GeriPal

MARCH 14, 2024

Nicole: I was just going to add that I think a helpful analogy for me has been to think about our clinical assessment, sort of like if a physical therapist just stood at the door with their ear up to the door to listen if a patient fell, and then made a recommendation plan for exercise.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

JUNE 12, 2025

The physics and mathematics that went into radiation therapy planning. Eric 04:49 Drew me to the field physics and math. Usually that will include the physical exam, but also the type of imaging that would be helpful for us to have to guide what would be next steps. Anish, can I ask you why you went into radiation oncology?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

JUNE 27, 2024

But often what we’re talking about is this experience that we can describe physically inside of our body, the sensation that we’re having as we’re anticipating that things may go wrong or badly in some kind of way. So it tends to be future oriented and tends to show up as a physical sensation in our body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

OCTOBER 10, 2024

social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. So this is a practical, really basic idea that can be applied to clinical practice. In other words, in addition to being a specialist (e.g. But how about you!

Screening 120

Screening IT Family Families 120

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 111

IT Healthcare Healthcare Professional Patient-Centered 111

GeriPal

FEBRUARY 29, 2024

Anne: Which episode of the GeriPal podcast has most significantly changed your clinical practice? I think that has been my biggest change in my clinical practice as far as prescribing is thinking about how we can better care for individuals and think about the risks of Opioids too. We mentioned her name before.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Physical symptoms like pain, dyspnea, fatigue, psychological symptoms, depression, loneliness, and then some of the social experiences as well, like social isolation.

IT 67

IT Patient-Centered Individual Screening 67

GeriPal

APRIL 13, 2023

Ashwin Kotwal: Yeah, and Thomas, I know this is something we’ve talked about as a group too, which is how do you translate some of these scales that we use in large studies to our clinical practice? Among clinical patients, the study’s always adjusted for age and initial health status. It’s tough.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JUNE 13, 2024

How should I define cachexia and anorexia when I’m talking to fellow students or thinking about it in my own clinical practice? I think the very simple, practical thing is involuntary weight loss. But what I tell them is, keep yourself physically active. Keep yourself physically as active as possible.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

FEBRUARY 9, 2023

Alex: We are delighted to welcome Amber Barnato, who’s a palliative care physician and health service researcher, and she’s director of the Dartmouth Institute for Health Policy and Clinical Practice. They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. Thanks everybody.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MARCH 28, 2024

Tom: So we did this study because patients who go through the stem cell transplant process face a lot of misery in terms of physical symptoms, psychological distress, anxiety, depression, and even a risk of PTSD afterwards, sort of like a medical trauma, you might think of it. I’m going to go to stem cell transplants.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 6, 2025

You do the history, you do a physical exam, you’re doing non specific, you know, blood tests and potentially imaging, and only after that do we even consider the role of biomarkers. The role of the biomarker comes very late in that diagnostic pathway, generally at the specialist and in primary care, it’s what you’re saying.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

MARCH 10, 2022

We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. Ruth: Also in a few short words, we found similar to our initial study that there were differences in physical environment. What does the physical environment look like?

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. How do you do that in clinical practice, in a way that doesn’t take five hours of sitting down with somebody? I mean, if I think about personal motivations and early beginnings, I mean, I’m one of three children, and middle child.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

FEBRUARY 16, 2023

Not my normal clinical practice. Keri: It does remind me, Dani, of that scapegoating phenomenon, when you’re talking about projection, where you see anger getting projected onto another person or a team, saying, “Oh, it’s the physical therapist’s fault or the oncologist is culpable.” Dani: Totally.

Patients 109

Patients IT Family Families 109

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. It’s like a third of people need chemical or physical restraints to keep that in. An increasing number of federal leaders have a track record of endorsing such products.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JUNE 6, 2024

It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. You know, where do you send somebody who is a pelvic, what is a pelvic floor physical therapist and how do you find them? Alex 25:33 Well, you brought up pelvic floor physical therapist, and you said, what is that? You can’t even.

Illness 130

Illness IT Physicals Patients 130

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. And that was one of the reasons that was appealing to us is that the conversation guide and could be delivered by lay facilitators in partnership with the clinical practice.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79