Key Perspectives
Key Perspectives is a clinical education podcast produced by Key Medical Care, a medical practice specializing in complex chronic and geriatric care. In partnership with SilverStone Health, a leading hospice and home health provider, this podcast dives deep into the complexities of caring for geriatric patients with multiple, often coexisting, medical conditions. Each episode explores essential medical topics and best practices for delivering high-quality care across various settings such as facility-based care, home-based care, and telemedicine. Whether you’re a healthcare provider, caregiver, or interested in the evolving landscape of geriatric medicine, Key Perspectives offers valuable insights into managing complex cases and improving patient outcomes. Tune in to stay informed and enhance your approach to patient care.
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Episodes
2 days ago
2 days ago
In this episode, we kick off our deep dive into heart failure treatment, starting with a fundamental goal: achieving ideal volume status. Managing fluid overload is crucial for symptom control and preventing hospitalizations — and today, we’re unpacking how to do it effectively.
We'll cover:
Dry Weight: What it is, why it matters, and how to determine it.
Fluid Restriction: When and why.
Loop Diuretics: A comparison of the "Big 3" — Furosemide, Torsemide, and Bumetanide — including dosing strategies and absorption differences.
Common Adverse Effects: Hypokalemia, renal function changes, and hypotension — what to monitor and how to respond.
Potassium Supplementation: Should you start it preemptively when initiating a loop diuretic?
🔔 Stay tuned: In future episodes, we’ll continue walking through each major medication class used in heart failure management.
Monday Apr 14, 2025
Monday Apr 14, 2025
In this first installment of our multi-part series on Heart Failure (HF), we dive into why this condition deserves such focused attention—especially in older adults. Of the 5 million patients in the US that have heart failure, more than 75% of them are 65+. Understanding the nuances of this chronic, progressive disease is essential for clinicians in geriatric care.
Join us as we break down how to approach a patient with suspected heart failure, including key symptoms, diagnostic labs like BNP, and the role of imaging with echocardiography. We also explore the subtypes of HF—HFpEF, HFmrEF, and HFrEF—and discuss common communication pitfalls when discussing the diagnosis with patients.
Whether you’re in the clinic, at the bedside, or providing care via telemedicine, this episode lays the groundwork for confident, evidence-based heart failure management.
Monday Mar 24, 2025
Monday Mar 24, 2025
In this episode, we explore the essential aspects of introducing yourself to new patients, both on a personal and professional level. We discuss how to effectively communicate your role in the care team, set expectations for patient care across different settings, and navigate the challenges of transitioning care, whether it’s a new patient, a transfer, or a follow-up visit. Tune in for valuable insights on building trust, managing patient expectations, and ensuring comprehensive care from day one.