GeriPal

JUNE 20, 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.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MAY 5, 2022

Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. How to screen for hearing loss. And one of the parts of that was actually doing physicals for the students and putting them in job placements.

IT 102

IT Screening Hospital Clinic 102

GeriPal

JULY 27, 2023

Cathy: Actually, basically, anytime I have a patient or their caregiver talk about a nighttime problem or problem with their sleep, I’m thinking about primary sleep disorders, insomnia, sleep apnea, et cetera. So often patients or their caregivers, to be honest with you, are asking for a simple solution. Brienne: Yeah.

Illness 85

Illness IT Medical Clinic 85

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical. We work with most major insurance plans and offer transparent pricing options for self-pay patients.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

Plum Health

OCTOBER 11, 2024

During these regular appointments, doctors conduct various tests and screenings to catch issues early. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Your insights could help someone else in their healthcare journey!

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

OCTOBER 10, 2024

social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. And it not only leads to better outcomes for patients, it leads to our better sustainability. So that means that we all screen for every domain in our interactions. But how about you!

Screening 119

Screening IT Families Family 119

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). That rings true to me.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? Welcome back, William. William: Thanks so much.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. Going into patient’s homes was eye opening. They were stunned by the number of calls for lift assistance for older adults who had fallen.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 27, 2024

How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? We then walk through how we should screen for anxiety and how we should think about a differential. So it tends to be future oriented and tends to show up as a physical sensation in our body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JULY 21, 2022

Initially, it was just because there weren’t really answers for my patients. Or somebody who has other physical cognitive problems at any age. We’re going to go into how to talk to patients about this, because Emmy, you’ve done some research on it. “When can I get back to driving?” Eric: Yeah.

Families 102

Families Family IT Diagnosis 102

GeriPal

JANUARY 25, 2024

He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Your research is a lot in this patient population, right? If I remember correctly, I think the average was, people were screening positive for depression in this study. Important implications.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 8, 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.

IT 137

IT Families Family Physicals 137

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I performed for many palliative patients, and that’s when I started to understand.

Patient-Centered 96

Patient-Centered IT Patients Board-Certified 96

GeriPal

MAY 8, 2025

Summary Transcript CME Summary Weve covered psychedelics on the podcast beforefirst in 2019 with Ira Byock, where we explored their potential role in medicine , and then again in 2023 with Stacy Fischer, Brian Anderson, and Theora Cimino, focusing on the reasons to approach psychedelic use in patients with caution. Then fast forward a year.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. How to talk to patients about screening colonoscopies.

IT 64

IT Hospital Screening Patients 64

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Physical symptoms like pain, dyspnea, fatigue, psychological symptoms, depression, loneliness, and then some of the social experiences as well, like social isolation.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

JULY 28, 2022

I had it on my screen. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. And it was a longitudinal course where we spent time with a patient with a serious illness the entire year, the entire first year of medical school.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 28, 2022

Eric: I’m looking forward to talking about art and humor in palliative care and we’re caring for seriously ill patients. I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Welcome to the GeriPal podcast, Nathan.

IT 145

IT Hospital Patients Illness 145

GeriPal

JUNE 16, 2022

So I actually got started in cancer screening also, thanks to some mutual colleagues. Very interested in decision making around as we get older, individualizing care, sort of patient centered, values driven, it’s a tough decision to figure out. Like for me, my NF1, is it a good idea to get screened for cancer or not?

Management 122

Management IT Medical Patient-Centered 122

GeriPal

APRIL 13, 2023

But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? Has kept me interested, the patient experience and the older adults in the community, their experience.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. I think this is a really difficult topic to talk about with patients. She has a point. Prognosis is inherently uncertain. James: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. It is a screening? These studies are important. I guess FICA is not as cool as SKY. Is it an assessment?

IT 99

IT Patient-Centered Families Family 99

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Had multiple physical, psychological complications as a result of that.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 10, 2022

We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. Ruth: Also in a few short words, we found similar to our initial study that there were differences in physical environment. What does the physical environment look like?

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

SEPTEMBER 8, 2022

And what we mean is like they’re physical numbness or they trip over that particular symptom, but it’s that sense of detachment from living people. And they are at risk for a lot of physical and mental and social impairment. People get tripped up on what that means. So it’s not that we are pathologizing.

IT 100

IT Complication Relationship Specialization 100

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. And in our reporting center, we tracked physical assaults, verbal harassment. And a lot of my patients at that time identified as older asian immigrant.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

DECEMBER 7, 2023

Nursing’s had a problem getting it there, and we may get there at some point, but medicine is working on that, and there’s an organization called Global Consortium for Climate and Health Education that is really leading the way for all healthcare providers for information on how to do that. What does that actually look like?

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. We see our patients and our families throughout the illness trajectory into the hospital. And maybe we should have more patient-centered conversations. Eric: Well, how about just with the debate? Eric: Yeah.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

APRIL 20, 2023

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. It was in the mid-nineties, and about half of the patients that we cared for in the inpatient service were homeless.

Mental Health 123

Mental Health IT Community Individual 123

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.” Care Ecosystem.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JUNE 2, 2022

So you plan on your geriatrician, older patients, getting it every year. And then maybe KN95s, FFP2s and KF94s, if you wear them, at least in physical science studies, if you’re inside in a crowded where Warrior stadium or something, that should provide you some self protection. Does it work in vaccinated patients?

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141