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Updates in ID and Nephrology: Lona Mody, Rasheeda Hall, Devika Nair, Sonali Advani

GeriPal

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

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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

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. We would make referrals to psycho oncology. I would make referrals to Joe as well as part of the team. Lynn 15:55 Well, it’s a good. And well skilled. So it matters.

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Psychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin

GeriPal

Because often what we hear from patients, “I do a lot of pain management research,” but mood comes up in that a lot, is that, “Oh, I don’t want to talk to my doctor about this. And then the NCCN now has a similar guideline requiring comprehensive distress management for their accreditation in cancer centers.

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Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson

GeriPal

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?

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PC for People Experiencing Homelessness: Naheed Dosani

GeriPal

He was a person with schizophrenia, he was a person who used drugs and he presented in pain crisis to our shelter. So, you know, I just wanted to present a couple options and give you a sense of, you know, the background for both. How much of your training was focused on managing substance use disorder training and palliative care?

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Time for Geriatric Assessments in Cancer Care: William Dale, Mazie Tsang, and John Simmons

GeriPal

So I will say that it’s challenging, because we don’t have, unlike City of Hope, we don’t have a big team like they do of geriatricians and palliative care physicians, who can screen these older adults or help with management. Mazie, I know it changes locale to locale, because your referral sources are going to be different.

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Guidelines or Goals in Heart Failure: A Podcast with Parag Goyal, Nicole Superville, and Matthew Shuster

GeriPal

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.