GeriPal

MARCH 14, 2024

Nicole: I was just going to add that I think a helpful analogy for me has been to think about our clinical assessment, sort of like if a physical therapist just stood at the door with their ear up to the door to listen if a patient fell, and then made a recommendation plan for exercise. Raele: Yeah, it’s beautiful, colorful images.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

JUNE 20, 2024

It’s under recognized, under diagnosed, under treated, under discussed, understudied as a result. But that combination is actually quite common, and it’s quite challenging to diagnose and manage, at least in the traditional sense. Clinicians don’t ask about it. George 19:37 Exactly, exactly. Eric 28:48 Yeah.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

JULY 19, 2024

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. It can’t be diagnosed and adios.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

DECEMBER 2, 2022

At the end of the program, he was walking down the hall, you probably don’t remember this, but a woman I know who you had diagnosed with some type of Alzheimer’s went running after him down the hall. And then the people with the other kinds of diagnoses feel left out because we talk about Alzheimer’s all the time.

Community 101

Community IT Individual Patient-Centered 101

Rao Doctor

APRIL 3, 2025

One of the primary tools used in diagnosing fever is the thermometer, an instrument that measures body temperature. Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause. Fever is a common indication that the body is fighting off infection.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Plum Health

OCTOBER 11, 2024

Whether it's a urinary tract infection or a severe ear infection, urgent care clinics can quickly diagnose and treat infections. Your insights could help someone else in their healthcare journey! A clinic is a medical facility where healthcare professionals provide specialized medical care to patients.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 27, 2024

But often what we’re talking about is this experience that we can describe physically inside of our body, the sensation that we’re having as we’re anticipating that things may go wrong or badly in some kind of way. So it tends to be future oriented and tends to show up as a physical sensation in our body.

Illness 129

Illness IT Diagnosis Patient-Centered 129

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. 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.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JULY 21, 2022

Or somebody who has other physical cognitive problems at any age. 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? Those things do just accumulate with age. Is this our role? Emmy: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

OCTOBER 17, 2024

And so, unfortunately, I think for a while, this condition, for many people, isn’t diagnosed until you end up seeing a cardiologist or a heart failure doctor who’s really honed in on this to say, actually, this is a heart failure syndrome. Is your impression that HFpEFde is under diagnosed in older adults? Alex 45:43 Okay.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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? But these tests were never designed to diagnose. Does a good history matter anymore?

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. If they physically come here, it’s sort of just the natural course of things that they’ll walk into the room with the patient. Who will emerge victorious?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

OCTOBER 20, 2022

And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes. Slightly a shift in more patients diagnosed with kidney disease or now their GFR looks lower so now there’s different concerns regarding prescribing medications.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 9, 2022

We can’t possibly meet the needs of all people with newly diagnosed serious illness. Should we have like a list of diagnoses or prognosis. Or there’s physical symptom needs. Maybe there’s a difference we have to do randomized control trial for all these different diagnoses. What does “early” really mean?

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

JUNE 15, 2023

And this case has been worked out the best in terms of the artificial intelligence suggesting diagnoses the clinician may have missed. I actually like reading books and the physical,” and what the internet 2.0 And I think that’s where it gets really interesting from the standpoint of ethics. Alex: Mm-hmm. Charlotta: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

FEBRUARY 22, 2024

A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. In many, many, many of these studies, they excluded people with severe mental health distress, so certain mental health diagnoses were exclusion criteria from a palliative care study.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JUNE 16, 2022

50 to 70% of people who are diagnosed with UTIs probably don’t have a UTI. How good are clinicians and nurses in following these guidelines or diagnosing a UTI? I hear it’s over diagnosed. The redness and on their physical exam they’ve got new redness on their leg. Is that right? Chrissy: Right.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 19, 2025

Gender expression is your physical outward manifestation of how you express your gender identity. The post Transgender Health, Aging, and Advocacy: A Podcast with Noelle Marie Javier and Jace Flatt appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

JULY 28, 2022

And as a resident, I just was drawn, similar to many oncology clinicians and fellows, to just be traumatic and difficult experience of patients with blood cancers during prolonged and intense hospitalizations, where they experience a lot of physical symptoms, emotional trauma related to the diagnoses. I loved Areej’s article.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JUNE 13, 2024

We have an epidemic of BMI and therefore never use the way the patient looks like to diagnose cachexia. So cachexia, I would put it involuntary weight loss is the number one way to diagnose it. But what I tell them is, keep yourself physically active. Keep yourself physically as active as possible. Is it just loss of.

