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Ambulatory Geriatrics Curriculum for Internal Medicine Residents Module on BPSD: Agitation and Behavioral Problems in Dementia

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

In 2012, 5.4 million Americans are diagnosed with Alzheimer’s Disease.  Lifetime risk of experiencing BPSD (Behavioral and Psychological Symptoms of Dementia) is nearly 100%.  BPSD is associated with increased morbidity and nursing home placement and is potentially treatable.  The information in this curriculum has been created to help the general internal medicine residents have a structured approach to the evaluation and management of BPSD.  This is the 3rd topic covered in a four part ambulatory geriatric curriculum that was developed for internal medicine residents.  To learn more about the successful ambulatory curriculum developed, please  check out  manuscript by Chang C1, Callahan EH, Hung WW, Thomas DC, Leipzig RM, DeCherrie LV. A Model for Integrating the Assessment and Management of Geriatric Syndromes Into Internal Medicine Continuity Practice: 5-Year Report. Gerontol Geriatr Educ. 2015 Jul 9:1-15.

Educational objectives: 

At the conclusion of this module, learners will be able to:

  1. Define BPSD
  2. Evaluate BPSD
  3. Discuss the Guidelines for Management of BPSD
    • Nonpharmacologic Interventions
    • Pharmacologic Interventions
Publications from, presentations from, and/or citations to this product: 

Christine Changab*, Eileen H. Callahanab, William W. Hungc, David C. Thomasb, Rosanne M. Leipzigab & Linda V. DeCherrieab A Model for Integrating the Assessment and Management of Geriatric Syndromes Into Internal Medicine Continuity Practice: 5-Year Report Gerontology & Geriatrics Education. Published online: 09 Jul 2015. DOI:10.1080/02701960.2015.1031897.

Date posted: 
Mon, 09/12/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/12/2016
Contact Person/Corresponding Author:



Suggested Citation:
Ambulatory Geriatrics Curriculum for Internal Medicine Residents Module on BPSD: Agitation and Behavioral Problems in Dementia. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/246

IMPACT/INTERACT: Improving Care Transitions to Post Acute Care

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

This one hour video lecture with accompanying PowerPoint slides provides an overview of the Impact/Interact quality improvement study being conducted at Vanderbilt Medical Center. The target audience is Interdisciplinary Health Care Professionals.

 

Educational objectives: 

Upon completion of this material you will be able to:

  • Discuss quality improvement goals of IMPACT and INTERACT studies.
 
Date posted: 
Wed, 03/23/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 03/23/2016
Contact Person/Corresponding Author:



Suggested Citation:
IMPACT/INTERACT: Improving Care Transitions to Post Acute Care. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/246

Vascular Influences on Late-Life Depression

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

This one hour video lecture with accompanying PowerPoint slides provides an overview of vascular disease in late life depression. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 

Upon completion of this material you will be able to:

  • Identify the relationship between vascular disease and late-life depression.
  • Identify theories on how vascular disease may contribute to depression.
Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

Date posted: 
Mon, 03/21/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 03/21/2016
Contact Person/Corresponding Author:



Suggested Citation:
Vascular Influences on Late-Life Depression. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/246

End Stage Dementia

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

This one hour video lecture with accompanying PowerPoint slides provides an overview advanced dementia and how to better prepare patients and families before the disease progresses to end stage. The target audience is Interdisciplinary Health Care Professionals. 

Educational objectives: 

Upon completion of this video lecture, you will be able to:

  • Recognize the signs of end stage dementia and know what medications are not recommended in end stage dementia.
  • Discuss the benefits and risks of tube feeds in dementia patients.

 

Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

Date posted: 
Wed, 03/23/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 03/23/2016
Contact Person/Corresponding Author:



Suggested Citation:
End Stage Dementia. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/246

Dementia: A Practical Approach

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

This one hour video lecture with accompanying PowerPoint slides provides an overview of dementia and how caregivers can better understand the progression of the disease and ways to provide support. The target audience is Interdisciplinary Health Care Professionals. 

 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

 

Educational objectives: 

Upon completion of this video lectures, you will be able to:

  • Identify a positive physical approach that will improve your interaction with patients with dementia.
  • Identify how to minimize difficult behaviors and elicit a positive response when giving care to patients with dementia.

 

Date posted: 
Wed, 03/23/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 03/23/2016
Contact Person/Corresponding Author:



Suggested Citation:
Dementia: A Practical Approach. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/246

Behavioral Approach to Agitation in Dementia

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

This one hour video lecture with accompanying PowerPoint slides provides guidance for behavioral approaches for agitation in patients with dementia.  The target audience is Interdisciplinary Healthcare Professionals.  

Educational objectives: 

1) Define Dementia and discuss how it impacts communication and behavior

2) Define agitation and risks associated with pharmacological management of agitation in patients with dementia.

3) List non-pharmacological interventions for agitation.

Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG)

Date posted: 
Wed, 08/13/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 08/13/2014
Product Viewing Instructions: 
This video may take a few moments to load depending on your connection. Please wait if it does not appear right away.
Contact Person/Corresponding Author:



Suggested Citation:
Behavioral Approach to Agitation in Dementia. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/246

Hearing Loss in the Elderly

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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/246

How to discuss Code Status and make a recommendation

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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: 

Code status discussions are often rushed events done during a hospital admission by a doctor that the patient has never met.  The content, and therefore the quality, of these discussions varies widely and often contains very incomplete information that fails to meet a person at their individual health literacy level.  Additionally, once a physician decides to make a recommendation for a DNR status, the methods used may be crude and border on coercive.  

