The Portal of Geriatrics Online Education

Family Medicine

Texas Tech Medcast Reynolds Geriatrics Series: Assessing the Older Adult

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

This podcast episode addresses techniques for obtaining a health history from an older adult, focusing on the physician’s demeanor, communication style, and approach to the patient.

For more information about the series, go to http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseri....

Educational objectives: 

The listener should be able to:

  • Adjust the environment for a visit with an older patient
  • Shape the content and pace of the visit
  • Effectively elicit symptoms from the patients
  • Address the cultural dimensions of aging
Additional information/Special implementation requirements or guidelines: 

This podcast episode is an MP3 file. It may be listened to on a computer with speakers or an MP3 player. It is available on the Texas Tech University Health Sciences Center website, where an episode fact sheet is also available, or for download from the iTunes Music Store (search term: "texas tech medcast").

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

Jones BG, Bickley LS, Dentino A, Prabhu FR, Martin C, Balmes M, Neilson R, Urban S, Nutis D. Using Podcasting to Teach Geriatrics to Third-Year Medical Students. Innovations in Medical Education poster, 119th Annual Meeting of the Association of American Medical Colleges, San Antonio, TX, October 31-November 5, 2008.

Jones BG, Bickley LS, Dentino A, Prabhu FR, Martin C, Balmes M, Neilson R, Urban S, Nutis D. Using Podcasting to Teach Geriatrics to Third-Year Medical Students. Peer Paper, 35th Annual Predoctoral Education Conference, Savannah, GA, January 22-24, 2009.

Jones BG, Bickley LS, Ragain RM, McMahon KK, Prabhu FR, Baker LK, Chauncey, KB Samiuddin M, Ranin M, McClure S, Casner P. Using Podcasting to Impact Third-Year Students' Knowledge of and Attitudes Toward Geriatrics. Poster on Research in Progress to the North American Primary Care Research Group Annual Conference, San Juan, PR, October 2008.

Date posted: 
Mon, 09/21/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . Texas Tech Medcast Reynolds Geriatrics Series: Assessing the Older Adult. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/201

Texas Tech Medcast Reynolds Geriatrics Series: Geriatric Polypharmacy

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

This podcast episode outlines 5 strategies for effective prescribing in the elderly.

For more information about the series, go to http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseri....

Educational objectives: 

The listener should be able to:

  • Explain how aging-related decline in organ function impacts pharmacokinetics with specific emphasis on the kidneys, liver, blood volume & muscle
  • Explain implications for polypharmacy in the elderly
  • Discuss measures that a physician can take to avoid over-medication in the elderly
  • Use the Beers Criteria to identify potentially inappropriate medications for the elderly
  • Manage clinical situations of pathologies in or drug-related problems in older adults
Additional information/Special implementation requirements or guidelines: 

This podcast episode is an MP3 file. It may be listened to on a computer with speakers or an MP3 player. It is available on the Texas Tech University Health Sciences Center website, where an episode fact sheet is also available, or for download from the iTunes Music Store (search term: "texas tech medcast").

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

Jones BG, Bickley LS, Dentino A, Prabhu FR, Martin C, Balmes M, Neilson R, Urban S, Nutis D. Using Podcasting to Teach Geriatrics to Third-Year Medical Students. Innovations in Medical Education poster, 119th Annual Meeting of the Association of American Medical Colleges, San Antonio, TX, October 31-November 5, 2008.

Jones BG, Bickley LS, Dentino A, Prabhu FR, Martin C, Balmes M, Neilson R, Urban S, Nutis D. Using Podcasting to Teach Geriatrics to Third-Year Medical Students. Peer Paper, 35th Annual Predoctoral Education Conference, Savannah, GA, January 22-24, 2009.

Jones BG, Bickley LS, Ragain RM, McMahon KK, Prabhu FR, Baker LK, Chauncey, KB Samiuddin M, Ranin M, McClure S, Casner P. Using Podcasting to Impact Third-Year Students' Knowledge of and Attitudes Toward Geriatrics. Poster on Research in Progress to the North American Primary Care Research Group Annual Conference, San Juan, PR, October 2008.

