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. How should we care for unrepresented individuals in inpatient and outpatient settings? So there’s no healthcare surrogate.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube. Wonderful work. Every Veteran has a story.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. AMA PRA Category 1 credit(s) ™. Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening Clinic 136

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. But it really does need some individualizing. Joe, welcome to the GeriPal Podcast. Joe 01:42 Thanks so much for having me. Joe 41:30 Yeah.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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 Nurse Practitioner 102

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And now my program of research is around testing that person-centered narrative intervention or PCNI because you have to give them an acronym in healthcare. This is Eric Widera.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

NOVEMBER 2, 2023

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. But then I realized who I wasn’t hearing from, I did not hear from the CEO of my organization, my healthcare organization. One was very surprising.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. Furthermore, only about half of nursing home residents nearing the end of life receive hospice care. So, how can we improve palliative care for individuals in nursing homes? Like, what does that part look like?

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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. Eric: Great.

IT 113

IT Provider Patients Family 113

GeriPal

JANUARY 20, 2023

We might evaluate that in a small number of nursing homes and go from there. Eric: There was also a comment about expansion of the role of the CNA in the nursing home in the report. There’s a lot more CNAs who work in nursing homes, but we need to organize these people in these roles. Tell me about that. Plain and simple.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. These hick pick codes are available to any chaplain in a healthcare system. It meets in-person, once a month, over nine sessions. Lexy: Yeah.

IT 99

IT Patient-Centered Family Families 99

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

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

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. For those individuals, how do you think about that? Alex 01:17 We had the wrong terms drilled into us. We just unlearn what we have learned.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

AUGUST 31, 2023

You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. It’s all individual. You interviewed some geriatricians. It’s impressive. Here’s the thing that I find limiting about it.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

SEPTEMBER 22, 2022

Versus, Patrice Lars, one of our nurse practitioners, she would use touch all the time, and that’s her. I understand there’s a place for we have to justify our existence in a healthcare system that counts cost. In the individual clinical encounter, that’s a lot of what we do. That’s what she does.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: Which is, so let’s say I am a provider, a healthcare provider taking, let’s say a nurse practitioner working in an older, a clinic that’s mainly caring for older adults.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 29, 2022

I was also working there at an adult day center for individuals with Alzheimer’s and other related dementias. I chose, not healthcare management, which a lot of my colleagues have done, but I actually chose negotiation and dispute resolution, which I thought was fun, as well as marketing. Alaine: Yeah. What would that look like?

Family 96

Family Families IT Patient-Centered 96

GeriPal

DECEMBER 21, 2023

Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? We have all of these models that are out there that have proven benefits for patients, for caregivers, and some of them for healthcare systems as far as saving money for, let’s say, Medicare. Why do we need to do more?

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

How can we take our healthcare system, and really break it, and do it better for older adults who may not fit within, or may not have the conveniences of going into the clinic, or going to the hospital, all these things that we think about. For the most part, programs are doing, twice a day, nursing visits. We were going to them.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115