PEMBlog

AUGUST 30, 2023

Many of the children you will evaluate during your shift are among the estimated 10 million United States (US) ED visits made by children with asthma, bronchiolitis, and croup, the most common pediatric respiratory conditions presenting to acute care settings. However, the impact of such resources has not yet been deeply explored.

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

PEMBlog

SEPTEMBER 6, 2023

However, the vast majority of pediatric patients with psychiatric complaints do not present with undifferentiated acute psychosis; rather, they are seen for behavioral concerns or suicidal ideation. These presentations include behavior concerns, depression, anxiety, and harm to self or others. Ann Emerg Med. Ann Emerg Med.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

PEMBlog

OCTOBER 2, 2024

Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms. Adolescents with GERD often present similarly to adults with heartburn and regurgitation as the primary complaints. And the presentation for GERD varies by age. Now there are some risk factors for GERD.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

The Clinical Problem Solvers

AUGUST 25, 2020

Pearls Defining Structural Racism Structural racism is a term that acknowledges that racism is perpetuated beyond individual interactions and interpersonal racism, but is present in the systems and policies that govern our everyday lives. N Engl J Med. 2016;375(22):2113-2115. doi:10.1056/NEJMp1609535 Alyasah Ali Sewell, Justin M.

Community 52

Community Patient-Centered Relationship Education 52

GeriPal

DECEMBER 2, 2022

Rather they’re Ill, maybe they’re aging unsuccessfully, but never really resilient. How do you maintain successful aging, which is often free of disease or illness or disability? Anyone with neurologic illnesses, I think all of you know, too much socialization is like, stop. It is progressive. There is no cure.

Community 102

Community IT Individual Patient-Centered 102

GeriPal

OCTOBER 13, 2022

There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. 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. You don’t want to mess around with that situation.

Complication 97

Complication Patient-Centered IT Patients 97

Tiny Physician

FEBRUARY 15, 2022

Nevertheless, PG doctors have to work 80 to 100 hours a week without any holidays and this tiring schedule does affect their physical and mental health. Despite pushing PG doctors to their limits, faculties have no shame in asking favors like helping them prepare presentations and write-ups to submit for journals.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

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. So it tends to be future oriented and tends to show up as a physical sensation in our body. But it’s this physical sensation that comes along with these ideations. Alex Gamble, do you have a song?

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. This is Eric Widera. Alex 00:03 This is Alex Smith. Thats a lot of S s. I’m fine.

Illness 109

Illness IT Patient-Centered Patients 109

Rao Doctor

APRIL 3, 2025

In my previous article I covered the types of illness and the causes. Assessing Accompanying Symptoms in fever In addition to temperature measurement, we doctors evaluate accompanying symptoms to determine the potential causes of illness. F (38°C) is generally regarded as indicative of illness. FEVER FAQs (contd.)

Diagnosis 130

Diagnosis Management Illness Diagnose 130

StorytellERdoc

APRIL 23, 2014

It was my way of acknowledging and validating their efforts in helping their ill parent in a time of need. It had presented soon after she had eaten a BLT sandwich for lunch. We laughed together at some of our small talk while I finished my history-taking and began my physical exam. Her physical exam was perfect.

ER 100

ER Emergency Room Physicals IT 100

GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. It flows very well. Eric: Yeah.

Illness 102

Illness IT Patient-Centered Patients 102

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

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? Eric 01:34 Oh, I love that. Dani 01:36 More to talk about there.

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

OCTOBER 5, 2023

Summary Transcript Summary Communicating about a serious illness is hard. Last week’s podcast we talked about the challenge around miscommunication in serious illness. Why it’s such a natural way to explain the condition of someone with an acute critical illness that’s threatening their life. Eric: Why is it?

Illness 136

Illness IT Patient-Centered Families 136

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. But what I tell them is, keep yourself physically active. But you are right.

