GeriPal

JUNE 20, 2024

It’s under recognized, under diagnosed, under treated, under discussed, understudied as a result. But that combination is actually quite common, and it’s quite challenging to diagnose and manage, at least in the traditional sense. Clinicians don’t ask about it. George 19:37 Exactly, exactly. Alison 29:08 Yes.

IT 121

IT Patient-Centered Patients Clinic 121

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. You see something on a bedside swallow, or on a FEES, you’re diagnosing what you think it is. Eric: So let me ask you this, Rale, because I feel like, it could be wrong, but the most common time where we start diagnosing dysphagia is during a hospital stay.

IT 125

IT Hospital Patient-Centered Individual 125

The Medical Futurist

JUNE 21, 2025

It can diagnose six types of common skin conditions – pimples, acne, scars, dark spots, pigmentation, and dark circles. Beyond validating diagnoses, VisualDx is used to access the next steps for disease management, and for patient education. Cureskin aims to help alleviate the situation. recommends an eight-week skincare regimen.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

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

Physician's Weekly

JUNE 11, 2025

The researchers recommended including community members in intervention design, healthcare systems, and policies. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV. Community-based organizations led by Black women may be even more impactful.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. For instance, our indigenous communities, such as some of our indigenous communities use the Term two spirit, to identify their sexual orientation and also sometimes their gender identity.

Individual 82

Individual Community IT Chronic Condition 82

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. Certainly my bias is that healthcare professionals really do have a role in this discussion. “Do you guys do this?” Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

GeriPal

SEPTEMBER 21, 2023

Feyron has centered her work in Black/African American faith communities and churches – a program she titled Alter. Alex: And we’re delighted to welcome Fayron Epps, who is associate professor and director of Community and Research Engagement at the School of Nursing at Emory. Why this focus? Karen: Thank you. Alex: Great.

Community 129

Community Families Family IT 129

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

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? But these tests were never designed to diagnose. Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

AUGUST 31, 2023

I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness. He really helped me a lot through the shock and awe of being diagnosed with cancer. Brad: Yeah.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

SEPTEMBER 1, 2022

We need to figure out how to create this community of palliative care social work scholars. It creates that community where you’re like, “Oh, I’m not alone. And I’ve got a whole community of people to support me.” And then my mom was diagnosed with lung cancer and she was treated there.

IT 102

IT Families Family Clinic 102

GeriPal

JANUARY 30, 2025

Essentially we’re testing the early integrated palliative care model, which is monthly visits with a specialty trained palliative care physician or advanced practice provider for patients who are diagnosed with advanced non small cell lung cancer. Joe 41:30 Yeah. Eric 41:31 You know, we should learn from this.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

APRIL 3, 2025

And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. Eric 48:21 I’d also add that you got a lot of energy and interesting ideas from the community, too, so you’re going to be fine.

IT 65

IT Hospital Screening Patients 65

GeriPal

JANUARY 26, 2023

So GFR was adjusted based on race, which it probably did lead to African-American patients being diagnosed with chronic kidney disease later in their disease trajectory, as compared to others. You go into this community, perform this study, you leave. I probably should have said GFR. Eric: Yes. I just choose GFR. You publish the paper.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Now it’s 70%.

IT 115

IT Provider Patients Families 115

GeriPal

AUGUST 25, 2022

Eric: If I remember your article correctly, there was maybe some better things with for-profits, like more community engagement with low-income communities and more engagement with minority communities. People across all diagnoses want hospice care. Melissa: I don’t know how to explain that or what that means.

Families 107

Families Family IT Patients 107

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. Eric: So now we’re getting this issue of do we have to change things for different diagnoses, different cancer? And for the most part, it’s really hard to start building an evidence base in the community setting.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

MAY 9, 2024

” And I won’t… I’m not getting in the business of diagnosing or recommending particular medications or anything like that. And so I think we feel like we’re a community of practice almost, not just individuals trying to rack up the viewers and things. Everyone is so lovely and helpful to each other.

Education 128

Education IT Illness Healthcare 128

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. Our folks all die of congestive heart failure and dementia, even oncology diagnoses with new immunotherapies like the old days.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

FEBRUARY 23, 2023

It might be a hired caregiver, it might be a social worker in the community or other person who may not identify with that word friend or family. The post Involving the inner circle: Emily Largent, Anne Rohlfing, Lynn Flint & Anne Kelly appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Families 98

Families Family Patient-Centered IT 98

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. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . Those have a very, very long time horizon.

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 23, 2022

So that would be palatable to the community that I could look at, whether we were over-screening those 80 and older. If you know that there’s a group that you don’t treat even after they’re diagnosed, it causes anxiety, but you’re not causing them harms from treatment. So maybe the oldest age group.

Screening 100

Screening PCP PCP IT 100

GeriPal

FEBRUARY 9, 2023

And if the doctors still come up with different diagnoses or perceptions of what’s happening with the patient and or treatment plans, that’s all on them. This simulation, what we did is we videotaped, we basically had an actor play the role of a doctor, and we did a recruitment of people out in the community.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

JANUARY 11, 2024

But if you actually look at the number of palliative care physicians in the province of Ontario and look at the number of people who are newly diagnosed with cancer, the possibility that there’s adequate access to good palliative care is just very remote. Eric: Thank you Bill. So that would be wonderful.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 27, 2025

So let’s say a patient who has lung cancer, relatively newly diagnosed, has a long history of substance use disorder, had been taking methadone as an outpatient, and now has this pain. You know the case. Eric 31:10 Okay, do the case. Alex 31:10 Do the case. Because we just talked about methadone. Pearls tips?

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

AUGUST 8, 2024

You know, in other places, in most rural communities, the dead are laid out in their own beds, which is very often where they died. The thing about green burial is it emphasizes participation by the next of canon, the immediate family in the community. So green burial, I think, works very well.

IT 125

IT Families Family Relationship 125

GeriPal

OCTOBER 3, 2024

They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction. And I just want to give a shout out to wendy’s grown ups table community. We didn’t honestly have much more of a plan than that. So they were tough and diverse clientele to work with. Lingsheng 43:28 I did.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

JULY 6, 2023

Alex: We’ve got a lot to talk about…what states are doing and cities are doing to support older adults in the community. But, what you need is a community-based game there. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. You go back home.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized. Sure, it has palliative care in the title. I’m so sorry.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

But we all know intuitively as clinicians and as people in the community, we see people have these events and then we see them have a much faster decline after that. In the community? But also one of the reasons we want to focus on the community was that actually most people with dementia live in the community.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

APRIL 21, 2022

Redwing: When you’re diagnosed with cancer, the first thing you think about is when you’re going to die. This has become a community of people all over the world who come together every week. The process of sharing that of literally of reading that poem in community has been amazing. Why not live as long as possible?

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

Primary Care 96

Primary Care IT Clinic Provider 96

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. Before the primary care visit. Danny 10:07 Yep, that was the goal.

Primary Care 80

Primary Care IT Clinic Patient-Centered 80

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. The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old.

Families 108

Families Family Patient-Centered Patients 108