PEMBlog

MAY 20, 2025

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. Focusing a lot on when to image, when not to image, and how to communicate imaging decisions effectively with families.

Family 101

Family Families Hospital Patient-Centered 101

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. Again, otherwise the diagnosis is based on history and physical examination.

Diagnosis 52

Diagnosis Management Patient-Centered Diagnose 52

GeriPal

FEBRUARY 6, 2025

Eric 00:27 So we’re going to be talking about making the diagnosis of Alzheimer’s disease in a primary care setting, not specialty care, but maybe we could talk a little bit about that. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Great to be back. Absolutely.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

Family 102

Family Families IT Diagnosis 102

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 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 9, 2022

Should eligibility and access be determined by clinician referral? By diagnosis? If we move away from clinician referrals as the means by which people get access, how do we keep the clinicians engaged, and not enraged? But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

JUNE 22, 2023

In many cases, the families were the victims of the crime. If the community hospital isn’t able to provide a service like tertiary care, oncology care, they would get a referral to UCSF or wherever, just like anybody in the community. They can stroll out into… We have a beautiful garden space for family.

Family 132

Family Families IT Community 132

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic? Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. Eric 07:02 And real quick, Sarah, who do you see?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

FEBRUARY 22, 2024

We might say, “Of course you’re sad, you just got a very serious diagnosis.” They’re still engaging fully with their family and with the activities and the hobbies that they’re still able to do. And having a cancer diagnosis and treatment is freaking stressful. Is this a new onset depression?

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 18, 2024

Our field really lacks specificity in the terms that we use, and I think we really don’t know how chronic cancer pain, let’s say, a few years out from that initial diagnosis differs from, let’s say, chronic low back pain. Have you had a family history of substance use disorder? Most of our population has trauma.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

OCTOBER 17, 2024

Eric 12:05 Any pearls on the diagnosis of HFpEF. If it’s continuing and it’s getting worse and maybe they have some swelling in the legs, there are some subtle findings on the echo, but really think for a second, could this be this really common cardiovascular condition, echocardiogram, maybe even a referral to a cardiologist?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JULY 3, 2025

And I was curious to learn about how people were talking about what to expect after a diagnosis of advanced cancer, how clinicians were counseling patients, how patients were understanding their prognosis and making decisions. Alex 10:22 So just to say that again, from the time of diagnosis. Like at the time of diagnosis.

Patient-Centered 52

Patient-Centered Illness Clinic IT 52

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. And it was very clear, and she could now no longer recognize her family members. And the family says, dad would never want to live like this.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

OCTOBER 27, 2022

So we have a list of various interventions like hospice referral, like more intensive treatment for blood pressure, more intensive treatment for diabetes, for dysglycemia, hyperglycemia, statins, bisphosphonates. 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

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. And that referral can be done in real time, a soft handoff. This is Eric Widera. Alex: This is Alex Smith.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

SEPTEMBER 19, 2024

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. Within eight weeks of diagnosis of advanced disease. I don’t know if we captured where the hospice referral came from. Stupid theory.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

FEBRUARY 24, 2022

We see our patients and our families throughout the illness trajectory into the hospital. It’s hard for your family to know. That this is iterative from diagnosis to end-of-life, right? But we’re going to have this forum for us to hear from family members, hear from patients, for them to hear from us.

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

MARCH 27, 2025

And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery. And so this was really, in my view, a perfect window for reinforcing the role of family in primary care. Eric 02:32 Great, Alex.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. And the point of that is that so many people, in my experience, and I’m sure it’s the same initial diagnosis of cancer, that’s the last thing that I want to talk about. And I said, sure. And I had that mortified look on my face of God.

Illness 130

Illness IT Physicals Patients 130

Physician's Weekly

JUNE 13, 2025

In our city of Victoria, for instance, many people do not have a family doctor because so many doctors have retired; those who are left are unable to take new patients because their lists are full. This would present a valuable opportunity for doctors and their families to learn French. Canada fits Americans comfortably.

Vaccination 52

Vaccination Family Families Appointment 52