The Portal of Geriatrics Online Education

Caregiver

Prescription for Safety and Well Being: Home Modifications

:  
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 decribes possible home modifications for older adults and ways older adults can stay safe in thier homes. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 

 List home modifications that promote safety for older adults in the home.

Additional information/Special implementation requirements or guidelines: 

Please note: The speaker was caught in traffic so the first 9 minutes of presentation are Q&A with Dr. James Powers about home and safety modifications from a MD perspective. This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

This video may take a few moments to load based on your connection. Please wait if it does not appear right away.

Date posted: 
Wed, 05/22/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 05/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
Prescription for Safety and Well Being: Home Modifications. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/246

Elder Care: A Resource for Interprofessional Providers: Improving Communication with Older Patients

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

Improving Communication with Older Patients 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: 

After reading this issue of Elder Care, you should be able to…

  1. Identify three problems that contribute to miscommunication between clinicians and older adults
  2. Describe the effect of those three problems on communication with older adults
  3.  Recommend approaches to avoid those three 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."

Elder Care Provider Sheets can also be accessed at http://www.reynolds.med.arizona.edu/EduProducts/ElderCareProviderSheets.cfm.

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.

Date posted: 
Tue, 08/14/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 03/06/2018
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care: A Resource for Interprofessional Providers: Improving Communication with Older Patients. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

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/246

Elder Care: A Resource for Interprofessional Providers: Nocturia 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: 

Nocturia 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: 

After reading this issue of Elder Care, you should be able to…

  1. State how many episodes of voiding per night are considered abnormal (ie, diagnostic of nocturia).
  2. Describe the non-pharmacologic approaches to treatment that are recommended for patients with nocturia.
  3. List medications that can be used for treating nocturia.
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: 
Thu, 11/30/2017
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Elder Care: A Resource for Interprofessional Providers: Nocturia in Older Adults. POGOe - Portal of Geriatrics Online Education; 2017 Available from: https://pogoe.org/taxonomy/term/246

Aging Tsunami

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

The Aging Tsunami lecture details the reasoning behind the importance of geriatric and palliative education to the future of health care. It describes the statistics on the aging population in the United States and globally, and identifies changes that the older adult population presents to health care systems and health care professionals. It also explains why geriatric and palliative medicine is a growing medical career path.

Educational objectives: 

On completion, the learner will be able to:

  • Identify trends that will challenge geriatric health care professionals now and in the future
  • List some important areas of focus for future geriatric health care professionals 
Additional information/Special implementation requirements or guidelines: 

Speaker notes are provided as a separate document.

This product was reviewed by UT Health.

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

Ostwald, S.K. (2009, September), Preparing for the Aging Tsunami. International Geriatric and Gerontological Nursing Conference, Huadong Hospital, Fudan University, Shanghai, China. (invited keynote presentation) 

Date posted: 
Mon, 06/03/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 06/03/2013
Contact Person/Corresponding Author:



Suggested Citation:
Aging Tsunami. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/246

Elder Care: A Resource for Interprofessional Providers: Hoarding Disorder

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

Hoarding 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: 

After reading this issue of Elder Care, you should be able to…

  1. List the characteristics that define the diagnosis of hoarding.
  2. Describe the usual presentation of hoarding.
  3. Identify an effective therapy for hoarding in patients who have good cognitive/executive function.
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."

Elder Care Provider Sheets can also be accessed at http://www.reynolds.med.arizona.edu/EduProducts/ElderCareProviderSheets.cfm.

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.

Date posted: 
Thu, 08/02/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/10/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Elder Care: A Resource for Interprofessional Providers: Hoarding Disorder. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/246

Improving Antipsychotic Appropriateness in Dementia Patients

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

This website includes information and resources to help clinicians, providers, and consumers better understand how to manage problem behaviors and psychosis in people with dementia using evidence-based approaches. This includes brief lectures, written content, quick reference guides for clinicians and providers, and information for families or patients on the risks and benefits of antipsychotics for people with dementia (a.k.a. Alzheimer’s disease and others). You can also request laminated quick reference guides to use in your practice, which can help you put the strategies you learn about into action.

Educational objectives: 
On completion, the learner will be able to:
  1. List appropriate initial assessments to help determine the causes of problem behaviors or psychosis in dementia.
  2. Apply non-drug strategies to manage problem behaviors or psychosis in dementia.
  3. Assess delirium signs and symptoms using a delirium screening tool.
  4. Determine when an antipsychotic might be appropriate or inappropriate in a person with dementia, depending on symptoms and the type of dementia.
  5. Select an optimal antipsychotic for a patient with dementia based on efficacy, side effects, and patient comorbidities.
  6. Recognize antipsychotic side effects in a person with dementia.
  7. Discuss the risks and benefits of antipsychotics with patients and families using a shared decision making information sheet as a guide.
Additional information/Special implementation requirements or guidelines: 

This program is supported by the Agency for Healthcare Research and Quality (R18 HS19355-01).

The quick reference guides were reviewed by healthcare practitioners and direct care providers during development. The family guide was reviewed by the New Readers of Iowa and Alzheimer's Association support group participants.

Viewing the videos requires a broadband Internet connection, sound capability, and one of the following supported browsers, with JavaScript enabled:

  • Internet Explorer 7 or later on Windows with Flash version 11.1 or later
  • Chrome 15 or later, Firefox 8 or later, or Opera 10.5 or later on Windows
  • Firefox 8 or later, or Safari 5 or later on Mac OS X
  • iPad 1 or later

Viewing and printing the products and the evidence-based reviews requires Adobe Reader.

