The Portal of Geriatrics Online Education

Care Settings & Models

Social Services with Older Adults Assignment

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Abstract: 

Undergraduate social work students participate in a semester-long person-centered care project with memory impaired residents at an assisted-living facility. Service activities culminate in oral history interviews of residents gathered by students as a strategy to introduce students to principles of person-centered care. To prepare for engaging with residents, students complete a series of web-based tutorials on basic communication skills with older adults, read literature on communication from the Alzheimer’s Association, and view an in-class video on effective communication with older adults who have dementia. 

Educational objectives: 

Students apply person-centered care principles through individualized social engagement activities with residents of an assisted living facility.

Date posted: 
Tue, 02/24/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 02/24/2015
Contact Person/Corresponding Author:



Suggested Citation:
Social Services with Older Adults Assignment. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1093

Hospice Social Work and Caregiver Stress Case Study

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

Practice issues related to who is the primary client, family-focused care, and strategies to prevent caregiver burnout are illustrated in this case study, which could be used in practice courses at the generalist practice level. This case offers some clear implications for social work with aging clients. Social workers must always be aware of the client’s right to self-determination. A client is not a client simply because the social worker is expected to work with him or her. Productive social work can only be done if the client chooses to participate in the relationship as well.  

Educational objectives: 

The social worker in this case needs to examine the barriers to effective communication with this family. Clients should be told upfront what services the agency they have contracted with will provide. A clear understanding of each person’s role in the treatment process is vital to good social work.

Date posted: 
Wed, 11/29/2017
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 11/29/2017
Contact Person/Corresponding Author:



Suggested Citation:
Hospice Social Work and Caregiver Stress Case Study. POGOe - Portal of Geriatrics Online Education; 2017 Available from: https://pogoe.org/taxonomy/term/1093

"The Psychologist's Role in Assessment and Therapy"

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
1
Abstract: 

This resident education module was developed to educate residents on what other team members do.  The content was organized around the IM-FM geriatric competencies and IM Milestones.  This focus of this module is to explain the psychologist's role in assessment and therapy.

Educational objectives: 
1.Contrast skills/approaches of psychologists from those of other mental health professionals
2.Describe psychologist’s role in evaluating persons with cognitive, emotional, functional problems
3.List mental health problems and adjustment difficulties for which psychologists can be therapeutically helpful
Publications from, presentations from, and/or citations to this product: 

This module was showcased at the 2014 Reynolds Grantee Meeting marketplace.

Contact Person/Corresponding Author:



Suggested Citation:
"The Psychologist's Role in Assessment and Therapy". POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

A Geriatric Interview with the Gynecologist

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Estimated time to complete: 
0
Abstract: 

Assessing and treating gynecologic conditions is important in all decades of a woman's life.  Each decade of life presents a unique set of issues for women.  During the senior period of a woman's life, the conditions to assess can be nongynecologic in nature including osteoporosis, fall risk, memory and activities of daily living.  This video will help serve as a guide when screening the older adult female population for any issues related to aging.  If issues do exist, referral to a geriatric specialist may be appropriate for further evaluation.

Educational objectives: 

After reviewing the video, the learner should be able to:

1) to conduct a thorough gynecologic and nongynecologic history in the older adult female population such as osteoporosis, fall risk, memory and activities of daily living. 

Additional information/Special implementation requirements or guidelines: 

Quicktime is needed to view this video.

Gynecologists:  Mary Jane Pearson, MD; Irwin Kerber, MD

Geriatrician:  Belinda Vicioso, MD

 

Date posted: 
Tue, 12/02/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 12/02/2014
Contact Person/Corresponding Author:



Suggested Citation:
A Geriatric Interview with the Gynecologist. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Elder Care A Resource for Interprofessional Providers: Frailty in Patients Undergoing Elective and Emergency Surgery

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
1
Abstract: 

Frailty in Patients Undergoing Elective and Emergency Surgery  is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 
  1. Define frailty
  2. Explain how frailty influences surgical outcomes for older adults
  3. Explain how to evaluate a patient for frailty
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as:

  1. Content is not changed,
  2. No one is charged a fee to use or read the publication,
  3. Authors and their affiliated institutions are noted without change, and
  4. The reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."
Publications from, presentations from, and/or citations to this product: 

The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.

