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. Is this our role?

IT 102

IT Family Families Diagnosis 102

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Maybe we’ll get to talking about that today. Jessie, welcome back to GeriPal. Should they?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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

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 22, 2023

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. And the dad just totally lost control, major anger management issues. But the cost to society is higher because they have to be escorted by an officer.

Family 132

Family Families IT Community 132

GeriPal

MARCH 20, 2025

And we got this as a hospice referral, and could we, you know, take her on and support her in hospice? And we’ll say that we will link to an article that Hope and Thaddeus and others, I think Tim Quill was on there, wrote in journal, Pain and symptom Management, I think it was. Then just got the diagnosis. Alex 23:47 Yeah.

IT 87

IT Patient-Centered Patients Medical 87

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 that referral can be done in real time, a soft handoff. Eric: And Susan? And then, we have nonprofits that are community-based organizations.

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. It’s not just about physical symptom management. English or spanish speakers.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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

GeriPal

FEBRUARY 24, 2022

That this is iterative from diagnosis to end-of-life, right? Get the hospice referral. Juliet: And so the question is like, how do we… There are these massive shifts because that’s not just about symptom management. appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Illness 98

Illness Patient-Centered IT Patients 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 Eric, you asked about whether the ACP conversation would happen before.

Primary Care 79

Primary Care IT Clinic Illness 79