GeriPal

JANUARY 30, 2025

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources. And well skilled.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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.” Certainly my bias is that healthcare professionals really do have a role in this discussion. Absolutely. Emmy: Yeah.

Family 102

Family Families IT Diagnosis 102

GeriPal

FEBRUARY 22, 2024

We might say, “Of course you’re sad, you just got a very serious diagnosis.” Because often what we hear from patients, “I do a lot of pain management research,” but mood comes up in that a lot, is that, “Oh, I don’t want to talk to my doctor about this. Is this a new onset depression?

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? I mean, I think, you know, people talk about withdrawal syndrome and it is an official DSM for diagnosis, but I’m not sure it’s. Is that your feeling, too?

Medical 98

Medical IT Patient-Centered Healthcare 98

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

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. Sarah 24:24 See, I usually always present it as these are things we should think of. Amy 24:21 For me, I always.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). And that could extend beyond 18 months. We just don’t know that.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JUNE 19, 2025

You present your. 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. So that’s how. Just how you. Your gender. Eric 29:17 Why do you think that is? Noelle Marie 40:23 That’s interesting.

Individual 85

Individual Community IT Chronic Condition 85

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 117

Provider Illness IT Healthcare 117

GeriPal

AUGUST 31, 2023

He spent a long time as hospice medical director and he founded a national model of care that many of our listeners will be familiar with, AIM, which stands for the Advanced Illness Management program, which has influenced CMS policy. So she had them early in diagnosis and then a little bit later. Brad: Yeah.

Illness 128

Illness IT Diagnose Medical 128

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. I think it’s very present in maid.

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

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

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. One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. Eric: Yeah. Eric: Yeah.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 16, 2023

Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Managing anger is hard, it’s really hard. And yet we don’t ever talk about how to manage it. Dani: Yeah, so the way you presented was triggering to them. Dani: Yeah, good question.

Patients 109

Patients IT Family Families 109

GeriPal

JULY 6, 2023

Started as a direct case manager, worked in a variety of different places including the state legislature and I’ve been with the state office now since 2006. ” 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? Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MAY 1, 2025

And again, if you were to go to, you know, AIDS in terms of transmission is primarily a sexually transmitted disease of young adults, which is why it presented the way it did in the pre treatment era, really all over the world. Is a new diagnosis of HIV. If they did, it was before AIDS was a diagnosis. Meredith 17:07 Yes.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

JULY 25, 2024

So snaps to Ricky, but he presented this case to us of a person who had had a heart operation. And so this case that we presented was based on a real case where there were different members of the team, really smart people with good intentions, who were telling the patient and the family just wildly different things. Liz 30:53 Yeah.

Family 106

Family Families Patient-Centered Patients 106

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

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 this is about two and a half, three years out from leukemia diagnosis.

Illness 130

Illness IT Physicals Patients 130

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

FEBRUARY 24, 2022

That this is iterative from diagnosis to end-of-life, right? But one of the things that I try to teach, because both Juliet and I have done a ton of teaching about this, is that if you follow these steps, that outcome sort of presents itself. What’s that and what’s the shift there? Juliet: Sure. Get the hospice referral.

Illness 98

Illness Patient-Centered IT Family 98

GeriPal

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? Right, my answer that brings us a little bit closer to the present than my childhood. Winston Chiong and Sean Aas appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Alex 04:49 Amyloid.

IT 113

IT Family Families Patient-Centered 113

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

JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. 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

GeriPal

JULY 14, 2022

And we now continue to manage all the comfort care patients, which in the setting of a packed hospital, that’s really done some great offloading. But so many palliative care providers … and I had been in a presentation with Ira Byock about this, who agreed that palliative care folk, it’s like, “Everybody’s good.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136