Rao Doctor

APRIL 3, 2025

When assessing a fever, we doctors employ a systematic approach to ensure accurate diagnosis and effective management. Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause. What are the Management and Treatment Options in a case of fever?

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

Individual 81

Individual Community IT Chronic Condition 81

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. But in spite of that, it is a lot of work for three individuals to pull all this together. So that this is not something that might affect the individual clinician patient decision.

IT 64

IT Hospital Screening Patients 64

GeriPal

JANUARY 30, 2025

And I would say we weren’t doing training on symptom management, for example. And then there was a lot of stuff on coping and symptom management. Lynn 31:56 One little detail that stood out to me, which really rang true to real life, was that caregivers were actually less present during visits in the video visits.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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

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

JULY 21, 2022

That’s where it really gets to this individual risks and balances, individual situation. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care. Alex: Yeah. Terri, I wonder if you could comment on that. Absolutely.

IT 102

IT Family Families Diagnosis 102

GeriPal

JULY 11, 2024

So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. As this patient has an x percent mortality in three months, there’s a little more nuance to it, and it isn’t really applied to the individual. Sarah 24:19 Well, I don’t know.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. How should we care for unrepresented individuals in inpatient and outpatient settings? Why not use the older term unbefriended?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

MAY 8, 2025

Alex 00:59 And I met all three of you and watched you do a presentation about psilocybin research at the Congress International Desens Palliative Miguel. And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. Ali John, welcome to the GeriPal Podcast. So 5ht2 was.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Eric: I think about it as the first one to address individuals’ curative therapy. Welcome, Corita and Kate and Tom.

Consulting 115

Consulting Patient-Centered IT Patients 115

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

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. those experiencing homelessness). Who, his name was Terry. Health and health justice. Yeah, yeah.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Wonderful work. Every Veteran has a story.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. It sets space between us and the individuals we’re trying to take care of.

Provider 117

Provider Illness IT Healthcare 117

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. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

FEBRUARY 6, 2025

On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. And then the family tells me they can’t keep an appointment, they can’t manage their finances. Of these interventions in those individuals.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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. Is that how we presented ourselves? And love that Jim Croce choice. Whats in a name? Ive got a name.

IT 104

IT Patient-Centered Families Family 104

GeriPal

APRIL 13, 2023

No, I mean, I think I had the initial feeling or thought about this being present after I learned about it and were thoughtful with senior mentors about it. I think some of that is from some of my thinking about maybe what I can potentially think about with the individual to support them. You just knew it? Thomas: Yeah, yeah.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

OCTOBER 26, 2023

But one of the things I’m really interested in is people have agency and autonomy, so we can present them with the scenarios of best case, worst case, and they will always choose what’s most important to them. But really how are we talking about that as a team? If they go to rehab, are they likely to get stronger, their goal?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 3, 2022

And then when I did residency in internal medicine first, there was just a lot of focus on a lot of heroic management in the ICU that didn’t always appeal to me without thinking about what the morbidity might look like. I think we’re probably managing sicker patients on the floor. That’s just one hypothesis.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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. It’s all individual. They want to go back to before the illness, before the cancer.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. Well, being a pretty comprehensive definition.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

DECEMBER 15, 2022

You would love this because in that story that was in that patient CHR was a particular song that had meant a lot to this individual. So it provided just a gem of something, connection around this story that had both been meaningful to both individuals, we’re humans too, clinicians. That’s fine.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JANUARY 20, 2023

If you own and operate a nursing home and you’re taking people in, and you’re admitting new residents, what’s their accountability for how they manage compensation and quality delivery? It needs to be presented in a way that they can understand. I’m the project manager, so my job’s to zoom in.

Finance 95

Finance Board-Certified IT Provider 95

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 Families Family Physicals 137

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. We randomized individual patients either to the SKY framework or to usual care. This is Eric Widera.

IT 99

IT Patient-Centered Families Family 99

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Oh, yeah, yeah. Good artist. Really tasteful. I gotta get some sleep.

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JANUARY 11, 2024

You get me with one-finger-chords on the guitar if you’re watching on YouTube (best I could manage). One thing I would like to add here is both Sonu and Leonie presented this as something that lacks boundaries. So it started off for individuals with a terminal illness. Eric: Bill. Bill: Yeah. Eric: And let me just clarify.

Illness 144

Illness IT Medical Provider 144

GeriPal

APRIL 10, 2025

Alex 10:52 And did you have algorithms you’d present to them, like given this patient’s circumstance, these are recommendations? It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. Do we know these individual things really work in big randomized control?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

AUGUST 24, 2023

Just an extraordinary cast of individuals who were really so incredibly inspiring. And then the final category, the third category is what we called the dignity conserving repertoire, which really has to do with kind of the spiritual, and psychological landscape and makeup of that individual. I’m fully present.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

SEPTEMBER 22, 2022

Well, it’s not just being present, though. On the other hand, I also think that there are some people who can be so genuine and present using the exact same language every time, because for them it’s not about the language that they use and it doesn’t become stale. Eric: Yeah. It’s challenging.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

APRIL 24, 2025

Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. That could include a robust home care plan to manage his symptoms. But I have to be careful how I present you with this because you’ve already sort of dug into a worldview that isn’t going to accept necessarily my opinion.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 10, 2022

It improves symptom management. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. Physicians often not present except for an occasional monthly visit. Of intensively hand feeding? Ruth: It’s not incredibly expensive.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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

FDA Law

FEBRUARY 11, 2024

Houck — With apologies to David Letterman, who introduced the first Top Ten List on Late Night with David Letterman on September 18, 1985, we present “Marijuana: Top Ten Reasons for Descheduling, Rescheduling or Not.”* We present the Top Ten Reasons in chronological order of the letters and in order of their appearance in those letters.

Medical 59

Medical Healthcare Professional Community IT 59

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 Patients 106