GeriPal

FEBRUARY 20, 2025

Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. Eric 00:15 And we have three guests to help us talk about trauma informed care.

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Patient-Centered IT Screening Patients 66

GeriPal

JANUARY 16, 2025

So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. But they also did not do the DPOA for healthcare form. So there’s no healthcare surrogate. And that can really inform what your own institutional policy is. This is Eric Widera.

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Patient-Centered IT Patients Healthcare 109

GeriPal

JUNE 27, 2024

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. AMA PRA Category 1 credit(s) ™.

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Illness IT Diagnosis Patient-Centered 129

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. Canadian Press Feature A powerful and widely shared piece on our work.

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Healthcare IT Community Illness 100

GeriPal

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. Well, todays guests love music at least as much if not more than me, and they each make a strong case for music as medicine. So it, it really goes any direction. And it has a great impact.

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IT Patient-Centered Patients Board-Certified 96

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . That was one thing.

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Illness IT Family Families 109

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. Alex 06:20 Can I what’s the healthcare equivalent to the Starbucks coffee?

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Patient-Centered Hospital IT Illness 116

GeriPal

OCTOBER 17, 2024

The challenge is, it’s easy to say, oh, yeah, talk to them in a few days, talk to them in a week, have them come back every other week, because the time constraints and the way our, our healthcare system is built, the people at the greatest risk are these more vulnerable people.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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?

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Patient-Centered Hospital IT Patients 77

GeriPal

MAY 18, 2023

So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. Eric: And Mike, you were talking about not being misunderstood. What is the intention of the Beers criteria, the AGS Beers Criteria?

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Medical IT Patients Clinic 97

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. One is they’re defining the intervention using future information, which Maria always tells me is a big no, no.

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Management Patient-Centered Patients IT 116

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. For example, here’s a quote from somebody at a high intensity hospital, “There’s a culture from the top of the healthcare system down.

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Hospital IT Patient-Centered Patients 125

GeriPal

FEBRUARY 13, 2025

And then we incorporated that information into the consultation process. Like, would you include the doctors that I work with, healthcare providers where I live in Marin? Later on, of course, we added health professionals to, you know, give us more information. We are going to have healthcare utilization data as well.

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Consulting Community Patient-Centered Family 63

GeriPal

FEBRUARY 27, 2025

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? The general clinic is called the Internal Medicine Recovery Engagement Program, and our clinic is the Palliative Recovery engagement Program, or PrEP.

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Patients Clinic Patient-Centered Illness 72

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. Absolutely. Alex: Bye everybody.

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Patient-Centered Patients IT Hospital 96

GeriPal

MAY 29, 2025

And then I think the flip side of that is we don’t deal with it as clinicians and help them understand how to interpret that information. And like, she retained that information for so long, but she does not really Speak. And I talk to them about this, and we wouldn’t pick up on how meaningful that is for people.

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Family Families IT Patient-Centered 93

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Caroline: And I love how you highlight the importance of these staff biases, perhaps implicit bias that is driving some of these healthcare decisions. Rehabbed to Death.

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Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 24, 2025

And that was the last time that he’d been seen by our healthcare system. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. And the note reflects a very angry response. I can’t believe we’d give up on being. I’m going to beat this thing.

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Patient-Centered IT Patients Illness 77

GeriPal

AUGUST 24, 2023

And it’s a bit of a hokey title, but what I try and impress on readers there is that, the reflection that patients see of themselves, at least metaphorically in the eye of the healthcare provider, needs to be one that is affirming of patient dignity. I mean, we all give lip services saying, “Person-centered care is important.”

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Patient-Centered Patients IT Illness 98

GeriPal

MARCH 20, 2025

Who do you give informed consent to? Yeah, but I mean, in healthcare you need to appreciate the risks, benefits and alternatives of the proposed intervention. It’s a, it’s a, it’s a past self directing healthcare for a future self. Past self or current self? But it’s a risk, right?

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IT Patient-Centered Patients Medical 87

GeriPal

APRIL 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.

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Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 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.

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Patient-Centered IT Patients Consulting 119

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. AMA PRA Category 1 credit(s) ™. Great to be here.

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GeriPal

JULY 6, 2023

I’ve been on a quest to build those services and support so that people can make true, informed decisions for themselves and their families. We’re selling objectivity, information, independence and choice. Take some time to get trust, to get real information. Susan: Yeah, I don’t think the word even surfaced.

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Community Nurse Practitioner Provider IT 89

GeriPal

JULY 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.

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Family Families Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. It was information about our ACP facilitator. Is that right?

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Primary Care IT Clinic Illness 79

GeriPal

JULY 7, 2022

And I was an internal medicine resident. Every time you experience pain, it is informed by so many different things. Let’s say you get stuck in a trap and you might scream, is to inform other people that there might be a threat or to inform other people that you may not be able to do a certain task because you are hurt.

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Patient-Centered Physicals IT Patients 105

GeriPal

DECEMBER 21, 2023

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. I could walk down the hall and get information. Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? Malaz: 1999, my friend.

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Patient-Centered IT Family Families 125

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Jenny, welcome back to GeriPal. Jenny 01:27 Thanks. Good to be here.

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Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

NIH study about long COVID published the day before in Annals of Internal Medicine. But we have very little information, almost no information. And so there are other new treatments that I hope also will inform RSV and other RNA viruses. One is in the Annals of Internal Medicine. Transcript.

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Vaccination IT Hospital Management 100