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 120

IT Patient-Centered Patients Clinic 120

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

JULY 19, 2024

What should we use to screen individuals? The post Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo Borson appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Who should get it if anyone? What happens after they test positive?

Screening 119

Screening Primary Care Patient-Centered IT 119

Rao Doctor

APRIL 3, 2025

Importance of Physical Examinations Physical examinations also play a significant role in diagnosing health conditions. During the examination, healthcare providers assess vital signs, such as heart rate and blood pressure, and look for physical signs of infection or illness.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 12, 2025

The physics and mathematics that went into radiation therapy planning. Eric 04:49 Drew me to the field physics and math. Sometimes individuals have lung tumors that make it difficult for them to breathe. Anish, can I ask you why you went into radiation oncology? Anish 04:13 Yeah. So it’s a good question. Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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. Infections or allergic reactions can block your airway and lead to life-threatening complications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

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. ” As a physical therapist, is this new news or- Alex: Are you like, “Duh”? laughter] Carmen, welcome to the GeriPal podcast!

Community 115

Community Transportation IT PCP 115

GeriPal

JULY 21, 2022

If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Or somebody who has other physical cognitive problems at any age. That’s where it really gets to this individual risks and balances, individual situation. ” Alex: Interesting.

IT 102

IT Family Families Diagnosis 102

GeriPal

OCTOBER 20, 2022

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. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. One of your articles addresses that.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MAY 26, 2022

They argue that the current guidelines, which prioritize immunocompromised people and unvaccinated older people on the same level, should be re-done to prioritize the immunocompromised first, and additionally move up older vaccinated individuals or vaccinated persons with comorbidities. What’s wrong with that? Why not prioritize them?

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

FEBRUARY 8, 2024

So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”? I think there is a difference, too, between physical suffering, and we have to also give that its dignity.

IT 137

IT Family Families Physicals 137

GeriPal

JANUARY 25, 2024

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. However, its main predictors are age, comorbidity, and healthcare utilization. Eric: Yeah.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JULY 11, 2024

I’ve seen patients post transplant when they start having complications. They are complicated. They’re complicated from a symptom standpoint. And so I honestly think it has to do with how complex the diseases and the complications that come from it. Can you come and be in our clinic once a week?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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

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

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. Your patients expect you to care for them, their mental well being, their physical well being. This is a complicated case. Eric 40:08 Great.

IT 132

IT Illness Family Families 132

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. Just an extraordinary cast of individuals who were really so incredibly inspiring. So it can create a generativity or legacy document, that will be given to that individual so they can bequeath it to loved ones. I mean, I was very much a clinician.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de. Naheed 20:04 And you know, the key to this conversation is not to put the onus on individuals.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MAY 12, 2022

What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. Raj: 40 years later in 2018, they got together at Astana, the then capital of Kazakhstan, and brought out another resolution, which ask member countries to give control over healthcare to the community. Healthcare industry cannot do it.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MARCH 28, 2024

Tom: So we did this study because patients who go through the stem cell transplant process face a lot of misery in terms of physical symptoms, psychological distress, anxiety, depression, and even a risk of PTSD afterwards, sort of like a medical trauma, you might think of it. I’m going to go to stem cell transplants.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 16, 2022

Very interested in decision making around as we get older, individualizing care, sort of patient centered, values driven, it’s a tough decision to figure out. Eric: So this is a complicated pathway, right? The redness and on their physical exam they’ve got new redness on their leg. Chrissy: That’s fascinating.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JULY 28, 2022

And as a resident, I just was drawn, similar to many oncology clinicians and fellows, to just be traumatic and difficult experience of patients with blood cancers during prolonged and intense hospitalizations, where they experience a lot of physical symptoms, emotional trauma related to the diagnoses. Areej: That’s exactly right.

Illness 110

Illness Hospital Patient-Centered Patients 110

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. So it started off for individuals with a terminal illness. And making most I can do, I can use my mouth even though I only have six fingers here.

Illness 144

Illness IT Medical Provider 144

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? And what we mean is like they’re physical numbness or they trip over that particular symptom, but it’s that sense of detachment from living people.

IT 100

IT Complication Relationship Specialization 100

GeriPal

MARCH 3, 2022

So it’s a five component scale and it includes slow gate speed, weak and grip strength, exhaustion, unintentional weight loss, and low physical activity, which I really like thinking about those components. Lauren: Although again, still thinking about what that means for an individual older adult is really important.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

JUNE 9, 2022

That gets really complicated as well. Alex: It gets very local and individualizes as you were saying. Or there’s physical symptom needs. Kate Courtright appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. I think need is hard without any of those other things.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

DECEMBER 19, 2024

So we’re going to be talking about palliative care for individuals with mental illness. It’s one of the core things that we think about palliative care is you got the physical, psychological, social and spiritual symptoms. It’s interesting to talk about for a variety of reasons. Eric 47:18 I love that.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JULY 25, 2024

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. This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. Eric 05:50 Yeah. What’s in it again?

Family 106

Family Families Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. And is it at all individualized to the patient? Danny 12:07 I don’t know how individualized it is. The intervention itself is very straightforward. It’s a lot.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

SEPTEMBER 14, 2023

The pneumonia could get treated, but I think geriatricians, actually, were well aware of iatrogenic complications of care and quality gaps, even well before the IOM reports of the late 1990s and the like. Just think about something like a nurse visit, a nursing visit, or a physical therapy visit. There are some subtleties there.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable. Monica: Yes.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues. There is a tension.

Diagnosis 141

Diagnosis IT Diagnose Physicals 141