The Portal of Geriatrics Online Education

Physical Diagnosis

Degenerative Aortic Stenosis

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

The UT Southwestern SAGE Aortic Stenosis module is self-directed learning of degenerative aortic stenosis in the elderly. After completion of the program, medical students will have reviewed the disease, patient presentation, physical exam and treatment of aortic stenosis.

Educational objectives: 

After completion of the aortic stenosis module, learners will be able to describe:

  • anatomy and physiology of aortic stenosis
  • patient symptoms of aortic stenosis
  • diagnosis of aortic stenosis
  • treatment of aortic stenosis
Additional information/Special implementation requirements or guidelines: 

Quicktime is needed to view this material.

Author:  Melane Sulistio, MD

Geriatrician:  Kathryn Eubank, MD

Medical Illustrator: Lindsay Oksenberg, MA

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



Suggested Citation:
Degenerative Aortic Stenosis. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/224

Hearing Loss in the Elderly

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

This PowerPoint video and audio discusses the pathophysiology, evaluation and treatment of hearing loss. Communicating with patients with hearing loss will be taught, all in less than 6 minutes.

Educational objectives: 

Understand the causes of hearing loss

Be able to better communicate with patients who have hearing loss

Date posted: 
Mon, 06/30/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 03/16/2018
Contact Person/Corresponding Author:



Suggested Citation:
Hearing Loss in the Elderly. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/224

It's My Old Back, Again: An Approach to Diagnosing and Managing Back Pain in the Older Adult.

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

Assessing and treating pain in older adults is of critical importance for nearly all health care providers. Back pain is a common, costly, disabling, yet under-addressed condition in this population. Specifically, musculoskeletal conditions, such as back pain - the focus of this educational module - are the leading causes of pain as adults age. This self-directed, web-based, interactive educational module addresses the evaluation and management of back pain in older adults. The audience for this module is anyone who provides care (both out-patient and in-patient) for older adults with back pain.

Educational objectives: 

1) Summarize the prevalence and impact of back pain in older persons.

2) Describe how to clinically evaluate back pain including a detailed examination.

3) List the differential diagnosis of back pain in older persons.

4) Explain how to manage the most common etiologies of back pain in older adults.

4) Summarize the risks, benefits and guidelines for specific pharmacologic management of back pain in older adults and how to minimize and monitor for adverse effects.

5) Summarize the various non-pharmacological approaches to managing back pain.

6) Describe which situations are appropriate for referral to more specialized care.

Date posted: 
Tue, 10/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 10/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, and . It's My Old Back, Again: An Approach to Diagnosing and Managing Back Pain in the Older Adult. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/224

Assessing and Managing Swallowing Issues: An Interprofessional Approach

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

This educational module is designed to teach family medicine residents, internal medicine residents, fellows, and medical students an interprofessional approach to assessing and managing swallowing issues.

Educational objectives: 

The objectives of this educational module are:

  1. Identify signs and symptoms of potential swallowing problems.
  2. Identify nutritional concerns requiring intervention.
  3. Determine appropriate referral for speech pathologists and registered dietitians in the collaborative care of elderly patients with swallowing problems.
  4. Describe positive outcomes of a collaborative approach in the treatment of swallowing problems.
Additional information/Special implementation requirements or guidelines: 

For evaluation purposes, ther are pre/post knowledge questions available from the author.

Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Assessing and Managing Swallowing Issues: An Interprofessional Approach. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/224

Objective Structured Clinical Examination Case: Henry Corbett

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

The case of Henry Corbett is a standardized patient designed for third and fourth year medical students. Henry Corbett is a 75-year-old man who presents to the outpatient office with a complaint of dizziness, fatigue, low energy, and loss of appetite. The examinee's task is to review the medical chart before seeing the patient, take a medical history, perform a physical examination, present a diagnosis, and lay out a treatment work-up plan. Following the encounter, the examinee documents the encounter in a SOAP-style patient note.

