In this first of a two-part series, Eric Gordon, PA-C, and Dr. Steve Arze break down practical, evidence-based strategies for managing Behavioral and Psychological Symptoms of Dementia (BPSD) without reaching for the prescription pad. They clarify the key differences between BPSD and delirium, introduce the “Five P’s” framework for uncovering unmet needs, and explore real-world tools like redirection, music and reminiscence therapy, validation techniques, and dementia mapping. Through clinical examples and practical tips, this episode equips clinicians and caregivers to interpret behavior as communication and address the root causes. Be prepared to improve care while minimizing risks associated with medications.

In this milestone tenth episode of Key Perspectives, Eric Gordon, PA-C, and Dr. Arze explore the art of “narrating your care”, a simple but powerful way clinicians can bridge the gap between clinical excellence and patients’ perception of excellence.

Too often, patients leave an encounter uncertain about what was done, why it was done, or when to expect results. Eric and Dr. Arze unpack why vague phrases like “we’ll get some labs” or “we’ll follow up soon” can unintentionally create confusion or dissatisfaction, even when the right care was delivered. Instead, they share practical strategies for bringing patients into your decision-making process, explaining broad categories of what you’re checking, setting clear timelines, and even inviting patients’ perspectives on their own conditions.

The discussion covers:

• Why perception of care is as critical as the care itself.

• Common communication pitfalls that frustrate patients.

• Practical ways to narrate your thought process in real time.

• Using “wish” language to soften necessary limitations.

• How involving patients in the dialogue can reveal key insights.

Narrating your care isn’t about over-explaining; it’s about giving patients a window into your clinical reasoning so they feel heard, validated, and informed.

In this episode, we wrap up our heart failure series with a practical, case-based discussion. Building on the foundation of diagnostics, fluid management, and guideline-directed medical therapy covered in earlier episodes, we bring it all together by working through real-world patient scenarios.

We explore:

• Case 1: A new diagnosis of HFrEF in a patient with multiple comorbidities.

• Case 2: Medication optimization in a patient with chronic HFrEF and CKD.

• Case 3: Managing HFpEF with suboptimal volume status.

• Case 4: An acute decompensated heart failure exacerbation with critical management decisions.

This case-focused discussion highlights the stepwise approach to diagnosis, optimization of GDMT, and the importance of tailoring treatment to each patient’s comorbidities, lifestyle, and access to care.

Whether you’re managing heart failure in the hospital, clinic, or home setting, this episode brings the series full circle with practical insights you can apply directly to patient care.

Learn more about Key Medical Care