GeriPal

JANUARY 30, 2025

Essentially we’re testing the early integrated palliative care model, which is monthly visits with a specialty trained palliative care physician or advanced practice provider for patients who are diagnosed with advanced non small cell lung cancer. And I would say we weren’t doing training on symptom management, for example.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

APRIL 3, 2025

Ken 12:14 I’ll remind you, Nancy, that this is an honor for companies that manage to make lots of money despite having a product that’s worthless or doesn’t. And this complete lack of attention to the real needs of persons with dementia is really kind of a shameful part of US healthcare. Ken 26:17 You presented that.

IT 64

IT Hospital Screening Patients 64

GeriPal

JULY 21, 2022

And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all?

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 22, 2024

Because often what we hear from patients, “I do a lot of pain management research,” but mood comes up in that a lot, is that, “Oh, I don’t want to talk to my doctor about this. And then the NCCN now has a similar guideline requiring comprehensive distress management for their accreditation in cancer centers.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Does a good history matter anymore?

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). And we’ve been diagnosing it at Penn.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. That’s what normal means when you’re first diagnosed, wanting to go back to before the illness.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

JUNE 13, 2024

Alex 00:20 Today we’re delighted and honored to welcome Eduardo Bruera, who is one of the biggest symptom management gurus, if not the biggest symptom management guru in palliative medicine. We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. Who do we have with us today?

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

OCTOBER 20, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Because I know in the early 2000s, there was this whole thing about reporting estimation of GFR, let’s get the GFR in front of people so that we can diagnose CKD and that was the equation that was being used.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

JUNE 19, 2025

You present your. One is to seek additional training because the standards of care from wpath, which literally outlines how you would manage hormones, is there. And this could be reflect or manifested in terms of your mannerisms, the way that you speak, the way that you carry yourself, the way that you. So that’s how.

Individual 81

Individual Community IT Chronic Condition 81

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. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. John: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. Dani: Yeah, so the way you presented was triggering to them. Dani: Yeah, good question.

Patients 109

Patients IT Families Family 109

GeriPal

APRIL 13, 2023

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. No, I mean, I think I had the initial feeling or thought about this being present after I learned about it and were thoughtful with senior mentors about it. You just knew it? Thomas: Yeah, yeah.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. Sonu: So that’s another layer to it that’s being discussed currently that’s not in the law.

Illness 144

Illness IT Medical Provider 144

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. Stop thinking the physical exam or the differential diagnose, whatever, and just be there. I wasn’t able to really fully recover from that, from a relational standpoint, and as best I could do symptom management along the way. Eric: Yeah. Stop being the expert.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

AUGUST 24, 2023

We published a nice piece, I think it was in the Journal of Pain and Symptom Management. I’m fully present. We examine, we diagnose, we fix. To diagnose, to come up with a formulation, to be able to really get hold of the cause of this individual suffering. We began this here in Winnipeg. I’m not distracted.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: And Susan?

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 94

Primary Care IT Clinic Provider 94

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. Before the primary care visit. Danny 10:07 Yep, that was the goal.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

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. So snaps to Ricky, but he presented this case to us of a person who had had a heart operation.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

DECEMBER 1, 2023

I guess I’m just sticking to the position that I would like someday to be able to diagnose Alzheimer’s as well as Lewy body disease, et cetera before someone has disabling impairments. I’ve got the Alzheimer’s that has me needing someone to manage my checkbook. I’m not saying they’re stigma free.

IT 115

IT Clinic Illness Hypertension 115

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 didn’t know how to manage it. With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. So we got a lot to cover on sexuality, sexual health, and serious illness.

Illness 130

Illness IT Physicals Patients 130

GeriPal

AUGUST 22, 2024

Right, my answer that brings us a little bit closer to the present than my childhood. And then another, which was released under the Bush administration by a council with a different sort of philosophical Benton worldview which still managed to come to the same conclusion in support of a brain based definition, death.

IT 113

IT Families Family Patient-Centered 113

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. By the year 2000, everyone will be in a Medicare managed care plan.” Annals of Int Med. This is Eric Widera.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115