Nelson, D. and Medina-Walpole, A. (2010, December), Elder care provider fact sheets. Journal of the American Geriatrics Society, 58(12), 2414-2415. Also available online.    

Date posted: 
Wed, 07/17/2019
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 07/11/2019
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Frailty in Patients Undergoing Elective and Emergency Surgery. POGOe - Portal of Geriatrics Online Education; 2019 Available from: https://pogoe.org/taxonomy/term/1093

When Eating Problems Arise in Advanced Dementia: An Interdisciplinary Trigger Video

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
2
Abstract: 

This is an interactive seminar centered on a trigger video depicting a family meeting with the treating physician, the speech and language pathologist and the family of a patient with advanced dementia who suffers from dysphagia/poor oral intake. The seminar can be provided to a small group of 4-10 healthcare trainees (medical residents or students, nursing students, speech and language pathology students, social work students). The seminar is designed to present the learners with an interdisciplinary approach to conducting a family meeting on this topic. It starts with reading a case presentation, which is meant to emphasize the need for a family meeting, followed by playing the video until a trigger question comes up. At that point the participants are asked to reflect on the question and share their answers with the group. The group then watches the video exemplifying a way the question can be discussed. The process is repeated for all the trigger questions. At the end of the seminar the trainees are encouraged to debrief on language that could be modeled for goals of care discussions as well as aspects of the discussion that could have been approached differently. They are also provided with all the references used in the video as a resource for future family meetings. Trainees are asked to complete a short retrospective pre/post self-assessment survey. 

Educational objectives: 
  1. Review importance of completing advance directives (applied to patients with dementia); define surrogate decision maker, substituted judgment, and best interest concepts and discuss advance care planning for the case presented.
  2. Describe the natural history of advanced dementia.
  3. Become familiar with potential treatment burdens associated with tube feeding in patients with advanced dementia.
  4. Appreciate various options for eating/feeding in advanced dementia and swallowing problems.
  5. Analyze aspects of difficult conversations with surrogate decision makers.

 

Publications from, presentations from, and/or citations to this product: 

Some of the materials for this seminar were presented during the Marketplace at the Reynolds Meeting in Las Vegas, Oct 7, 2014.

 

 "When Eating Problems Arise in Patients with Advanced Dementia- An Interdisciplinary Approach to

Communicating with Caregivers" This interactive seminar was presentated at the Annual

Assembly of the American Association of Hospice and Palliative Medicine Annual Meeting, February 2015, Philadelphia.

 

 

Date posted: 
Fri, 06/17/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/17/2016
Contact Person/Corresponding Author:



Suggested Citation:
When Eating Problems Arise in Advanced Dementia: An Interdisciplinary Trigger Video. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/1093

Powerpoint: Medicare, Medicaid and Discharge Planning

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
1
Abstract: 

This is a Powerpoint presentation designed to provide the backbone for a talk to primary care or specialty residents responsible for discharging hospitalized Medicare patients to another level of care. It reviews the available post-acute options (LTACH, AIR, SNF, LTC, home health) and provides just the information on Medicare and Medicaid that are critical to understanding the patient’s options. The presentation includes Medicare financial information and criteria for coverage specific to 2014, and Medicaid information specific to NC, so some modification and updating may be necessary for use in other venues or later years. The presentation can be accomplished in 45 minutes leaving room for questions in a one-hour time block. A decision-tree diagram is included as a handout that can be provided with the talk and provides a succinct summary for future reference.

Educational objectives: 

1. Review a few key elements of Medicare and Medicaid eligibility and benefits

2. Distinguish between Inpatient and Observation status for Medicare patients

3. Be able to clearly state a patient’s discharge needs

4. Know the various discharge options and the key differences between them

5. Apply the criteria for Medicare coverage of various discharge options

Date posted: 
Fri, 10/03/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 10/03/2014
Contact Person/Corresponding Author:



Suggested Citation:
Powerpoint: Medicare, Medicaid and Discharge Planning. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Discharge Planning and Care Transition Curriculum for Interns

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
3
Abstract: 

A discharge planning curriculum for internal medicine and family medicine interns consisting of two parts:

PART I: Five online self-study learning modules on:

  1. Multi-morbidity in Older Adults
  2. Hazards of Hospitalization
  3. Poor Discharge Outcome Risk Assessment
  4. Evidence Based Models of Care Transition
  5. Components of a Quality Discharge Planning

Each module consists of an introduction, learning objectives, pre-quiz, content, conclusion, and references. The online modules will emphasize knowledge and will consist of five learning modules covering the above listed topics. These topics were chosen to provide the broad knowledge base related to hospitalized older adults and their care transitions.

