PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.

Diagnosis 52

Diagnosis Management Patient-Centered IT 52

GeriPal

JULY 19, 2024

What should we use to screen individuals? And so certainly from a family’s perspective, a family caregiver perspective, the last thing we want to have when it comes to good dementia care is a diagnose and audio scenario, or in this case, some type of screening result, and then we’ll see you again in six months.

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

DECEMBER 2, 2022

So on today’s podcast we invite four brilliant individuals to talk about their perspective on how to change how we as a society and health care system partner with individuals with dementia. We’re going to be talking about things like creative engagement in individuals with dementia. Susan: Yeah, that was me.

Community 102

Community IT Individual Patient-Centered 102

GeriPal

JUNE 20, 2024

Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. But then there is incontinence, which is the same term, same word, but actually presents as a geriatric syndrome. Biological aging or physiological aging varies from individual to individual.

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. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Devika: That’s right.

Complication 97

Complication Patient-Centered IT Patients 97

Rao Doctor

APRIL 3, 2025

In case you have missed it, click below to read- FEVER FAQ- Part 1 Fever Diagnosis: How is your health assessed? When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Understanding the patient’s medical history is crucial for an accurate diagnosis.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

MAY 11, 2023

Issues with sleep, like insomnia, does it lead towards a diagnosis of dementia, increase your risk, or is it that people with cognitive impairment, an early-on symptom is sleep disturbances and it’s more of a sign or symptom of early cognitive issues? I presented this at the big clinical trials meeting in November in San Francisco.

Physicals 86

Physicals IT Hypertension Education 86

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

Center for Family Medicine

APRIL 7, 2025

Some individuals may have angry outbursts or irritability. This may present as having trouble in school, frequent absences, or falling asleep during class. Making the diagnosis If an adult or teen is suspected of having depression, the individual should be seen by a healthcare provider for assessment and treatment.

Mental Health 52

Mental Health Individual Diagnosis DO 52

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 82

Individual Community IT Chronic Condition 82

PEMBlog

JUNE 2, 2025

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Evaluation consists of lab studies, including CBC, CMP, BNP, troponin, UA, UDS, TSH with reflex to T4, and urine pregnancy test for individuals with a uterus.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

PEMBlog

MARCH 27, 2024

She is a member of the Clinical Genome Resource Inborn Errors of Metabolism (IEM) Clinical Domain Working Group, where as a biocurator she assesses the pathogenicity of variants in IEM-associated genes to facilitate expedited genetic diagnosis for IEMs. Inborn errors of metabolism in infancy: a guide to diagnosis. Pediatr Rev.

Consulting 59

Consulting Individual Family Families 59

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.

Family 102

Family IT Families 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

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 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. Joe 31:55 No differences.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

PEMBlog

DECEMBER 14, 2023

Early diagnosis is crucial as it can impact a child’s growth and development. Learn all about diagnosis and management of this common problem in this brief podcast episode. But it might underestimate it because lots of mild cases don’t actually present clinically, and they’re not diagnosed endoscopically.

Diagnosis 52

Diagnosis IT Diagnose Patients 52

GeriPal

AUGUST 31, 2023

So she had them early in diagnosis and then a little bit later. I just love her conclusion because what she realizes is when you’re first diagnosed… This is research. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness. Brad: Yeah. It was a complete shock.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. It sets space between us and the individuals we’re trying to take care of.

Provider 119

Provider Illness IT Healthcare 119

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. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Devika: That’s right.

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?

Family 98

Family Families Patient-Centered IT 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. What does this diagnosis mean to you? And then my mom was diagnosed with lung cancer and she was treated there.

IT 102

IT Family Families Clinic 102

GeriPal

JANUARY 11, 2024

Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. So it started off for individuals with a terminal illness. So they have to self-administer. Eric: Yeah. Sonu: Can I jump in?

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 9, 2023

And when you and I talk about, what’s the key medical decision or diagnosis that we’re making all the time, we’re making a decision about like, “Is this patient sick enough to die? So we did a perfect cross so that the race and actual primary diagnosis was perfectly matched across groups.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Again, as Greg said, where the individual chooses what works best for them. 60% of all medical costs have nothing to do with your health diagnosis. To Susan’s point.

Community 89

Community Nurse Practitioner Provider IT 89

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

JULY 25, 2024

So we really wondered, you know, in modern palliative care practice, where we’re seeing patients a lot farther upstream than we used to, and we’re seeing patients with a wider range of diagnoses, we wanted to update, sort of. That just leads to issues that can make home care very difficult for these individuals.

Family 108

Family Families Patient-Centered Patients 108

GeriPal

DECEMBER 1, 2023

If you are interested in learning more about the draft guidelines and the response from AGS to these guidelines, check out the following links: Revised Criteria for Diagnosis and Staging of Alzheimer’s Disease: Alzheimer’s Association Workgroup AGS’s response to the revised criteria Transcript Eric: Welcome to the GeriPal Podcast.

IT 117

IT Clinic Illness Hypertension 117

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. And is it at all individualized to the patient? Before the primary care visit.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

DECEMBER 21, 2023

With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. But what happened when we finally… When he did get the diagnosis, it all fell into place. So that’s I think diagnoses. But it was also later on in the disease. Diane: Yeah.

Patient-Centered 126

Patient-Centered IT Family Families 126

GeriPal

SEPTEMBER 14, 2023

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. You can broaden the scope of diagnoses. In our larger studies, before the study that Tacara helped lead, we never required family members to be present, or do work.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

DECEMBER 4, 2024

We will review the clinical presentation, diagnostic strategies, management protocols, infection control practices, and vaccination updates. Learning Objectives Understand the clinical progression of pertussis through its three distinct stages and identify key symptoms, including age-specific presentations in infants and older children.

IT 52

IT Vaccination Diagnosis Complication 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

Physicians News Digest

APRIL 3, 2025

But neither Kennedy nor President Donald Trump have explained why individual agencies such as AHRQ were targeted for cuts or indicated whether any of their work would continue. Medical errors caused by missed diagnoses, drug errors, hospital infections, and other factors kill and maim tens of thousands of Americans each year.

Patient-Centered 52

Patient-Centered Hospital Diagnose Medical 52