GeriPal

OCTOBER 13, 2022

There’s a team now with them behind them making sure that they stay safe and held in our communities. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. It’s another article, another major article that has triggered the complicated UTI circuit.

Complication 97

Complication Patient-Centered IT Patients 97

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. Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

PEMBlog

SEPTEMBER 24, 2024

He had easy work of breathing, and physical exam was only notable for decreased breath sounds over the left lower lobe. It is believed that this sequestered portion of his lung placed him at an elevated risk for infections as this is a known complication of bronchopulmonary sequestration. On arrival, the patient was febrile to 38.3C.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

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

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

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

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. But the solutions, as we’ll get to in a few minutes, are completely different.

IT 120

IT Patient-Centered Patients Clinic 120

PEMBlog

OCTOBER 2, 2024

You just got to take a good history and do a physical examination, especially when the symptoms are typical, like regurgitation, heartburn, or epigastric pain in an older child or adolescent. Again, otherwise the diagnosis is based on history and physical examination. You want to take a good history on feeding or dietary habits.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. Eric: And swallowing is complicated, right? Are there things that we can do to prevent the complication of aspiration, which we most fear, aspiration pneumonia? Eric: Because you need saliva to swallow, right? Nicole: Yes. Raele: Very helpful if you do, yeah.

IT 124

IT Patient-Centered Hospital Individual 124

GeriPal

JUNE 8, 2023

-@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. This is Eric Widera. Alex Smith: This is Alex Smith. Is that your experience?

Diabetes 74

Diabetes Management Patient-Centered Family 74

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 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 Family 100

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

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

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

Physician's Weekly

JUNE 23, 2025

Residents of East Palestine, Ohio, where the derailment occurred, have pressed the government to do more to answer questions about the mental and physical health effects of the disaster — from post-traumatic stress to cancer. Allison also praised the decision to involve the community in shaping the research.

Community 52

Community Asthma Engineering Complication 52

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

PEMBlog

JUNE 2, 2025

Recognizing Hypertensive Emergencies The end-organ dysfunction component of this diagnosis presents as particular symptoms, physical exam findings, or laboratory and imaging results.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

MAY 12, 2022

Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. And I believe it needs the community. And the community came in.

Community 115

Community IT Relationship Healthcare 115

GeriPal

FEBRUARY 8, 2024

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 a difference, too, between physical suffering, and we have to also give that its dignity. I think there is definitely a place, especially physical.

IT 137

IT Family Families Physicals 137

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

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.

IT 102

IT Family Families 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

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

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 Family Families 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. I think in other cases, if you look at surveys, the motivations can be more complex. 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

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. You were focused on physical and psychological distress and symptoms. The focus was on physical, psychological distress and managing expectation illness course and transplant course, understanding and coping.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. 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

SEPTEMBER 8, 2022

It’s complicated, it’s messy. How does that defer from is it complicated grief, prolonged grief disorder? Eric: Is that the same as complicated grief? We say it’s about 4% of those who are bereaved, who are from community-based samples. Holly: Oh absolutely. Holly: They’re the same symptoms.

IT 100

IT Complication Relationship Specialization 100

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

So, for the two studies, I’ll mention, we use data from the precipitating events project at Yale, which is Tom Gill’s amazing cohort, where they followed a cohort of initially non-disabled community dwell and older adults with monthly measures of function. I think it’s really, really complicated.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JANUARY 11, 2024

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. There was no communication on my part that was anything intolerable about my situation. So figured out a little harmonica- Eric: That was wonderful.

Illness 144

Illness IT Medical Provider 144

FDA Law Blog

MAY 21, 2024

and its abuse may lead to only moderate or low physical dependence or high psychological dependence. DEA noted that “there is considerable variability in the cannabinoid concentrations and chemical constituency among marijuana samples and that the interpretation of clinical data related to marijuana is complicated.” 21 U.S.C. §

Physicals 69

Physicals Medical Clinic Emergency Room 69

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.

Family 106

Family Families Patient-Centered Patients 106