Educational objectives: 
  • To measure students' ability to do a focused history & physical exam on a patient presenting with lightheadedness
  • To assess students' ability to identify causes of lightheadedness
  • To assess students' ability to recognize orthostatic hypotension secondary to medications
Date posted: 
Wed, 07/17/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/17/2013
Contact Person/Corresponding Author:



Suggested Citation:
, and . Objective Structured Clinical Examination Case: Henry Corbett. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/224

Mental Health and Older Adults

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

This lecture will help identify challenges to older adult patients and families coping with chronic mental illness. Information on how to differentiate between late life schizophrenia, depression, and other psychotic disorders and/or comorbidities is provided. Intervention plans are discussed to help care for older adult patients with depression who are at risk of suicide, or who have hallucinations, delusions or other communication problems. This lecture provides in-depth education for depression management, including medications, complimentary therapies, and pscychotherapy.

Educational objectives: 

This lecture will:

  1. Increase knowledge of depression, late life schizophrenia and other chronic psychotic diseases
  2. Explore the presence/absence of suicidal ideation in depressed patients
  3. Discuss comorbidities causing psychotic illness
  4. Illustrate challenges and management options for patients with psychiatric symptoms, including hallucinations, delusions, and communication impairments
Date posted: 
Mon, 05/13/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 05/13/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . Mental Health and Older Adults. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/224

Patient and Family Centered Rounds: A description of interprofessional bedside rounds

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

Patient- and family-centered rounds (PFCR) is a model for empowering patients and families and improving communication and care in an academic, inpatient setting. This product contains multiple handouts and a PowerPoint that reviews core concepts of PFCR and includes steps to begin bedside interprofessional rounds in an academic inpatient setting. It could also be easily adapted to outpatient and nursing home situations.

Educational objectives: 

On completion, the learner will be able to:

1.  Describe the key elements of patient- and family-centered care (PFCC) and patient- and family-centered rounding (PFCR)
2.  List examples of how patient- and family-centered rounding can improve patient safety, staff satisfaction, and resident physician education
3.  Explain how patient- and family-centered rounds differ from traditional models of hospital care on an academic hospital unit 
4.  Describe specific examples of barriers and solutions to adopting patient- and family-centered rounding
Additional information/Special implementation requirements or guidelines: 

Since implementation by the family medicine residency of The Christ Hospital/University of Cincinnati in 2007, PFCR has been well received by geriatric patients and their families, with positive feedback regarding the value of the multiple opinions received under PFCR, the ease of obtaining answers to questions, and the positive engagement of the patient and family in care. Residents and interprofessional staff have also benefited form this care model of bedside interprofessional teaching.

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

Schlaudecker J, Stecher A, Meganathan K, Pallerla H. Peer-reviewed poster. Patient- and Family-Centered Rounds on a Geriatric Inpatient Service: Resident, Staff, and Patient Perspectives. The Fifth International Conference on Patient- and Family-Centered Care. Washington, DC. June 4-6, 2012. 

Schlaudecker J, Stecher A, Meganathan K, Pallerla H. Peer-reviewed poster. Patient- and Family-Centered Rounds on a Geriatric Inpatient Service: Resident, Staff, and Patient Perspectives. American Geriatrics Society Annual Scientific Meeting. Seattle, WA. May 3-5, 2012.

Schlaudecker J. Invited Lecture. Patient- and Family-Centered Care: The Next Frontier in Geriatrics. Attendance 250. Ohio Health Care Association Annual Convention of Long-Term Care Facilities. Columbus, OH. May 1, 2012. 

Percelay J, Stein J, Schlaudecker J, Toth H. Peer-reviewed workshop. Patient- and Family-Centered Rounds: Improving Satisfaction, Safety, and Efficiency. Society of Hospital Medicine Annual Meeting. San Diego, CA. April 2-4, 2012.

Schlaudecker J, Stecher A, Meganathan K, Pallerla H. Peer-reviewed poster. Patient- and Family-Centered Rounds on a Geriatric Inpatient Service: Resident, Staff, and Patient Perspectives. Society of Hospital Medicine Annual Meeting. San Diego, CA. April 2-4, 2012. 

Schlaudecker J. Invited Faculty: “Hospitals and Communities Moving Forward with Patient- and Family-Centered Care: An intensive Training Seminar of Partnerships for Quality and Safety.” Institute for Patient-and Family-Centered Care. Seminars led: “Involving Physicians in Patient- and Family-Centered Initiatives: Applying Principles to Practice” 120 attendees; “Collaborative Rounds in Adult Cardiology” 75 attendees; “Patient- and Family-Centered Rounds: What’s In It for Patients, Families, and Professionals” 120 attendees. Madison, WI, November 7-10, 2011. Atlanta, GA, March 18-22, 2012. 