Date posted: 
Thu, 10/08/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Texas Tech Medcast Reynolds Geriatrics Series: Geriatric Polypharmacy. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/201

Gait

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

Powerpoint presentation on Gait for Year 2 Medical Students

Date posted: 
Fri, 09/26/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 10/18/2009
Contact Person/Corresponding Author:



Suggested Citation:
Gait. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/201

Geriatrics Review Syllabus

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

The core mission of the American Geriatrics Society (AGS) is to improve the health, independence, and quality of life of all older adults. Since the AGS published the first Geriatrics Review Syllabus (GRS) in 1989, the GRS has become recognized as the premier geriatric medicine resource for clinicians who wish to stay current and provide evidence-based, high-quality care to older adults. To keep pace with advances in geriatric medicine, the AGS is proud to publish this eighth edition (GRS8). Over 170 AGS members, and leaders in the field of geriatric medicine, contributed to the GRS8 as editors, authors, and question writers.

The GRS8 is available as a 3-volume set of books as well as an online format. Book 1 contains the Syllabus of 64 chapters and annotated references that allow the interested reader to pursue topics in greater depth. Book 2 contains 333 case-oriented, multiple-choice questions and is accompanied by an answer sheet for those participating in the continuing education program. Book 3 repeats the questions and contains answers, supporting critiques, and references to aid learner self-assessment. The online format comprises the entire program.

To accommodate new chapters, we have omitted the ACOVE quality indicators, which can be found in J Am Geriatr Soc. 2007 Oct;55 Suppl 2.

The Syllabus is divided into six sections—Principles of Aging, Approach to the Patient, Systems of Care, Syndromes, Psychiatry, and Diseases and Disorders. GRS8 highlights developments in geriatric medicine since publication of the seventh edition in 2010. When discussing specific drugs, the authors and editors verified that the information provided was up-to-date at the time of publication. Any mention of drug uses not specifically approved by the U.S. Food and Drug Administration (so called “off-label” uses) are tagged as OL. The majority of medications described in the text are approved in the United States, although authors occasionally note the use of medications that are approved in Europe, but not in the United States.

Educational objectives: 

The learning objectives for this activity have been designed to address participant knowledge, competence, performance, and patient outcomes. At the conclusion of this program, participants should be able to:

  • Describe the general principles of aging and the biomedical and psychosocial issues of aging (knowledge)
  • Discuss legal and ethical issues related to geriatric medicine (knowledge/competence)
  • Evaluate the financing of health care for older adults (knowledge/competence)
  • Identify the basic principles of geriatric medicine, including assessment, geriatric pharmacotherapy, prevention, exercise, palliative care, rehabilitation, and sensory deficits (knowledge/competence)
  • Use state-of-the-art approaches to geriatric care while providing care in hospital, office-practice, nursing-home, and home-care settings (performance)
  • Diagnose and manage geriatric syndromes, including dementia, delirium, urinary incontinence, malnutrition, osteoporosis, falls, pressure ulcers, sleep disorders, pain, dysphagia, and dizziness (performance)
  • Apply relevant information from the fields of internal medicine, neurology, psychiatry, dermatology, and gynecology to the care of older patients (performance)
  • Adjust patient care in the light of evidence-based data regarding the particular risks and needs of ethnic, racial, and sexual patient groups (patient outcomes)
  • Use quality indicators to assess and improve the care of older adults in their own practices (performance/patient outcomes) and
  • Use evidence-based data to increase the effectiveness of teaching geriatrics to all health professionals (performance)
Additional information/Special implementation requirements or guidelines: 
Publications from, presentations from, and/or citations to this product: 

Book, CD Rom, online

Date posted: 
Tue, 09/23/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/11/2015
Contact Person/Corresponding Author:



Suggested Citation:
Geriatrics Review Syllabus. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/201

Communication and Dementia

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

Online webinar designed to educate direct care providers about best practices when treating a demented person.

Educational objectives: 

At the end of this webinar, participants should be able to: Explain characteristics of Dementia and Alzheimer's disease Recoognize challenges to providing quality care to individuals with dementia Utilize several communication techniques when working with persons with memory loss and confusion.

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

Citations included in product.

Date posted: 
Tue, 09/23/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 07/05/2010
Contact Person/Corresponding Author:



Suggested Citation:
Communication and Dementia. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/201

Incontinence Bingo

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

Incontinence Bingo is an interactive teaching tool that can be used to reinforce principles of pathophysiology and treatment of incontinence. The tool is designed to be used following a didactic explanation of chronic urinary incontinence.

