Physician's Weekly

JUNE 13, 2025

An expert panel has created a preoperative cannabis use assessment tool to aid healthcare professionals in planning informed, individualized anesthesia and analgesia care for patients. The team published the finalized Cannabis Use and Behaviors Assessment Tool (CUBAT) online in the Journal of PeriAnesthesia Nursing.

Clinical Practice 52

Clinical Practice Healthcare Professional Healthcare Experience Screening 52

Annals of Family Medicine

NOVEMBER 20, 2024

The moral distress experienced by primary care professionals during the pandemic has not been discussed in the extensive literature on health system functioning during the pandemic. In Alberta specifically, a significant concern was prioritizing provincial COVID-19 infection control over patient management.

Primary Care 130

Primary Care Healthcare Professional DO Family Medicine 130

GeriPal

JULY 19, 2024

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. If so, how do we screen and who do we screen? What should we use to screen individuals? Cognitive screening.

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

JUNE 20, 2024

Do you screen for lower urinary tract symptoms, incontinence, and if so, how? If I was going to ask one question about this just as a screen, is there a way to ask this question that is not both stigmatizing, but people also understand and it gets around some of these issues. In terms of how you can, how you can manage these issues.

IT 121

IT Patient-Centered Patients Clinic 121

GeriPal

JANUARY 23, 2025

And I think of the analogy of, like, cancer screening. The stopping the cancer screening doesn’t have that same sort of momentum. Within the VA , there’s a program called Whole Health, which is really about trying to engage patients in many different modalities for pain management and just self care.

Specialization 120

Specialization IT Patient-Centered Medical 120

Mesa Family Physician

MARCH 13, 2025

Arizona’s climate and lifestyle present specific health considerations that our Mesa-based medical professionals are specially trained to address. At Mesa Family Physicians, we understand the demands on your time and offer flexible scheduling options to accommodate busy professionals.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

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. So I actually got started in cancer screening also, thanks to some mutual colleagues.

Management 123

Management IT Medical Patient-Centered 123

Plum Health

OCTOBER 11, 2024

It's the first point of contact for all your medical needs, from routine check-ups to managing chronic conditions. During these regular appointments, doctors conduct various tests and screenings to catch issues early. Your insights could help someone else in their healthcare journey! Why is it called a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

OCTOBER 10, 2024

So we took this idea of, and it’s really an invitation from the national consensus project that every member of the team should be screening in all domains. So that means that we all screen for every domain in our interactions. And a screening is one to two simple sentences to identify need in that or distress in that domain.

Screening 121

Screening IT Families Family 121

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Jessie, last time we had you on in 2017, we asked you the question, should palliative care fellowship training include management of chronic pain? Jessie, welcome back to GeriPal. Katie: Yeah.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

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. How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms?

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

JUNE 27, 2024

We then walk through how we should screen for anxiety and how we should think about a differential. I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Lastly, we talk about both non-pharmacologic and pharmacologic treatments. Brianna 00:41 Thanks. Great to be here.

Illness 130

Illness IT Diagnosis Patient-Centered 130

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. And what should we be doing as far as assessment?

Families 102

Families IT Family Diagnosis 102

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. How to talk to patients about screening colonoscopies. Ken 10:29 Yes.

IT 65

IT Hospital Screening Patients 65

GeriPal

SEPTEMBER 7, 2023

Because a lot of my colleagues, who are like transplant coordinators for example, are asking, “Can you help us better screened for which older adults would be fit enough to go for transplant? There’s really no added extra resource or time that the coordinators really need to put to doing the screening, themselves.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below. James: Yeah. Eric: All right.

