GeriPal

OCTOBER 13, 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 97

Complication Patient-Centered IT Patients 97

Plum Health

OCTOBER 11, 2024

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. Patients who have a trusted primary care doctor are more likely to follow medical advice, manage their chronic conditions effectively, and ultimately enjoy better health outcomes. Why is it called a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. How much should it change how we think about making a diagnosis of Alzheimer’s disease in primary care? Nate, welcome back to the GeriPal Podcast. Absolutely.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. Then we chat with Scott Bauer, internist and researcher at UCSF, about how to assess and manage lower urinary tract symptoms in men. But really those urinary tract signs and symptoms should be driving your diagnosis.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. So it tends to be future oriented and tends to show up as a physical sensation in our body. But it’s this physical sensation that comes along with these ideations. Brianna 00:41 Thanks. Great to be here.

Illness 129

Illness IT Diagnosis Patient-Centered 129

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. However, there are “Red Flag” symptoms that require urgent evaluation and management.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JULY 21, 2022

Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.” Or somebody who has other physical cognitive problems at any age. Those things do just accumulate with age. Emmy: Yeah.

Family 102

Family Families IT Diagnosis 102

GeriPal

FEBRUARY 22, 2024

A lot of those symptoms of depression can also be attributed to different kinds of physical symptoms. We might say, “Of course you’re sad, you just got a very serious diagnosis.” If you’re low energy, well, is that the illness or depression? Is this a new onset depression? Is this an adjustment disorder?

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. So they had to be within three months of diagnosis and they were going to be randomly assigned to either the traditional model that we’ve been testing. Who will emerge victorious?

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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 this has been really interesting because people are like, they just got their diagnosis.

IT 96

IT Patient-Centered Patients Board-Certified 96

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. Nicole 12:14 No, HFpEF is cool, and it’s fine. What is GDMT?

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JULY 28, 2022

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. They supported patients, they gave them a holding environment, they did symptom management, yada, yada, yada, like all the things we know palliative care clinicians do.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Like, with a cancer diagnosis, there’s relatively a smooth, smooth prognosis. Any particular thoughts on how to manage pain and liver disease from a pharmacological perspective? I mean, is it.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? I actually like reading books and the physical,” and what the internet 2.0 We should build models to identify symptoms, to do proactive symptom management, and AI can totally do that. Eric: Yeah. Charlotta: Yeah.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 19, 2025

Gender expression is your physical outward manifestation of how you express your gender identity. When you have, when you exist simply for being you, and then on top of that you have HIV AIDS as a diagnosis or substance use or what have diabetes, all of these will accelerate your aging. Eric 29:17 Why do you think that is?

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

FEBRUARY 29, 2024

Alex: And, it means pain management. Alex: So many, I remember in Palliative care fellowship learning how to prescribe Tramadol and even giving a talk at the general on pain management and recommending Tramadol. Eric: That was the SAT answer. Eric: I’ve heard that before. ” Terrific, so memorable. Alex: Thank you.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. Is the sort of task to manage. Your patients expect you to care for them, their mental well being, their physical well being. Eric 10:36 But I asked Chachi Bt, I said to Chatty BT, I need to tell my patient they have cancer. What should I say? So you got to be better than AI.

IT 132

IT Illness Family Families 132

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

MAY 12, 2022

In this podcast, we cover a great deal of ground, including: Early challenges Dr. Raj faced in pain management: access to opioids, corruption, a system that doesn’t see addressing suffering as a priority. It’s easier to concentrate on cure, diagnosis, cure. We know that a department of healthcare cannot give it.

Community 115

Community IT Relationship Healthcare 115

GeriPal

MAY 4, 2023

So if a young person is saying, “I’m going to try my 10th round of chemotherapy even though I physically am suffering. We really need to figure out who we are in the world and that takes your physical identity, your sexual identity, your vocational goals. It was incredible. Those decisions are not wrong or bad decisions.

IT 83

IT Family Families Illness 83

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. And importantly the patient has to have capacity and they have to be able to take the drug themselves. So they have to self-administer.

Illness 144

Illness IT Medical Provider 144

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. So it’s a lot of palliation. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 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. Alexis: Yeah.

IT 128

IT Family Families Patient-Centered 128

GeriPal

FEBRUARY 16, 2023

Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. I wish they were just a diagnosis. The post The Angry Patient: A podcast with Dani Chammas and Keri Brenner appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Patients 109

Patients IT Family Families 109

GeriPal

JUNE 22, 2023

We really like the community doctors to know, so those of you listening, that our patients, they’ve lost their physical freedom, but they have autonomy in terms of their medical decision-making just like anybody else. And the dad just totally lost control, major anger management issues.

Family 132

Family Families IT Community 132

GeriPal

SEPTEMBER 19, 2024

Within eight weeks of diagnosis of advanced disease. Eric 23:45 Yeah, I love that, too, because I think that one for me really is, can our interventions need to target the patient population that we’re managing? We did not just rely on a physical symptom measure, which many of our colleagues are doing. Palliative care.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 7, 2022

Like yourself, when I was a resident, and pain has been shaped in our mind as being a purely physical sensation, especially on the clinical side, where this idea that pain is complex and that pain is as much an emotion as much as physical sensation is not really something we are trained to do. Haider: That was a great story.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. And I said, sure. We haven’t really talked about this.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 25, 2024

So how physically active the patient is, how much time they spend awake, how much they’re eating, how much care they need, that type of thing. I don’t know how our patients manage that. Alex 05:48 I guess we didn’t do hospice specifically. Eric 05:50 Yeah. What’s in it again? It’s a measure of function.

Family 106

Family Families Patient-Centered Patients 106

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?

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. That this is iterative from diagnosis to end-of-life, right? Juliet: And so the question is like, how do we… There are these massive shifts because that’s not just about symptom management.

Illness 98

Illness Patient-Centered IT Family 98

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. And then we also looked at subgroups with who are 75 years and older.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. I didn’t know how to manage it. But what happened when we finally… When he did get the diagnosis, it all fell into place.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

The other way to think about who’s eligible… I talked about coming at this from a diagnosis point of view, people with certain conditions that you need to be hospitalized for. By the year 2000, everyone will be in a Medicare managed care plan.” We’re not paid, as part of a DRG, for any particular diagnosis.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115