GeriPal

AUGUST 17, 2023

There is a lot to digest with these draft clinical guidelines but the big change from the 2018 guideline is moving Alzheimers to a biological diagnosis (biomarker evidence only) not just for a research framework but now from a clinical one. That’s going to whole groups of people excluded from formal diagnosis. Eric: PET scans.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 17, 2022

And so many older adults with diagnosis of osteoporosis have never received any therapy for it. These were clinical trials involving postmenopausal women with a diagnosis of osteoporosis, based on either an existing vertebral fracture or a bone mineral at the density T-score of less than negative 2.5, Eric: I like that one.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

JULY 28, 2022

Jennifer: Yeah, so I think as all the listeners of this podcast know, and I know he did do a podcast with you guys when he was still able to verbally communicate, with Randy Curtis’ diagnosis of, I keep wanting to say AML, ALS. So for the stepped care model, all patients see palliative care at the time of diagnosis.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 20, 2022

How we came about to select these articles or to have interest in this topic is really older adults are unique population that are at risk for both over diagnosis of infections as well as under diagnosis of infections. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 30, 2022

But we know that 30% of all decedents who are Medicare beneficiaries either die from dementia or have an existing diagnosis of dementia, which is something we talk about quite often, Joel and I. Fifty percent have a diagnosis in their record of decedents have dementia. Joel: Yeah. Samir: Yeah.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

OCTOBER 12, 2023

Instead, what if your surgeon told you that the operation she was discussing could help with only 4 things: live longer, feel better, prevent disability, or obtain a diagnosis? It can help prevent disability, or it can make a diagnosis and that’s it. Gretchen: It can help you live longer. Surgery does nothing else.

IT 128

IT Family Families Patient-Centered 128

GeriPal

JUNE 26, 2025

Those disruptive events or shocks often portend a major decline in function from which people with dementia never fully recover. Today we talk about disruptive events, or health and wealth shocks. So thought it related to our theme of disruptive events about different ways in which you may experience an early demise.

Illness 93

Illness Hospital IT Patient-Centered 93

GeriPal

OCTOBER 27, 2022

So the two examples that I would talk about are treatment for osteoporosis that hinges on the 10 year risk of fracture, and then treatment for hyperlipidemia that hinges on predicted 10 year cardiovascular events. So the idea here is that generally the risks of bad things, like side effects, are pretty constant throughout the population.

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. Welcome to the GeriPal podcast, Michele. Michele: Thank you for having me. Eric: And you’re also the medical director of the hospice unit here. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. Additionally, in case patients didn’t step up, we did have sort of events where they were scheduled to see palliative care. You sort of had a month after all of those events. Eric 27:07 Month of that event, did they also see inpatient palliative care?

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

60% of all medical costs have nothing to do with your health diagnosis. It has to do with genetics, 30%, 10% your diagnosis, the other 60% is your built-in environment, educational status, income and your personal choices. But, for a majority, it’s a first time event. They’re afraid of losing their independence.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 1, 2023

If you are interested in learning more about the draft guidelines and the response from AGS to these guidelines, check out the following links: Revised Criteria for Diagnosis and Staging of Alzheimer’s Disease: Alzheimer’s Association Workgroup AGS’s response to the revised criteria Transcript Eric: Welcome to the GeriPal Podcast.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

APRIL 20, 2023

We would drill down on the tenth differential diagnosis of medium vessel vasculitis, and then we would discharge them back out to the streets. Why was I spending all this time figuring out the detailed differential diagnosis of these obscure diseases when we weren’t actually attending to what people really needed? They got sick.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 25, 2024

Someone’s function in the future can depend on, like, a crisis event, like a fall and a hip fracture. The post Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. James 26:49 Exactly.

Family 106

Family Families Patient-Centered IT 106

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . The post Poetry & Palliative Care: Podcast with Mike Rabow and Redwing Keyssar appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JULY 16, 2024

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. Cecilia Poon says, what are some best practices to highlight professional ethics?

Diagnosis 141

Diagnosis Diagnose IT Physicals 141