GeriPal

JUNE 8, 2023

So my background clinically is working with cancer patients and families and those who underwent bone marrow transplant, and a lot of times for their treatment regimen, it includes steroids. What is the role of the family caregiver system, how they play a role? Tamryn: Yes, 100%. And I don’t know where if we’re there yet.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

MAY 11, 2023

I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. The post Prevention of Dementia: Kristine Yaffe appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Physicals 85

Physicals IT Hypertension Education 85

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.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. Should you stop at “no?” Anne Kelly: Hi there. Nice to be here. Lynn: Sure. Anne Rohlfing: Yeah.

Family 97

Family Families Patient-Centered IT 97

GeriPal

SEPTEMBER 28, 2023

First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Eric: Well, this is the part that I love about your article, too, is that it’s not just these big, big family meetings where miscommunication happens. Simple, right?

Family 144

Family Families Patient-Centered IT 144

GeriPal

JUNE 27, 2024

If they’ve said they had a traumatic experience receiving a diagnosis. And so in terms of, am I looking to put a DSM diagnosis to someone? What would be the benefit to myself, or hopefully for them to add a DSM diagnosis? Eric 21:58 I think for the coding, your encounter with a diagnosis. I wonder why?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. So the first thing, explain the diagnosis. And you’re in the ICU family meeting, and it gets heated.

IT 132

IT Illness Family Families 132

GeriPal

MAY 22, 2025

The ability to appreciate, recognize, and engage with music is preserved even until late stages of dementia, and Theresa is examining how music can be useful from the time of diagnosis, not only for the person with dementia, but their caregivers. And we got all into his family stuff and how he’d been suffering with cancer and his goal.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. And so when you have that, that’s so good for the family. That’s so good for us. What did you learn?

IT 102

IT Family Families Clinic 102

GeriPal

JUNE 9, 2022

By diagnosis? But definitely always had the bug to be the one to jump into the family meetings in the ICU, lead them. We all focused on studying the outcomes for patients and families of our intervention and then the processes to get there. Eric: Our outpatient service does have guides around diagnosis and prognosis.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

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

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

MAY 4, 2023

It is really difficult for the patients and the families. They do choose to rely more on their family and parents in ways that might feel like a step backwards and is yet, still developmentally appropriate and autonomous. The family dynamics are different though. It was incredible. Abby: Yeah. Andrea: I agree entirely, Eric.

IT 83

IT Family Families Illness 83

GeriPal

JUNE 19, 2025

And I think a big part of that journey was just having that right time, that right moment, with the right network and support groups of individuals, including my family, to really lift me up and allow me to celebrate my authentic self. If we think of discrimination, how people are treated by their biological family. Caregivers too.

Individual 85

Individual Community IT Chronic Condition 85

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? What I need to navigate with that patient and their family, is it valuable to you? And when they talk to patients and families, it’s a pretty easy sell.

IT 128

IT Family Families Patient-Centered 128

GeriPal

JULY 11, 2024

Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. I think for families and for other providers who are not trained in that, it’s very hard to predict. And you’re working with a patient that almost is like a dementia patient, depending on how much lactulose they’ve been taking.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 22, 2023

In many cases, the families were the victims of the crime. And we’ve really tried to serve that hospice mission of serving the patient and the family. And so not all of our patients still have friends or family in the community because they’ve been incarcerated for so long. They suffered from it.

Family 132

Family Families IT Community 132

GeriPal

JUNE 16, 2022

We discuss with her how we should work-up and manage “urinary tract infections” (I’ve added air quotes to “UTI” in honor of Tom Finucane’s JAGS article titled “Urinary Tract Infection”—Requiem for a Heavyweight in which he advocated to put air quotes around the term UTI due to the ambiguity of the diagnosis.). Alex: This is Alex Smith.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? Eric: A lot of talk about the Aducanumab of the world, these amyloid antibodies diagnosing people with dementia really early on potentially for treatment, but also a diagnosis of dementia may limit people’s ability to do things like driving.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

OCTOBER 24, 2024

Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. But you really should be looking at family history, personal history. Is that your feeling, too?

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. And yet, disenrollment from hospice, either due to patient/family revoking the benefit or stabilization of illness (extended prognosis) is remarkably high for people with dementia among some hospices.

Family 106

Family Families IT Patients 106

GeriPal

MAY 9, 2024

Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. It’s just normal kind of talking to people because you are scuppered if you can’t connect with the patients and families in their home.

Education 127

Education IT Illness Healthcare 127

GeriPal

JUNE 30, 2022

And then, the family, her kids got together, my wife and her brother and sister got together and said, wait a minute, mom did not want this, right? 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.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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. Remember, family member. And that could extend beyond 18 months. We just don’t know that.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Alex: That’s right. Jennifer: Oh nice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 14, 2022

But that just didn’t really resonate with what I saw clinically which was that there was lots of suffering both in the patient, their family and on the clinical team and just felt it was really this space where I didn’t have a lot of evidence to guide me. And sometimes you can make a use disorder of diagnosis in hindsight.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. John: I am what I am, which is a family practice doctor. ” I think the family would like you to consider how to work with that. That dawned on me.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

FEBRUARY 16, 2023

So when we encounter anger clinically, when we’re in an encounter with a patient and their family, what are perhaps three steps, and we have the three step model for how we can look within ourselves and respond. What feelings do we have toward the patient and toward their families? I wish they were just a diagnosis.

Patients 109

Patients IT Family Families 109

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

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

OCTOBER 17, 2024

Eric 12:05 Any pearls on the diagnosis of HFpEF. So I would agree, just in terms of not trying to dismiss a lot of these patients in terms of deconditioning and really trying to sometimes hone in on the diagnosis despite a Bnp level that is not necessarily very high. A pill organizer, having family. What is GDMT?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

FEBRUARY 29, 2024

Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. The post GeriPal 300th Episode: Ask Me Anything Hot Ones Style appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Alex: Thank you.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

MAY 12, 2022

It’s easier to concentrate on cure, diagnosis, cure. The book starts with the story of your grandfather with whom you lived, and there’s obviously a lot of family connection that you talk about in your patients, but also for yourself. And then maybe like all low and middle income countries, the resources are limited.

Community 115

Community IT Relationship Healthcare 115

GeriPal

JANUARY 11, 2024

What happened is that firstly, in terms of my clinical background, my background is psycho-oncology, so that’s working with patients with cancer and their families, including when they’re going through periods. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. Eric: Yeah. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 19, 2023

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. Karl: Okay. What they want is things that are important to them, maybe live longer.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

FEBRUARY 9, 2023

And when you and I talk about, what’s the key medical decision or diagnosis that we’re making all the time, we’re making a decision about like, “Is this patient sick enough to die? So we did a perfect cross so that the race and actual primary diagnosis was perfectly matched across groups.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111