GeriPal

APRIL 4, 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.

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Document Feeding Resuscitation Article 197

GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice? Summary Transcript Summary Diabetes is common.

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Nursing home Geriatrics Palliative care Palliate 146

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). Despite this, in my 20-year career as a palliative care physician, I have yet to see a death doula in the wild.

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Hospice volunteer Presentation Palliative care Palliate 246

GeriPal

DECEMBER 2, 2022

Abhilash Desai, MD , geriatric psychiatrist, adjunct associate professor in the department of psychiatry at University of Washington School of Medicine, and poet! Alex: And we have Ab Desai, who’s a geriatric psychiatrist in Idaho. Judy Long, MDiv, BCC , palliative care chaplain and educator at UCSF and caregiver. Alex: Great.

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Nursing home Books Chaplain Caregiver 203

Shining Light Hospice

MARCH 27, 2023

Hospice services can be provided at home or in inpatient facilities with staff experienced in end-of-life care. Hospice physicians may also have additional certifications such as geriatrics, oncology, or palliative care to demonstrate their knowledge of this field.

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Hospice care Hospice Grief End-of-life care 96

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube. Summary Transcript Summary. Wonderful work.

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Palliative care Palliate 2011 Healthcare 254

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. Alex: This is Alex Smith. Heather: Sure.

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Palliative care Palliate Healthcare 2011 215

GeriPal

JULY 27, 2023

We have Brienne Miner who is a geriatrician and sleep specialist and assistant professor at Yale in geriatrics. Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Brienne: Thank you for having me.

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Geriatrics Information Caregiver Events 160

GeriPal

MARCH 14, 2024

Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. I think there’s maybe a little bit of debate as to when those turn from being just normal age related changes to then being something more, but it happens in many different areas of healthcare. Eric: Lovely.

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Feeding Definition Article Geriatrics 226

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Lynn Flint, author of the NEJM perspective titled, “Rehabbed to Death,” joins Eric and I as co-host.

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Palliate ADLS Palliative care Article 282

GeriPal

AUGUST 25, 2022

She’s Professor and Vice Chair for Research at the Mount Sinai School of Medicine, Department of Geriatrics and Palliative Medicine. Alex: We’re delighted to welcome back to the GeriPal podcast, Krista Harrison, who is a Health Policy Researcher, an Associate Professor of Medicine, UCSF Division of Geriatrics. Lauren: Hi.

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Hospice Geriatrics Palliative care Definition 199

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). Learn about using the low dose buprenorphine patch: .

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Palliative care Palliate Article Geriatrics 249

GeriPal

APRIL 27, 2023

Attendee 5: That we are so integrated into the very fabric of healthcare that it’s a no-brainer in every single discipline because you know what? We deepen ourselves into the fabric of care and we make healthcare work for people who are seriously ill. We’ve got a very large palliative care practice,” Rodgers told PCN.

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Palliative care Palliate Hospice Social worker 176

GeriPal

OCTOBER 27, 2022

She’s an epidemiologist and assistant professor of medicine in the UCSF Division of Geriatrics. Alex Smith: And we’re delighted to welcome back James Deardorff, who is a geriatrician and research fellow in the UCSF Division of Geriatrics. Welcome to the GeriPal podcast, Alex. Alex Lee: Thank you. Happy to be here.

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Geriatrics Article ADLS Information 183

GeriPal

NOVEMBER 17, 2022

end of life care and advance care planning) to more geriatrics focused (e.g. Alex: And we’re also delighted to welcome back to the GeriPal podcast Kenny Lam, who’s assistant professor of medicine at UCSF in the Division of Geriatrics. RCFEs, boarding cares, nursing homes. Welcome back, Kenny. Welcome back.

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Assisted living Geriatrics Long-term care Nursing home 194

GeriPal

MARCH 31, 2022

Guy: And I personally like it because, well, it reminds me of a time when I was a young physician, like you two, and could have used this song in my mind when I went into nursing homes to care for people. And I saw them lined up in their wheelchairs along the corridors and too many nursing homes are still like this.

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Books Geriatrics Palliative care Nursing home 143

GeriPal

OCTOBER 13, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

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Article Definition 2021 Geriatrics 181

GeriPal

MARCH 24, 2022

Alex: Also returning Rebecca Sudore, who is professor of medicine at the UCSF in the division of geriatrics, and is a geriatric and palliative care doctor. Susan: I’ll just say, I think that could happen outside of the healthcare setting pretty easily and frequently does. Susan: Thanks so much, Alex. Welcome back, Bob.

