GeriPal

JULY 19, 2024

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. I agree with you.

Physicals 86

Physicals IT Hypertension Education 86

The Medical Futurist

JUNE 21, 2025

It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles. 8) VisualDx Thousands of hospitals, clinics, and medical schools use VisualDx to aid diagnostic accuracy, enhance medical education, and improve patient outcomes. Cureskin aims to help alleviate the situation.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

Physician's Weekly

JUNE 11, 2025

The researchers recommended including community members in intervention design, healthcare systems, and policies. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV. Community-based organizations led by Black women may be even more impactful.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. For instance, our indigenous communities, such as some of our indigenous communities use the Term two spirit, to identify their sexual orientation and also sometimes their gender identity.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

SEPTEMBER 1, 2022

We need to figure out how to create this community of palliative care social work scholars. It creates that community where you’re like, “Oh, I’m not alone. And I’ve got a whole community of people to support me.” Jennifer Temel study did not have a social worker as part of the clinical team.

IT 102

IT Families Family Clinic 102

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. So no differences between the modalities.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? So let’s just say you have a healthy 55 year old or 65 year old in your clinic.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. I moved to Baltimore in 2015 and did clinical fellowship in geriatrics.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

SEPTEMBER 21, 2023

Feyron has centered her work in Black/African American faith communities and churches – a program she titled Alter. Alex: And we’re delighted to welcome Fayron Epps, who is associate professor and director of Community and Research Engagement at the School of Nursing at Emory. Why this focus? Karen: Thank you. Alex: Great.

Community 129

Community Families Family IT 129

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. Sach Kale set up an outpatient clinic focused on substance use disorder for patients with cancer. Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). What do they do?

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

JANUARY 26, 2023

Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? You go into this community, perform this study, you leave. Ramona: Glomerular Filtration Raterate.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

APRIL 3, 2025

It always has clinical relevance to practice today. And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. Nancy 17:10 So there’s a follow up. Alex 17:36 Talking about anti amyloid drugs, prescribing.

IT 65

IT Hospital Screening Patients 65

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

IT 95

IT Clinic Screening Patients 95

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Now it’s 70%.

IT 115

IT Provider Patients Families 115

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. Was in Journal of Clinical Oncology and that was interesting. It was not plug and play, that we did see differences between the study groups that in that clinical trial, but it was really driven by the lung cancer patients.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

FEBRUARY 9, 2023

They found no differences in verbal communication, but clear differences in non-verbal rapport building communication: physicians stood farther away, crossed their arms, didn’t touch the Black patient as frequently. Amber: Well, simulation is pretending, so I think of the way I use simulation is in trying to simulate clinical care.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is a clinical intervention.

Family 98

Family Families Patient-Centered IT 98

GeriPal

AUGUST 25, 2022

And yet, we know little about the clinical experience of people with dementia in hospice. Eric: If I remember your article correctly, there was maybe some better things with for-profits, like more community engagement with low-income communities and more engagement with minority communities. What motivated you?

Families 107

Families Family IT Patients 107

GeriPal

MAY 9, 2024

Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. ” And I won’t… I’m not getting in the business of diagnosing or recommending particular medications or anything like that.

Education 128

Education IT Illness Healthcare 128

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. Our folks all die of congestive heart failure and dementia, even oncology diagnoses with new immunotherapies like the old days.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JUNE 13, 2024

We need this type of push to make us feel that we are part of a community and we are part of a movement and things are changing because we are around. Thank you for that gift to our community and to the patients. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

JANUARY 11, 2024

Alex: We’re delighted to welcome Leonie Herx, who’s a palliative care physician and clinical professor at the University of Calgary. Sonu: Prior to that it was illegal and actually in the criminal code, so not only illegal, it’s actually a prohibition in the clinical code. Bill, welcome back to GeriPal.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 3, 2024

How the act of drawing can help us sloooow down, pay attention to the people and world around us, and ultimately let go… The possibility of incorporating drawings in research and even clinical care. They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And there’s a mortality number of people who just can’t make it to get to our clinic.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. You go back home.

Community 89

Community Nurse Practitioner Provider IT 89

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. Sometimes people call them health shocks, but we kind of all, like, clinically, intuitively know what these things are. Has really changed.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. We did it by the clinic level. Is that right?

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Eric 16:08 Yeah.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

APRIL 21, 2022

I think that in almost every clinical encounter, we struggle with what’s ours and what’s someone else’s? I think that we forget that the clinical encounter is very often just two people in a room experiencing each other, and that that’s what is the beginning of that sacred space of healthcare and healing.”

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic?

Families 108

Families Family Patient-Centered Patients 108

GeriPal

JUNE 6, 2024

Sharon Bober, clinical psychologist at DFCI, notes that clinicians can get caught in an anxiety cycle, in which they are afraid to ask, don’t ask, then have increased anxiety about not asking. And it actually came up during a clinical encounter that I had. Clearly this issue is important to patients. Sharon, welcome to Jerry Powell.

Illness 131

Illness IT Physicals Patients 131

GeriPal

DECEMBER 21, 2023

Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. So that’s I think diagnoses. ” Diane: Fantastic. Diane: Yeah.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next? Bruce: Sure.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115