Mesa Family Physician

MARCH 13, 2025

In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community.

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Family Physician Preventative Care Preventive Care Families 100

GeriPal

MAY 5, 2022

He was an otolaryngologist and epidemiology person too, might have an appointment in geriatrics too. I wonder if you could engage their family in the goals of care discussion.” He is one of those superstars here. And he liked some of what I was doing, which was really on diabetes and hearing loss.

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IT Screening Hospital Clinic 102

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

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IT Family Families Diagnosis 102

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

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Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 4, 2024

If they didn’t do it all by themselves, they talked to the family and it was a conversation, but also there wasn’t a whole lot that doctors can do then. And that changed in 1969 I think the first advanced directive was created by Luis Kutner. Bernie: Well, there was a time when doctors made these decisions.

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Family Families Patient-Centered IT 112

GeriPal

NOVEMBER 21, 2024

Somebody shouts at my front Desk staff because they’re pissed off about their appointment time. But if we’re going to have a family meeting, that’s a different circumstance. I said, you know, I don’t usually start my appointments in laughter. Because like Amanda said, everything we see is coping.

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Illness IT Patient-Centered Patients 125

GeriPal

MARCH 24, 2022

And especially for those who may have nontraditional families. I think if you’re from a nontraditional family, it’s very important to make sure that people understand who you would want to talk to. Susan: I’ll just say, I think that could happen outside of the healthcare setting pretty easily and frequently does.

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Illness IT Healthcare Patient-Centered 72

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. And if so, why?

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Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. So delivering those month visits in clinic, often in tandem with their other oncology appointments.

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Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 12, 2023

” Somehow, there’s this signal that the patients and families had to pick up that maybe the surgeon wasn’t so enthusiastic, or if I just dump risk on them, maybe they’ll say, “I don’t want this.” What I need to navigate with that patient and their family, is it valuable to you? Every time.

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IT Family Families Patient-Centered 128

GeriPal

MARCH 28, 2024

I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families. We put a couple extra things in place to really try to reschedule appointments, and this was telehealth. It was very difficult. Corita: Yeah.

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Consulting Patient-Centered IT Patients 115

Center for Family Medicine (CFM)

OCTOBER 1, 2024

The fall and winter are lovely times of year – cooler weather, fun activities, and holidays to celebrate with family and friends. Flu Shots Will Help Maintain Your Friends’ and Family’s Health It’s hard when you spend time with your family or friends and then your or they become sick afterward.

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Family Medicine DO Healthcare Professional Vaccination 52

GeriPal

JUNE 15, 2023

Five minute appointments. And patients and family members tell us that they worry that their clinician is going to be overly focused on that mortality number now. The post Artificial Intelligence: Charlotta Lindvall, Matt DeCamp, Sei Lee appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

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IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 16, 2023

So when we encounter anger clinically, when we’re in an encounter with a patient and their family, what are perhaps three steps, and we have the three step model for how we can look within ourselves and respond. What feelings do we have toward the patient and toward their families? And countertransference is everywhere.

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Patients IT Family Families 109

GeriPal

APRIL 28, 2022

Here’s another clinician saying, “I ignored a patient’s tears and gave a speech about cardiac physiology during a family meeting.” I was just thinking back to yesterday, we were in a family meeting. And I share how years before this patient and their family had prepared advanced directives. Eric: Yeah.

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IT Hospital Patients Illness 145

GeriPal

AUGUST 8, 2024

We cover a wide range on this topic, weaving in our own stories of loss with Thomas’s experiences, stories, and poems from years of caring for families after their loved one’s have died. And so the, just means that we want to minimalize any bother that attends the death in the family. I have this from her family.

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IT Family Families Relationship 124

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. And this is really traumatic event for his street family and the street community that he knew. 80% died exactly where they wanted to and 83% were reconnected to family or friends through a psychosocial support system that we put into place.

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Healthcare IT Community Illness 100

GeriPal

FEBRUARY 22, 2024

They’re still engaging fully with their family and with the activities and the hobbies that they’re still able to do. I’m having family meetings to talk about goals of…” They have so many competing demands that you ask, “Do you do any 30 to 45 minute counseling sessions on a regular basis?

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Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 6, 2025

And then the family tells me they can’t keep an appointment, they can’t manage their finances. Well, even for somebody like you, who’s pretty familiar with the instruments, it might cause distress for the patient, maybe their family. So it matters a lot to the person, to their family, to the community.

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GeriPal

JANUARY 18, 2024

Have you had a family history of substance use disorder? So, if they have an alcohol use disorder and that’s really impairing their ability to make it to chemotherapy appointments or it’s causing them to have even more mucositis related pain, you need to know about that. Most of our population has trauma.

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Illness Patient-Centered Screening IT 136

GeriPal

DECEMBER 29, 2022

So many times, family caregivers have to argue with their loved ones about getting more help in the home or moving them to a place that has safety, has close proximity to medical care. You’re moving into my two-bedroom apartment with my sister and me.” ” And they were not happy. But we had to negotiate it. Eric: Yeah.

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Family Families IT Patient-Centered 96

GeriPal

APRIL 18, 2024

I wonder if you could suggest an empathetic conversation that I could have with her that would not sugarcoat the idea that she has cancer, but do it in the most supportive possible way, and taking into account that she’s got a family and she’s got young kids?” ” Alex: Wow. “Hi, patient’s name. Bob: Be well.

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IT Electronics Patients Healthcare 139

GeriPal

SEPTEMBER 19, 2024

That’s a lot of appointments that we have to account for over time. So I don’t know how clinically meaningful that week difference was to families. Back at that capacity question, right? If we’re still getting people in, but instead of living six months, they’re now living six years.

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Patient-Centered IT Patients Hospital 119

GeriPal

AUGUST 15, 2024

We discuss: What is considered a hate incident, how is it tracked, what do we know about changes over time The wider impact of Anti-Asian hate on older Asians, who are afraid to go out, leading to anxiety, social isolation, loneliness, decreased exercise, missed appointments and medications. How have they been hearing about these issues?

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

DECEMBER 12, 2024

You basically don’t even ask the family, you just stop the bleeding. Are you encountering family members who are just, like, at a loss for what to do and tortured it? Patients who are sort of estranged from family members who then have to make these decisions for somebody that they don’t really know.

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Patient-Centered IT Patients Healthcare 108

GeriPal

JULY 20, 2023

And so one of the patients that we mentioned in that article is a gentleman who lived four hours away who was unable to come to chemotherapy appointments because his pain was so debilitating once we gave him not a huge amount of opioids, he was actually able to come get chemotherapy and then live for much longer.

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Telemedicine Telehealth Patient-Centered Board-Certified 73