Illness 134

Illness Patient-Centered Patients IT 134

The Clinical Problem Solvers

MAY 2, 2022

As she embarked on her project, she realized that improving serious illness care would require improving serious illness communication. Oral Presentation at Society of General Internal Medicine 2022 Annual Meeting. Oral Presentation at Society of General Internal Medicine 2022 Annual Meeting. His team found that 1.5%

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

Adventures of a Sick Doctor

JUNE 5, 2021

The CEO, Susan Clyne, began to present the findings from a recent survey about doctor’s wellbeing. In fact I was scared, and worried and uncertain, and it manifested in physical symptoms of dyspnoea, tachycardia and headrush. There was a Milligan-esque relief in these counselling sessions – “I told you I was ill”. She waited.

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GP Screening Mental Health IT 100

GeriPal

DECEMBER 8, 2022

Many links: VA Presents: My Life, My Story: George: A Voice To Be Heard on Apple Podcasts. Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. Tell me about your illness.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me. Eric: Yeah.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Tell me about your illness. And then we get into those deep ear questions, tell me about you, tell me your illness.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

JANUARY 30, 2025

However, lack of physical presence may make this contender struggle to land the emotional support punch that is at the very heart of palliative care. We really spent a lot of time helping the clinicians see that a patient’s illness, understanding and prognostic awareness was just as important as their pain scale, their pain score.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

FEBRUARY 8, 2024

The illness narratives suffering, healing, and the human condition. I mean, to me, the Buddhist concept that there are multiple forms of suffering, like there’s the suffering that’s due to pain and physical symptoms. I think there is a difference, too, between physical suffering, and we have to also give that its dignity.

IT 137

IT Families Family Physicals 137

PEMBlog

MARCH 27, 2024

As always, I’m your host, Brad Sobolewski, and this episode focuses on the management of children with metabolic disorders who present to the emergency department. Therefore understanding these diseases, their presentations and their evaluation is critical for emergency medicine providers. On clinical presentation.

Consulting 59

Consulting Individual Families Family 59

GeriPal

JANUARY 11, 2024

To be eligible in Canada patients must have a “ grievous and irremediable ” condition, including disability ; they do not have to have a terminal illness with a prognosis of less than 6 months. A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. So less than six months to live.

Illness 144

Illness IT Medical Provider 144

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Or somebody who has other physical cognitive problems at any age. 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. Absolutely.

IT 102

IT Families Family Diagnosis 102

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. I’ll just throw out there people with serious illness experiencing homelessness.

Healthcare 102

Healthcare IT Community Illness 102

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? If its low evidence but not unsafe, not generally an issue. Think vitamins. Think chemo. What counts as potentially unsafe? Adam shared.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

NOVEMBER 17, 2022

AlexSmithMD (still on Twitter at present). So, the top two were that assisted living communities, in those communities the resident should be present during assessment and care planning. So, how do we establish standards so that you even get the basic care you need for your cognitive or physical functional issues? Transcript.

Community 97

Community IT Mental Health Medical 97

Blood, Sweat, and Tears

FEBRUARY 24, 2023

It’s mentally draining, physically taxing and if patients have died in front of you, it’s plain traumatic. A difficult colleague, post call kept interrupting my friend while trying to present her patients,after a busy obstetric call. Instead of kind, reassuring voices, demanding tones laced with arrogance and ill intent.

ER 52

ER Management IT Consulting 52

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. Gender expression is your physical outward manifestation of how you express your gender identity. You present your. Happy pride and thanks for the invitation, Alex and E. And great to meet Jace on here.

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Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Physical symptoms like pain, dyspnea, fatigue, psychological symptoms, depression, loneliness, and then some of the social experiences as well, like social isolation.

IT 67

IT Patient-Centered Individual Screening 67

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. Lauren: Yeah. That’s just one hypothesis. Lauren: Yeah.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 13, 2025

Alex Smith Links Link to the McGill National Grand Rounds Series on Palliative Care , Michael Kearney as initial presenter, and registration for future events. When we first started, they were concerned about the fact that nurses were going to be only working with people that were very ill and people that were grieving. by Kearney.

IT 105

IT Patient-Centered Families Family 105

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. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness.

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. So I actually was doing a grand rounds as my final presentation here at Yale for my fellowship on the role of music in host pice and palliative medicine. Look for Jenny to potentially appear on the show Americas Got Talent (no lie).

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IT Patient-Centered Patients Board-Certified 98