GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And yet we’re also in a different place in diabetes monitoring and management. Eric: And you can probably tell already, the topic at hand is diabetes management in late life.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

MARCH 14, 2024

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. This is Eric Widera. Alex: This is Alex Smith. Here at UW Health, we call it our Swallow Service.

Hospital 124

Hospital IT Patient-Centered Individual 124

GeriPal

OCTOBER 13, 2022

So we have a network of community hospitals and not every hospital has a strong ID consult service or some hospitals have one physician covering many, many patients, the whole hospital so may not have the bandwidth to cover everyone. I think some of that depends on the kind of health system or hospital that you are involved with.

Complication 97

Complication Patient-Centered IT Patients 97

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. So you have the consultation. So we need to have a discussion upfront about how we’re managing the patient’s pain. Anish, can I ask you why you went into radiation oncology? Thank you.

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. Importance of Physical Examinations Physical examinations also play a significant role in diagnosing health conditions. What are the Management and Treatment Options in a case of fever?

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

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Consultations versus telehealth. You get a consult if you get a consult.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 10, 2024

social worker, chaplain), everyone should be able to ask a question or two about spiritual concerns, social concerns, or physical concerns. So, for instance, I do a psychosocial screen, I do a physical screen, I do screens in all the other domains. So we totally forget that all of us are symptom managers as well.

Screening 119

Screening IT Family Families 119

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.

Hospital 132

Hospital Patient-Centered Patients IT 132

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 114

Community Transportation IT PCP 114

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

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 was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms.

Patient-Centered 122

Patient-Centered Illness IT Patients 122

GeriPal

MAY 8, 2025

And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. Due to this sense of allostatic overload, like you’re just overwhelmed and you don’t have the resources, the self efficacy or the self esteem to manage it. So 5ht2 was. But these were people who were.

Illness 107

Illness IT Patient-Centered Patients 107

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? Your patients expect you to care for them, their mental well being, their physical well being. They’re asking you for a consultation. They’re furious.

Illness 132

Illness IT Family Families 132

GeriPal

JUNE 15, 2023

I actually like reading books and the physical,” and what the internet 2.0 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. We should build models to identify symptoms, to do proactive symptom management, and AI can totally do that.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

DECEMBER 8, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” I asked the student, “Did you find legs on your physical exam?”

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

OCTOBER 12, 2023

I’m just wondering, how do we get surgeons, and maybe, how do we teach surgical trainees to move away from this fix-it mentality into the space of deliberation where deliberation is actually invited and prioritized in the surgical consultation? People think of the phases of a typical clinical consultation. ” Eric: Yeah.

IT 128

IT Family Families Patient-Centered 128

GeriPal

MARCH 6, 2025

How much of your training was focused on managing substance use disorder training and palliative care? They want you to recognize their pain, not just their physical pain, but their trauma that they’ve experienced as a, as a, as a result of being on the streets. How do you actually physically find them if that’s the case?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. ” I asked the student, “Did you find legs on your physical exam?”

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JUNE 19, 2025

Gender expression is your physical outward manifestation of how you express your gender identity. One is to seek additional training because the standards of care from wpath, which literally outlines how you would manage hormones, is there. And of note, these concepts are not mutually exclusive.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 20, 2022

So we have a network of community hospitals and not every hospital has a strong ID consult service or some hospitals have one physician covering many, many patients, the whole hospital so may not have the bandwidth to cover everyone. I think some of that depends on the kind of health system or hospital that you are involved with.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MAY 4, 2023

So if a young person is saying, “I’m going to try my 10th round of chemotherapy even though I physically am suffering. We really need to figure out who we are in the world and that takes your physical identity, your sexual identity, your vocational goals. Eric: Yeah. All of a sudden, I was like, wow. It’s everywhere.

Family 83

Family Families IT Illness 83

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. What she called total pain, physical, psychosocial, and spiritual, and she started addressing it. Healthcare industry cannot do it.

Community 115

Community IT Relationship Healthcare 115

GeriPal

SEPTEMBER 22, 2022

Stop thinking the physical exam or the differential diagnose, whatever, and just be there. And that’s not the information that we’re looking for as much when we’re the palliative care consult team. ” And this comes up sometimes with palliative care’s consult, “What are you, hospice?”

Illness 101

Illness IT Patient-Centered Patients 101

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

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. Damage The plaintiff must be able to prove that he/she suffered harm because of the treatment which can be physical, financial, or mental.

Hospital 52

Hospital Government Patient-Centered Medical 52

GeriPal

MARCH 10, 2022

We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. Ruth: Also in a few short words, we found similar to our initial study that there were differences in physical environment. It improves symptom management.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). And so in that context, knowing that there was going to be some evolution of policy in this area, that’s how I got involved consulting with members, trying to understand the situation better, that type of thing.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 13, 2025

Sue 13:15 There was 12 beds, there was a head nurse for home care, There was only one head nurse doing that and a consult nurse that was seeing patients on other wards that were a likely admission choice. A good prescriber, a good symptom control manager. Sue 13:11 The Royal Victoria Hospital, Montreal. Eric 13:14 Okay. Balfour amount.

IT 104

IT Patient-Centered Family Families 104

GeriPal

APRIL 13, 2023

Alex: Also, I’ll say that on in my clinical practice doing palliative care consults, on the last time I was on service, I resolved to ask each patient, who could answer, which is a subset of the patients who I see, if they were lonely. Among clinical patients, the study’s always adjusted for age and initial health status.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 24, 2025

Years and years ago, the first few years as an attending physician, I was consulted to take care of a gentleman with metastatic esophageal cancer. For this weekly treatment, the cancer team that had been consulted in the hospital told him this is nonsense. That could include a robust home care plan to manage his symptoms.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 16, 2023

Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. And we received this consult to assist with goals of care. And I’m wondering, why did this bubble to the top of topics to discuss today? Dani: Yeah, good question. Eric: Zero. Dani: Zero. Eric: Zero. Dani: Totally.

Patients 109

Patients IT Family Families 109

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. And the dad just totally lost control, major anger management issues. Michele: Thank you for having me. Michele: Yep. And in that one fell swoop, they lost their mom.

Family 132

Family Families IT Community 132

GeriPal

OCTOBER 6, 2022

Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. The hope is having help for you and your family and support and not being physically uncomfortable. Tony: Yeah.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

SEPTEMBER 19, 2024

Alex 10:53 Yeah, or like palliative care if they get a consult for whatever reason, but not trn consult, like standardized, you know, randomized to palliative care versus whatever they’re doing before. If they get palliative care consult, they get one. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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