Physician's Weekly

JUNE 19, 2025

On a gloomy Friday in January, Johnson, a nurse practitioner who treats older adults, had a hospice consult with Ellen, a patient in her 90s in declining health. ” Nurse practitioners are having those conversations more and more as their patient base trends older. . “Hello.

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Nurse Practitioner Family Families Primary Care 52

GeriPal

MAY 5, 2022

Meg is a researcher and professor of Gerontological Nursing and a Geriatric Nurse Practitioner in the School of Nursing at UCSF. Think about the last time you attended a talk on communication skills or goals of care discussions. I’m guessing not. Over-the-counter hearing aids: What will it mean for older Americans?

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IT Screening Hospital Clinic 102

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.

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Diabetes Management Patient-Centered Family 73

Mere Mortal MD

MAY 22, 2025

Then there are all the nurses and nursing aides interrupting what little sleep you are trying to get, as well as the doctors, physician assistants, or nurse practitioners breeze into and out of your room so fast your hair stirs in the wind. It is not a skilled nursing facility. It is not a hotel. It is not home.

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Hospital Patients Nurse Practitioner IT 221

GeriPal

OCTOBER 24, 2024

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. Summary Transcript CME Summary Cannabis is complicated. Do you want one?

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Medical IT Patient-Centered Healthcare 98

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.

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IT Provider Patients Families 113

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 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. Lyndsay: Thank you so much.

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Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 10, 2024

Alex 01:23 And we’re delighted to welcome DorAnne Donesky, who is a palliative care nurse practitioner at Queen of the Valley Medical center in Napa and professor emeritus at the UCSF School of Nursing. Show me your scars.” Scars, really? I’ve been there. You probably have too. Michelle, welcome to GeriPal.

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Screening IT Families Family 119

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.

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Telehealth Patient-Centered IT Patients 105

ABIM

JUNE 24, 2025

Upgrades to the ABIM website and Physician Portal for 2025, designed to make it easier for both physicians and the public to find information. A representative from the American Society of Hematology (ASH) joined for a portion of the meeting*. The following is a summary of the spring meeting. Above all, ABIM remains focused on its mission.

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Board-Certified Board-Certified Physicians Government Community 40

GeriPal

JANUARY 16, 2025

All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. This is Eric Widera. Alex 01:24 This is Alex Smith. Alex 01:57 Joe, which city are you joining from? Joe 01:59 Ann Arbor. Alex 02:00 Ann Arbor, where I went to undergrad. Yael, welcome to GeriPal. Yael 02:12 Thank you. I’m excited.

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Patient-Centered IT Patients Healthcare 109

GeriPal

JANUARY 18, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 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. Bragging rights.

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Illness Patient-Centered Screening Clinic 136

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Simple, right? Alex: (Singing).

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Family Families Patient-Centered IT 144

GeriPal

JUNE 5, 2025

And so as you think about the conditions that mean that you need care and support in a nursing home, it’s easy to see why many of us feel that palliative care, there are a lot of palliative care needs of nursing home residents just because of the nature of the conditions and reasons that got you there. Alex 02:09 Well, oops.

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Referral Nurse Practitioner Consulting Board-Certified 78

FDA Law Blog

MARCH 17, 2022

According to the CDC, the proposed guideline is a clinical tool meant “to improve communication between clinicians and patients, empowering them to make more informed, person-centered decisions related to pain care together.” Clinicians should not dismiss patients on the basis of PDMP information. Recommendation 10.

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Patient-Centered Clinical Practice Patients Individual 75

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.

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Finance Board-Certified IT Provider 95

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

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. Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). See Sachs write up about setting up this clinic in JPSM.

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Patients Clinic Patient-Centered Illness 72

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. 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. They got training in Vital Talk and ELNEC. They got feedback. So did it matter? Fernanda 01:16 I do have a song request.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

FDA Law Blog

NOVEMBER 29, 2022

Guideline opioid use recommendations “are not intended to be used as an inflexible, rigid standard of care; rather, they are intended to be guideposts to help inform clinician-patient decision-making.” By Larry K. Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R., MMWR Recomm Rep 2022;71(No. RR-3):1–95. 2022 Guideline”). RR-3):1–95.

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Patients Patient-Centered ER Individual 52

GeriPal

OCTOBER 6, 2022

Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. So what do we do about it? Don’t palliative care clinicians already know how to explain things with empathy?

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

JANUARY 11, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). Four percent. To many this rapid expansion will represent autonomy run amok. Oh my gosh.

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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. . Eric: And Alex, we got a full house today. Thanks, Alex.

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Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. This is Eric Widera.

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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.

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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.

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Family Families IT Patient-Centered 96

GeriPal

JULY 13, 2023

And I think that his research was informed by his clinical practice, his clinical practice was informed by his research. Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Is 4% meaningful?

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Patient-Centered IT Patients Hospital 83

GeriPal

JUNE 6, 2024

Don Dizon, oncologist specializing in pelvic malignancies at Brown, suggests speaking in plain language, starting by normalizing sexual health issues, to paraphrase, “Many of my patients experience issues with intimacy and sexual health. Is that an issue for you? I’m happy to talk about it at any time.” This is Eric Widera. Ra ra ra ra.

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Illness IT Physicals Patients 130

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. For me, right now, the worst thing, my nightmare is dying from dementia alone in a nursing home. It requires a fight. It’s been going on for many decades now. Malaz: I love it.

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Patient-Centered IT Families Family 125

Medical Xpress

JUNE 23, 2025

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. Officials warn of increased risks for the elderly, outdoor workers and those without AC. Your blood pressure may decrease." Its no longer functioning.

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Illness Engineering Medical Nurse Practitioner 53

GeriPal

JULY 14, 2022

Alex: We are delighted to welcome back two very special guests who were with us early in the COVID pandemic, and really shown a light on what was happening for the rest of us who could see this giant wave coming, and were just thirsty for information and experiences from those people who were experiencing it early. Darrell: Yes. Pretty tough.

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Nurse Practitioner Patient-Centered Vaccination Emergency Room 136