GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. Is there any relationship between frailty and urinary incontinence? I don’t see those perspectives as incompatible. And, George, maybe we could get you to explain why that is.

IT 121

IT Patient-Centered Patients Clinic 121

GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. 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.

Diabetes 74

Diabetes Management Patient-Centered Families 74

PEMBlog

OCTOBER 2, 2024

The role of lifestyle and dietary modifications in management. Management of gastritis and the consideration of Helicobacter pylori infection. Gastroesophageal Reflux: Management Guidance for the Pediatrician. They do, though, have distinct pathophysiologies and management strategies. J Pediatr Gastroenterol Nutr.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JANUARY 23, 2025

Maybe even had come in with a complication. Emily 19:52 You know, some complication that might have even like, you know, kind of triggered that thought process about maybe it’s time for me to come off of the medication and just. Widera and Smith have no relationships to disclose. Of the medication. Eric 19:51 Yeah.

Specialization 120

Specialization IT Patient-Centered Medical 120

GeriPal

JUNE 12, 2025

But now that at least at the University of Pennsylvania, the radiation oncology department is sort of well integrated into the cancer center here, and we have a really strong relationship with the palliative care team and even the internal medicine residents whom we give talks to. There may need to be a particular plan for that scenario.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

Dr. Michael Bazel

APRIL 29, 2025

The truth is, men are statistically more likely to delay medical visits, putting themselves at higher risk for conditions that could have been detected early and managed effectively. Early detection helps prevent complications and protects your partners. Diabetes Screening Type 2 diabetes can develop without obvious warning signs.

Screening 130

Screening Illness Checkup Primary Care Doctor 130

Mesa Family Physician

MARCH 13, 2025

This continuity of care is especially important for managing chronic conditions like diabetes, hypertension, and heart disease—conditions that respond best to consistent monitoring and adjustment of treatment plans. Our Mesa physicians are experts at helping local residents balance health priorities with career demands.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. This is Eric Widera. Alex 00:12 This is Alex Smith. So we got a lot to cover.

Management 117

Management Patient-Centered Patients IT 117

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. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care. Regular check-ups ensure early detection of health issues.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Brianna 00:41 Thanks. Great to be here. Alex Gamble, do you have a song?

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. They are complicated.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. Panelists BJ Miller and Naomi Saks have no relationships to disclose. ” So there’s this element too, of what’s suffering in relationship to others, and can we compare? It’s the relationships to the world.

IT 137

IT Families Family Physicals 137

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. Potentially harmful elements of that coping mechanism for your relationship with your four year old. Alex 17:20 Yeah, not as healthy.

Illness 126

Illness IT Patient-Centered Patients 126

Maine Academy of Family Physicians

OCTOBER 22, 2023

At the Family Medicine office, I observed the close relationships fostered between Dr. Der Simonian and her patients. Between routine care, medication management, and patients who opened up about their mental health struggles, it was clear that a strong baseline of trust had been established.

Medical Student 40

Medical Student Family Medicine DO Patient-Centered 40

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. It used to be a much more complicated model. 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.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

Edge Family Medicine

OCTOBER 23, 2024

At Edge Family Medicine , we prioritize early detection to provide timely care and prevent complications. Baseline for Chronic Disease Monitoring If you’re managing chronic conditions such as diabetes or hypertension, physical exams allow us to monitor key health indicators and make necessary adjustments to your treatment plan.

Physicals 130

Physicals Family Medicine DO Chronic Condition 130

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. Same thing with kind of medication management. All of these are factors that are on the individual level. So we’ve published a couple of studies ourselves and we’re finding more and more groups that are trialing in different capacities.

Community 116

Community Transportation IT PCP 116

GeriPal

MAY 22, 2025

Our volunteers are starting to take over ownership of this program, so we’re kind of like building a team to help kind of maintain it, manage it, and make sure that everything’s on the up and up with it. Relationships are usually more complicated. Widera and Smith have no relationships to disclose.

IT 98

IT Patient-Centered Patients Board-Certified 98

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. But I think then the other factor in this that makes it complicated is the decision for someone in Manhattan might be very different than the decision for someone in, like, rural Wyoming. Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

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.

Community 116

Community IT Relationship Healthcare 116

GeriPal

AUGUST 29, 2024

Is the sort of task to manage. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. And just sort of acknowledge that because this person’s probably had a longer relationship, this patient, than I have. There’s this therapeutic relationship. This is a complicated case.

IT 133

IT Illness Families Family 133

GeriPal

JULY 28, 2022

But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

MARCH 6, 2025

By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. How much of your training was focused on managing substance use disorder training and palliative care? Naheed 15:53 Yeah, yeah.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. Yeah, that’s a more complicated story. But yeah, it’s complicated. Alex 10:52 And did you have algorithms you’d present to them, like given this patient’s circumstance, these are recommendations?

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

JUNE 15, 2023

Is there a true relationship with that? So over fitting just means that you found a relationship in your data that is not going to be generalizable to other people. We should build models to identify symptoms, to do proactive symptom management, and AI can totally do that. I still worry about that.

IT 100

IT Patient-Centered Patients Healthcare 100

Tiny Physician

MARCH 30, 2022

Postpartum hemorrhage is an unfortunate and well-known complication of delivery. A doctor-patient relationship is mandatory in the case and this can be proven by cross-checking the duty list or from the patient’s case sheet. Direct causation There has to be a direct relationship between the damage and the breach of duty.

Hospital 52

Hospital Government Patient-Centered Medical 52

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 126

Hospital IT Patient-Centered Patients 126

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . I don’t even remember pain management teaching. AlexSmithMD .

Illness 110

Illness IT Families Family 110

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. What are the patients that we remember? Nick: Such a good question. Abby: Yeah.

IT 83

IT Families Family Illness 83

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

SEPTEMBER 7, 2023

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. It’s really up to the oncologist. So this goes back to your question, Eric, who does it?

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

MARCH 30, 2023

Then in the OpenNotes work that I do, I was hired to take something complicated like transparency and patients having access to their full records in medicine, and then making that something that the lay public understood. It’s at this point where she’s talking about highly aggressive life-prolonging treatment. Anne: Yeah.

IT 96

IT Patient-Centered Patients Healthcare 96

Family Medicine Initiative

APRIL 10, 2024

This graph illustrates that the benefit of long-term GP-patient relationships is even dose-dependent (longer GP-patient-relationship = lower risk of dying prematurely): Why do long-term GP-patient relationships improve health and reduce costs? GPs improve chronic disease management, which prevents complications.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. 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

MAY 1, 2025

But the HIV we do see, and it feels tragic because the people who are dying of and affected by the more kind of traditional, if you call it that, kinds of complications, some of which can be fatal of HIV AIDS are the people who are not on treatment. And usually there’s a reason for that that is hard to sometimes overcome.

Primary Care 96

Primary Care IT Clinic Provider 96

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. Health care professionals are human, and as humans we experience loss both in and out of work. Turns out, it’s maybe not. Eric: Yeah.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103