GeriPal

MARCH 14, 2024

And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.

Hospital 124

Hospital IT Patient-Centered Individual 124

PEMBlog

MAY 17, 2023

Most children who present to Pediatric Emergency Departments these days with mental health concerns – including agitation – have a known psychiatric problem or diagnosis. These articles will take another look at the content included in this episode.

Patient-Centered 71

Patient-Centered Mental Health Management Finance 71

PEMBlog

JANUARY 21, 2025

This article delineates the salient clinical features, associated complications, cost considerations, and risk profiles for each virus, thereby providing a framework for informed clinical decision-making. Common Complications : Otitis media : Diagnosis is supported by the presence of a bulging tympanic membrane with purulent effusion.

Clinic 52

Clinic Complication Diagnosis Illness 52

GeriPal

JULY 19, 2024

There’s an article about her in New York Times. So people who have Medicare mostly fee for service in a dementia diagnosis should have access to a care, essentially a care navigator for the duration of their condition, or at least the duration of the program. But it seems very apropos to the topic. Anna 01:38 Yeah. Here we go.

Screening 119

Screening Primary Care Patient-Centered IT 119

Pamela Wible MD

JUNE 20, 2025

He overheard the term and used it to describe himself and clinic staff in a 1974 article on staff burnout detailing long-term physical and psychological job stress. Wendy Dean and Simon Talbot with their landmark 2018 article, Physicians aren’t ‘burning out.’ Yet moral injury is not an official diagnosis.

Medical Student 246

Medical Student Diagnosis Physicals Medical 246

GeriPal

DECEMBER 2, 2022

We discuss the importance of viewing individuals with dementia from a lens of resilience, the importance of creative engagement ( as noted in Anne and Susan’s wonderful article on this subject) , the role of collaborative care, and what we can do to improve inclusivity for individuals with dementia in our community and health care systems.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

NOVEMBER 9, 2023

On the other hand, there is a concerning side, described in this Guardian article titled, I’m a life coach, you’re a life coach: rise of an unregulated industry. We make a diagnosis. When somebody is not able to function, they need deep therapy, and probably maybe even hospitalization. Eric: The Guardian article.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

JUNE 8, 2023

This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers. So say you have somebody new diagnosis, you’ve just put them on Metformin and something else, and you slap a CGM on them and they can see it.

Diabetes 73

Diabetes Management Patient-Centered Families 73

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. And I was looking for articles, and I wasn’t seeing as many as I expected.

Patient-Centered 96

Patient-Centered IT Patients Board-Certified 96

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. And I just want to highlight, Jennifer has a great JPSM article that just came out. Would you also just mind mentioning kind of the JPSM article too? Jennifer: Thanks.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 20, 2022

This all came out from JAGS just published their first Clin-STAR corner, which is, and we’ll talk about what that is, but it’s a series of articles bringing in specialists to talk about updates in the last couple years within their field. Mody for the mentorship and for the opportunity to bring together these articles.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 22, 2024

We might say, “Of course you’re sad, you just got a very serious diagnosis.” So what’s amazing about these guidelines, so if you go to 12 different hospitals and ask them, “How are you managing psychiatric conditions and mental health concerns in the context of palliative care?”

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

SEPTEMBER 28, 2023

Don: Thanks for having me, Alex: And we’re delighted to welcome back Abby Rosenberg, who’s Chief of Pediatric Palliative Care at Dana-Farber Cancer Institute and Director of Palliative Care at Boston Children’s Hospital and Associate Professor of Pediatrics at Harvard Medical School in Boston. Welcome back, Abby. Eric: Yeah.

Families 144

Families Family Patient-Centered IT 144

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? Eric: This sounds, I’m going to go now into, because you have four articles with four clear recommendations, practical recommendations, what surgeons can do.

IT 128

IT Families Family Patient-Centered 128

PEMBlog

JUNE 2, 2025

What you can expect to learn from this article: Recognize signs of end-organ injury when BP is 95th percentile + 30 mmHg. Before your blood pressure rises as well, know that this PEMBlog article is here to provide an overview of the recognition and management of hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? Should you stop at “no?” Eric: Lynn or Anne?

