Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical.

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Family Physician Preventive Care Preventative Care Family 100

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? 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. Great to be back.

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Primary Care Diagnosis Screening IT 95

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.

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Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Because I might be able to cope and manage in one situation with the skills and supports that I have, and with those same skills and supports, and another situation kind of come unraveled. Brianna 00:41 Thanks.

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Illness IT Diagnosis Patient-Centered 129

GeriPal

JULY 21, 2022

It’s like breaking bad news in palliative care. 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. Certainly my bias is that healthcare professionals really do have a role in this discussion. Absolutely.

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Family Families IT Diagnosis 102

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. And when I presented it to the transplant team, they said, “This is interesting, but we don’t need that.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

JUNE 19, 2025

You present your. 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.

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Individual Community IT Chronic Condition 85

GeriPal

MARCH 6, 2025

But as a first year resident trainee at the University of Toronto, I cared for a young man in his early 30s while working in a shelter. He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. We have world class primary care, cancer care, palliative care.

Healthcare 100

Healthcare IT Community Illness 100

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). And that could extend beyond 18 months. It’s coherent.

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Patient-Centered IT Clinic Patients 98

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? It’s really hard to push the pause button and slow things down.

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Hospital Patient-Centered Patients IT 132

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. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. John: Yeah.

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Provider Illness IT Healthcare 117

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 Illness 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. I thought we were on the same team, like matters most, serious illness conversation.

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Illness IT Diagnose Medical 128

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. Fortunately, I am at an institution where they value patient-centered care and they give us that extra time. Well, I do it personally.

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Patient-Centered IT Patients Clinic 129

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations.

Complication 52

Complication Patient-Centered IT Patients 52

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. No difference in their primary outcome. Corita 10:59 No, it was rather simple.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

FEBRUARY 20, 2025

So thinking about addressing trauma as part of our management of other symptoms can be really helpful or at least taking a trauma informed lens to our medical approach. Much of my training has been in, in sort of the medical management and symptom management of a patient at the end of their life and thinking about how we do that.

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Patient-Centered IT Screening Individual 66

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. So I’m going to present a case. And that’s how it segued into this hospice conversation.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 10, 2022

It improves symptom management. That’s what nursing and nursing homes should be really, really good at: is providing nursing care that creates comfort. Alex: I should mention that we did a podcast with Lieve Van den Block about her international trial of palliative care in nursing homes in Europe, which was a negative study.

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Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 1, 2025

And again, if you were to go to, you know, AIDS in terms of transmission is primarily a sexually transmitted disease of young adults, which is why it presented the way it did in the pre treatment era, really all over the world. But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care.

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Primary Care IT Provider Clinic 94

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.

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Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

Areej 03:50 So at the state of the science, I was actually presenting a study that was focused on addressing sexual health concerns in transplant survivors, and I actually told the story of the state of the science for those of you who were there. So most of us in primary care, it’s probably even worse.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. JAGS Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis. We had, since the late seventies, a home-based primary care program. Annals of Int Med.

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Hospital Patient-Centered Supply Chain IT 115