GeriPal

JUNE 8, 2023

We debate the merits of use of CGM in the nursing home and other late life settings (Eric and I argue against CGM and lose). AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) Listen in to learn more! Eric: And Alex, we’ve got a full house today. Alex Smith: We have a full house.

Diabetes 74

Diabetes Management Patient-Centered Families 74

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. For others, this piece, while painful to read, gave voice to what they have been feeling over the last decade – hospice has in some ways lost its way in a quest of promoting profit over care.

IT 114

IT Provider Patients Families 114

GeriPal

JANUARY 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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Summary Transcript Summary.

IT 105

IT Patient-Centered Healthcare Illness 105

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. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out! Who will emerge victorious? Vicki 02:10 Thank you.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

ABIM

JUNE 24, 2025

Gertz, MD, MACP, Chair, ABIM Hematology Board The Hematology Board , which meets twice a year and is responsible for oversight of ABIM policy and assessment in the specialty, held its spring meeting on May 2, 2025. A representative from the American Society of Hematology (ASH) joined for a portion of the meeting*.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

FDA Law Blog

MARCH 17, 2022

We believe the proposed 2022 guideline provides much needed clarification of CDC’s recommendations for both practitioners and regulators. 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.

Patient-Centered 75

Patient-Centered Clinical Practice Patients Individual 75

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). But does this drug really live up to the hype?

Illness 102

Illness Patient-Centered IT Patients 102

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

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? And it’s, I think, a very uplifting song.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

DECEMBER 8, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Summary Transcript Summary.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

FDA Law Blog

NOVEMBER 29, 2022

By Larry K. Houck — On November 4th, CDC issued its revised guideline on prescribing opioids for pain as an expansion and update of its 2016 CDC Opioid Prescribing Guideline. Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R., CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. MMWR Recomm Rep 2022;71(No.

Patients 52

Patients Patient-Centered ER Individual 52

GeriPal

JANUARY 20, 2023

She was a member of the committee that wrote the National Academy’s report that we’re going to be talking about today on Improving Nursing Home Quality. We’re going to be talking about improving nursing home quality. I know you’ve been a strong advocate for nursing home patients particularly in California.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. I’ve seen this question come up a lot since finishing fellowship nearly two decades ago.

Board-Certified 91

Board-Certified IT Community Medical Student 91

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. Oh, my goodness.

Patients 73

Patients Clinic Patient-Centered Illness 73

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

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. I went into emergency medicine to act. I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. They got training in Vital Talk and ELNEC. They got feedback. So did it matter?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. Today we talk with Josh about how to anticipate and avoid the uncanny valley. And talk about times when we’ve fallen into it. . Key message: Listen to the music. All the time. ;). We’ll have links to it.

Illness 101

Illness IT Patient-Centered Patients 101

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 ). The theme is death.

IT 99

IT Patient-Centered Families Family 99

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 29, 2022

Conflicts Experienced by Caregivers of Older Adults With the Health-Care System. Journal of Patient Experience. December 2020. Dealing with conflict in caring for the seriously ill: “it was just out of the question” JAMA 2005. Transcript. Eric: Welcome to the GeriPal Podcast. This is Eric Widera. Alex: This is Alex Smith. Eric: Yeah.

Families 96

Families Family 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.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Families Family 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.

Illness 54

Illness Engineering Medical Nurse Practitioner 54

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 100

Preventive Care Preventative Care Family Physician Screening 100

GeriPal

SEPTEMBER 14, 2023

And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. In addition to discussing these outcomes, we also discuss: The history of the hospital-at-home movement. How is it financed and what comes next? Alex: Good challenge. Thanks, Bruce. Eric: Okay.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115