A Country Doctor Writes

MAY 18, 2025

The organization now employs a single psychiatric nurse practitioner for medication management. The kickoff to my new employer’s effort to integrate primary care and behavioral health led to many more meetings and eventually to embedding one LCSW into each of our relatively small primary care offices. No counseling is offered.

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Primary Care Patient-Centered Nurse Practitioner Primary Care Doctor 130

Plum Health

SEPTEMBER 25, 2024

Services Offered: Consider the types of services you need, such as preventive care, chronic disease management, or mental health support. Tips for Getting the Most Out of DPC Once you've found a DPC provider, here are a few tips for getting the most out of your membership: Build a Strong Relationship: Your doctor is your partner in health.

Primary Care 52

Primary Care Preventative Care Preventive Care Primary Care Physician 52

Center for Family Medicine

APRIL 21, 2025

These changes can also help with weight management and cognitive function, potentially improving sleep disorders. Consult a doctor, sleep specialist, or therapist for the right diagnosis and treatment. If these fail, consulting specialists and attempting talk therapy can help.

Consulting 52

Consulting Individual Physicals Chronic Disease 52

Today's Hospitalist

MAY 9, 2025

By removing the need to constantly look at a screen or type notes, we can be more present and engaged, fostering stronger therapeutic relationships and improving patient satisfaction. Documentation guidelines for evaluation and management (E/M) services. And ambient dictation can lead to more comprehensive, accurate documentation.

Patient-Centered 52

Patient-Centered Telemedicine Clinic Electronics 52

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 74

Diabetes Management Patient-Centered Families 74

Today's Hospitalist

JUNE 7, 2025

Key takeaways: Hospitalists will increasingly have to manage inpatients taking GLP-1s. “You want someone who can monitor patients’ side effects and have a longitudinal relationship with them.” ” That is why, she added, anti-obesity medications are such an important strategy in long-term management.

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Hospital Management Diabetes Patients 66

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. So you have the consultation.

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Patient-Centered Referral Patients IT 102

FDA Law Blog

SEPTEMBER 20, 2021

Torrente, explained in a previous post , in-person meetings create important opportunities for building rapport, and lead to more robust dialogue and collegial relationships between the Agency and sponsors. Finally, FDA will hold a public workshop on meeting management. Livornese and Josephine M.

Patient-Centered 52

Patient-Centered Manufacturing Clinic Provider 52

Dr. Michael Bazel

JUNE 16, 2025

The truth is that stress and hormone imbalances often work together, and resolving your symptoms requires understanding the relationship between them. Schedule a consultation with Dr. Bazel today to explore whether your symptoms are caused by stress, a hormone imbalance, or both. Take the first step toward clarity and balance.

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IT Physicals Management Diagnosis 130

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. Panelists Kate Courtright and Scott Halpern have no relationships to disclose. and consulting for Papa Health. Scott: Yes.

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Consulting Hospital Patient-Centered IT 121

Physician's Weekly

JUNE 14, 2025

The following is a summary of “Bridging Gaps in LDL-C Management: Utilization of Lipid-Lowering Therapies, Gender Disparities, and the Impact of Cardiology Visits on Secondary Prevention,” published in the June 2025 issue of American Journal Cardiology of by Sedrakyan et al. of the final cohort achieved LDL-C levels below 70 mg/dL.

Consulting 52

Consulting Utilities Relationship Management 52

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

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. But watch out! Alex 01:06 Yeah, go in person.

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Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

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Nurse Practitioner Referral Consulting Board-Certified 78

ABIM

JUNE 4, 2025

They also noted a distinction in telehealth practices between remote consultations in different states and using telehealth to treat patients who live nearby. The Endocrinology, Diabetes and Metabolism Board received an overview of the team’s current projects.

Diabetes 52

Diabetes Board-Certified Telehealth Government 52

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. So, the docs actually wrote orders for tests, medications, consults.

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Patient-Centered IT Illness Patients 122

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. 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? There’s this therapeutic relationship. All right, Anne.

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IT Illness Families Family 132

GeriPal

OCTOBER 10, 2024

This language grounds the hierarchical paradigm in interprofessional relationships because of the scope of practice alone, and then also talking about how this is sort of ingrained in our trainees, as you’ve mentioned. DorAnne 30:25 I also wanna make a shout out for pain and symptom management with social work and chaplains.

Screening 120

Screening IT Families Family 120

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? They’re often angry.

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Patients Clinic Patient-Centered Illness 73

GeriPal

JANUARY 16, 2025

And so there’s complexity in Understanding how each state manages this. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. 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. We’ll get four people done.”

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Community Transportation IT PCP 115

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. 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. I still worry about that.

IT 99

IT Patient-Centered Patients Healthcare 99

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.

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Healthcare IT Community Illness 100

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?

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Community IT Relationship Healthcare 115

GeriPal

SEPTEMBER 22, 2022

And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. And that’s not the information that we’re looking for as much when we’re the palliative care consult team. You had no relationship. Josh: Mm-hmm. Yeah, totally. Eric: Yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

JUNE 19, 2025

Jace 30:29 For a long caregiver challenges and not, you know, having to go into spaces that are heavily like hetero and cis normative in terms of how they provide services, how they navigate relationships. Widera and Smith have no relationships to disclose. Guests Noelle Marie Javier and Jace Flatt have no relationships to disclose.

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Individual Community IT Chronic Condition 82

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. The flight instructions.

Illness 107

Illness IT Patient-Centered Patients 107

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 125

Illness IT Patient-Centered Patients 125

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. So that’s great. No, no, no.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. If you own and operate a nursing home and you’re taking people in, and you’re admitting new residents, what’s their accountability for how they manage compensation and quality delivery?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

MARCH 13, 2025

I loved the relationship that we developed and the fun we had. And I think that the richness of our relationships, like I have kept involved in a lot of the people that I was working with, mostly at home, where people were dying at home. A good prescriber, a good symptom control manager. And she said, I run like hell.

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IT Patient-Centered Families Family 104

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. ” And my interview guide for the narrative analysis methods were, tell me about you.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 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

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. ” And my interview guide for the narrative analysis methods were, tell me about you.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 4, 2023

Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. Because as we started off talking about why is this so hard, a lot of it was hard for us and the palliative care team, probably hard for the primary providers as well who are consulting us.

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IT Families Family Illness 83

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress.

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IT Community Patient-Centered Medical 99