Individual, IT, Nurse Practitioner and Primary Care

Three Practices, Three Stories: best practices and unique approaches to substance use screening in rural primary care [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care (PC) practices that implement Screening, Brief Intervention, and Referral to Treatment (SBIRT) can identify, reduce, and prevent problematic alcohol use that otherwise could go undetected. Tailoring individual strategies can facilitate SBIRT implementation in rural PC practices.

Primary Care

Primary Care Screening Nurse Practitioner Referral

Is there enough time for prevention in primary care?

Common Sense Family Doctor

FEBRUARY 28, 2025

Family physicians are being squeezed by two accelerating trends: (1) too few of us to care for the growing US population and (2) the rising number of tasks that we are asked to accomplish for each patient. hours) allocated to preventive care. hours per day, with more than one-half of that time (14.1

Primary Care

Primary Care Family Physician Preventive Care Preventative Care

Drowning in Paperwork: The Burden of Administrative Responsibilities in Primary Care [Qualitative research]

Annals of Family Medicine

NOVEMBER 20, 2024

Individual and team analysis. Results: Participants spontaneously raised the issue of administrative burden, describing it as both the volume of paperwork and "never ending" inbox management decreasing time for direct patient care. physician assistants, nurse practitioners) to help "de-clutter the inbox" and manage referrals.

Primary Care

Primary Care Nurse Practitioner Referral Family Physician

Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

NOVEMBER 9, 2023

Today we learn more about coaching from 3 coaches: Greg Pawlson, coach and former president of the American Geriatrics Society, Vicky Tang, geriatrician-researcher at UCSF and coach , and Beth Griffiths, primary care internist at UCSF and coach. Summary Transcript Summary Coaching is in. We address: What is coaching? Indeed, matey.

Board-Certified

Board-Certified IT Primary Care Referral

RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

GeriPal

JANUARY 25, 2024

Alex: And we’re delighted to welcome Lyndsay DeGroot, who’s a nurse researcher and T32 postdoc at the University of Colorado Anschutz Medical Campus. And finally, too, as a new researcher and postdoctoral fellow, I’m hoping that the best is yet to come for palliative care, research, and work. Is it you Lyndsay?

Patient-Centered

Patient-Centered IT Illness Patients

CDC Proposes Updating Practice Guideline for Prescribing Opioids, Warning Against Continued Misapplication

FDA Law

MARCH 17, 2022

As CDC notes in the 2022 proposed guideline, the 2016 guideline provided twelve recommendations for primary care clinicians who prescribe opioids for chronic pain in outpatient settings. 50 MME/day, clinicians should pause and carefully reassess evidence of individual benefits and risks. 2016 Guideline. at 95-96. “[B]efore

Patient-Centered

Patient-Centered Clinical Practice Patients Management

Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

JANUARY 18, 2024

Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. Jessie, last time we had you on in 2017, we asked you the question, should palliative care fellowship training include management of chronic pain? Alex: Yeah.

Illness

Illness Patient-Centered Screening Clinic

Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

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? Alex 02:09 Well, oops.

Nurse Practitioner

Nurse Practitioner Referral Consulting Board-Certified

The Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper

GeriPal

NOVEMBER 2, 2023

But, it’s also hard not to be bullish on the future of the field to see the consistent strides geriatrics has made in the last two decades in improving care for older adults. I’ve seen this question come up a lot since finishing fellowship nearly two decades ago. Mike, welcome to GeriPal. Mike: Great to be here. It was JAMA, right?

Board-Certified

Board-Certified IT Community Medical Student

CDC Emphasizes Opioid Guideline is Voluntary and Should Support, Not Supplant, Patient Care

FDA Law

NOVEMBER 29, 2022

The recommendations do not apply to inpatient hospital care, in the emergency department or other observed settings. The 2022 guideline, as with the 2016 guideline, reiterates that it does not apply to pain management related to sickle cell disease or cancer-related pain treatment, palliative care and end-of-life care.

Patients

Patients ER Patient-Centered Individual

Normalcy, Introspection, & the Experience of Serious Illness: Bill Gardner, Juliet Jacobsen, and Brad Stuart

GeriPal

AUGUST 31, 2023

We’re also delighted to welcome back to the GeriPal podcast, Juliet Jacobsen, who’s a palliative care doctor. Juliet, last time we talked to you, you were talking about shifting from advanced care planning to serious illness conversations. We have a Canadian theme going. We just had Harvey Chochinov on. Was it April 1st?”

Illness

Illness IT Diagnose Medical

RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Today we focus on an intervention , published in JAMA, that gave emergency clinicians basic palliative care knowledge, training, and skills. They got a decision support tool that identified hospice patients or those who might benefit from a goals of care discussion.

Patient-Centered

Patient-Centered IT Hospital Patients

Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

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. Thanks, Alex.

Nurse Practitioner

Nurse Practitioner Hospital Family Families

What Is The Best Example Of Preventive Care?

Mesa Family Physician

MARCH 6, 2025

Understanding the Three Types of Preventive Care Before diving into specific examples, it’s important to understand that preventive health care is categorized into three distinct types: primary, secondary, and tertiary prevention. Each plays a crucial role in a comprehensive approach to healthcare.

Preventive Care

Preventive Care Preventative Care Family Physician Screening

Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next? Alex: Good challenge.

Hospital

Hospital Patient-Centered Supply Chain IT

Primary Care Digest

Three Practices, Three Stories: best practices and unique approaches to substance use screening in rural primary care [Behavioral, psychosocial, and mental illness]

Is there enough time for prevention in primary care?

Trending Sources

Drowning in Paperwork: The Burden of Administrative Responsibilities in Primary Care [Qualitative research]

Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

RCT of Palliative Care for Heart Failure and Lung Disease: David Bekelman and Lyndsay DeGroot

CDC Proposes Updating Practice Guideline for Prescribing Opioids, Warning Against Continued Misapplication

Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

The Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper

CDC Emphasizes Opioid Guideline is Voluntary and Should Support, Not Supplant, Patient Care

Normalcy, Introspection, & the Experience of Serious Illness: Bill Gardner, Juliet Jacobsen, and Brad Stuart

RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

What Is The Best Example Of Preventive Care?

Hospital-at-Home: Bruce Leff and Tacara Soones

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