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. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. We might say, “Of course you’re sad, you just got a very serious diagnosis.” Is this a new onset depression? Is this an adjustment disorder? I’m dying.”

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JUNE 19, 2025

And so there’s one study that used Medicare beneficiary data, and when they look at diagnoses for transgender men and women compared to cisgender men and women, we see around one in five have a diagnosis of dementia in the medical record for the transgender community compared to around, like, 1 in 7, 1 in 8 versus gender people.

Individual 85

Individual Community IT Chronic Condition 85

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

JUNE 15, 2023

Now actually suggesting perhaps that you missed a diagnosis that you should have considered? Is there a true relationship with that? So over fitting just means that you found a relationship in your data that is not going to be generalizable to other people. Eric: Yeah. Dr. Smith, I believe you missed an emotional cue.

IT 99

IT Patient-Centered Patients Healthcare 99

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. But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 27, 2025

Why the field is moving away from prescribing methadone to bupenorphine; how to manage patients prescribed methadone for opioid use disorder who then develop serious and painful illness – should we/can we split up the once daily dosing to achieve better pain control? When to consider bupenorphine vs methadone? That’s what we do.

Patients 72

Patients Clinic Patient-Centered Illness 72

BMJ

MAY 10, 2022

Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%). Univariate relationships between COVID-19 vaccination intention and sociodemographic variables are shown in Table 1. COVID-19 diagnosis of self Yes 24 (44.4) COVID-19 diagnosis of a relative Yes 98 (46.4) 150 (54.3)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

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. People who are suffering are not very visible.

Community 115

Community IT Relationship Healthcare 115

GeriPal

AUGUST 29, 2024

So the first thing, explain the diagnosis. Is the sort of task to manage. Eric 26:25 So if that therapeutic relationship reverses and now they’re supporting you. And just sort of acknowledge that because this person’s probably had a longer relationship, this patient, than I have. What should I say?

Illness 132

Illness IT Family Families 132

GeriPal

FEBRUARY 29, 2024

Widera and Smith have no relationships to disclose. Guest hosts Lynn Flint and Anne Kelly have no relationships to disclose. Alex: And, it means pain management. The post GeriPal 300th Episode: Ask Me Anything Hot Ones Style appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

IT 126

IT Patient-Centered Illness Education 126

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). I would look at their functional ability. Eric: PET scans. Eric: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis.

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

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. Alex: Self-administer and psychiatric illness is not considered a qualifying diagnosis. So they have to self-administer.

Illness 144

Illness IT Medical Provider 144

GeriPal

MAY 4, 2023

Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. As fellows, we’d rotate who took care of them rather than this is the same fellow the whole time, because it was so hard for any one fellow to manage. It’s very fraught.

Family 83

Family Families IT Illness 83

GeriPal

MARCH 20, 2025

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. Just got the diagnosis based on blood tests of amyloid. Then just got the diagnosis. Thaddeus 39:58 That’s how she decided to manage it.

IT 87

IT Patient-Centered Patients Medical 87

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? It’s about establishing a relationship and rapport. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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. I knew them, I developed a relationship with them. As a managed care state also, our care managers in managed care for Medicaid could be 300 miles away.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MAY 1, 2025

Alex 16:55 My guess is probably not something that most geriatricians or internists or family medicine docs caring for older people have on their differential diagnosis. Is a new diagnosis of HIV. If they did, it was before AIDS was a diagnosis. Meredith 17:07 Yes. And I think patients too, don’t always people.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . And the VA has become really the center of excellence for interdisciplinary pain management. Haider: Yeah.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

APRIL 21, 2022

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). Mike: Yeah. Thank you.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. I don’t know how our patients manage that. And by the way, the cancer’s back when you get your next scan in three months.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

JUNE 6, 2024

So this is about two and a half, three years out from leukemia diagnosis. There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. We have a lot of loss of libido, loss of physical intimacy as a result of the changing dynamic in the relationship.

Illness 130

Illness IT Physicals Patients 130

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

AUGUST 22, 2024

I love these topics, too, because even how do we define what is a diagnosis? And then another, which was released under the Bush administration by a council with a different sort of philosophical Benton worldview which still managed to come to the same conclusion in support of a brain based definition, death. Alex 04:49 Amyloid.

IT 113

IT Family Families Patient-Centered 113

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. Widera and Smith have no relationships to disclose.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JANUARY 5, 2023

He has an interest in hospice and of life care, pain management and medical ethics. So, they were finding that their miscarriage management was constrained and sometimes less safe, honestly, because of the restrictions. Robert: Professional relationship. Alex: … professional relationship to the patient?

Provider 19

Provider Medical Hospital Patient-Centered 19