GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. Margaret 22:45 So the eligibility was that they had to have a life threatening illness.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Eric: And Alex, we’re going to be talking about substance use disorder and serious illness and aging, with three amazing experts. AMA PRA Category 1 credit(s) ™. This is Eric Widera.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. That’s a lot.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Emmy: So that older person or person with maybe terminal illness or developing impairments, it might make sense for them to just keep driving because they don’t have a good replacement. We and many others have tried to come up with a short, validated screening tool.

IT 102

IT Families Family Diagnosis 102

GeriPal

MARCH 9, 2023

Two of our guests today, Stacy Fischer and Brian Anderson, are involved in large multicenter trials of psychedelics for patients with advanced cancer (Fischer) or life-limiting illness (Anderson). And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. But they also did not do the DPOA for healthcare form. So there’s no healthcare surrogate. Yael 10:52 Yeah. What’s your next step?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. I had it on my screen. Areej: So when I was in college, I had a close friend who had a serious illness and actually died as a result of cancer. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers. Transcript.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. I guess the question for you, Naomi, is as a chaplain, what is the role do you think of the other healthcare providers, the nurses, the doctors, the pharmacists in broaching spiritual suffering, existential suffering? ” That’s not a spiritual screen.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Just encourage patients and families to bring music into their healthcare experience. There’s a small book called Music and Creativity in Healthcare Settings written by Hilary Moss. So it, it really goes any direction.

IT 96

IT Patient-Centered Patients Board-Certified 96

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. Let me share my screen here.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 6, 2023

It is a screening? These hick pick codes are available to any chaplain in a healthcare system. Really important person, who later in his life got very interested in healthcare. And as you’ve written in your work, there is a justified mistrust of the healthcare system and an ethic of struggle that needs to be appreciated.

IT 99

IT Patient-Centered Families Family 99

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. So we all went through a pandemic. I guess that’s an event.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

JUNE 5, 2025

nursing homes grapple with serious illnesses, and roughly half experience dementia. The reason that you’re in a nursing home is because you have some mix of serious illness and multimorbidity, usually functional impairments. We can’t possibly provide enough care to all people with serious illness. right there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Like I said, the patient screened positive for it. Ashwin Kotwal: Oh, wow.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

AUGUST 24, 2023

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. And that includes what we call illness-related concerns, the things that are directly mediated by the illness itself.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. Like, would you include the doctors that I work with, healthcare providers where I live in Marin? Eric 10:55 So one serious illness.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. We know that a lot of times with cancer screening, you don’t actually get benefits right away and it can cause potential harms right away.

IT 95

IT Clinic Screening Patients 95

GeriPal

DECEMBER 5, 2024

I feel like, you know, even before the pandemic, certainly during the pandemic, we talk a lot about the grit and the resilience of healthcare and healthcare workers and, you know, the amazing drive that they have and the amazing ability that they have to connect with people. Eric 16:51 So I got a question. But not exactly sure.

IT 107

IT Community Patients Families 107

GeriPal

FEBRUARY 2, 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.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

SEPTEMBER 8, 2022

Alex: Their own death in advance, terminally ill people. Alex: I want to ask a question about treatment, and that generally we don’t screen or assess for things that we don’t have treatments for because there are downsides to screening and instituting a whole health system wide policy of assessment.

IT 100

IT Complication Relationship Specialization 100

GeriPal

FEBRUARY 24, 2022

Juliet and Rachelle are two of the authors of a recent JAMA viewpoint titled “Shifting to Serious Illness Communication.” . Also see the image below from Alex’s editorial in JAGS , a Venn diagram of advance care planning and serious illness communication. Shifting to Serious Illness Communication. Transcript. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Eric and I also reflect on the podcast Randy generously did with us on his experience living with and studying serious illness.

Patient-Centered 83

Patient-Centered IT Patients Hospital 83

GeriPal

APRIL 21, 2022

Poetry helps us grapple with our own experiences of illness. I think that we forget that the clinical encounter is very often just two people in a room experiencing each other, and that that’s what is the beginning of that sacred space of healthcare and healing.” To let it go. . ” Alex: Mm-hmm (affirmative).

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? Or is the aging process and development of serious illness so similar to people who are not living with HIV that we can sort of move on and consider it, you know, sort of like diabetes, for example. Who wants to go first?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

DECEMBER 1, 2023

And the two were sort of intermeshed even to the point in the eighties, the thought was all dementia is Alzheimer’s or it’s some medical illness or combination of other stuff that’s not about it. That’s in my view as analogous as to any other illness. You need the plaques to have that illness.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

JUNE 2, 2022

Eric: All right, before we start talking about COVID in older adults and those with serious illness, do you have a song request for Alex? I’m wondering if we can start off with thinking about the prevention of COVID in older adults and those with serious illness and then potentially the management of them. Eric: I loved all that.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

Eric: We’re going to be talking about telemedicine for those who have serious illness, and this came out of a recent publication Carly did in the San Francisco Chronicle titled Telemedicine Helps People in Pain, Don’t Take That Away. So we’re going to be talking about telemedicine, telehealth for people with serious illness.

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. Louise 32:50 Right.

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Diagnosis Diagnose IT Physicals 141