GeriPal

MAY 11, 2023

We also worked a little bit with the primary care team certain of the risk factors. I presented this at the big clinical trials meeting in November in San Francisco. The post Prevention of Dementia: Kristine Yaffe appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Physicals 86

Physicals IT Hypertension Education 86

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.

Primary Care 97

Primary Care Diagnosis Screening IT 97

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.

Family Physician 100

Family Physician Preventative Care Preventive Care Family 100

The Medical Futurist

JUNE 21, 2025

2) iDoc24 The award-winning dermatology service is present in more than 160 countries and is available in 7 languages. 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. It’s a jackpot software for eczema troubles.

Patients 98

Patients Healthcare Board-Certified Telemedicine 98

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. So kind of from a primary care point of view, the guys are doing okay. He’s in Boston. And Matt brought today’s topic to us.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

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.

IT 102

IT Families Family Diagnosis 102

GeriPal

JUNE 27, 2024

Alex Ablesmith, on his website, had a good kind of description, in summary, and I thought, boy, this is a really nice tool, because the design, the idea was to sort of bring a therapeutic intervention into a time contained environment, which the primary care clinic certainly is. And so bathe is an acronym.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Am I measuring it for my health system or even within that, we’re part of primary care first value based payment program. Hillary: So those all differ.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

NOVEMBER 14, 2024

You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. They took primary care practice and they randomize them to get their prevention. The present. Eric 38:38 The present two years versus one year. Anxiety and institutionalization. Eric 04:51 Yeah.

IT 125

IT Screening Patient-Centered Community 125

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.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

NOVEMBER 2, 2023

So the data relating to the number of geriatricians in this country, salaries in comparison to hospitalists or primary care physicians. How do we train primary care doctors to do geriatrics? And of course those high rates of burnout and exhaustion are present across medical specialties.

Board-Certified 91

Board-Certified IT Community Medical Student 91

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.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

AUGUST 17, 2023

But I too, I think the science and the data really are there to prove that not only does it lower the amyloid and make it to the point where it’s not present, but then there was roughly, Eric, a four-month stability or delay in progression over an 18-month period. And that could extend beyond 18 months. We just don’t know that.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

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 116

Consulting Patient-Centered IT Patients 116

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. And so you could say that’s sort of starting the normalizing that process of advance care planning. And I would say too, as a primary care provider, it really doesn’t take that long to ask people about a surrogate decision maker.

Illness 73

Illness IT Healthcare Patient-Centered 73

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 102

Healthcare IT Community Illness 102

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. William: Not the future, but the present. Eric: Whose job, though, is it? Who’s responsible for this?

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

APRIL 4, 2024

Today, we talk with Bernie Lo, prominent bioethicist and practicing primary care internist, and Laurie Dornbrand, geriatrician at the IOA On Lok PACE, about the legacy of Nancy Curzan. We use Bernie’s NEJM Perspective as a springboard for discussion. And how long would you want us to continue if you’re not improving?

Families 113

Families Family Patient-Centered IT 113

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.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

AUGUST 31, 2023

What happened is we’re in the serious illness care business and so we were busy rolling out our serious illness conversations at Mass General and we were getting resistance, which we expected from oncology and primary care, but then we started getting resistance from the geriatricians. Alex: Thank you, Bill.

Illness 129

Illness IT Diagnose Medical 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

MARCH 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU. Alex: Bye everybody.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

DECEMBER 5, 2024

And so I think one thing we really like about not having it scripted word for word is the opportunity to kind of flex into that moment and just be present and kind of try that out. And I turned to my dad and I said, I think mom needs palliative care. And she did have a primary care doctor. So that’s one difference.

IT 108

IT Community Patients Families 108

GeriPal

APRIL 24, 2025

But I have to be careful how I present you with this because you’ve already sort of dug into a worldview that isn’t going to accept necessarily my opinion. So I’m going to present a case. Eric 14:29 Yeah, yeah. Laura 14:32 Oh, could I just jump off, please, Laura?

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

FEBRUARY 20, 2025

And I think that I love this paper you wrote because the audience or the patients that you focused on in the last four years in particular also in a Venn diagram, like many of the same patients I care for in home based primary care. Trauma informed care approach. And I love the structured approach. Eric 27:45 Yes.

IT 67

IT Patient-Centered Individual Screening 67

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? No difference in their primary outcome. The primary care intervention did not work well. And it’s very traumatic obviously for the family and all of that and the team really.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

SEPTEMBER 5, 2024

Alex 00:27 And we’re delighted to welcome for the first time, guest Bill Ander e ch, who’s a primary care internist and senior scholar in Sutter Health’s program in M edicine and Human Values, a program that he co-founded with a former UCSF faculty member, Al Johnson. Louise, welcome back to GeriPal.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 10, 2022

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. Alex: We talked about how it’s such a tough place to integrate palliative care with high staff turnover.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

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 80

Primary Care IT Clinic Illness 80

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.

Primary Care 96

Primary Care IT Clinic Provider 96

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 131

Illness IT Physicals Patients 131

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.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115