Chapters about geriatrics | Primary Care RAP

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Mild Cognitive Impairment
From October 2021, Reducing Harm
As our population ages, it’s important for us to be aware of the cognitive changes associated with aging. In this conversation, Dr. Neda Frayha discussed mild cognitive impairment with Dr. Melissa Shepard.
23min 38
Neda Frayha, MD and Melissa Shepard, MD
Ischemic Colitis
From September 2021, Public Health and Pandemics
Ischemic colitis is a “can’t miss” diagnosis, but something we don’t always think about in the primary care setting. Neda and Dr. Jason Shen discuss all things ischemic colitis in this interesting conversation.
21min 26
Jason Shen, MD and Neda Frayha, MD
Advanced Care Planning
From August 2021, T21, All Grown Up
Just in case you’re not a rockstar at discussing Advanced Care Planning with your patients, regular guest and geriatrician Dr. Jenny Litrivis is back to school Neda (and all of us) on how to do this important work better.
23min 44
Evgenia Litrivis, MD and Neda Frayha, MD
The Big Picture: Facing Death with Dr. BJ Miller
From January 2021, Welcome, 2021!
Why are we so afraid of death? What is the vicarious death bed test, and what role does love play? How can we help our patients face death on their own terms, and how can we all live our best lives beforehand? We ask these questions and more of Dr. BJ Miller, a palliative care specialist with …
25min 22
BJ Miller, MD and Neda Frayha, MD
Dizziness in the Older Adult
From December 2020, So Long, 2020
Does it make you dizzy to hear a complaint of dizziness? Here, Michael Baca-Atlas will break down dizziness in the older adult with Family Medicine residency program director and expert in geriatrics, Dr. Mallory McClester Brown. We hope it helps your head stop spinning!
21min 40
Mallory McClester Brown, MD and Michael Baca-Atlas, MD
The Big Picture: Elderhood Part 2
From November 2020, Respect Our Elders
For most of us, people over the age of 65 make up a huge portion of the patients we see and the energy we pour into clinical care. And yet most of us receive woefully inadequate training to provide the best care for these patients and to overcome structural, systemic biases against the elderly. In …
19min 33
Louise Aronson, MD, MFA and Neda Frayha, MD
The Big Picture: Elderhood Part 1
From November 2020, Respect Our Elders
For most of us, people over the age of 65 make up a huge portion of the patients we see and the energy we pour into clinical care. And yet most of us receive woefully inadequate training to provide the best care for these patients and to overcome structural, systemic biases against the elderly. In …
22min 6
Louise Aronson, MD, MFA and Neda Frayha, MD
Delirium: Part 2
From October 2020, Survivor
Delirium affects up to ⅓ of older patients in the hospital and is associated with significant morbidity and even mortality. How do we recognize it? Treat it? Better yet, prevent it? Geriatrician Dr. Jenny Litrivis sits down with Neda to help us provide better care to our patients at risk for …
15min 19
Evgenia Litrivis, MD and Neda Frayha, MD
Delirium: Part 1
From October 2020, Survivor
Delirium affects up to ⅓ of older patients in the hospital and is associated with significant morbidity and even mortality. How do we recognize it? Treat it? Better yet, prevent it? Geriatrician Dr. Jenny Litrivis sits down with Neda to help us provide better care to our patients at risk for …
19min 24
Evgenia Litrivis, MD and Neda Frayha, MD
Medicare Annual Wellness Visit
From August 2020, Faces and Places
G codes and split billing and abbreviations, oh my! If the Medicare Annual Wellness Visit boils your brain, listen in as Neda and Dr. Jay-Sheree Allen break it down into a simplified checklist. •
28min 33
Jay-Sheree Allen, MD and Neda Frayha, MD
Death Certificates
From June 2020, Cause of Death?
Does the thought of completing a death certificate scare you half to death? In this month’s intro segment, Neda and Aisha get into the nitty gritty of how to accomplish this (sometimes) daunting task. •
15min 5
Neda Frayha, MD and Aisha Lofters, MD
Wandering in Dementia
From May 2019, This Mailbag is About to Rupture!
In this segment, Brandon Grove reviews the literature on wandering in patients with dementia and some innovative strategies to help keep these patients safe.
11min 7
Brandon Grove, MD
Elder Abuse
From May 2018, The Buzz That Won't Quit
Elder abuse affects approximately 1 in 10 people and is associated with increased morbidity, mortality, and health care costs. Unfortunately, it is easy for elder abuse to go unrecognized in many health care encounters. Elder abuse may be physical or sexual, but it can also be psychological and …
19min 31
Jeff Holmes, MD and Matthew DeLaney, MD, FACEP, FAAEM
Paper Chase #1 | Calcium and Vitamin D Supplements Don’t Always Help
From April 2018, Will You Be My Facebook Friend?
In this meta-analysis of randomized clinical trials, the use of calcium, vitamin D, or both was not associated with a lower risk of fractures. We should stop prescribing or recommending them for this purpose.
5min 50
Andrew Buelt, DO and Joe Weatherly, DO
Deprescribing in Elderly Patients - A follow-up to January 2018 PC-RAP
From April 2018, Will You Be My Facebook Friend?
In this segment, Neda Frayha and Dr. Nicole Brandt, a Professor of Pharmacy and Science at the University of Maryland School of Pharmacy, explore the importance of deprescribing in our elderly patients, common challenges of deprescribing, and a systematic approach to deprescribing medications in …
20min 1
Neda Frayha, MD and Nicole Brandt, PharmD
Paper Chase #4 | Preventing Falls in Older Adults
From February 2018, The Tragically Sore Hip
this study looked at numerous interventions and their impact on fall reduction in an older adult population. Study participants who received the interventions reported fewer fall than those receiving usual care.
5min 33
Andrew Buelt, DO and Joe Weatherly, DO
Aging
From July 2017, Be Kind and Enjoy Life
In this patient interview, we explore one patient’s narrative on aging. She models “successful aging”; adapting to increasing frailty and decreasing independence, finding purpose and maintaining a sunny disposition. We examine the impact of grief and loss as well as the importance of connectedness …
11min 35
Heidi James, MD and Brandon Grove, MD
Paper Chase 4: Effect of Cranberry Capsules on Bacteriuria Plus Pyuria
From March 2017, The Benzos & Fungus Among Us
In this nursing home population, the use of cranberry supplements was not associated with a decrease in either bacteriuria or pyuria. •
4min 50
Andrew Buelt, DO and Joe Weatherly, DO
Osteoporosis, Part 1
From January 2017, Bones Lose Their Autonomy
Who should care about osteoporosis? Everybody. It affects 1 in 3 women and 1 in 5 men. Dr. Heidi James and Dr. Sylvie Ouellette discuss the evaluation and treatment of patients at risk for, and who have, osteoporosis. •
17min 55
Heidi James, MD and Sylvie Ouellette, MD
Osteoporosis, Part 2
From January 2017, Bones Lose Their Autonomy
Who should care about osteoporosis? Everybody. It affects 1 in 3 women and 1 in 5 men. Dr. Heidi James and Dr. Sylvie Ouellette discuss the evaluation and treatment of patients at risk for, and who have, osteoporosis.
24min 4
Heidi James, MD and Sylvie Ouellette, MD

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