nurse practitioner for a number of years. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

NOVEMBER 2, 2023

” And I said to her, well, they had a geriatric nurse practitioner. And one of the things was, “You’re telling us stuff we already know”, and also, “I’m going to critique you in that you didn’t provide any solutions.” We don’t have a geriatrician.

Board-Certified 91

Board-Certified IT Community Medical Student 91

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. For residents and nurse practitioners, primary outcome was the quality of communication. That’s not news to us.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

SEPTEMBER 22, 2022

One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. 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

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ).

IT 99

IT Patient-Centered Family Families 99

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.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 29, 2022

In social work, it’s called self-determination of the client, meaning at the end of the day, I can provide resources to this older adult or to this caregiver, whoever it may be. Because as providers, as social workers, as geriatricians, we oftentimes use these power statements, saying, “You need this; you need more support.”

Family 96

Family Families IT Patient-Centered 96

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. 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.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 13, 2023

And if I remember that study correctly, it was priming both patients and providers in the outpatient setting to do goals of care conversations. And we had the date, if it was present in the EHR, to provide that context for the clinician. We also provided reassurance that this is not a long conversation. Erin: Mm-hmm. Eric: Yeah.

Patient-Centered 84

Patient-Centered IT Patients Hospital 84

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.” Eric: Okay.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JULY 14, 2022

Then I’ve done another, almost two years, almost 500 hours of grief counseling and therapy and embarked on a national study to look at nurses and healthcare provider grief, not specifically grief for patients and families. A nursing home can simply say, “We have enough to provide quality of care to our residents.”

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

SEPTEMBER 14, 2023

And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. And the treatments are different than what hospice might provide in the home setting. For the most part, programs are doing, twice a day, nursing visits. I trained at Hopkins.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115