Family 97

Family Families Patient-Centered IT 97

GeriPal

APRIL 14, 2022

And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder: . Article on buprenorphine in the elderly. And sometimes you can make a use disorder of diagnosis in hindsight.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

OCTOBER 17, 2024

I’d also like to give a shout out to a recent ACP article on HFpEF with an outstanding contribution from Ariela Orkaby, geriatrician extraordinaire (we also just did a podcast with her on frailty ). ** This podcast is not CME eligible. Eric 12:05 Any pearls on the diagnosis of HFpEF. Alex 04:47 Probably was, yeah. What is GDMT?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. It’s the same measure we used in the New England journal article.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. 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!

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 30, 2022

In today’s podcast we talk with surgeon Samir Shah and Health Services Researcher Joel Weissman about a pair of JAGS articles they published on the outcomes of high risk surgery and advance care planning among persons with dementia. Joel: The Brigham and Women’s Hospital likes me to say that too. Did I get that right? Joel: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

DECEMBER 19, 2024

Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on Psychiatry and Palliative Care: Growing the Interface Through Education. Dani and colleagues article on Palliative Care Psychiatry: Building Synergy Across the Spectrum. This is a psychiatric hospital, of course, be dnr, dni.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera. We could have talked for hours! Alex: Lund.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

JANUARY 18, 2024

We got a couple of articles to discuss and a lot of different components of this. Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain. Eric: Yeah.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. It’s something we need to pay attention to, which is what we were talking about in the article. Melissa: The other scenario that exists is just disenrollment because an individual is hospitalized.

Families 106

Families Family IT Patients 106

GeriPal

FEBRUARY 27, 2025

I see this in the hospital when I’m doing addiction medicine consults. But that was my take home from Danny’s article. And I just want to also highlight, we’ll have a show note because there is a great JPSM article that he wrote that describes this clinic that he created with his colleagues. Sach 07:22 Yeah.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

JUNE 22, 2023

Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. And so the article focuses on the work of these three men who were mostly gang involved and did something really bad when they were young.

Families 132

Families Family IT Community 132

GeriPal

FEBRUARY 17, 2022

He will post like articles that he’s read highlighted with key points noted, absolute treasure. And so many older adults with diagnosis of osteoporosis have never received any therapy for it. It’s in the title of this article. Eric: That one, we see a lot of people who come in the hospital, some they have retention.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

JANUARY 11, 2024

Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. So I didn’t mention this at the beginning, but after my time as President of Canadian Psychiatric Association, I actually also went on to be the physician chair of my former hospital’s MAID team. So they have to self-administer.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 1, 2022

So in preparation for this, I read a couple articles about social work leadership in palliative care. And the title of his article is, does culture of modern day palliative care social work leave room for leadership, where he interviewed six leaders in palliative care, five or six for social workers. Eric: All right, Barbara.

IT 102

IT Families Family Clinic 102

GeriPal

MAY 12, 2022

He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. I mean, just such struggles around corruption in hospitals, access to opioid pain medication, and you almost had to wait until a friend of yours was in power, so you could have access, get permission.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MAY 4, 2023

We remember bucking the rules, figuring out who you are, hair on fire, feeling invulnerable, trying to figure out who you are – and now those adolescents are stuck in the hospital, with doctors and parents telling them what to do, having their autonomy crushed by the medical institution, realizing they’re not invulnerable.

Families 83

Families Family IT Illness 83

GeriPal

OCTOBER 27, 2022

ePrognosis started out as just a list of different prognostic indices, so things to predict mortality in hospitalized adults, things to predict mortality in community dwelling adults, things to predict mortality in nursing home residents. Eric: Okay, I’m going to jump to the articles. I think mortality is the final end path.

IT 95

IT Clinic Screening Patients 95

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. COVID-19 diagnosis of self Yes 24 (44.4) 150 (54.3) 126 (45.7) 162 (58.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. And then when you see clinically patients coming into hospital, they’ll have, you know, they’ll be admitted for aspiration pneumonia.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. Chris 07:41 Yeah, it’s a really interesting thing, because the 2010 article was solving the problem of, hey, send us patients, we promise we won’t kill them. Jennifer 00:44 Thanks.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119