GeriPal

JUNE 20, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

IT 121

IT Patient-Centered Patients Clinic 121

GeriPal

OCTOBER 13, 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. And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 11, 2023

Certainly education, quality of education is extremely important. Some of them, like education, definitely social determinants of health. Like, education, is it that it prevents you from getting Alzheimer’s disease, or does it just give you more reserve so Alzheimer’s peeks out later?

Physicals 86

Physicals IT Hypertension Education 86

Annals of Family Medicine

NOVEMBER 20, 2024

Methods: In-depth semi-structured interviews using the Database of Individual Patient Experiences (DIPEx) methodology. Only a few received stage 1 diagnoses. Furthermore, the need for an intersectional lens is critical given that many women were also immigrant, Spanish speaking, and often from lower education and socio-economic status.

Diagnosis 130

Diagnosis Screening Transportation Diagnose 130

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? How should we screen for cognitive impairment? Does a good history matter anymore?

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

MAY 9, 2024

all of whom focus their efforts on educating the general public about living and dying with a serious illness. So we are going to leapfrog over the healthcare system education and we’re going to go straight to the citizens of the world and we’re going to give them the insider tips to how to improve their illness experience.”

Education 128

Education IT Illness Healthcare 128

GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. To note that I am an individual who goes through this world. And we also need it.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” That’s where it really gets to this individual risks and balances, individual situation. Alex: Yeah.

IT 102

IT Families Family Diagnosis 102

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. Eric 12:05 Any pearls on the diagnosis of HFpEF.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

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. AMA PRA Category 1 credit(s) ™. Who do we have with us today?

Illness 137

Illness Patient-Centered Screening Clinic 137

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

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. It’s used a lot in the education world. What does this diagnosis mean to you? It’s good.

IT 102

IT Families Family Clinic 102

GeriPal

APRIL 14, 2022

And I remember being there and there was a patient who had seen inpatient and then subsequently outpatient who was so thankful in the weirdest in just this irrational way for having been diagnosed with liver cancer. They have poor pain, they have poor function, but you also can’t clearly make a diagnosis.

Illness 103

Illness Patient-Centered IT Patients 103

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. And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is Eric Widera. Eric: Lynn or Anne?

Families 98

Families Family Patient-Centered IT 98

GeriPal

MARCH 7, 2024

It sets space between us and the individuals we’re trying to take care of. I think that consistency of what is the expectation of our roles is crucial in a lot of ways, but that role is determined by the individuals we’re serving. I often say that doulas are mirrors. Again, I go back to this. Jane: Right.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JULY 28, 2022

Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. I have oncology on the brain. And most people just haven’t dealt with that before. Alex: Okay.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

JANUARY 11, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 27, 2025

For those individuals, how do you think about that? So let’s say a patient who has lung cancer, relatively newly diagnosed, has a long history of substance use disorder, had been taking methadone as an outpatient, and now has this pain. Sach 17:32 For me, it’s our first line opioid. You know the case.

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Within eight weeks of diagnosis of advanced disease. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

Those are all things that could dramatically be a major health shock for an individual. May not even know that the patient has dementia, or they might think that, but it’s not been diagnosed. Maybe you lose your home or you get evicted from where you’re living or you’re suddenly, no, you no longer have stable housing.

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

JULY 6, 2023

It could be in housing, it could be a standalone senior center, home delivered meals, nutrition counseling and nutrition education done by registered dieticians. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. To Susan’s point.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 25, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Families 108

Families Family Patient-Centered Patients 108

GeriPal

MAY 1, 2025

One in 10 people with newly diagnosed HIV is an older adult. And over that first 15 years, which was a very difficult time when there was no treatment at all available, everybody died and usually within months or a year or two of when they were diagnosed. And I also read that 1 out of 10 newly diagnosed HIV cases are in older adults.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. There’s also education that goes with it, educating, like, what does that mean?

Primary Care 80

Primary Care IT Clinic Patient-Centered 80

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I had the tenacity and education to try to figure this out. They could have diagnosed him earlier. I had a supportive spouse.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

SEPTEMBER 14, 2023

The patients that, I think, most benefited from it were those individuals who, as I said, maybe, had a pneumonia, and needed IV antibiotics, but wanted to do that… If they could get better in the comfort of their own homes, that were not interested in passing away in the hospital. You can broaden the scope of diagnoses.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

DECEMBER 4, 2024

Pertussis infection in infants and children: Clinical features and diagnosis. In this episode, we’ll go over clinical presentation, diagnosis management, infection control, and post exposure protocols. So, making the diagnosis of pertussis starts with high index of clinical suspicion. link] UpToDate Yeh S et al.

IT 52

IT Vaccination Diagnosis Complication 52

Physician's Weekly

JUNE 25, 2025

Testing and outreach for HIV faltered in the South , a region that accounts for more than half of all HIV diagnoses. Half of new diagnoses today are in the South and a third are among people with low incomes. He kept his diagnosis hidden from friends and family because he knew how people talked about HIV. It paid off.

Government 52

Government Community Families Family 52

GeriPal

JULY 16, 2024

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. Eric 04:17 How do you think about that? Ken 04:20 I think that was very well said, Louise.

Diagnosis 141

Diagnosis IT Diagnose Physicals 141