Schlaudecker J.  Keynote Speaker: Patient- and Family-Centered Care on the Adult Hospital Unit and in the ICU. Ohio Regional Conference on Family-Centered Care. The Christ Hospital, Cincinnati, Ohio. February 29, 2012.

 

Schlaudecker J, Bernheisel CB.  Interprofessional Bedside Family-Centered Rounds on an academic family medicine resident service.  Lecture/Workshop. Society of Teachers of Family Medicine Annual Spring Conference.New Orleans, LO. April 28, 2011.

Date posted: 
Thu, 07/10/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 07/10/2014
Contact Person/Corresponding Author:



Suggested Citation:
Patient and Family Centered Rounds: A description of interprofessional bedside rounds. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/224

Caring Across the Continuum: Mrs. Porter Age 74

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

Caring Across the Continuum: An Aging Virtual Patient Series. Case Two: Mrs. Porter Age 74 - Introduction to Geriatric Differential Diagnosis. This case, the second in a four-part series about the virtual patient, Mrs. Porter, introduces the learner to the complexities associated with diagnosing a common geriatric condition, and occurs in an outpatient ambulatory setting. Mrs. Porter visits Dr. Pat after missing her last three appointments, but visits mainly to refill a prescription. Concepts included in this case focus on an in-depth geriatric history-taking; conducting a comprehensive medication review; and, screening for depression.  The importance of evaluating differential diagnoses for an older adult patient is also included. The Geriatric Gems in the case provide in-depth information and resources about a variety of geriatric health topics. The Gems in Case Two include Caregiver Stress; Depression; Hypothyroidism; and, Medication Review. The case concludes with a critical thinking activity inviting the learner to use the SOAP (subjective and objective observations, recommendations for further assessment, and a plan for treatment) format to complete their own assessment of Mrs. Porter. 

Educational objectives: 

On completion of Case Two: Mrs. Porter Age 74, students will be able to:

  1. Complete components of a comprehensive geriatric assessment
  2. Address the following Association of American Medical Colleges (AAMC) geriatric competencies:
    1. Identify and document a geriatric patient's medication review
    2. Assess falls, balance, and gait of the virtual patient
    3. Assess functional abilities
    4. Generate a differential diagnosis of a unique presentation of a common older adult condition
    5. Develop a SOAP note based on Mrs. Porter's Outpatient visit
  3. Generate a medical management plan for the virtual geriatric patient
Additional information/Special implementation requirements or guidelines: 

This product is one part of a short series consisting of the following products:

As an innovative, virtual learning series, this web-based series of cases spans the 21-year relationship of care between geriatrician Dr. Patricia Thompson and her patient, Mrs. Alice Porter. This virtual learning experience for medical students, based on the Association of American Medical Colleges (AAMC) competencies, is designed to pique interest and enhance knowledge and skills in the care of older adults. The web-based learning environment provides students the unique opportunity to observe and interact with Mrs. Porter, in an ongoing doctor-patient relationship, outside of the traditional classroom setting. The series exposes students to the importance of continuity of patient care, since each case correlates to a different year of medical school education. As the medical student advances in their curriculum, Mrs. Porter continues to age, requiring more complex care and further application of critical thinking skills from the student. Each case has a unique focus that targets key geriatric and/or palliative concepts appropriate to the level of the student that can easily be embedded into existing medical school courses.

The virtual cases allow students to explore approaches to the patient; observe model clinician-patient interactions; choose practice techniques; offer health promotion, palliative counseling, and patient counseling; and contemplate complex ethical decisions regarding the care of the patient in an innocuous, self-paced, virtual environment. The embedded natural language system in each case offers an opportunity to pose real-world questions and problems to the learner, with the goal of eliciting critical thinking skills and reflective learning.

The series offers a readily available complementary assignment to the classroom and clinical experience. The self-paced case studies contain video animation, an interactive electronic medical record, Geriatric Gems and Palliative Pearls, natural language style critical thinking, clinical reasoning and clinical judgment learning activities, and evidence-based expert explanations. Evaluative tools include a pre and post quiz and rubric-scored natural language short answer and essay questions. The natural language system provides hints to the students and evaluates their responses based on the information they provide. Student actions and choices are captured for formative evaluation, as well as to provide student feedback.

The virtual patient system is a web-based application that runs on Windows Server, running IIS with ASP enabled within IIS. The project database is Microsoft Access.

