GeriPal

JUNE 12, 2025

So you have the consultation. But two, a very close relationship with potentially the palliative care physician or the individual who’s Sort of managing their pain, because the simulation itself can be 20 to 30 minutes of lying in that specific treatment position. Did their pain management last throughout that entire session?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

Rao Doctor

APRIL 3, 2025

When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Fever in infants under three months, a fever lasting more than three days, or a fever in individuals with weakened immune systems should be promptly addressed by a doctor for appropriate management and treatment.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Plum Health

OCTOBER 11, 2024

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. Patients who have a trusted primary care doctor are more likely to follow medical advice, manage their chronic conditions effectively, and ultimately enjoy better health outcomes. Why is it called a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. However, there are “Red Flag” symptoms that require urgent evaluation and management.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

MARCH 28, 2024

It did not change the frequency of palliative care consultation, the timing of such, ICU mortality, or six-month mortality. Kate: I think the main one for me being asked on the fly is that one of the nudged specialist palliative care consultation, which we know has limitations. Eric: So how do you put that all together?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JANUARY 25, 2024

It used to be a much more complicated model. However, its main predictors are age, comorbidity, and healthcare utilization. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. David: Right. David: Yeah. Eric: Okay.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 20, 2022

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. But what I did want to highlight is how we got to thinking about men that have UTIs have complicated UTIs.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? They want to be able to manage their own symptoms. Is that your feeling, too? Does that have face validity?

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

AUGUST 29, 2024

Is the sort of task to manage. I mean, how do you negotiate that with the oncologist who is the one who consulted you, by the way, Eric, who does that go to? They’re asking you for a consultation. This is a complicated case. After a very long 1 hour consult, you’re exhausted. They confirm patients DNI.

IT 132

IT Illness Families Family 132

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Should she be treated non-operatively, with aggressive symptom management? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

OCTOBER 26, 2023

In recent years, pressures to decrease hospital length of stay and increase throughput, the rate at which patients are moved in and out of the system has contributed to a culture in many acute care environments where physical therapy functions primarily as a consultation service for discharge planning. Ann: My palliative care doc is great.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 15, 2023

So there’s some stuff out there like that, but also using AI to determine who at high risk and should get a palliative care consult. And then when we started coming up with mortality models or other sorts of prediction models with five factors or seven factors, people were like, “That’s too complicated. Eric: Really?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? People think of the phases of a typical clinical consultation. And that’s how we connected. Justin: That’s probably the million dollar question. When can I see again?”

IT 128

IT Families Family Patient-Centered 128

GeriPal

APRIL 10, 2025

I think that study was really important, especially I think the message that I give people is you can do something as simple as calling a consultation and improve quality of life months later. It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. But yeah, it’s complicated.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

NOVEMBER 21, 2024

Like, how do we help ourselves maintain psychological integrity in the face of the stressors that we have to manage? That’s how I managed without screaming at my 4 year old who was coping. And the person who was coming to me for consultation said, well, how do I get them to open up the box? This is so complicated.

Illness 125

Illness IT Patient-Centered Patients 125

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. Eric: Yeah. What are the patients that we remember?

IT 83

IT Families Family Illness 83

GeriPal

MARCH 6, 2025

How much of your training was focused on managing substance use disorder training and palliative care? Naheed 24:31 So especially with the referrals that we get and the calls that we get from our non healthcare colleagues, they tend to be folks who are case managing people on the streets and supporting them. Naheed 15:56 2014.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

FEBRUARY 15, 2024

But that was a small pot of money and we went to first call a handy person, it was going to be $500 for a consultation, let alone the installation, and we were like, “This is absolutely cost-prohibitive. Same thing with kind of medication management. We’ll get four people done.”

Community 115

Community Transportation IT PCP 115

GeriPal

DECEMBER 14, 2023

And it was amazing just seeing the differences in how end-of-life care is managed at those three institutions, which were all a subway right away from each other. And so I think that actually that’s where I think… One of the respondents that I talked to was in risk management. I guess the VA is federal though. Liz: Right.

Hospital 125

Hospital IT Patient-Centered Patients 125

Tiny Physician

MARCH 30, 2022

She was a post-graduate in Obstetrics and Gynaecology (the branch which covers pregnancy and the female reproductive system) and she had won various accolades during her student and consultant days. Postpartum hemorrhage is an unfortunate and well-known complication of delivery. link] What is postpartum hemorrhage?

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Eric 12:11 And we consult psychiatry. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. But you know, we managed to work it through and people got used to it and throughout the duration of the trial. What is sludge?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

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. But from what we read was much better as century back, is in communities manage their own affairs. What do you think about that?

Community 115

Community IT Relationship Healthcare 115

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. So there’s some concern, yeah. Eric: Thank you Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 16, 2023

Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. I recently had this patient in clinic who, for complicated reasons that I won’t go into, our outpatient clinic had to put limits on his frequency of visits with me. Dani: Yeah, good question. Eric: Zero. Dani: Zero.

Patients 109

Patients IT Families Family 109

GeriPal

MARCH 7, 2024

I thought that was an interesting take on doing this, because a mother-daughter relationship can be complicated, can be wonderful, and it’s hard to navigate when you lose your mother. Eric: When I try to think about what a doula does, should I call it a consult? It just depends. That’s probably too medical.

Provider 117

Provider Illness IT Healthcare 117

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. These debriefings create a safe outlet for health care professionals to talk about the feelings resulting from their work. Turns out, it’s maybe not.

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

JULY 25, 2024

Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. We started a clinic here in 2008 at the VA, and what we found was that, you know, our median time from consult to death before we started clinic was like 18 days, somewhere around there, like somewhere around two weeks. Eric 10:44 No, all consults.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

FEBRUARY 24, 2022

And I think the advanced planning debate is really a question of, how do we help this very complicated situation? And I think a lot of times when we get consulted, we’re asked for the outcome, right? appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. We see how hard it is.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

AUGUST 22, 2024

And then another, which was released under the Bush administration by a council with a different sort of philosophical Benton worldview which still managed to come to the same conclusion in support of a brain based definition, death. The first one, which was very influential on the writing of the law that was released in 1981.

IT 113

IT Families Family Patient-Centered 113