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. Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). Resolution of symptoms in patients with community-acquired pneumonia treated on an ambulatory basis.

Diagnosis 52

Diagnosis Diagnose Patients Asthma 52

GeriPal

OCTOBER 13, 2022

There’s a team now with them behind them making sure that they stay safe and held in our communities. I think this is…Treatment of community acquired pneumonia in just regular medicine awards, not in the ICU three versus seven days. Lona: Absolutely. Eric: Can I touch on the last study? Was there a difference Sonali?

Complication 97

Complication Patient-Centered IT Patients 97

The Clinical Problem Solvers

DECEMBER 16, 2020

These factors may have impacted their diet, physical activity, and medications, thus impacting their creatinine levels and the inputs that we use for GFR. 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

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

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. 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

JULY 19, 2024

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. It can’t be diagnosed and adios.

Screening 120

Screening Primary Care Patient-Centered IT 120

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

Mesa Family Physician

MARCH 6, 2025

Dr. James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine. Age-appropriate physical examination that typically covers heart, lung, abdominal, skin, neurological, and musculoskeletal assessments.

Preventive Care 100

Preventive Care Preventative Care Appointment Screening 100

AMMD

FEBRUARY 14, 2025

My 31 year old half sister was diagnosed with stage IV Triple Negative Breast Cancer 15 months ago. In my interview with Dr. Nasha Winters , we discuss the monumental shift taking place in the medical community. Your body interprets physical and emotional stress the same way. I also had my own breast cancer scare last year.

IT 130

IT Chronic Disease Patient-Centered Utilities 130

Family Physicians of Greeley

OCTOBER 2, 2023

One of the scariest things to ever hear is that you or a loved one has been diagnosed with cancer. Would you be surprised to learn that 1 in 8 women are diagnosed with breast cancer in their lifetime? Breast cancer is the most commonly diagnosed cancer In the United States. What puts you at risk for breast cancer?

PCP 40

PCP PCP Diagnose Family Physician 40

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. Gender expression is your physical outward manifestation of how you express your gender identity. It was personal to me, but also right. Johnson, actually. Sorry, Martha.

Individual 82

Individual Community IT Chronic Condition 82

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

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. Or somebody who has other physical cognitive problems at any age. Somebody who’s older, maybe just diagnosed them with very mild dementia.

IT 102

IT Families 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

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

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. If they physically come here, it’s sort of just the natural course of things that they’ll walk into the room with the patient. Who will emerge victorious? Joe 41:30 Yeah.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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? You were focused on physical and psychological distress and symptoms. I loved Areej’s article.

Illness 111

Illness Hospital Patient-Centered Patients 111

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. I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes.

IT 65

IT Hospital Screening Patients 65

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

MAY 9, 2024

How you actually physically started doing this and built up so many followers over time and why are you doing it? ” And I won’t… I’m not getting in the business of diagnosing or recommending particular medications or anything like that. Eric: So we got a lot to talk about. Alex: Thank you all.

Education 128

Education IT Illness Healthcare 128

GeriPal

FEBRUARY 9, 2023

They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. 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. Try to really understand what’s happening.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

JANUARY 11, 2024

First of all, as I understand the Carter decision, two of the things you’re supposed to have in order to be a candidate for MAID are enduring intolerable physical psychological suffering that can’t be addressed under conditions you consider acceptable. This physician had never discussed my suffering at all.

Illness 144

Illness IT Medical Provider 144

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. It’s not just about physical symptom management.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

Wait, so one key message is that social health is linked to physical and cognitive health?!? 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? And the government can do something about that?!?

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

JUNE 6, 2024

It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. A lot of people, and we have some data to say that you might have distress, but sex is not one of the reasons for your distress when you’re first diagnosed. You ask a question, like, how about pain, about nausea? You can’t even.

Illness 131

Illness IT Physicals Patients 131

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

DECEMBER 21, 2023

Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. That’s what it is.

Patient-Centered 126

Patient-Centered IT Families Family 126

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 108

Families Family Patient-Centered Patients 108

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. You can broaden the scope of diagnoses.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

Pamela Wible MD

JUNE 19, 2025

Wible held town hall meetings and she invited citizens in her community to design their own ideal clinic. Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. It’s dangerous and unsustainable; emotionally, physically, spiritually, financially for the patients—and for us.

Clinic 246

Clinic Nurse Practitioner IT Medical 246