GeriPal

JUNE 26, 2025

Those are all things that could dramatically be a major health shock for an individual. 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? Alex 14:28 Yeah, yeah. Eric 20:32 Are these people in the.

Illness 60

Illness Hospital IT Patient-Centered 60

GeriPal

MARCH 14, 2024

We also talk about the importance of a proactive approach to involving speech-language pathologists in the care of individuals early on with neurodegenerative diseases like dementia and ALS. So as you mentioned, dementia, there’s some research that show about 86% or 93% of those individuals will get that. Raele: Yes, of course.

IT 125

IT Patient-Centered Hospital Individual 125

GeriPal

OCTOBER 13, 2022

There’s a team now with them behind them making sure that they stay safe and held in our communities. And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. Lona: Absolutely. Eric: Can I touch on the last study?

Complication 97

Complication Patient-Centered IT Patients 97

The Clinical Problem Solvers

DECEMBER 16, 2020

Moreover, center patients not only in discussions about individual decision-making but in constructing and drawing meaning from the research. Establishing a Task Force to Reassess the Inclusion of Race in Diagnosing Kidney Diseases. J Epidemiol Community Health. Published online July 29, 2020. doi:10.1001/jama.2020.13378

Clinic 52

Clinic Education Clinical Practice Patient-Centered 52

GeriPal

JUNE 20, 2024

Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. Biological aging or physiological aging varies from individual to individual. How do you think about this from a clinical perspective when you’re seeing individuals in your office? Everybody ages.

IT 121

IT Patient-Centered Patients Clinic 121

GeriPal

JULY 19, 2024

What should we use to screen individuals? And so certainly from a family’s perspective, a family caregiver perspective, the last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, some type of screening result, and then we’ll see you again in six months.

Screening 120

Screening Primary Care Patient-Centered IT 120

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. Endoscopy, upper GI and endoscopy is the gold standard for diagnosing gastritis. Non invasive H. Non invasive H. pylori in the kid.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Methods: In-depth semi-structured interviews using the Database of Individual Patient Experiences (DIPEx) methodology. Participants were recruited via electronic healthcare records, community tabling events, and social media efforts. Our Community Advisory Board (CAB) guided this work. Only a few received stage 1 diagnoses.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130

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

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 82

Individual Community IT Chronic Condition 82

Myriad Genetics

NOVEMBER 25, 2024

November is Family Health History Month, an observance dedicated to sharing crucial health information within families and encouraging individuals to take proactive steps in their healthcare. 3 Individuals with a BRCA 1 mutation have a 50% chance of passing the mutation to any biological children.

Family 52

Family Families Screening Individual 52

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

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

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. That’s where it really gets to this individual risks and balances, individual situation. “Do you guys do this?” Eric: Yeah.

Families 102

Families IT Family Diagnosis 102

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

PEMBlog

JUNE 2, 2025

While elevated blood pressure readings are critical data points, the presence of symptoms and signs of end-organ dysfunction are paramount in diagnosing a hypertensive emergency (Kamat 2024). Additional lab testing can be completed to account for the broader differential diagnoses. A value of > or = 50 ng/mL is considered abnormal.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

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

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. We lump everybody who’s 65 and older together, and then we don’t look at the individual characteristics of that person, so we fall into these patterns based on racial premises.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. But in spite of that, it is a lot of work for three individuals to pull all this together. So that this is not something that might affect the individual clinician patient decision.

IT 65

IT Hospital Screening Patients 65

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. We need to figure out how to create this community of palliative care social work scholars. It’s good.

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. But it really does need some individualizing. You feel like that’s the case?

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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. Eric: Great. Now it’s 70%.

IT 115

IT Provider Patients Families 115

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. It sets space between us and the individuals we’re trying to take care of. How do you see the light? Again, I go back to this.

Provider 119

Provider Illness IT Healthcare 119

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. Melissa: The other scenario that exists is just disenrollment because an individual is hospitalized. Melissa: Yeah.

Families 107

Families Family IT Patients 107

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is Eric Widera. Eric: Lynn or Anne?

Families 98

Families Family Patient-Centered IT 98

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

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

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. And that’s not particularly sexy.

Education 128

Education IT Illness Healthcare 128

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. And so the control room is a contiguous room, but the individual rooms where the patients, the actors and the doctors are separated by a wall. They’re side to side.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

JANUARY 11, 2024

So it started off for individuals with a terminal illness. All of the evidence shows that for mental illnesses in individual cases of mental illness, we cannot make those predictions. As it’s expanded further and further from death, it’s now bringing in life suffering as a reason for getting MAID. That’s the reality.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 8, 2024

So writing a eulogy or seeing that individual, we had an open casket, which was both very hard, but also, I would say, somewhat cathartic to actually do these rituals and participate in these rituals. 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.

IT 125

IT Families Family Relationship 125

GeriPal

FEBRUARY 27, 2025

For those individuals, how do you think about that? 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. Sach 17:32 For me, it’s our first line opioid. You know the case. Pearls tips?

Patients 74

Patients Clinic Patient-Centered Illness 74

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To describe individual characteristics and healthcare use in older adults with SMI across home care services (HCS) profiles before and after the first dementia diagnosis. Group 1 consisted of older individuals, mainly diagnosed in the hospital and with poorer COC. Study Design and Analysis: Retrospective cohort study.

Diagnosis 130

Diagnosis Healthcare Illness Primary Care 130

GeriPal

OCTOBER 3, 2024

They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction. I cracked myself in my head of these individuals. 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.

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