Educational objectives: 

Understand pathophysiology of chronic urinary incontinence as a function of bladder and sphincter function Understand treatment options for incontinence Conceptualize causes of incontinence and treatments for incontinence in a visual format that demonstrates the spectrum of bladder and sphincter conditions

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

Poster presented at 2008 UCSF Family Medicine Colloquium and at 2008 Reynolds Annual Grantee Meeting

Date posted: 
Sun, 09/21/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/18/2012
Contact Person/Corresponding Author:



Suggested Citation:
Incontinence Bingo. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/201

SmartPrescribe: Principles of Rational Prescribing

:  
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: 

This is a web-based lesson on the principles of rational prescribing. It includes three cases and addresses polypharmacy, adverse drug events, and off-label prescribing. The principles apply to all patient populations, but this lesson focuses on older adults because they constitute a large and growing population at high risk of polypharmacy and unwanted side effects of medications. The lesson utilizes PowerPoint slides, audio, and interactive features including focus questions within the cases and a specially created drug interaction game. Printable resources available for download include the American Geriatrics Society's Beers Criteria Pocket Card and a sample medication grid for patient use. The lesson is free and requires about 15 minutes to complete.

Educational objectives: 
  1. Define polypharmacy and the scope of problems related to drug prescribing in the elderly.
  2. List strategies to avoid drug interactions and adverse drug events in older persons.
  3. List classes of drugs and specific drugs to avoid in older adults.
Date posted: 
Fri, 10/30/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 01/28/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . SmartPrescribe: Principles of Rational Prescribing. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/201

Use of Sedative-Hypnotics in Older Adults

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

Pocket card regarding the use of sedative-hypnotics in older adults.

Educational objectives: 

1. Improve practice regarding indications for sedative-hypnotics in older adults 2. Improve sedative-hypnotic drug selection and dosing for older adults

Date posted: 
Thu, 09/24/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 07/13/2012
Contact Person/Corresponding Author:



Suggested Citation:
Use of Sedative-Hypnotics in Older Adults. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/201

Geriatric Health Care Systems Test

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

This is a multiple choice test used as a pre- and post-geriatrics rotation to assess knowledge and skill in planning health systems use for patient care, such as home care, long term care, hospice, etc.

Educational objectives: 

One of the goals of the one month geriatrics residency rotation is to have residents develop competency in providing care and referring patients across systems of care and understand systems-based geriatrics practice. The rotation provides clinical experience in care of older adults in acute, subacute, long term care, ambulatory, and home care settings with exposure to a multidisciplinary team model of care. Seminars include a session on health care systems and transitions of care. At the end of the one-month rotation residents are expected to attain competency in the following areas: 1. Medical evaluation of the older adult in the emergency room setting When is it appropriate not to admit to the hospital? What can be done to insure a safe discharge from the emergency room? 2. Insurance considerations when planning for hospital discharge What does insurance cover? What are the limitations of the available programs? 3. End of life care What are the goals of care? What services are available for patients and families? 4. Caregiver stress How do we help families plan for the long care of their loved ones? What support is available for families and physicians in making these plans? 5. Community care What kinds of support services are offered in the community after hospital discharge? Who pays for long- term care and how is it arranged?

Additional information/Special implementation requirements or guidelines: 

pre- and post-test

Date posted: 
Thu, 09/24/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 01/23/2013
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Health Care Systems Test. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/201

Geriatric Assessment Workshop

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

These are materials to conduct a half day workshop regarding geriatric assessment. Included is a faculty guide, instructional forms, and assessment forms.

Educational objectives: 

The goal of this workshop is to describe geriatric assessment, understand that it strives to promote wellness and independent function, and train learners in cognitive and functional assessment skills. The specific objectives are to: • Describe physical function • Utilize standardized methods to assess physical function • Describe neuropsychiatric function • Utilize standardized tools to assess cognition

Additional information/Special implementation requirements or guidelines: 

Large group lecture Small groups - <15 learners each simulated patients or faculty as simulated patients

Date posted: 
Fri, 09/19/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 08/19/2012
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Assessment Workshop. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/201

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