GeriPal

JANUARY 18, 2024

If somebody has cancer and they’re recently diagnosed, somebody has cancer and they’re undergoing active treatment, somebody has cancer and they’re in early remission, now they’re a year or two years, three years, four years out and they still have pain. Jessie: Yes. And then, looking at- Eric: Wow. So, one out of 10?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JULY 21, 2022

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? Certainly my bias is that healthcare professionals really do have a role in this discussion. And what should we be doing as far as assessment?

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? Eric 14:10 Yeah.

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? So I get all the referrals from my great colleagues in primary care.

Primary Care 96

Primary Care Diagnosis Screening IT 96

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. So I just want to start out by saying I think one of the reasons a lot of the referrals also don’t happen, it’s not just lack of access to care.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

OCTOBER 20, 2022

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. So people at kind of those extremes where I would potentially be really changing their diagnoses.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

AUGUST 24, 2023

So I mean, I had referrals from as far as Canadian Arctic North, of people who were interested in doing dignity therapy. 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, that is western medicine described in three words.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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. So the time to benefit page is trying to make the mortality indexes link more closely to the time to benefit.

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. And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Stupid theory.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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 that referral can be done in real time, a soft handoff. I would hope a referral would go to what’s called an ADRC, and it’s called an Aging and Disability Resource Center.

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 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

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. Eric 39:21 Again, thinking about, like, basic approaches to these really common problems up to date, certainly out there, referrals. How do you think about that from, again?

Illness 130

Illness IT Physicals Patients 130