FDA Law Blog

NOVEMBER 29, 2022

If opioids are continued for subacute or chronic pain, clinicians should use caution when prescribing opioids at any dosage, should carefully evaluate individual benefits and risks when considering increasing dosage, and should avoid increasing dosage above levels likely to yield diminishing returns in benefits relative to risks to patients.

Patients 52

Patients Patient-Centered ER Individual 52

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. We didn’t think that there was something unique to the modality delivery in which palliative care was providing that care. Eric 10:25 Great.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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.

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Illness Patient-Centered Screening Clinic 136

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?

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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. I think that’s the part that’s still the fundamental foundation of hospice, individualized care plans focusing on patients, families, wants, needs and goals. Welcome back to GeriPal, Lauren.

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IT Provider Patients Family 114

GeriPal

JANUARY 20, 2023

To me, I think the Greenhouse folks have proven that you can provide quality care in a home-like environment cost effectively if it’s done right. I think the bottom line is they’re nursing homes. It’s also what are the pieces of information we’re bringing to the table when we start providing care for residents?

Finance 95

Finance Board-Certified IT Provider 95

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

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. . Archives of Internal Medicine 2010. Rehabbed to Death.

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Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. We weren’t randomizing providers or patients. The emergency physician knows it’s not new information. This is not why I went into emergency medicine. No difference.

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Patient-Centered IT Hospital Patients 77

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. But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. That’s right.

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Patients Clinic Patient-Centered Illness 73

GeriPal

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ). Lexy: Yeah.

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IT Patient-Centered Family Families 99

GeriPal

SEPTEMBER 22, 2022

One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. Versus, Patrice Lars, one of our nurse practitioners, she would use touch all the time, and that’s her. That’s what she does.

Illness 101

Illness IT Patient-Centered Patients 101

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. It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. Eric: Great, thank you both.

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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. In social work, it’s called self-determination of the client, meaning at the end of the day, I can provide resources to this older adult or to this caregiver, whoever it may be. Alaine: Yeah. Alaine: Yeah.

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Family Families IT Patient-Centered 96

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.” Eric: Okay.

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Patient-Centered IT Family Families 125

Medical Xpress

JUNE 23, 2025

Enzymes provide the body with instructions for what it needs to do, and when people lose energy and water, biochemical systems in the body start to fail, Wood says. The temperature is just going to continue to rise and at some point thats going to lead to death," says Wood, who has worked as a nurse practitioner in the emergency room.

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Illness Engineering Medical Nurse Practitioner 54