GeriPal

SEPTEMBER 7, 2023

And then the duo, physical and cognitive function, those are the seven that… Alex: Oh, that’s a good way of remembering it. ” Whether it’s referrals that need to be made, or whether they’re specific actions that the person at home needs to take, like a home safety change. Drugs has to do with polypharmacy.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 11, 2024

Eric 07:08 Which of the patients that you think you’re helpful for, you want referrals? So folks that are having refractory ascites or refractory encephalopathies, challenging emotional symptom management as well. Eric 11:05 So is there a trigger or what’s your referral criteria for the outpatient clinic?

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

OCTOBER 17, 2024

If it’s continuing and it’s getting worse and maybe they have some swelling in the legs, there are some subtle findings on the echo, but really think for a second, could this be this really common cardiovascular condition, echocardiogram, maybe even a referral to a cardiologist? Eric 14:10 Yeah. Eric 19:32 And I love this.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MARCH 6, 2025

How much of your training was focused on managing substance use disorder training and palliative care? They want you to recognize their pain, not just their physical pain, but their trauma that they’ve experienced as a, as a, as a result of being on the streets. And that’s about half of our referrals. Yeah, yeah.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 20, 2022

And so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes. And while it is not an RCT and there really aren’t RCTs about pain management in CKD, there’s just so little known about mechanisms of pain in CKD that we’re just not there yet.

Complication 52

Complication Patient-Centered 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. So I get all the referrals from my great colleagues in primary care. And I gotta manage their blood pressure and their diabetes meds. Nate 14:25 Oh.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

MARCH 10, 2022

We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. So we looked at hospital referral regions, and we looked at high- and low- intensity regions. It improves symptom management. What might be contributing?”

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 6, 2023

We welcome all professions, including but not limited to physicians, chaplains, social workers, nurses, nurse practitioners, case managers, administrators, and pharmacists. Some more assessment also potentially some interventional around total pain, including spiritual suffering that actually may worsen physical pain.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JUNE 22, 2023

We really like the community doctors to know, so those of you listening, that our patients, they’ve lost their physical freedom, but they have autonomy in terms of their medical decision-making just like anybody else. And the dad just totally lost control, major anger management issues.

Family 132

Family Families IT Community 132

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. We published a nice piece, I think it was in the Journal of Pain and Symptom Management. So I mean, I had referrals from as far as Canadian Arctic North, of people who were interested in doing dignity therapy. We began this here in Winnipeg.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

OCTOBER 6, 2022

But before I became a nurse I had a long career at Procter & Gamble in brand management and I worked on the Covergirl and Max Factor business. Look at the way they talk to the public, referral like HIV prep. The hope is having help for you and your family and support and not being physically uncomfortable. Tony: Yeah.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

SEPTEMBER 19, 2024

And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. We did not just rely on a physical symptom measure, which many of our colleagues are doing. It’s not just about physical symptom management.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JUNE 6, 2024

It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. You know, where do you send somebody who is a pelvic, what is a pelvic floor physical therapist and how do you find them? Alex 25:33 Well, you brought up pelvic floor physical therapist, and you said, what is that? You can’t even.

Illness 130

Illness IT Physicals Patients 130

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. Get the hospice referral. Juliet: And so the question is like, how do we… There are these massive shifts because that’s not just about symptom management. So you need to do them in order.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

MARCH 27, 2025

But most people with dementia are initially diagnosed and medically managed in primary care, and they really desire clinicians to initiate these conversations but there are a number of really important barriers for these conversations taking place. And Eric, you asked about whether the ACP conversation would happen before.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 20, 2023

And so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73