Publications from, presentations from, and/or citations to this product: 
  1. Carnahan R, Gryzlak B, Weckmann M, Kelly M, Reist J, Smith M, Lenoch S, Daly J, Levy B, Seydel L, Schultz S. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the College of Psychiatric and Neurologic Pharmacists Annual Meeting, Tampa, FL; April 29-May 2, 2012. 
  2. Carnahan R, Abrams MA, Weckmann M, Savage B, Daly J, Kelly M, Levy B, Mulhausen P, Reist J, Seydel L, Smith M, Raether R, Abrams E, Holland R, Schultz S. Development of a reader-friendly patient and family guide to facilitate shared decision making on antipsychotic use in dementia. Presented at the Health Literacy Iowa and New Readers of Iowa Conference, Des Moines, IA; April 13-14, 2012.
  3. Carnahan R, Gryzlak B, Weckmann M, Kelly M, Reist J, Smith M, Lenoch S, Daly J, Levy B, Seydel L, Uhlenkamp L, Schultz S. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the American Health Care Association/National Center for Assisted Living Quality Symposium, Houston, TX; Feb 23-24, 2012.
  4. Weckmann M, Daly J, Gryzlak B, Kelly M, Lenoch S, Levy B, Reist J, Schultz S, Seydel L, Smith M, Carnahan R. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the Academy of Psychosomatic Medicine Annual Meeting. Phoenix, AZ; November 16-20, 2011.

This product has also been the subject of oral presentations at the American Association for Geriatric Psychiatry 2012 annual meeting, the American Society of Consultant Pharmacists 2011 annual meeting, and a number of regional, state, and local conferences.

 

Date posted: 
Mon, 08/27/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , and . Improving Antipsychotic Appropriateness in Dementia Patients. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

The Learning Curve: A Geriatrics Professional Development Webinar Series (2012 - 2 of 2) "Improving Clinical Care Through Quality Improvement"

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

This ongoing webinar series was created to provide professional development to the health providers participating in the Geriatric Scholars Program funded by the Office of Rural Health through the Greater LA GRECC. The participants are the MDs, DOs, NPs, and PAs partaking in this valuable program.

Educational objectives: 

At the conclusion of this webinar series, the Geriatric Scholars should be able to:

  1. Peer to Peer Education - Improve their communication skills in knowledge transfer with their peers who work in the CBOC's
  2. Adult Learning - Define the basic theories of adult learning to better understand what motivates and engages adults to incorporate new information into their health behaviors
  3. Health Literacy - Identify literacy barriers that affect learning in older patients
  4. Keys to Effective Leadership - Describe how to navigate team members through effective negotiations and discussions of team member roles; Apply open and frank discussion strategies among team members that serve to build commitment and confidence; Recommend opportunities for leadership among team members
  5. Managing Team Dynamics - Utilize successful team-based solutions to guide the members of the team to meet patient needs; Develop a strategy to foster productive collaboration with other team members

After this particular video, Geriatric Scholars will be able to:

  • Identify strategies to routinely include systems improvement in clinical practice
  • Use a tally sheet and Pareto chart to identify specific areas of focus for improvement within clinical practice
  • Create a well-defined process measure to collect baseline data and monitor improvement
  • Utilize methods of measurement in order to determine the impact of steps of change
Additional information/Special implementation requirements or guidelines: 

This product was reviewed by the Greater LA GRECC, LIttle Rock GRECC & JJ Peters GRECC. 

Date posted: 
Mon, 08/13/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/13/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . The Learning Curve: A Geriatrics Professional Development Webinar Series (2012 - 2 of 2) "Improving Clinical Care Through Quality Improvement". POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

An Interactive Curriculum on Pressure Ulcers in the Elderly

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

This is a 2.5 hour curriculum for medical students in their clerkships on pressure ulcers. The medical students completed an online module to gain basic understanding of pressure ulcers - descriptive techniques and classification. This online module included a knowledge based pre-test. The faculty identified SNF patients with a variety of pressure ulcers - different stages and sites. The faculty conducted clinical rounds on these patients with medical students to practice pressure ulcer description, risk factors, staging and prevention. Subsequently medical students completed a post test to measure their progress towards the objectives. They also completed a program evalution survey.

Educational objectives: 

On completion, the learner will be able to:

  1. Identify risk factors for pressure ulcer development
  2. Name the sites at risk for pressure ulcer development
  3. Describe pressure ulcers
  4. Stage pressure ulcers
  5. Enlist pressure ulcer prevention methods
Additional information/Special implementation requirements or guidelines: 

20 minutes to complete online module.

Limit bedside rounds to 4 students at a time with faculty members to promote better learning and clear viewing of the pressure ulcers.

This curriculum has been reviewed by geriatrics fellows and faculty at DUMC and visiting faculty participating in the Reynolds Faculty Development program.

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 . An Interactive Curriculum on Pressure Ulcers in the Elderly. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/246

Elder Care: A Resource for Interprofessional Providers: Dealing with Overweight and Obesity in Non-Frail Older Adults

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

Dealing with Overweight and Obesity in Non-Frail 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 healthcare settings.

Educational objectives: 

After reading this issue of Elder Care, you should be able to…

  1. Identify the best measurements for assessing overweight and obesity in older adults.
  2. State how much exercise is generally needed by overweight older adults to achieve weight loss
  3. Explain whether or not bariatric surgery is ever appropriate for obese older adults
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."

For more information on this series, go to http://www.reynolds.med.arizona.edu/EduProducts/El...

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.

Date posted: 
Mon, 01/28/2019
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: Dealing with Overweight and Obesity in Non-Frail Older Adults. POGOe - Portal of Geriatrics Online Education; 2019 Available from: https://pogoe.org/taxonomy/term/246

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