GeriPal

JUNE 27, 2024

If you look in the diagnostical statistical manual, right, the sort of handbook for diagnoses, most of the diagnostic criteria are in some important ways kind of arbitrary, right? And I wonder, like, how, when you think about these different buckets of diagnoses, especially for somebody like me who does not do psychiatry.

Illness 130

Illness IT Diagnosis Patient-Centered 130

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?

Families 102

Families IT Family Diagnosis 102

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. Ken 26:17 You presented that. Eric 29:27 And initially the one we presented was like, what happens to people when they come to the hospital?

IT 65

IT Hospital Screening Patients 65

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?

Primary Care 114

Primary Care Patient-Centered IT Patients 114

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. Abstract presenters as well. No difference between the two groups, right?

Telehealth 106

Telehealth Patient-Centered IT Patients 106

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 97

Primary Care Diagnosis Screening IT 97

GeriPal

AUGUST 17, 2023

But I too, I think the science and the data really are there to prove that not only does it lower the amyloid and make it to the point where it’s not present, but then there was roughly, Eric, a four-month stability or delay in progression over an 18-month period. And we’ve been diagnosing it at Penn. Jason: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

AUGUST 31, 2023

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. He really helped me a lot through the shock and awe of being diagnosed with cancer. Brad: Yeah.

Illness 129

Illness IT Diagnose Medical 129

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.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 19, 2025

You present your. 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. So that’s how. Just how you. Your gender.

Individual 82

Individual Community IT Chronic Condition 82

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 119

Provider Illness IT Healthcare 119

GeriPal

SEPTEMBER 1, 2022

I am constantly talking to clinical social workers about what are the ways that you can be contributing to research, to publications, to scholarship, to presentations, even if it’s a reflection paper? And then my mom was diagnosed with lung cancer and she was treated there. Look, I’m in a line talking about grownups here.

IT 102

IT Families Family Clinic 102

GeriPal

FEBRUARY 22, 2024

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. Alex: I saw Des present this work during the NPC, National Palliative Care Research Center Foley retreat this past year in Jackson Hole. Fantastic place.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

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 100

IT Community Patient-Centered Medical 100

GeriPal

JANUARY 26, 2023

So GFR was adjusted based on race, which it probably did lead to African-American patients being diagnosed with chronic kidney disease later in their disease trajectory, as compared to others. I probably should have said GFR. Eric: Yes. I just choose GFR. Ramona: Is a perfect example of that.

IT 92

IT Patient-Centered Healthcare Patients 92

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? It’s just so interesting the myriad of ways that this can present in our behavior when we neglect to just look within. Dani: Yeah, so the way you presented was triggering to them. Keri: Yeah.

Patients 110

Patients IT Families Family 110

GeriPal

OCTOBER 3, 2024

And finally, Wendy offers a drawing lesson and ONE-MINUTE drawing assignment to help us (and our listeners) be more present and connect with one another. First you have to be a volunteer and see what it’s like to be present at the bedside. The rules are really quite simple: Find another person. Frank 08:43 Well, briefly.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

FEBRUARY 23, 2023

And several times now, I read the notes and it’s just that someone has copied the contact information for someone into that note, but no one has actually contacted them or confirmed that they would want that person present. Eric: Lynn or Anne? But there was an impact on us as a team too.

Families 98

Families Family Patient-Centered IT 98

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. And I would never use BMI because when I started working in this field, the BMI was about five or six points lower than it is now.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

JANUARY 11, 2024

One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. The first one is I would want the general public and healthcare professionals to really understand actually what natural dying and death look like. Eric: Bill. Bill: Yeah. Eric: Thank you Bill.

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. 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.

Illness 102

Illness IT Patient-Centered Patients 102

GeriPal

SEPTEMBER 21, 2023

I’m concerned about how can I get my dad diagnosed or get this proper care.” Fayron: One of the key statistics I say is, “By 2030, nearly 40% of individuals that would be diagnosed with dementia would be Black or Latino.” This is what they’re projecting.” ” Alex: Projecting in terms of what?

Community 129

Community Families Family IT 129

GeriPal

FEBRUARY 9, 2023

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. And we’ve accrued over a hundred different clinicians and we analyzed their language when presenting treatment options. Thanks everybody.

Patient-Centered 112

Patient-Centered Patients IT Healthcare 112

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. People would present with horrible opportunistic infections, not just pneumocystis pneumonia, but CNS infections with toxoplasmosis and wasting syndrome, of course.

Families 113

Families Family Patient-Centered IT 113

GeriPal

AUGUST 24, 2023

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. I mean, I can recall mentors who just by the look in their eye, their demeanor. I’m not distracted. ” Eric: Yeah.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

AUGUST 8, 2024

And if you look at the increase, the steady increase since the 1960s till the present time of cremation in this culture, and cremation in this culture is only, what, 150 years old. The post Between Two Urns: Undertaker Thomas Lynch appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 125

IT Families Family Relationship 125

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 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. ” And we can offer things, someone presents with a nutritional need, but we can say, ask about, “Do you need grab bars in your shower? To Susan’s point.

Community 89

Community Nurse Practitioner Provider IT 89

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 80

Primary Care IT Clinic Illness 80

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.

Families 108

Families Family Patient-Centered Patients 108

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. Heather: But is that people who have presented because of some cognitive or memory concern? I’m not saying they’re stigma free.

IT 117

IT Clinic Illness Hypertension 117

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 131

Illness IT Physicals Patients 131

GeriPal

DECEMBER 21, 2023

Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? With your journey, with your dad’s journey- Diane: They could have diagnosed him earlier. They could have diagnosed him earlier. So that’s I think diagnoses. And we find out, oh, there is no demand.

Patient-Centered 126

Patient-Centered IT Families Family 126

GeriPal

AUGUST 22, 2024

Right, my answer that brings us a little bit closer to the present than my childhood. Like, if we think about the fact that hospitals around the country, around the world, you know, people are, you know, coming in, they’re being diagnosed as dead on the basis of neurologic criteria, and that we. The post What is Death?

IT 115

IT Families Family Patient-Centered 115

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

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). Sorry, Ken.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141