Imperial Center Family Medicine

JUNE 9, 2025

Effective blood pressure management requires taking the appropriate medicine as prescribed by a healthcare professional and implementing appropriate lifestyle changes. Many individuals with high blood pressure must take specific drugs to keep it at a healthy level.

Management 52

Management Medical Treatment Plan Family Medicine 52

Family Physicians of Greeley

MAY 17, 2023

Create a relaxing bedtime routine, avoid screens before bed, and ensure your sleeping environment is comfortable and conducive to restful sleep. If you struggle with sleep difficulties, consider implementing relaxation techniques or consulting with a healthcare professional.

Mental Health 40

Mental Health Physicals Healthcare Professional Relationship 40

GeriPal

MAY 5, 2022

Screening for addressing hearing loss should be an integral part of what we do in geriatrics and palliative care, but it often is either a passing thought or completely ignored. We talk with Nick and Meg about: Why hearing loss is important not just in geriatrics but also for those caring for seriously ill individuals.

IT 102

IT Screening Hospital Clinic 102

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

Family 102

Family Families IT Diagnosis 102

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Have you had a family history of substance use disorder?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

NOVEMBER 14, 2024

What are ways we should screen for falls? People don’t ask about it, they don’t screen about it. Okay, so if I were to believe you that we’re going to get to like, what interventions we can do to decreased risk for falls, how does Sarah screen? How do you screen or assess for risk for falls?

IT 124

IT Screening Patient-Centered Community 124

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended? Is that fair?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

FEBRUARY 8, 2024

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”? Family member, and with some chagrin- Eric: Powerful nudge. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Family Families Physicals 137

GeriPal

JANUARY 25, 2024

And so, three years of seeing over and over people having really difficult end of life experiences in the ICU, not being able to advocate for themselves, a lot of trauma for their families, I just thought, we have to do better than this. I was really passionate about helping the people and also their families. David: Exactly.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 15, 2024

Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. All of these are factors that are on the individual level. In addition to the grab bars, we have also helped train the EMS professionals in different lenses about screening.

Community 114

Community Transportation IT PCP 114

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They may have few family members, live alone. Ashwin Kotwal: Oh, wow. I would say that.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 6, 2023

It is a screening? Chaplains can do an assessment of the spirituality of the individual and then they use interventions that are part of their discipline and those interventions are tailored to the individual’s spiritual and religious needs of the person that they’re caring for. I guess FICA is not as cool as SKY.

IT 99

IT Patient-Centered Family Families 99

GeriPal

MARCH 9, 2023

Stacy: We’re using anxiety, baseline anxiety, as our screening. Alex: So that’s not our prototypical screening ESAS question. One of the headlines there was about a family medicine doc, not to pick on family medicine, a doc, who was prescribing mail order psychedelics at really high volumes around the country.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. Alex 06:05 And, oh, for that family, it was so meaningful. That their loved one is in there. Eric 01:34 Yeah. Eric 06:07 Yeah.

Family 93

Family Families IT Patient-Centered 93

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Some of them are really deeply individual experiences.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

JUNE 16, 2022

Alex: Today we are delighted to welcome Chrissy Kistler, who is a geriatrician researcher in the Department of Family Medicine and Vision of Geriatrics at the University of North Carolina, Chapel Hill. So I actually got started in cancer screening also, thanks to some mutual colleagues. Alex: This is Alex Smith.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

JUNE 5, 2025

So, how can we improve palliative care for individuals in nursing homes? Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JULY 28, 2022

This is my early father’s day gift from the family. I had it on my screen. 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. Alex: I’ve got to show you the back of the Jersey. Eric: Yeah. Jennifer: Yeah.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Just an extraordinary cast of individuals who were really so incredibly inspiring.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 27, 2022

James: Yeah, so I guess just to start… I mean, prognosis in general is kind of a term for predicted course of disease, and I think people commonly use it to refer to an individual’s life expectancy or how long the person has to live. I think this is a really difficult topic to talk about with patients. James: Yeah.

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 13, 2025

And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated. The black individuals wanted to have a separate one from the white individuals. And my community and about my family and those kinds of things.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Whereas the home with the low rate of feeding tube use involved families in decision making. Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

SEPTEMBER 8, 2022

Because there is a lot intense discussion, I guess we were talking about this before with the stages of grief, how individualized is there is no right way or wrong way. They don’t want to interact with their family. Eric: So do you get a lot of pushback on it? It really depends on the person. Do you get pushback on that?

IT 100

IT Relationship Complication Specialization 100

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. So it’s hard to know about individual practice when I think of geriatrics or geriatric nursing because a lot of the solutions are really broad scale public health initiatives are needed, don’t you think?

Healthcare 129

Healthcare IT Education Community 129

GeriPal

APRIL 20, 2023

What are the structural factors and individual factors that contribute to homelessness? In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. Check your Eurocentric, middle class thinking.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

AUGUST 1, 2024

And for any, any diet, it can, we can really tweak it to an individual’s preferences, their needs, that kind of thing. So I lived with a family there. But if they have family support or they’re able to make some foods from scratch at home, that would be preferable. Eric 08:13 And Elizabeth, you just read a book.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor. Who are our guests?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

DECEMBER 1, 2023

Heather: I’m requesting the song Don’t You Forget About Me, which is one of the things that I think matters most to patients and families living with Alzheimer’s disease. I think that the actuarial data are compelling, that elevated amyloid alone in some individuals can lead to downstream dementia. Eric: Wonderful.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JANUARY 5, 2023

That’s what I had done with my abortion research, and I had also studied newborn screening policies evolving. And the argument was framed more as a healthcare choice made by individuals in conjunction with their clinicians. Robert: And I’m not going to what the individual provider believes is right or wrong.

Provider 19

Provider Medical Hospital Patient-Centered 19

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable. Monica: Yes.

Vaccination 100

Vaccination IT Hospital Management 100

GeriPal

JULY 20, 2023

She sought me out to come and tell me a story because about 10 years earlier, she and her family, their loved one was dying in a hospital in Florida and they tried to access palliative care and they couldn’t get the doctor to refer them to palliative care. I think you’re a loving family doing the best you can.”

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141