The goal of this lecture is to provide the listener with a complete understanding of CPR outcomes that can be presented flexibly at the level of the health literacy of the patient and family.  Second, the lecture provides a framework for making a recommendation of CPR by not viewing it soley as a health literacy problem but as a fit between a patient's stated values and the likely outcomes of CPR.  In this way, there are many reasons why a person may choose to be DNR.  

First, an evidence review of outcomes are discussed by site of care (inpatient, outpatient and nursing home) including immediate failure, prolonged death in a hospital, survival with impaired neurological status and survival with intact neurological status.  Both absolute and relative rates are presented.  An evidence review of the risks are summarized including the trauma of CPR, what happens when a person fails to survive to hospital discharge and surviving with impaired neurological status.  Success rates in studies are analyzed by diagnosis, age, and functional baseline.  Finally, how to translate the outcomes into goals and values is discussed including when being DNR is appropriate for a patient.  Ideally, the learner will have more tools for helping a patient understand why DNR may be appropriate than before this educational session.  

Educational objectives: 

The purpose of this lecture is to allow the listener to have a much more complete understanding of the pros and cons of CPR and its outcomes and have a framework for making recommendations.  The goal is to move beyond simply thinking about the trauma and success rates of a procedure-oriented CPR discussion and move towards a value-based, patient-centered discussion.

Additional information/Special implementation requirements or guidelines: 

The power point lecture is accompanied by a handout that serves as a literature review.  There is also a bibliography.  In a small group setting, the handout could be the starting point of an interactive discussion.  I usually start by asking the housestaff and students when they have felt a patient who was full code should be DNR, why they felt that way, and how they went about trying to change the code status.  I ask what they communicate and how they communicate it. Having learners provide their own vignettes gets them more engaged in the discussion and at the end they can think about what they might have done differently.  

Date posted: 
Mon, 10/07/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/07/2013
Contact Person/Corresponding Author:



Suggested Citation:
How to discuss Code Status and make a recommendation. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/246

Interprofessional Geriatric Transitions of Care and Discharge Planning Series 2: Discharge Planning and Home Community-Based Services to Support Safe Transitions

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

Description:

Medicare states that discharge planning is "A process used to decide what a patient needs for a smooth transition from one level of care to another."
(http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=2312)

Discharge Planning involves the entire healthcare team, but is often coordinated by a nurse, social worker, or case manager. This module examines the process of discharge planning to various healthcare facilities.

Educational objectives: 

Upon completion of this module, the participant will be able to:

  • Discuss general components of discharge planning to ensure a safe transition.
  • Discuss issues related to discharge from hospital to nursing facility.
  • Discuss issues related to discharge from hospital to home.
  • Provide information regarding home and community resources to ensure safe transitions.
  • Increase knowledge of the scope and benefits that are available to older adults in their homes and community.
  • Understand eligibility requirements for home and community based services.
  • To be able to provide direct access to patients and families to home and community-based services.
Additional information/Special implementation requirements or guidelines: 

Technical Requirements and Notes:

This learning module uses Adobe Flash media and may require you to add a browser "plug-in" in order to display properly. Most computers already have this free plug-in installed. But, if yours does not, it is very easy to download and install. Try the module first because the software is "smart" enough to detect the Flash player. If the module doesn't begin, you will be automatically prompted to download the plug-in.

The module contains links to external websites which will open in a new browser window. Your browser's back button will not return to the module, so these new windows should be closed.

Date posted: 
Thu, 04/24/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/24/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , , , and . Interprofessional Geriatric Transitions of Care and Discharge Planning Series 2: Discharge Planning and Home Community-Based Services to Support Safe Transitions. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/246

Interprofessional Geriatric Transitions of Care and Discharge Planning Series 1: Ensuring Safe Transitions

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

"Transitional care is defined as a set of actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location." Transitions may happen between hospitals, sub-acute and post-acute residential care, home, long-term care facilities. (American Geriatrics Society Health Care Systems Committee, 2003, p. 556)

This module examines the transitions of care process and the professionals involved.

Educational objectives: 

Upon completion of this module, the participant will be able to:

  • Understand the consequences of poor transitions in care.
  • Understand the roles of health care professionals, patients, and caregivers in transitions of care.
  • Discuss the challenges of safe transitions, including systems, patients, and provider-based factors.
  • Discuss strategies and evidence-based models to ensure safe transitions.
  • Recognize and address health literacy issues and cultural differences that may impact safe transitions.
Additional information/Special implementation requirements or guidelines: 

Technical Requirements and Notes:

This learning module uses Adobe Flash media and may require you to add a browser "plug-in" in order to display properly. Most computers already have this free plug-in installed. But, if yours does not, it is very easy to download and install. Try the module first because the software is "smart" enough to detect the Flash player. If the module doesn't begin, you will be automatically prompted to download the plug-in.

The module contains links to external websites which will open in a new browser window. Your browser's back button will not return to the module, so these new windows should be closed.

Date posted: 
Thu, 04/24/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/24/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , and . Interprofessional Geriatric Transitions of Care and Discharge Planning Series 1: Ensuring Safe Transitions. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/246

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