GeriPal

JUNE 8, 2023

Summary Transcript Summary Diabetes is common. 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. Goldilocks zone). This is Eric Widera.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

MAY 5, 2022

We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals. Communication techniques we can use when talking to individuals with hearing loss. And he liked some of what I was doing, which was really on diabetes and hearing loss.

IT 102

IT Screening Hospital Clinic 102

GeriPal

MAY 11, 2023

A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. If you could wave a magic wand to change one thing: sleep, blood pressure control, eradicate diabetes, get everybody exercising, what do you think would have the most bang for the buck in terms of dementia reduction? Kristine: Can I say age?

Physicals 85

Physicals IT Hypertension Education 85

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 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. due to chemotherapy, diabetes, or autoimmune disease)? chemotherapy or steroids). Do you have a weak immune system (e.g.,

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Why would that be? Jessie: Exactly. Katie: Yeah.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MAY 25, 2023

And I’ll just say that I think what we know is there’s been so much greater advance care planning research and and at many levels, at a at an individual level, at a health system level, at a policy level. And then individuals will still have questions of really, how can I help my wishes to be known?

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. I’m a prescriber.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. We lump everybody who’s 65 and older together, and then we don’t look at the individual characteristics of that person, so we fall into these patterns based on racial premises.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. For individuals with a life expectancy less than the time to benefit, the up front harms outweigh the downstream benefits. .

Clinic 67

Clinic IT Patients Medical 67

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients. Alex, what other decisions?

IT 95

IT Clinic Screening Patients 95

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. But heart failure and polyuria from poorly controlled diabetes, any sort of volume overload state when someone is collecting fluid in their legs, it stays there all day.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

FEBRUARY 6, 2025

And I gotta manage their blood pressure and their diabetes meds. Of these interventions in those individuals. The post How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Nate 14:25 Oh.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

AUGUST 1, 2024

And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. And one of the really fantastic programs and studies that we have is the diabetes prevention program. So the first diabetes prevention program was published in 2002. What was the title of the book again?

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 1, 2023

But there’s some level of glycosylated hemoglobin which very neatly correlates with abnormal glucose tolerance, which is diabetes, or is amyloid like mitotic figures spreading beyond the basement membrane? I think that the actuarial data are compelling, that elevated amyloid alone in some individuals can lead to downstream dementia.

IT 115

IT Clinic Illness Hypertension 115

BMJ

AUGUST 20, 2021

With prescribing and dispensing of some medications increasing as much as 50% above forecast levels during the early months of the pandemic, results from such databases may have additional implications for planning of pharmaceutical supply chains, as well as for individual prescribers.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

MAY 1, 2025

Or is the aging process and development of serious illness so similar to people who are not living with HIV that we can sort of move on and consider it, you know, sort of like diabetes, for example. I mean, you know, you mentioned diabetes. How do you think about polypharmacy for these individuals? Who wants to go first?

Primary Care 94

Primary Care IT Provider Clinic 94

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