GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Who do we have with us today? Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? So let’s just say you have a healthy 55 year old or 65 year old in your clinic. Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. Nate 05:29 Ooh.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

NOVEMBER 14, 2024

What are ways we should screen for falls? You know, if you want to think about the problem, think about clinical research. People don’t ask about it, they don’t screen about it. How do you screen or assess for risk for falls? Alex 07:27 Are there professional society recommendations or U.S.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers.

Clinic 67

Clinic IT Patients Medical 67

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. That’s where it really gets to this individual risks and balances, individual situation. Certainly my bias is that healthcare professionals really do have a role in this discussion.

IT 102

IT Family Families Diagnosis 102

GeriPal

JANUARY 25, 2024

David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these. If I remember correctly, I think the average was, people were screening positive for depression in this study.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. Stacy: We’re using anxiety, baseline anxiety, as our screening.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. So this is something. We did a role play.

IT 64

IT Hospital Screening Patients 64

GeriPal

APRIL 13, 2023

Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? The Listening “EAR” approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. Alex 00:33 Our next guest is Margaret Ross, who’s a clinical psychologist and researcher at St. Ali John 24:35 In clinical trials. James 00:32 Good afternoon.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Some of them are really deeply individual experiences.

IT 66

IT Patient-Centered Screening Patients 66

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. So I actually got started in cancer screening also, thanks to some mutual colleagues.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

FEBRUARY 15, 2024

We require, especially if they’re coming to us, we’re often making them come to our clinics if they’re going to get treatment, and we’re relying upon what they report to us, and are they going to tell us, “Oh, my steps are uneven and actually my railing’s all rickety and I’ve got boxes everywhere”?

Community 114

Community Transportation IT PCP 114

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

APRIL 6, 2023

It is a screening? Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. I guess FICA is not as cool as SKY.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 8, 2024

So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”? .” ” That’s not a spiritual screen. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. Our early studies were looking at things like, desire for death, and syndromal depression, and screening for depression and anxiety, and will to live. And I did a fellowship with Dr. Jimmy Holland and met just these incredible luminaries in our field.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? So they were a lot of preoccupied with other tasks, but clinical gestalt. Like an AI robot goes in the room with the screen and that links to the human palliative care provider and is also the companion. Kathleen 20:36 Right. right there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 28, 2022

I had it on my screen. And so often, these patients experience a lot of hospitalizations, numerous hospitalizations while they receive intensive chemotherapy that requires prolonged periods of neutropenia and toxicities, or stem cell transplantation, which is what I specialize in clinically now. What was the title of it, again?

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 29, 2025

And I think this just hasn’t made it into, like, our academic clinical training space. So I think the examples that we’ve seen is an individual will all of a sudden start using humor in a particular way or will using wry humor and that is reminiscent of the kind of humor the person used prior to developing dementia.

Family 93

Family Families IT Patient-Centered 93

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. So their caregivers did focus groups. Our consultation.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. Ruth: I do have to also say that it’s important to remember that feeding tube use and hospital transfers for people with advanced dementia has no demonstrated clinical benefit. Joan: A lot of my work comes out of my clinical practice.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. So it’s hard to know about individual practice when I think of geriatrics or geriatric nursing because a lot of the solutions are really broad scale public health initiatives are needed, don’t you think?

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

MAY 1, 2025

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. The HIV clinics also served as primary care. Millions of lives are at stake.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

AUGUST 1, 2024

And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. So I’m hearing, and I’d love to talk about specific diets and maybe the evidence for them, but before we do that, how should we ask about this in our clinics? What was the title of the book again?

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

APRIL 20, 2023

What are the structural factors and individual factors that contribute to homelessness? I would talk about this, except I was a clinician, and I’m seeing these folks in the hospital and in clinic. The journal section’s requirements are the same as for a clinical investigation. ” It was in my slide deck.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

DECEMBER 1, 2023

Summary Transcript Summary There is a growing push to change how we define Alzheimer’s disease from what was historically a clinically defined syndrome to a newer biological definition based on the presence of positive amyloid biomarkers. So too systolic hypertension in elderly people, clinical trials. Alex: That’s right.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

DECEMBER 21, 2023

So I thought… And I was doing this for the United States Preventive Services Task Force because we were looking at the evidence to what’s the benefit and harm of screening, and I had to look all over. So what that means is I take care of you just in my clinic, just in my hospital. ” Diane: Fantastic.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JULY 20, 2023

And by the way, we have really good reason for that because this isn’t like a prescribing clinician within a clinic or an outpatient clinic or something. But you’ve got to make it simple and it can’t be to sort of one individual, it needs to be to a practice and that sort of thing. Eric: Yeah. Go ahead Eric.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141