GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. 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? Eric 24:51 Yeah.

Illness 130

Illness IT Diagnosis Patient-Centered 130

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

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. Because how that is approached can have lasting effects on relationships, unfortunately. Somebody who’s older, maybe just diagnosed them with very mild dementia.

IT 102

IT Families Family Diagnosis 102

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. 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?

Families 98

Families Family Patient-Centered IT 98

GeriPal

JUNE 19, 2025

You present your. Jace 30:29 For a long caregiver challenges and not, you know, having to go into spaces that are heavily like hetero and cis normative in terms of how they provide services, how they navigate relationships. Widera and Smith have no relationships to disclose. 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

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

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. And maybe you’ll say the wrong thing, maybe you’ll do the wrong thing, and that’s part of human relationship as well. You had no relationship. Eric: Yeah.

Illness 102

Illness IT Patient-Centered Patients 102

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 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. Much more about relationships has been my experience. Frank 08:43 Well, briefly.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

APRIL 13, 2023

I initially got into it because I was really looking at the psychophysiology of stress, and so how stress affects our health and how relationships were always a component of that. But then recognizing that our relationships impact our health even outside the context of stress. You just knew it? Thomas: Yeah, yeah.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. 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 123

Mental Health Patient-Centered Illness Screening 123

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. Widera and Smith have no relationships to disclose. Guest Laurie Dornbrand has no relationships to disclose. Bernie: And so Alex, it was horrible.

Families 113

Families Family Patient-Centered IT 113

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. 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. Is it just loss of.

Illness 134

Illness Patient-Centered Patients IT 134

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

AUGUST 8, 2024

Now, you can’t fix a broken relationship by putting it in this box or that box. 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. None of them will get you into heaven or keep you out.

IT 125

IT Families Family Relationship 125

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. Eric: Bill. Bill: Yeah.

Illness 144

Illness IT Medical Provider 144

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Instead, they establish a direct patient-provider relationship, for a flat fee. EKGs Discounted lab services Laceration repairs Small skin lesion removal Medication dispensing Seeking to provide primary care services that are intended to prevent and treat general issues and diagnose non-urgent conditions.

Family Medicine 40

Family Medicine DO Families Family 40

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? I knew them, I developed a relationship with them.

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 Patient-Centered 80

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

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. So snaps to Ricky, but he presented this case to us of a person who had had a heart operation. What are the prognoses associated with various PPS scores? Do you remember it?

Families 108

Families Family Patient-Centered Patients 108

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 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

AUGUST 22, 2024

Right, my answer that brings us a little bit closer to the present than my childhood. That also speaks to a lot of the particular family relationships and, of course, in that case, allegations of mistreatment along racial lines and so forth. Widera and Smith have no relationships to disclose. And definitely insensitivity.

IT 115

IT Families Family Patient-Centered 115

Mesa Family Physician

MARCH 6, 2025

These measures are taken before any evidence of disease or injury is present and are designed to prevent health problems from occurring in the first place. These measures are taken after a disease has been diagnosed.

Preventive Care 100

Preventive Care Preventative Care Family Physician Screening 100