GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. But we’re not perfect individuals.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. That we can’t predict when they’re gonna get sick or when they might go to the ED, when that big event may occur, but it’s also the uncertainty of who might be able to get transplanted.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. For individuals with a life expectancy less than the time to benefit, the up front harms outweigh the downstream benefits. . James: Yeah.

Clinic 67

Clinic IT Patients Medical 67

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I think we’re probably managing sicker patients on the floor.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 3, 2025

Annie 02:31 So if you go to the A G S meeting every year, you know that this group of three individuals comprises the AGS literature update. So if you haven’t been to this event, there is a literature review where we. But in spite of that, it is a lot of work for three individuals to pull all this together.

IT 64

IT Hospital Screening Patients 64

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. And this is really traumatic event for his street family and the street community that he knew. We talk a lot about people being unhoused, which I think takes the blame away from the individual and kind of de.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

AUGUST 17, 2023

So what is the role of individuals like geriatricians in prescribing amyloid antibodies and caring for individuals who are receiving them? And I do think geriatricians need to as individuals make that decision, largely based on their comfort with the diagnostics and the specifics of the therapeutics. I’m a prescriber.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Eric: And what do we know about the outcomes of individuals getting these procedures, especially those with cognitive issues and dementia.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. A good prescriber, a good symptom control manager. Ive got a name. No, you dont need to be Canadian. Canadians are welcoming. Palliative Medicine – Just Another Specialty?

IT 104

IT Patient-Centered Family Families 104

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

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. So there’s this, what is suffering to the individual, and is there some threshold that we could say, “This is real suffering,” or “This is the suffering we talk about in geriatrics or palliative care”?

IT 137

IT Family Families Physicals 137

GeriPal

OCTOBER 26, 2023

And so for pt, we’re generally focused on assistance with transfers, providing assistive devices to help people maintain independence with ambulation, doing stairs, leaving their homes, getting into the community, but really focusing on symptom management. If they go to rehab, are they likely to get stronger, their goal?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MAY 15, 2025

The events are conditions that’ll be set into place unless some active choice to the contrary is chosen. We did another nudging trial where the deep default was for default palliative care consultations for high risk patients, and it significantly increased individuals who were receiving palliative care. I highly encourage you.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. And the dad just totally lost control, major anger management issues. Welcome to the GeriPal podcast, Michele. Michele: Thank you for having me. Michele: Yep. Keith: Yes.

Family 132

Family Families IT Community 132

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. And so any additional stressor such as heat or an extreme weather event or having to move from your home because of a climate related disaster can really tax an older adult whose window of resilience is more limited.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

SEPTEMBER 19, 2024

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 not just about physical symptom management. You sort of had a month after all of those events. No, I think it was a great trial. Palliative care.

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 have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. Eric: And Susan?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 20, 2023

What are the structural factors and individual factors that contribute to homelessness? ” On that grand rounds, you differentiated structural factors from … I forget what the word was, individual- Margot: Individual risk factors. Why do we say “over 50” is “older” for homeless persons, why not 65? Margot: After 50.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 25, 2024

This is a particularly interesting topic because we know that individuals with dementia have a high rate of entering nursing home. That just leads to issues that can make home care very difficult for these individuals. So you’re kind of the guest host today. Why did you do that paper, James? James 17:03 Yeah, I think so.

Family 106

Family Families Patient-Centered IT 106

GeriPal

AUGUST 1, 2024

So if you already have a condition, you might be able to prevent events. But at any age, like, as Emily said, it is so important to pay attention to nutrition and healthy eating because it’s not just about, oh, chronic disease prevention or even treatment and management. And you can work at different levels of prevention.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 1, 2023

I think that the actuarial data are compelling, that elevated amyloid alone in some individuals can lead to downstream dementia. I haven’t yet seen those clinical trials with beta-amyloid in asymptomatic individuals to allow me to reach that conclusion. That’s what got hyperlipidemia turned into hyperlipidemia. Jason: Yeah.

IT 115

IT Clinic Illness Hypertension 115