Clinic 68

Clinic IT Patients Medical 68

GeriPal

JANUARY 25, 2024

If I remember correctly, I think the average was, people were screening positive for depression in this study. It was around helping communication, and really focused on our nursing manual, and particularly around these guidelines for assessing and managing symptoms. Like, you can’t really improve good quality of life?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. ” That’s not a spiritual screen. That makes sure all you find out is whether they like chaplains, know what one is, and how they feel about, so we teach people two or three sentences to screen for distress.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 8, 2025

And those of us who work in palliative care are more familiar with the 5ht3 receptor, which we use for nausea management. Due to this sense of allostatic overload, like you’re just overwhelmed and you don’t have the resources, the self efficacy or the self esteem to manage it. So 5ht2 was.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

JANUARY 16, 2025

And so there’s complexity in Understanding how each state manages this. So on the clinical side, people are really focused on how long do they have to be on the ventilator and managing that. Because I mean, California is different. But if you work in New York, you could be seeing patients in New Jersey and Connecticut.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

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.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Mariah 20:13 I completely agree. Mariah 23:02 Right. I’m going to be.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

JULY 28, 2022

I had it on my screen. But at that time I was struck by how in that field, there wasn’t a focus or really interest in symptom management and support for patients and their families. The focus was on physical, psychological distress and managing expectation illness course and transplant course, understanding and coping.

Illness 111

Illness Hospital Patient-Centered Patients 111

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. It is a screening? And the screening questions would just allow you to know that. Who does the assessments, who does screening? This is Eric Widera.

IT 99

IT Patient-Centered Families Family 99

GeriPal

MAY 22, 2025

Our volunteers are starting to take over ownership of this program, so we’re kind of like building a team to help kind of maintain it, manage it, and make sure that everything’s on the up and up with it. You might see me on the TV screens next year. And we’re. We’re sort of. So I’m, I’m, I might be.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

FEBRUARY 15, 2024

Same thing with kind of medication management. In addition to the grab bars, we have also helped train the EMS professionals in different lenses about screening. All of these are factors that are on the individual level. Is there any feedback in any of these to the PCP? Katie: I was going to jump in.

Community 116

Community Transportation IT PCP 116

GeriPal

APRIL 13, 2023

Thomas: But the person did screen and used a little bit of the and Social Network Scale and the UCLA Loneliness Scale. Like I said, the patient screened positive for it. I did actually go back in and administer scales at least one time. Ashwin Kotwal: Oh, wow.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

FEBRUARY 2, 2024

Did they screen charts? Talked about things like pragmatic ways to manage volume, anticipated volume, gave them projections of volume based on enrollment that was going on in usual care, and just really did a lot of palliative care. We really worked with them to do what was most comfortable within their usual workflow.

Consulting 122

Consulting Hospital Patient-Centered IT 122

GeriPal

AUGUST 24, 2023

Our early studies were looking at things like, desire for death, and syndromal depression, and screening for depression and anxiety, and will to live. We published a nice piece, I think it was in the Journal of Pain and Symptom Management. And so I was hardwired to be thinking and looking at the world in terms of a DSM kind of lens.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 10, 2022

Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. It improves symptom management. But we did see a trend where the three highest nursing homes were the most unpleasant. Eric: What does unpleasant look like? Of intensively hand feeding?

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

DECEMBER 7, 2023

Nursing’s had a problem getting it there, and we may get there at some point, but medicine is working on that, and there’s an organization called Global Consortium for Climate and Health Education that is really leading the way for all healthcare providers for information on how to do that. What does that actually look like?

Healthcare 130

Healthcare IT Education Community 130

GeriPal

MAY 1, 2025

Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care. You know, those age limits have been removed. It’s more universal, except for HIV.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

AUGUST 1, 2024

But at any age, like, as Emily said, it is so important to pay attention to nutrition and healthy eating because it’s not just about, oh, chronic disease prevention or even treatment and management. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging.

IT 118

IT Diabetes Chronic Disease Patient-Centered 118

GeriPal

APRIL 21, 2022

Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). That’s coming out in JP… Redwing: JPSM, Journal of Pain and Symptom Management, yeah. Alex: Is that publication out? Alex: May 15th.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

APRIL 20, 2023

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. The post Aging and Homelessness: Margot Kushel appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Mental Health 124

Mental Health IT Community Individual 124

GeriPal

FEBRUARY 24, 2022

So I’m just going to share on my screen. Juliet: And so the question is like, how do we… There are these massive shifts because that’s not just about symptom management. appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Illness 98

Illness Patient-Centered IT Patients 98