Remove Clinical Practice Remove Illness Remove Provider Remove Utilities
article thumbnail

You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

ED providers and radiologists commonly face the scenario of interpreting a CXR in a child with respiratory complaints prompting the questions: Does that infiltrate represent bacterial pneumonia, inflammation, or simply atelectasis? Drivers of CXR overuse are myriad and can be thought of at the system, provider, and patient levels.

Asthma 52
article thumbnail

You don’t need to order comprehensive viral panels for most patients

PEMBlog

The diagnosis of a virus illness is generally made clinically with a history and clinical exam and does not require confirmatory testing. A negative test can also provide false reassurance. The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. isolation for SARS-CoV-2).

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Hearing Loss in Geriatrics and Palliative Care: A Podcast with Nick Reed and Meg Wallhagen

GeriPal

Was there any mention about the impact that hearing loss has in communication or what we should do about it in clinical practice? We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. I’m guessing not. How to screen for hearing loss.

IT 102
article thumbnail

Social Workers as Leaders on Palliative Care Teams: A Podcast with Barbara Jones

GeriPal

In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team social worker. And I think that’s when I got hooked on how do we improve care, in my case again, for kids and families, but also for us, the providers. I can talk with you about this. Barbara: Yes.

IT 102
article thumbnail

POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. I think that policy in the emergency department is showing that no matter what that provider is looking to see if a patient has a preference.

article thumbnail

Dignity at the End of Life: A Podcast with Harvey Chochinov

GeriPal

Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One. And that includes what we call illness-related concerns, the things that are directly mediated by the illness itself.

article thumbnail

PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!