The first time you explore a case, you will need to register. There is a "Register" button at the bottom of the login form. Click this button to register or to have your password sent to the email address you entered when you registered.

On the popup registration form, you will need to enter an ID and a password. Your ID can be anything you wish. You can use the same User ID and password for any of the four cases. All of the other fields are optional. (The email field is optional. If you don't enter an email address when you register, the system can't send you your password and/or ID if you forget them.)

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

Using a Virtual Patient to Teach the Comprehensive Geriatric Assessment to Medical Students. Poster presented February 24, 2012 at the AGHE Annual Meeting and Educational Leadership Conference.

Instructional Design and Management of a Virtual World: A Second Life for Geriatric Education. Project Demonstration presented February 3, 2011 at The University of Texas Academy of Health Science Education Interprofessional Health Science Education Conference.

Instructional Design and Management in a Virtual Environment: A Second Life for Geriatric Education. Presented October 25, 2010 at the Ninth Annual Reynolds Grantee Meeting.

Date posted: 
Fri, 02/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Caring Across the Continuum: Mrs. Porter Age 74. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/224

Primary Hyperparathyroidism in the Geriatric Population

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

The lecture provides an overview on the epidemiology of primary hyperparathyroidism in older adults. Primary hyperparathyroidism is a problem with calcium homeostatis in older adults, which often presents with mental disturbance and sudden frailty. The lecture focuses on recognition of the clinical presentation and indication for surgery in older patients with primary hyperparathyroidism.

Educational objectives: 

Attendees will be able to:

  1.  Characterize the changing epidemiology of primary hyperparathyroidism in older adults;
  2.  Recognize clinical presentation and indication for surgery in older patients with primary hyperparathyroidism; and,
  3.  Determine fracture risk in older patients with primary hyperparathyroidism.
Additional information/Special implementation requirements or guidelines: 

Speaker notes are embedded within the Powerpoint Presentation and are viewable in the pdf version through Adobe Reader: Comments-annotations. 

This product was reviewed by UTHealth.

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

Rianon, N. (2011).  Primary Hyperparathyroidism in the Geriatric Population. [ PowerPoint slides]. CME Multidisciplinary Parathyroid Conference. Lecture conducted at MD Anderson, Houston, TX.  

 

Date posted: 
Thu, 04/25/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/25/2013
Contact Person/Corresponding Author:



Suggested Citation:
Primary Hyperparathyroidism in the Geriatric Population. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/224

Clinical Teaching Vignette (Preceptor Version)

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

This clinical vignette is designed to evaluate medical student skills in specific areas of geriatric and palliative medicine. It is separated into four days. Student complete one day of the vignette each day, beginning with Monday and finishing Thursday. Discussion of responses to vignette questions with preceptors is encouraged, and preceptors are asked to review students' answers, provide feedback and sign off on each day's questions. Topics covered include risk factors and prevention of falls in older adults; BEERS Criteria application to a patient case; pain management for an older adult; and, health communication and delivery of bad news to a patient.

 
Educational objectives: 

On completion, the learner will be able to:

  1. Identify risk factors of falls and describe approaches to reduce falls.
  2. Identify signs and symptoms of delirium and recognize common causes of delirium.
  3. Outline a pain management plan including an initial opioid drug regimen.
  4. Generate a 6-step approach based on SPIKES to use when discussing the bad news.  
Additional information/Special implementation requirements or guidelines: 

This vignette can be used alone or in combination with the TEXAS Medical Clerkship Program. The estimated completion time is per day of vignette activity.

The vignette was developed by Amy L Holthouser, MD and adapted with premission by Shannon Pearce, DNP, Grace Varas, OD, and Jennifer Larson, MSE

This product was reviewed by UT Health.

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

Larson, J.A., Young, K., Pearce, S., Varas, G., Ostwald, S., Murphy, K., Holthouser, A., & Dyer, C. (2012, November). Use of a Clinical Vignette to Bridge Experiential Differences on a Geriatric and Palliative Clinical Rotation.  Poster session presented at   The Gerontological Society of America's 65th Annual Scientific Meeting, San Diego, CA.

Date posted: 
Mon, 08/19/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/19/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Clinical Teaching Vignette (Preceptor Version). POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/224

Pages

Subscribe to RSS - Physical Diagnosis