PART II

A live session is conducted utilizing and implementing multiple instructional strategies. This live session is divided into multiple segments or parts. Each segment is conducted utilizing a different instructional strategy and structured to encourage learner participation by incorporating at least one interactive activity:

Instructional Strategies

  • PowerPoint lecture with multiple choice questions and integrated audience response (clickers)
  • Co-teaching and expert panel discussion (incl. a therapist, hospital transition team member, and a social worker)
  • Minute paper (interval self-assessment and reflection on learning)
  • Case-based problem solving

Learning Outcomes

  • Knowledge
  • Skills
  • Attitudes
Educational objectives: 

At the completion of the modules, participants will be able to:

  • Define multi-morbidity and its effects
  • Identify the hazards of hospitalization and measures to prevent or minimize these hazards
  • Identify a medical patients at increased risk of poor outcomes post hospital discharge
  • Identify the components of a successful care transition
  • Identify the benefits of a structured discharge summary

At the end of the Modules and the IMPACT session, the Entrustable Professional Activities (EPA) expected of the interns includes:

  • Formulating a safe discharge plan for an older adult
  • Completing a high quality comprehensive discharge summary

 

Additional information/Special implementation requirements or guidelines: 

Non Indiana University (IU) faculty and students will need a guest account to access the online modules. Instructions on how to create an IU guest account can be found at:  https://kb.iu.edu/d/alqt

To create a guest account go to: https://itaccounts.iu.edu/

After a guest account has been created, send the e-mail address with which you created the guest account to: tociloab@iu.edu and access to the online learning modules will be granted to that e-mail/guest account.

Date posted: 
Mon, 10/06/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/06/2014
Contact Person/Corresponding Author:



Suggested Citation:
Discharge Planning and Care Transition Curriculum for Interns. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Medical Student Interprofessional Team Exercise on Dementia Post-Hospital Care

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
999
Abstract: 

This exercise is an introduction for 3rd year medical students to community-based Long-term care services and supports (LTSS) and home and community-based services (HCBS) for older adults with Alzheimer's disease. The targeted learners of the exercise at the University of Cincinnati are third year medical students beginning a two-day introduction to a four-month rotation block containing clerkships in family medicine, neurology, and psychiatry.

Educational objectives: 

1. Describe the challenges of post-acute care for older adults hopsitalized with cognitive impairment. 

2. List resources available to families from area community agencies that provide care to older adults. 

3. Describe a care plan, utilizing support from area agencies, for caring for an older adult with cognitive impairment in the home. 

Additional information/Special implementation requirements or guidelines: 

This is a 4 hour course with the following components:

  1. A lecture on the assessment of memory loss in older adults
  2. A faculty led interview of a caregiver
  3. A case-based exercise to learn about services available to assist AD patients and their families, in which students meet in small groups with representatives from 4 community agencies and create an interprofessional care plan that is then shared with the student group. 
Date posted: 
Wed, 10/01/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 10/01/2014
Contact Person/Corresponding Author:



Suggested Citation:
Medical Student Interprofessional Team Exercise on Dementia Post-Hospital Care. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Medical Reconciliation Worksheet

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Abstract: 

A useful tool for trainees and practitioners that facilitates appropriate medication reconciliation during transitions of care. Preceptors can use as a teaching tool, and practitioners can provided to patients upon discharge. Patients can provide the worksheet to their primary care physician. 

Educational objectives: 

1. Teach trainees the process of medication reconciliation during transitions of care.

2. Provide patients and physicians an explanation for medication related changes.

Date posted: 
Mon, 09/29/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 04/13/2018
Contact Person/Corresponding Author:



Suggested Citation:
Medical Reconciliation Worksheet. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1093

Pages

Subscribe to RSS - Care Settings & Models