Plum Health

OCTOBER 6, 2024

Concierge medicine is a healthcare model that offers patients personalized care, better access to their doctor, and a more proactive approach to managing their health. In a traditional healthcare setup, doctors are often overwhelmed with large patient rosters, leaving them with limited time for each individual.

Healthcare 52

Healthcare Appointment Chronic Condition Patient-Centered 52

The Clinical Problem Solvers

JANUARY 18, 2021

Understand that collective action and a focus on community, rather than individualism, are most effective in combating racism and achieving health equity. One of the biggest barriers to health equity is the narrow focus on the individual and a failure to see health as a widespread community issue. Published December 2, 2020.

Community 52

Community Medical Individual IT 52

GeriPal

AUGUST 4, 2022

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. Maybe that’s where the individualizing it, the person that’s front of me.

Specialization 105

Specialization Medical Patient-Centered Provider 105

GeriPal

OCTOBER 13, 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. And I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill. Eric: That’s pretty impressive.

Complication 97

Complication Patient-Centered IT Patients 97

Mesa Family Physician

JUNE 24, 2025

The Role of Internal Medicine in Preventive Health Care Internal medicine plays a central role in adult health, especially when it comes to prevention, diagnosis, and long-term care. And how does it support preventive care? While both provide primary care , there are some key distinctions.

Internal Medicine 130

Internal Medicine GP Family Doctor Primary Care 130

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

PEMBlog

OCTOBER 2, 2024

uh, ill defined epigastric or chest pain, and it’s often worse by eating or lying down after meals. In individuals with celiac disease, gluten intake leads to an immune mediated inflammatory response that damages the small intestine’s mucosal lining, specifically the villi. It kind of blunts them down.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

Illness 129

Illness IT Diagnose Medical 129

GeriPal

JUNE 12, 2025

But there are times that a primary care physician or an internal medicine physician may make the referral. Even if it’s a discussion that is involving the primary care physician, the geriatrician, the medical oncologist, the surgical oncologist. Eric 09:13 Do you ever get it from a hospice agency?

Patient-Centered 103

Patient-Centered Referral Patients IT 103

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. To note that I am an individual who goes through this world. I face a lot of different stressors and challenges similar to other individuals, but I also have my own unique experiences. Noelle Marie 01:15 I do.

Individual 82

Individual Community IT Chronic Condition 82

Plum Health

OCTOBER 16, 2024

Michigan residents have been buzzing about a primary care clinic that’s setting a new standard for healthcare across the state. Whether you’re in Detroit , Corunna , Lansing , Royal Oak , or Van Buren , this clinic is offering comprehensive care that puts patient well-being first. Here’s why everyone is talking about it!

Clinic 52

Clinic Chronic Disease Management Primary Care Medical 52

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Emmy: So that older person or person with maybe terminal illness or developing impairments, it might make sense for them to just keep driving because they don’t have a good replacement. And the primary care provider had assumed he was no longer driving, I think.

Families 102

Families IT Family Diagnosis 102

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. Hillary: I certainly agree lots to think about. Hillary: So those all differ.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . Completion of advance directives and billing codes for advance care planning as quality metrics.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

JUNE 30, 2022

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. So, that was maybe 20 years ago at this point and it really got me down the road thinking about advance care planning, end-of-life care, and similar consequences. Welcome to the GeriPal podcast, Samir.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. link] Kensington Hospice & ‘Radical Love’ Equity-Oriented Hospice Palliative Care Naheed Dosani also serves as the Medical Director of Kensington Hospice, Torontos largest hospice.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

MARCH 7, 2024

He looked very ill. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. We do conversations on goals of care and advanced care planning as well. It sets space between us and the individuals we’re trying to take care of.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JUNE 9, 2022

When should people get palliative care? We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s trained in pulmonary critical care and palliative care. She’s a palliative care researcher. I think that palliative care in the ICU is an absolute important area.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. So we used a lot of rehab to death.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

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. They were seriously ill and had a chance to get to know. We use Bernie’s NEJM Perspective as a springboard for discussion. What words to use?

Families 113

Families Family Patient-Centered IT 113

GeriPal

JUNE 5, 2025

Summary Transcript CME Summary The need for better palliative care in nursing homes is significant. nursing homes grapple with serious illnesses, and roughly half experience dementia. Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. Consider this: the majority of the 1.4

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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. And I think that there is room for shortening the duration if your patient is non-immunocompromised and not severely ill. Eric: That’s pretty impressive.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 20, 2025

The SAMHSA defines trauma as an event, series events or set of circumstances experienced by an individual as physically or emotionally harmful or life threatening, with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional or spiritual. Well, being a pretty comprehensive definition.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

JUNE 22, 2023

But now we have older people dying of older people illnesses. So they can be referred by their primary care doctor or to us. You can choose comfort-focused care or you can choose to continue chemotherapy. Everybody has a primary care doctor, a primary care nurse, a team. Eric: Mm-hmm.

Families 133

Families Family IT Community 133

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count? Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu. Think vitamins. Think chemo. Animal studies?

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. And certainly we can take care of patients at more advanced ages.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

MARCH 28, 2024

Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness. Eric: And we’re going to get to results, but that’s why I also love that 2016 paper: I think it was the very first palliative care trial that ever looked at individuals getting curative therapy.

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. No difference in their primary outcome. I went into emergency medicine to act.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Older adults with severe mental illness (SMI) who develop dementia are a particularly complex and understudied population with various healthcare needs. Objective: To describe individual characteristics and healthcare use in older adults with SMI across home care services (HCS) profiles before and after the first dementia diagnosis.

Diagnosis 130

Diagnosis Healthcare Illness Primary Care 130

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

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

Vida Family Medicine

MARCH 1, 2023

Factors such as a history of trauma (abuse, neglect, sexual assault, attachment trauma, etc), life stressors including serious physical or mental illness, and social influences that portray thinness as an ideal and promote dieting combine with an underlying genetic predisposition to contribute to development of an eating disorder.

Mental Health 52

Mental Health Physicals Family Medicine DO 52

GeriPal

MAY 1, 2025

Do we need specialists who care for people living with HIV, whether they’re geriatrics specialists or palliative care specialists? Or is the aging process and development of serious illness so similar to people who are not living with HIV that we can sort of move on and consider it, you know, sort of like diabetes, for example.

Primary Care 96

Primary Care IT Clinic Provider 96

Mesa Family Physician

MARCH 6, 2025

Tertiary Prevention: Managing Existing Conditions Tertiary preventive care focuses on managing existing chronic diseases to prevent complications, improve quality of life, and reduce the negative impact of disease. From childhood vaccinations to adult boosters and seasonal flu shots, immunizations prevent millions of illnesses annually.

Preventive Care 100

Preventive Care Preventative Care Family Physician Screening 100

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. We have home-based primary care.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115