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Palliative care Geriatrics Palliate Document 145

GeriPal

JUNE 9, 2022

In the US, geriatrics “grew up” as an academic profession with a heavy research base. Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . Summary Transcript Summary. This was in part due to the tremendous support of the National Institute on Aging. By diagnosis?

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Palliative care Palliate Geriatrics Definition 191

GeriPal

JULY 6, 2023

Alex: And we are delight to welcome Lindsey Yourman, who is a geriatrician, she’s a longtime friend and mentee, and is now a peer and is a key component of the ePrognosis working group and helped originate the ideas that led to ePrognosis and she’s now San Diego County’s Chief Geriatrics Officer. Welcome to GeriPal, Lindsey.

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Geriatrics Medicare Caregiver Palliative care 167

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. Welcome to the GeriPal podcast, Chrissy. Chrissy: Thank you so much for having me.

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ADLS Geriatrics Nursing home Article 244

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I’m going to turn to you Lauren. Don’t ask anybody.

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Geriatrics Ventilator Palliative care Events 190

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. People start thinking about putting them in a nursing home.

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Medicare Caregiver 2024 Social worker 228

GeriPal

OCTOBER 19, 2023

For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

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Document Nursing home Healthcare proxy Ventilator 268

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. The fact that palliative care was the hardest of questions told me that we have a massive messaging problem in our field.

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Palliative care Palliate Hospice Geriatrics 202

GeriPal

AUGUST 4, 2022

Kevin’s study looks at a period of time in the COVID pandemic when a large multistate nursing home provider created a “nonessential medication on hold” (NEMOH) policy in order to conserve critical nursing resources and PPE, and to limit exposure risk for residents by reducing unnecessary contact. nursing homes.

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Nursing home Presentation Article Nursing 203

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. Welcome back to GeriPal, Lauren. Lauren: Thanks for having me.

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Hospice Article Hospice care Medicare 217

GeriPal

MAY 18, 2023

The Beers Criteria is one of the most frequently cited reference tools in geriatrics, detailing potentially inappropriate medications to prescribe to older people. We’re delighted to welcome Mike Steinman, who’s a geriatrician professor of medicine at UCSF in the division of geriatrics, prior guest on this podcast.

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Geriatrics Article 2010 2019 201

GeriPal

FEBRUARY 17, 2022

Alex: Today, we are delighted to welcome James Deardorff, who is a geriatrician and a T-32 research fellow in UCSF’s Division of Geriatrics. He’s a Geriatrician Palliative Care Clinician Researcher, also in the UCSF Division of Geriatrics. Eric: And Alex, who do we have with us today? Welcome to the GeriPal podcast, James.

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Geriatrics Definition Palliative care Article 141

GeriPal

DECEMBER 29, 2022

Geriatrics. Alex: We are delighted to welcome back Lee Lindquist, who’s a geriatrician and chief of geriatrics at Northwestern. I chose, not healthcare management, which a lot of my colleagues have done, but I actually chose negotiation and dispute resolution, which I thought was fun, as well as marketing. Prof Case Manag.

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Social worker Caregiver Geriatrics Books 189

GeriPal

JANUARY 20, 2023

Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursing home care. We have Alice Bonner, who’s Chair of the Moving Forward Nursing Home Quality Coalition.

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Nursing home Nursing Long-term care Medical director 183

GeriPal

OCTOBER 20, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

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Article Definition 2021 Geriatrics 130

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. Two-thirds of the patients in the home now have COVID-19. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. Summary Transcript Summary.

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Long-term care Grief 2020 Medical director 279

GeriPal

JUNE 30, 2022

And I learned, so you have this wonderful paper that just came out in JAGS, Journal of the American Geriatrics Society, titled Patients Living with Dementia Have Worse Outcomes When Undergoing High-Risk Procedures. I mean, financially, the bulk of the American healthcare system is a fee-for-service system. Joel: Talk about it.

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Geriatrics Medicare 2016 Palliative care 202

GeriPal

JUNE 2, 2022

But this was a family practice study where they randomized 500 healthcare providers to wear surgical masks in routine interactions, 500 to not wear masks, no difference in like anyone getting colds or anything. Let’s focus on outpatient management, nursing home management. We got to get to treatment. Eric: Treatments.

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Article Definition Geriatrics 2020 194