The Clinical Problem Solvers

DECEMBER 20, 2021

Appreciate how intergenerational trauma may surface amongst Asian-Americans, and how these intergenerational relationships may also offer fertile ground for generating understanding. In the healthcare space, it can also result in a lack of data collection to demonstrate and understand issues faced by these groups.

Community 52

Community Patient-Centered Relationship Healthcare 52

The Clinical Problem Solvers

MARCH 4, 2024

Episode Learning Objectives After listening to this episode, learners will be able to: Illustrate the relationship between narrative medicine and healing relationships. She discovered narrative medicine, and to her, it was about finding and retelling individual and structural stories in antiracist ways.

Community 52

Community Education Patient-Centered Relationship 52

GeriPal

JUNE 23, 2022

Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. This is about cancer screening in older adults. Summary Transcript Summary. Mara: Thank you so much.

Screening 99

Screening PCP PCP IT 99

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) ™. Jessie: Exactly.

Illness 136

Illness Patient-Centered Screening Clinic 136

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

JULY 21, 2022

That’s where it really gets to this individual risks and balances, individual situation. Because how that is approached can have lasting effects on relationships, unfortunately. Certainly my bias is that healthcare professionals really do have a role in this discussion. Alex: Yeah. Eric: Yeah.

Families 102

Families Family IT Diagnosis 102

The Clinical Problem Solvers

FEBRUARY 8, 2023

Screening for substance use and offering connections to treatment and community-based services are important strategies that clinicians can implement in their own practice today. Between 2007 – 2019, Black individuals experienced a higher death rate for opioid overdose deaths than any other racial or ethnic group.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. All of these are factors that are on the individual level. In addition to the grab bars, we have also helped train the EMS professionals in different lenses about screening. AMA PRA Category 1 credit(s) ™. Katie: I was going to jump in.

Community 114

Community Transportation IT PCP 114

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. And really learning from them about what kinds of things healthcare might provide, that might be of help to them. If I remember correctly, I think the average was, people were screening positive for depression in this study.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 8, 2024

Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? It’s the relationships to the world. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs.

IT 137

IT Families Family Physicals 137

GeriPal

APRIL 6, 2023

It is a screening? Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. I guess FICA is not as cool as SKY.

IT 99

IT Patient-Centered Families Family 99

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. Like I said, the patient screened positive for it.

IT 99

IT Community Patient-Centered Medical 99

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. Some of them are really deeply individual experiences.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

MAY 8, 2025

So classically with preparation, in individual settings or even in group settings, you have one or two people supporting people through psychoeducation, what to expect, life review. So when they do meet it, how are you going to be in relationship to it? Eric 11:35 A large dose, small dose, microdose, A large dose. I love that.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients. James: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? So it’s, you know, nursing homes are part of the healthcare sector, but they’re also part of the social care sector in the same building. And, you know, some, some relationship with hospice, some might not do many referrals at all to hospice.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

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? From just the abstracts we had so many questions.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

JULY 28, 2022

I had it on my screen. But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families. Most people aren’t coming to UCSF or MGH for their healthcare. Maybe I could turn to both of you how you got interested in this.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 29, 2025

This is, you know, has to do with our personal relationship. So I think the examples that we’ve seen is an individual will all of a sudden start using humor in a particular way or will using wry humor and that is reminiscent of the kind of humor the person used prior to developing dementia. It, like, looks real good.

Families 93

Families Family IT Patient-Centered 93

GeriPal

SEPTEMBER 8, 2022

Because there is a lot intense discussion, I guess we were talking about this before with the stages of grief, how individualized is there is no right way or wrong way. So one of the criticisms is that it’s an insult to the dignity of a loving relationship. Eric: So do you get a lot of pushback on it? Do you get pushback on that?

IT 100

IT Complication Relationship Specialization 100

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. So our elders who are people of color, people who live in places that are already challenged by poor air quality and those things and access to healthcare, they also have greater risks. Ruth: Yeah. Ruth: Yeah.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

AUGUST 1, 2024

Widera and Smith have no relationships to disclose. Guests Anna Pleet, Elizabeth Eckstrom, and Emily Johnston have no relationships to disclose. And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. AMA PRA Category 1 credit(s) ™.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

MAY 1, 2025

Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? Eric 26:39 But I’m also hearing that 1 out of 10 newly diagnosed cases are not those individuals. So that is why there are different screening guideline recommendations around osteoporosis.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

DECEMBER 1, 2023

I think that the actuarial data are compelling, that elevated amyloid alone in some individuals can lead to downstream dementia. I haven’t yet seen those clinical trials with beta-amyloid in asymptomatic individuals to allow me to reach that conclusion. That’s what got hyperlipidemia turned into hyperlipidemia.

IT 115

IT Clinic Illness Hypertension 115

Mesa Family Physician

MARCH 6, 2025

Preventive care encompasses a wide range of healthcare services designed to maintain wellness, identify risk factors, and detect disease early when treatment is most effective. Each plays a crucial role in a comprehensive approach to healthcare. These screening measures help identify conditions in their earliest stages.

Preventive Care 100

Preventive Care Preventative Care Family Physician Screening 100

GeriPal

JANUARY 5, 2023

On the one hand, when I hear of Ob-Gyn’s in Catholic Healthcare systems using “workarounds” to provide reproductive care, I’m standing up and cheering on the inside. And she has a forthcoming book, Bishops and Bodies: Reproductive Care in American Catholic Healthcare Systems, which will come out Spring-ish. Right, Lori? Lori: Yeah.

Provider 19

Provider Medical Hospital Patient-Centered 19

The Clinical Problem Solvers

MAY 2, 2023

[link] CPSolvers: Antiracism in Medicine Series Episode 21 – Psychosocial and Cultural Considerations for Providing Healthcare to Immigrant and Refugee Populations Show Notes by Kiersten T. A lot of compounding trauma occurs at the border that has potential downstream mental health implications for individuals and their families.

Healthcare 52

Healthcare Provider Clinical Practice Clinic 52

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable. Monica: Yes.

Vaccination 100

Vaccination IT Hospital Management 100