Illness 133

Illness Patient-Centered Patients IT 133

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. In fact from the time he was diagnosed, he passed away within two and a half weeks. Something about it wasn’t necessarily right in terms of her desire to be always with us.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MAY 9, 2024

How you actually physically started doing this and built up so many followers over time and why are you doing it? ” And I won’t… I’m not getting in the business of diagnosing or recommending particular medications or anything like that. Eric: So we got a lot to talk about.

Education 127

Education IT Illness Healthcare 127

GeriPal

APRIL 3, 2025

And I also worry about this push towards just amyloid blood testing so as a way of diagnosing Alzheimer’s disease without doing the workup that’s needed beforehand. I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes.

IT 64

IT Hospital Screening Patients 64

GeriPal

JANUARY 11, 2024

First of all, as I understand the Carter decision, two of the things you’re supposed to have in order to be a candidate for MAID are enduring intolerable physical psychological suffering that can’t be addressed under conditions you consider acceptable. This physician had never discussed my suffering at all. Eric: Thank you Bill.

Illness 144

Illness IT Medical Provider 144

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. I mean, the fact is that intensive care, as you said, Alex, I mean we invoke it as a way of trying to, in a very intensive focused way, attend to people who are in physical, biologically in dire straits. We examine, we diagnose, we fix.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

SEPTEMBER 22, 2022

Stop thinking the physical exam or the differential diagnose, whatever, and just be there. The post Avoiding the Uncanny Valley in Serious Illness Communication: Josh Briscoe appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Stop being the expert.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

FEBRUARY 16, 2023

And also the whole potential psychiatric diagnoses. Keri: It does remind me, Dani, of that scapegoating phenomenon, when you’re talking about projection, where you see anger getting projected onto another person or a team, saying, “Oh, it’s the physical therapist’s fault or the oncologist is culpable.”

Patients 109

Patients IT Family Families 109

GeriPal

FEBRUARY 9, 2023

They look at the signs and symptoms, they do a physical exam, maybe some lab tests or some imaging. And if the doctors still come up with different diagnoses or perceptions of what’s happening with the patient and or treatment plans, that’s all on them. Try to really understand what’s happening. Thanks everybody.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

OCTOBER 27, 2022

Someone who’s healthy in their 60s and just got diagnosed with diabetes, yeah, they might benefit, if they have a very long life expectancy, to prevent that decline in kidney function. Those have a very, very long time horizon. If that means that they’re more likely to die sooner, does that mean that they should not get screening?

IT 95

IT Clinic Screening Patients 95

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. Eric 16:38 So everybody was diagnosed with an advanced lung cancer sometime in the last twelve weeks and then they were randomized. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 7, 2022

Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do. Haider: That was a great story.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

JUNE 6, 2024

It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. A lot of people, and we have some data to say that you might have distress, but sex is not one of the reasons for your distress when you’re first diagnosed. You ask a question, like, how about pain, about nausea? You can’t even.

Illness 130

Illness IT Physicals Patients 130

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 how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. Alex 05:48 I guess we didn’t do hospice specifically. Eric 05:50 Yeah. What’s in it again? It’s a measure of function. Kara 05:54 Yeah, exactly.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

DECEMBER 21, 2023

Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? They could have diagnosed him earlier. Diane: Yeah.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

You can broaden the scope of diagnoses. Just think about something like a nurse visit, a nursing visit, or a physical therapy visit. He did not get physically restrained, which had happened to him previously, in the hospital, in which was one of the most humiliating experiences of his life that he never stopped talking about.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 16, 2024

Eric Widera reminds us of the history of the Goldwater Act created by the American Psychological Association in the 1960s which states that psychiatrists should refrain from diagnosing public figures, and the American Medical Association code of ethics which likewise discourages armchair diagnosis (rule established in 2017).

Diagnosis 141

Diagnosis Diagnose IT Physicals 141