The Portal of Geriatrics Online Education

Physical Diagnosis

Physical Diagnosis in Older Adults

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

This independent learning web-based module was developed for third-year medical students in the geriatric clerkship rotation. Emphasis is placed on setting the tone for clinical encounters with older adults, atypical presentation of illness, importance of review of function and medications. Clinical considerations specific to older adults are presented for most systems. External websites are included in the module to augment or further enlighten the student about the content presented.

Educational objectives: 
  1. Recognize personal biases that may interfere with effective communication.
  2. Reproduce history taking techniques that foster respect and rapport with older adults.
  3. Employ methods to facilitate communication in the sensory impaired.
  4. Recognize the potential for under-reporting of illness by the older patient.
  5. Discuss the importance of understanding atypical presentation of illness.
  6. Explain the particular concerns regarding accurate history about medications and nutrition in older adults.
  7. Describe the potential impact on health status and quality of life in the older adult with unrecognized functional decline. 
  8. Recall at least one age-related finding for each organ system.
  9. Restate clinical considerations for common physiologic changes in older adults.
  10. Summarize the major components of the "Welcome to Medicare" visit.
Date posted: 
Fri, 10/15/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/05/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Physical Diagnosis in Older Adults. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/224

Texas Tech Medcast Reynolds Geriatrics Step 1 Prep Series: No. 143--You Are What You Eat

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

The Step 1 Test Prep Series was created by second-year students at the Texas Tech School of Medicine in Lubbock as a project of the MS2 Aging Block of Systems Disorders II. It was developed as part of the Reynolds Geriatrics Podcast series, which is supported in part by an Aging and Quality of Life grant from the D.W. Reynolds Foundation. The episodes in this series are based on questions that have geriatrics content and patient vignettes from the 2010 Step 1 Sample Exam, available from http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseri...

Educational objectives: 

The second-year medical student studying for the Step 1 exam should be able to:

  • Identify the clinical presentation of vitamin C deficiency
  • Understand the physiologic function of vitamin C
  • Understand how the clinical presentation of vitamin C deficiency correlates with its physiologic function
  • Identify the causes of vitamin C deficiency
Date posted: 
Thu, 10/07/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , , and . Texas Tech Medcast Reynolds Geriatrics Step 1 Prep Series: No. 143--You Are What You Eat. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/224

UM Geriatrics Clinical Decision Making Instrument

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

The University of Michigan Geriatrics Center, with support from the Donald W. Reynolds Foundation, developed this 24-item multiple choice instrument for assessing knowledge of clinical geriatrics among health professionals. The instrument emphasizes inpatient care and common geriatric syndromes. It was designed primarily for use among house officers (resident and fellows) in surgical specialties and medical subspecialties, but may also be used among residents in primary care disciplines and medical students. The UM Geriatrics Clinical Decision Making Assessment should prove useful to training programs in surgical specialties and medical subspecialties to gather baseline data, implement curricula, and measure the effects of curricular change on the knowledge of trainees in caring for the complex and interacting needs of older adults. The instrument is also available at http://www.med.umich.edu/geriatrics/edu/gme1.htm

This product consists of the following documents:

  • UM Geriatrics Clinical Decision-Making Assessment
  • Answer Key with Explanations
Educational objectives: 

This instrument was developed to provide program directors a general indicator of geriatrics clinical knowledge among groups of house officers, rather than a comprehensive assessment of individual physicians’ knowledge related to the care of older patients. The instrument was designed to be brief to enhance administration to large groups of house officers with busy schedules.

Specifically, the instrument was designed to include:

  • (a) a focus on clinical management rather than nonclinical issues (e.g., social support, long-term care, health systems organization, and finance; to maintain coherence, relevance, and brevity);
  • (b) a case-based multiple choice format (to enhance clinical relevance and reliability of scoring); and
  • (c) a length of 20 to 25 items (to allow a completion time of 30 minutes or less).
Additional information/Special implementation requirements or guidelines: 

For reliability and validity information, read the article cited below, “Brief Instrument to Assess Geriatrics Knowledge of Surgical and Medical Subspecialty House Officers” (published in the Journal of General Internal Medicine).

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

Williams, B. C., & Fitzgerald, J. T. (2006). Brief report: Brief instrument to assess geriatrics knowledge of surgical and medical subspecialty house officers. Journal of General Internal Medicine, 21(5), 490-493. http://dx.doi.org/10.1111/j.1525-1497.2006.00433.x

Date posted: 
Thu, 04/29/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/29/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . UM Geriatrics Clinical Decision Making Instrument. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/224

Focused Neuro Exam for a Patient with Falls

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

This video will instruct medical students and post graduate trainees on how to perform a thorough neurological examination when assessing an older adult with falls. It stresses examination technique as well as tools used in the assessment as a demonstration using a simulated patient encounter in a clinical setting.

