GeriPal

MARCH 14, 2024

And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.

IT 125

IT Patient-Centered Hospital Individual 125

GeriPal

JULY 19, 2024

I’m a dementia specialist, and so what I was experiencing was that many people were coming to see me to get a diagnosis of a very straightforward case of mild Alzheimer’s or moderate Alzheimer’s disease, whose doctors had told them there was nothing wrong with them or that their memory was better than my own, says the doctor.

Screening 120

Screening Primary Care Patient-Centered IT 120

Annals of Family Medicine

NOVEMBER 20, 2024

Objective Describe the population of patients referred to a palliative care clinic and observe their healthcare utilization patterns. The Supportive Medicine Clinic (SMC) provides palliative care integrated within the divisions of pulmonology and cardiology, operating as a hospital-based outpatient clinic.

Patients 130

Patients Diagnosis Patient-Centered Utilities 130

PEMBlog

SEPTEMBER 6, 2023

Attention to any toxidromes, any abnormal vital signs or mental status, eye findings, and neurologic examination provide the greatest help in narrowing the differential diagnosis. Clinical utility of screening laboratory tests in pediatric psychiatric patients presenting to the emergency department for medical clearance. Ann Emerg Med.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

GeriPal

JUNE 9, 2022

Palliative care, in contrast, saw explosive growth in US hospitals. By diagnosis? They were at the VA, but not so much at our main hub hospital where I trained. I do tend to focus in the hospital setting. That’s just not how the hospital works. By prognosis? Can nudges help? It’s where I practice.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

PEMBlog

JUNE 2, 2025

Hypertensive emergency is a clinical diagnosis characterized by a sudden and severe elevation in blood pressure accompanied by signs of acute end-organ dysfunction. Additionally, hydralazine is another agent that was previously utilized in pediatric hypertensive emergencies.

Hypertension 75

Hypertension Management Physicals Lab Testing 75

GeriPal

OCTOBER 19, 2023

Certainly SOME of those avoided hospitalizations, CPR, and ICU stays were due to documentation of those orders in the POLST. Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy!

Patient-Centered 127

Patient-Centered IT Patients Illness 127

PEMBlog

MARCH 27, 2024

She did her MD/PhD at Columbia University, where she investigated the diagnostic utility of exome sequencing for kidney disease. Inborn errors of metabolism in infancy: a guide to diagnosis. Her name is Emily Groopman, and she’s a current resident at Children’s National Hospital. Pediatr Rev. doi: 10.1542/pir.2014-0122.

Consulting 59

Consulting Individual Families Family 59

GeriPal

APRIL 14, 2022

Zachary: So seeing a non-onc population at the VA and out-patient at Dana-Farber, and that when someone comes to me with a diagnosis of opioid use disorder, it is much easier you kind of have an idea of where you’re going to start. They have poor pain, they have poor function, but you also can’t clearly make a diagnosis.

Illness 103

Illness Patient-Centered IT Patients 103

FDA Law Blog

SEPTEMBER 30, 2024

Yet another rejection was a proposal requiring a diagnosis on Medicaid prescriptions as a condition for claims payment. physicians services or inpatient hospitals services) and for which Medicaid payment may be made as part of payment for the service “and not as direct reimbursement for the drug.” 1396r-8(k)(3).

Manufacturing 59

Manufacturing Utilities Provider IT 59

GeriPal

AUGUST 25, 2022

Second, Hospice was originally designed for patients with advanced cancer, but the fastest growing admitting diagnosis is dementia. For-profit hospices having much higher rates of their patients visiting the emergency department and being hospitalized, in addition to disenrollment. There’s a cost avoidance aspect to it, too.

Families 107

Families Family IT Patients 107

GeriPal

DECEMBER 19, 2024

* This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. For more details, please click here. (AP

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

SEPTEMBER 1, 2022

And we’ll tell you the scope of practice, and this is top of license, and this is how you can best utilize a social worker and, no, actually that skillset belongs over here.” What does this diagnosis mean to you? But then I like to also see there be time for scholarship and a recognition of that.

IT 102

IT Families Family Clinic 102

BMJ

MAY 10, 2022

COVID-19 diagnosis of self Yes 24 (44.4) COVID-19 diagnosis of a relative Yes 98 (46.4) In Turkey, the COVID-19 vaccination program is performed both in primary care family medicine units and in hospitals. Primary care visits increase utilization of evidence-based preventative health measures. 150 (54.3) 126 (45.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. Jennifer 00:44 Thanks.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. And then when you see clinically patients coming into hospital, they’ll have, you know, they’ll be admitted for aspiration pneumonia.

Illness 60

Illness Hospital IT Patient-Centered 60

GeriPal

JULY 6, 2023

The idea was to create a robust community-based infrastructure that could help older adults succeed in their homes and communities, whether they were healthy, how to keep them healthy or they were at imminent risk of emergency room visits, hospitalizations, or nursing home placements. And that’s critical. Eric: Yeah.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

FEBRUARY 24, 2022

Alex: And we’re delighted to welcome back, a frequent guest to our podcast, Rachelle Bernacki, who’s a palliative care physician and geriatrician at the Dana-Farber Cancer Institute and Brigham and Women’s Hospital. We see our patients and our families throughout the illness trajectory into the hospital.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. But what happened when we finally… When he did get the diagnosis, it all fell into place. Malaz: … to restrain them in the hospital. And I was terrified. I didn’t know how to manage it.

Patient-Centered 126

Patient-Centered IT Families Family 126

Physician's Weekly

JUNE 11, 2025

Losing Memory, and Other Things, Too Kennedy’s diagnosis led him to retire, ending a decades-long career as a software engineer at the University of Scranton. They have given him purpose, Kennedy said, and help him cope with negative emotions around his diagnosis. Socializing can also become more difficult after diagnosis.

Patients 52

Patients Families Family Diagnosis 52