GeriPal

JUNE 20, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. But that combination is actually quite common, and it’s quite challenging to diagnose and manage, at least in the traditional sense. That can be incredibly informative.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

JANUARY 23, 2025

The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure ). We did that and we compared it to just what happens with usual care, which of course is not much. Eric 26:43 And this is in primary care, right? So we did primary care.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

AUGUST 4, 2022

Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment. Liz, why’d you decide to do this? Eric: Can I ask? Elizabeth: Yeah.

Specialization 104

Specialization Medical Patient-Centered Provider 104

The Medical Futurist

JUNE 21, 2025

Here, we collected the top dermatology apps to aid your digital skin care. There are widely varying figures, ranging from 66% to 90% depending on the source of information.) Usually, patients go to their primary care physician for advice or try to ask in the pharmacy on the corner what the smiling pharmacists recommend.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

Plum Health

OCTOBER 11, 2024

This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 12, 2025

But there are times that a primary care physician or an internal medicine physician may make the referral. Even if it’s a discussion that is involving the primary care physician, the geriatrician, the medical oncologist, the surgical oncologist. Eric 09:13 Do you ever get it from a hospice agency?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

JUNE 16, 2022

There are a lot of old myths out there about managing urinary tract symptoms and UTI’s in older adults. Then we chat with Scott Bauer, internist and researcher at UCSF, about how to assess and manage lower urinary tract symptoms in men. I appreciate that information. Summary Transcript Summary.

Management 122

Management IT Medical Patient-Centered 122

Doctor On Demand

APRIL 28, 2025

Most sore throats heal on their own, but severe cases may require urgent care. Learn more about which symptoms mean you should go to urgent care or the ER, as well as when to use telehealth or see a primary care doctor. However, there are “Red Flag” symptoms that require urgent evaluation and management.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

FEBRUARY 20, 2025

Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. She is a guest host and she’s a palliative care social worker.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

OCTOBER 17, 2024

Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. And also I was in the HVMA primary care program. People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. Eric 12:21 Yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. Eric: How about you, David?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 15, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I mean, we work at a different part of the health system a lot of times, although we have acute care therapists who do the same thing, but the gap in information flow is similar.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 27, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. But the cancer specific databases just don’t have this information.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JULY 21, 2022

Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Certainly my bias is that healthcare professionals really do have a role in this discussion. I can get you guys that information.

Families 102

Families Family IT Diagnosis 102

BMJ

MAY 10, 2022

Family physicians and family health workers, considered reliable sources of vaccine information, have a unique position where individuals in rural and urban areas can access frequently, uninterruptedly, cheaply, and easily [2]. Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%).

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 119

Screening IT Families Family 119

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. The information there and you limit it in that way. Practically?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

MARCH 6, 2025

What is unique about the practice of palliative care for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informed care. We have world class primary care, cancer care, palliative care. On bias and trauma as you.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

SEPTEMBER 7, 2023

And it’s with this information from the geriatric assessment that we can really create interventions, and so that’s something that Alex and I strongly believe that we should move forward with. Fortunately, I am at an institution where they value patient-centered care and they give us that extra time.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

JUNE 19, 2025

So even partnering with that, making sure that you have resources that are available to partner with folks who are experts, let’s say in hormone therapy, some of our endocrinologists, some of our primary care physicians, they might come to you, let’s say, for a geriatric consultation and memory loss.

Individual 85

Individual Community IT Chronic Condition 85

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. We need that information. This information is so vital.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. We have our social workers and our psychologists and we know how to manage these symptoms. I don’t want to misspeak because now I forget.

Consulting 115

Consulting Patient-Centered Patients IT 115

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). Sharon: Yeah, they have to understand the risks.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

APRIL 10, 2025

But we felt like we want to give like the primary thing about clinical decision support is to give the provider information they don’t already have. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? The emergency physician knows it’s not new information.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

JUNE 30, 2022

Should she be treated non-operatively, with aggressive symptom management? But they don’t really have a lot of condition-specific or procedure-specific information at all. Eric: So what do we do with the information? What does it mean for functional status, symptom management, location of care? Alex: Mm-hmm.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 18, 2023

So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. Eric: And Mike, you were talking about not being misunderstood. What is the intention of the Beers criteria, the AGS Beers Criteria?

Medical 97

Medical IT Patients Clinic 97

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 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . I don’t even remember pain management teaching. AlexSmithMD .

Illness 109

Illness IT Families Family 109

GeriPal

JUNE 22, 2023

So they can be referred by their primary care doctor or to us. You can choose comfort-focused care or you can choose to continue chemotherapy. Everybody has a primary care doctor, a primary care nurse, a team. And the dad just totally lost control, major anger management issues.

Families 132

Families Family IT Community 132

GeriPal

MAY 26, 2022

It means that we’re still having those one-on-one conversations between primary care providers and individuals who are vaccine hesitant to try to educate them and understand and respond to their concerns. And on the prioritization front, I think we ended up being pretty skeptical.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

MARCH 7, 2024

Whenever I take care of a patient, I see myself as a family practice doctor, but I’ve been a hospitalist, I’ve been a primary care doctor, and I’ve done palliative. ” I spent 32 years in information technology, would you believe, and switched over to this full time a few years ago. Alex: Yeah.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 10, 2022

Ruth: Decision-making processes, we saw the lower nursing homes tended to have a clear process for advanced care planning and for decision making to include families in an informed decision. But if people aren’t given all the information that they need, they’re not even provided with a choice, then that’s a disparity.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

APRIL 24, 2025

And we were able to engage in a conversation about providing him the best care possible while he continues to engage in this therapy. That could include a robust home care plan to manage his symptoms. And that’s how it segued into this hospice conversation. ABIM MOC credit will be offered to subscribers in November, 2025.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 7, 2022

So Eric Cassell, for folks who don’t know, was a primary care physician. But really was a seminal pioneering figure in the field of bioethics, palliative care, et cetera. Every time you experience pain, it is informed by so many different things. Eric: And you actually interviewed Eric, right? Haider: Yeah.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105