GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. So that’s one, this patient-centered geriatric assessment and management approach. And that model just made sense.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

JULY 19, 2024

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 20, 2024

And that’s what makes these issues so challenging, because at one level, we use the same term to refer to that incredibly multifactorial, complicated, complex condition as we do to stress incontinence, which is also complex in its own way. We think of it really as a kind of a management tool as well. George 23:31 Sure.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast.

Diabetes 74

Diabetes Management Patient-Centered Families 74

PEMBlog

OCTOBER 2, 2024

The role of lifestyle and dietary modifications in management. Management of gastritis and the consideration of Helicobacter pylori infection. Gastroesophageal Reflux: Management Guidance for the Pediatrician. They do, though, have distinct pathophysiologies and management strategies. J Pediatr Gastroenterol Nutr.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

MARCH 14, 2024

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. But estimates in community dwelling older adults are around 15%. This is Eric Widera.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

JANUARY 23, 2025

Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. Maybe even had come in with a complication. We’re starting to adopt them as well for different cultural communities. Amy, welcome to GeriPal. Amy 00:34 Excited to be here.

Specialization 119

Specialization IT Patient-Centered Medical 119

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. For Mesa residents dealing with these ongoing health challenges, regular visits to Mesa Family Physicians ensure that your condition remains well-controlled and complications are minimized.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

Mesa Family Physician

MARCH 6, 2025

James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine. Identifying health concerns before symptoms appear gives us tremendous advantages in treatment success and minimizing long-term complications.

Preventative Care 100

Preventative Care Preventive Care Appointment Screening 100

Annals of Family Medicine

NOVEMBER 20, 2024

Context: People experiencing homelessness (PEH) and type 2 diabetes are hospitalized more often, develop diabetes complications, and die on average 10 years earlier than their housed peers due to poorly controlled chronic physical and behavioral health conditions.

Diabetes 130

Diabetes Medical Complication Physicals 130

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. So Carmen and Katie developed an EMS Community Partnership program. Word of mouth spread rapidly. And the number of calls for falls dropped.

Community 115

Community Transportation IT PCP 115

PEMBlog

JUNE 2, 2025

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. Management of Hypertensive Crises in Children: A Review of the Recent Literature. References: Bertazza Partigiani N, Spagnol R, Di Michele L, et al.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

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

JANUARY 25, 2024

In their communities? And I love the podcast that we did because it really highlights… We pride ourselves in palliative care, and focusing on physical, psychological, social, and spiritual suffering. It used to be a much more complicated model. They’re mostly living at home and living their lives in the community.”

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. Prognosis communication and the subtle ways we may communicate it without intention. And I believe it needs the community.

Community 115

Community IT Relationship Healthcare 115

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is definitely a place, especially physical.

IT 137

IT Families Family Physicals 137

GeriPal

MARCH 6, 2025

Michael’s Hospital in the Department of Family and Community Medicine. The social determinants of health and what community well being was a big part of. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities. Naheed, welcome to the GeriPal Podcast.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JULY 21, 2022

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. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. I like it, John. William: Yeah.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 13, 2024

Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. Thank you for that gift to our community and to the patients. Eric 00:14 And Alex, this one’s been a long time in the making.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JULY 28, 2022

But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. ” Right?

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. The whole idea of holding hope seems also so much more complicated for younger people because the hopes that they had, the normal hopes are not likely to be realized. What are the patients that we remember? Abby: Yeah.

IT 83

IT Families Family Illness 83

GeriPal

MAY 26, 2022

There were community-minded motivations, there were motivations that were not having to do with health but having to do with, “So my kids won’t keep calling me and telling me I have to get vaccinated,” type motivations so. And on the prioritization front, I think we ended up being pretty skeptical. Alex: Yeah.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

MAY 22, 2025

A music therapist would use music deliberately to achieve a rehabilitation goal, just like a physical therapist or an occupational therapist. He’s bringing in, like, a physical record player, but now also in hospice units as well, they’re bringing out music players with headphones. I am not a board certified.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MARCH 28, 2024

None of the changes that we saw in end-of-life care processes relied on specialist palliative care increases or resources, which is really important because seven of the 10 hospitals that participated were rural or community-based, which is where most Americans receive their care, and also where specialist palliative care is often most limited.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 3, 2022

And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. I think we’re probably managing sicker patients on the floor. That’s just one hypothesis.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). So we’re going to be talking about this complicated topic that a lot of people have differing opinions to and potentially very strong opinions, medical aid in dying. This physician had never discussed my suffering at all.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 6, 2024

Don 13:50 Well, you know, I think one of the issues, though, when you ask about prevalence data, especially, say, in the oncology world, not only does it matter about how you ask the questions, but because it’s such a complicated topic, people may infer very different things as to what you’re talking about. Sharon 15:21 Right.

Illness 130

Illness IT Physicals Patients 130

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. So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Eric 05:50 Yeah.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. Because every time we remember a story, it’s changed physically in the brain. Turns out, it’s maybe not. Eric: And how does that differ from grief?

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

MARCH 27, 2025

The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. In our planning sessions, one of the biggest barriers to advanced care planning in this community is just talking about death. The intervention itself is very straightforward.

Primary Care 79

Primary Care IT Clinic Illness 79

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?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JUNE 2, 2022

And if you look at the span of history of infectious diseases, we have always managed to control all infectious diseases because we have tools because it’s the other, it’s not yourself. But we have managed to control it. Eric: We’ll talk about the management, paxlovid, too. Infectious disease is always other.

Vaccination 100

Vaccination IT Hospital Management 100