Educational objectives: 

Objective of the neurologic exam in assessing falls: 1. Develop an understanding of the terminology and tools used to assess neurologic function in older adults 2. Recognize symptoms which suggest neurologic dysfunction in relation to falls in older adults

Date posted: 
Tue, 02/23/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 11/26/2012
Contact Person/Corresponding Author:



Suggested Citation:
Focused Neuro Exam for a Patient with Falls. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/224

Quick Reference for Geriatric Syndromes

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

A quick reference card set of geriatric syndromes designed for bedside use, which fits in a white coat pocket.

Educational objectives: 

Identification of, assessment of, and intervention with important geriatric syndromes frequently encountered in inpatient and outpatient clinical settings.

Additional information/Special implementation requirements or guidelines: 

Content available as PDF file. Cards may be printed and bound for hard-copy reference.

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

2008 Southern Group on Educational Affairs (SGEA) Conference (demonstration)

Date posted: 
Wed, 03/31/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/18/2012
Contact Person/Corresponding Author:



Suggested Citation:
Quick Reference for Geriatric Syndromes. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/224

Focused Neuro Exam for a Patient with Memory Loss

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

This video is to instruct 2nd through 4th year medical students on how to perform a thorough neurological examination specifically for an older adult experiencing memory loss. It stresses examination technique, so that the student may perform the exam in a real clinical setting with authority and confidence. Each examining technique is photographed clearly using a simulated patient to provide a hands-on practical application.

Educational objectives: 

1. Conduct a comprehensive and complete neurological exam 2. Identify an abnormality in the nervous system as it relates to memory. 3. Recognize symptoms which suggest neurologic dysfunction. 4. Describe the anatomic and physiologic basis of the neurological examination as it relates to memory loss.

Date posted: 
Tue, 02/23/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 11/26/2012
Contact Person/Corresponding Author:



Suggested Citation:
Focused Neuro Exam for a Patient with Memory Loss. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/224

Elder Care: A Resource for Interprofessional Providers: Pressure Ulcers in Older Adults

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

Pressure Ulcers in Older Adults 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 the four stages of pressure ulcers
  2. Select a dressing based on the stage of a pressure ulcer
  3. State the indications for obtaining cultures of and antibiotic therapy for pressure ulcers
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: 
Tue, 06/16/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 03/06/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Elder Care: A Resource for Interprofessional Providers: Pressure Ulcers in Older Adults. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/224

Elder Care: A Resource for Interprofessional Providers: Pain When Reaching Overhead-Four Shoulder Problems in Older Adults

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

Pain When Reaching Overhead: Four Common Shoulder Problems in Older Adults 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. List four common shoulder problems seen in older adults that present with pain when reaching overhead with the arms
  2. State the key examination findings for each of those four shoulder problems
  3. Order appropriate imaging for patients suspected of having any of the four problems
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: 
Mon, 06/14/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 03/07/2016
Contact Person/Corresponding Author:



Suggested Citation:
and . Elder Care: A Resource for Interprofessional Providers: Pain When Reaching Overhead-Four Shoulder Problems in Older Adults. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/224

OSCE Handbook

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

Health Care Maintenance and Prevention for OSCE Preparation for the Integrated Clinical Experience Core. Geriatric content added. Materials will be sent upon request. Please email Jackie Whittington at jwhittin@unmc.edu.

Educational objectives: 

To provide Geriatric content on Health Care Maintenance and Prevention for OSCE Preparation for Integrated Clinical Experience Core. Learners should be able to describe age appropriate preventative care.

Additional information/Special implementation requirements or guidelines: 

2nd year Undergrad. Materials will be sent upon request. Please email Jackie Whittington at jwhittin@unmc.edu.

Date posted: 
Sun, 02/04/2007
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
OSCE Handbook. POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://pogoe.org/taxonomy/term/224

Pattern Recognition Questions

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

The University of Nebraska Medical Center has developed three sets of questions for the Internal Medicine Clerkship, the Pattern Recognition series. 

Educational objectives: 

Differential diagnosis of dementing disorders; differential diagnosis for UI. After completion learners should be able to:

  1. identify the key diagnostic features that differentiate the cause of geriatric syndromes such as incontinence and dementia; and
  2. identify important aspects of history, physical and special diagnostics in evaluation of geriatric syndromes.
Date posted: 
Thu, 08/06/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/18/2011
Contact Person/Corresponding Author:



Suggested Citation:
Pattern Recognition Questions. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/224

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