GeriPal

DECEMBER 2, 2022

So on today’s podcast we invite four brilliant individuals to talk about their perspective on how to change how we as a society and health care system partner with individuals with dementia. We’re going to be talking about things like creative engagement in individuals with dementia. Susan: Yeah, that was me.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

JUNE 20, 2024

Incontinence and avoiding issues can present in an older individual, in some cases, just like they do a younger person. But then there is incontinence, which is the same term, same word, but actually presents as a geriatric syndrome. Biological aging or physiological aging varies from individual to individual.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

JULY 19, 2024

What should we use to screen individuals? Joe 18:38 Yeah, you know, it’s interesting, Soo, I’m doing a county by county visit here in Minnesota where I actually give a presentation on the basics of dementia and Alzheimer’s disease. Who should get it if anyone? What happens after they test positive? I’m busy.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

OCTOBER 13, 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.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

MAY 11, 2023

I’m thinking of chronic pain, for example, and individuals with chronic pain often have disturbed sleep or other conditions. I presented this at the big clinical trials meeting in November in San Francisco. And because we can’t resist, we dip into aducanumab and lecanemab at the end. Alex: Mm-hmm. It’s funny.

Physicals 85

Physicals IT Hypertension Education 85

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

Rao Doctor

APRIL 3, 2025

Fever can present alongside other symptoms, such as chills and fatigue, which may help in diagnosing the underlying cause. While mild fevers often resolve on their own, persistent or severe fevers warrant professional evaluation. A comprehensive history includes: A body temperature exceeding 100.4°F

Diagnosis 130

Diagnosis Management Illness Diagnose 130

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 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 Families Family Diagnosis 102

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

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

JANUARY 30, 2025

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. Because on one level, you could make the argument that with the caregiver not being present, perhaps there’s a breakdown in communication. Joe 41:30 Yeah.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). I think one of the strengths of a group visit is that you can choose the materials that you want that are actually most helpful to the individuals who come to your clinic.

Community 95

Community IT Patient-Centered Primary Care 95

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

NOVEMBER 14, 2024

Sarah 11:14 So it’s really assessing patients for their individual risk factors for falls. Then it kind of swung the other way and you’ve got these meta analysis, maybe more meta analysis sometimes than individual studies on vitamin D and often with conflicting results. The present. Vision is another obvious one.

IT 124

IT Patient-Centered Screening Community 124

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

SEPTEMBER 21, 2023

I started going to the literature and I noticed that communities of color, those with the Hispanic background, Black individuals were disproportionately impacted by dementia, and I couldn’t believe it. I think, again, it’s the person’s individual, their preference. Alex: Yeah, I like that approach too.

Community 128

Community Families Family IT 128

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

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. What I presented at HPM was findings of several hundred outpatients and the two most salient constructs were depression. Ali John, welcome to the GeriPal Podcast. So when we did have.

Illness 107

Illness IT Patient-Centered Patients 107

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

FDA Law Blog

FEBRUARY 16, 2023

Many states already have standing orders that allow for the dispensing of naloxone without an individual prescription and other public health initiatives to increase naloxone access. FDA flagged five study limitations for the Advisory Committee’s consideration: The HFVS did not include participants in the 10-14 age group.

Supply Chain 64

Supply Chain Healthcare Professional Community IT 64

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

JULY 11, 2024

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 24:24 See, I usually always present it as these are things we should think of. Can you come and be in our clinic once a week? Sarah 24:19 Well, I don’t know.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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

JANUARY 26, 2023

Second, as we discussed in last week’s podcast , older adults, particularly those in nursing homes, were far more likely to die than younger individuals. We lump everybody who’s 65 and older together, and then we don’t look at the individual characteristics of that person, so we fall into these patterns based on racial premises.

IT 91

IT Patient-Centered Healthcare Patients 91

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.

Complication 52

Complication Patient-Centered IT Patients 52

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.

Healthcare 100

Healthcare IT Community Illness 100

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

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. Is that how we presented ourselves? And sometimes one just senses that shift in an individual and the impact that that has coming back the other way to the family around them.

IT 104

IT Patient-Centered Families Family 104

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

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is Eric Widera. Not anymore.”

Families 97

Families Family Patient-Centered IT 97

GeriPal

FEBRUARY 6, 2025

Of these interventions in those individuals. And I pretty much present it as. And well, when we wrote this, I feel like I’m just doing everything in my presentation. Although Nate sort of talked about it just a moment ago like it was maybe. Nate 23:45 Well, so. Eric 27:45 Yeah. Nate 27:46 So. This is the patient.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

MARCH 24, 2022

Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. So it’s an example of something that can start outside of the healthcare system and move its way in. I think Bob also noted documenting it.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? Thank you very, very much.

IT 102

IT Families Family Clinic 102

FDA Law Blog

AUGUST 21, 2023

It’s important to note here that the warnings and precautions listed in the acetaminophen labeling complied with FDA’s Pregnancy Rule (which applies to all OTC systemic products), stating “if pregnant or breast-feeding ask a health professional before use,” and with the acetaminophen OTC Monograph and the relevant NDAs.

Manufacturing 40

Manufacturing Consulting Healthcare Professional Vaccination 40

GeriPal

OCTOBER 19, 2023

And for a few reasons, which I’m sure we’ll get into, I think it’s probably most effective upstream of the acute care setting, more in the nursing home setting or for patients who are not presenting in the hospital or emergency department setting. So we have the intervention is a big part.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

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. Did it have any impact?

IT 99

IT Patient-Centered Families Family 99