The Portal of Geriatrics Online Education

Caregiver

(Y4S3) ELDER Project Teams and Teamwork: Team Member Roles

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

This module begins to explore the importance and benefits of working as a collaborative team within the geriatric setting. Working as a team achieves resutls with geriatric patients that individuals within the team can not achieve in isolation.  Session three focuses on the various roles and their function within a team; topics inlcude identification of team members and roles; team function; and overlap of roles within the team.

Educational objectives: 
  1. Identify characteristics of effective teams.
  2. List the members of the interdisciplinary team.
  3. Compare and contrast the different functions of various disciplines within the team.
  4. Describe role overlap and its implication in patient care.
Additional information/Special implementation requirements or guidelines: 

 

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

GITT Resource Center of the John A. Hartford Foundation Geriatric Interdisciplinary Team Training Program. (2003). GITT. New York: New York

Tower Building Activity: For Team Building developed by: Donald E. Gibson, Ph.D., Professor of Management, Chair, Management Department, Charles F. Dolan School of Business, Fairfield University

Date posted: 
Sun, 01/01/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 12/18/2011
Contact Person/Corresponding Author:



Suggested Citation:
and . (Y4S3) ELDER Project Teams and Teamwork: Team Member Roles. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

(Y4S2) ELDER Project Teams and Teamwork: Continued

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

This module begins to explore the importance and benefits of working as a collaborative team within the geriatric setting. Working as a team achieves resutls with geriatric patients that individuals within the team can not achieve in isolation.  Session two covers topics such as : phases of team development; and successful versus unsuccessful teams. This session is a continuation of session one, which covered topics such as collaborative practice and the importance of being part of an interdisciplinary team.

Educational objectives: 
  1. Discuss the phases of team development.
  2. Compare and contrast the components of successful vs. unsuccessful team development in a given case scenario.

 

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

GITT Resource Center of the John A. Hartford Foundation Geriatric Interdisciplinary Team Training Program. (2003). GITT. New York: New York

Tower Building Activity: For Team Building developed by: Donald E. Gibson, Ph.D., Professor of Management, Chair, Management Department, Charles F. Dolan School of Business, Fairfield University

Date posted: 
Sun, 01/01/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 12/18/2011
Contact Person/Corresponding Author:



Suggested Citation:
and . (Y4S2) ELDER Project Teams and Teamwork: Continued. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

(Y2S6) ELDER Project: Falls and Restraints

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

Year 2 - Target audience is Nursing Assistants (NA) in the homecare and long term care settings. The curriculum is based on the John A. Hartford Foundation's best practices in the care of older adults. This is session six of six, and it contains two modules: Falls and Restraints.  Falls topics include: reasons patients are at risk for falls; how nursing assistants are instrumental in fall prevention; Restraint topics include: role of NA in restraint use; and myths/facts about restraints.

Educational objectives: 

Educational Objectives Session 6:

  1. List three reasons that patients may be at risk for falls.
  2. Name three things that a nursing assistant can do to help prevent a fall for an older adult.
  3. List one myth and fact about the use of restraints for older adults.
Publications from, presentations from, and/or citations to this product: 
 
John A. Hartford Foundation Institute for Geriatric Nursing (2001, 2003)
Mather LifeWays, 2003
Date posted: 
Sun, 01/01/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 02/19/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . (Y2S6) ELDER Project: Falls and Restraints. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

(Y1S8) ELDER Project: Best Nursing Practices: Pain

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

The curriculum is based on the John A. Hartford best practices in the care of older adults, and this session is designed to assist care providers in long term or home care settings in assessing for and treating pain; and in providing palliative care for older adults. This is session 8 of 11 and is targeted toward Registered Nurses (RNs), LPNs, and other licensed health care professionals.  There are two modules within this session, Pain, and Palliative Care. Pain topics include: acute versus chronic pain; causes of pain; undertreatment; use of pain scales to assess pain; pharmacologic treatment and side effects of pain medications; non pharmacologic treatments and atypical presentation of pain in older adults. Palliative care topics include: World Health Organization definition of palliative care; philosophy and basic priniciples of palliative care; quality of life; final hours of life; and working within an interdisciplinary team for patients in need of palliative care.

Educational objectives: 
  1. Discuss barriers to pain relief for older adults.
  2. Identify strategies in assessing pain in older adults.
  3. Identify strategies in treating pain in older adults.
  4. Define palliative care.
  5. Discuss the assessment parameters important to palliative care.
Publications from, presentations from, and/or citations to this product: 

John A. Hartford Foundation Institute for Geriatric Nursing (2001, 2003)
Mather LifeWays, 2003

Date posted: 
Sun, 01/01/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 04/30/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . (Y1S8) ELDER Project: Best Nursing Practices: Pain. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

(Y1S6) ELDER Project: Best Nursing Practices: Pressure Ulcers & Nutrition

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

The curriculum is based on the John A. Hartford best practices in the care of older adults. This is session 6 of 11, and is targeted toward Registered Nurses (Rns) and Licensed Practical Nurses (LPNs) and other licensed health care professionals. The session is divided into 2 modules: Pressure Ulcers, and Nutrition. Pressure Ulcer topics include: Definition of pressure ulcers; prevention of, staging,  and tools to assess ulcers; risk assessments; early treatment; and dressing selection; Nutrition topics include: malnourishment in older adults; use of a food diary; physical assessment for nutritional status; hypoalbuminemia and lab tests to assess nutrition; anorexia; and factors that contribute to malnutrition on older adults.

Educational objectives: 
  1. Define Pressure Ulcer, including staging.
  2. Plan patient care for prevention of pressure ulcers.
  3. Assess diet history and nutritional status.
  4. Plan care to maximize the self-feeding capacity of older adults
Publications from, presentations from, and/or citations to this product: 

John A. Hartford Foundation Institute for Geriatric Nursing (2001, 2003)
Mather LifeWays, 2003

Date posted: 
Sun, 01/01/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/25/2011
Contact Person/Corresponding Author:



Suggested Citation:
and . (Y1S6) ELDER Project: Best Nursing Practices: Pressure Ulcers & Nutrition. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

Gray Matters - Exploring the Mature Mind

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

Gray Matters, a 27-minute documentary on the aging brain, focuses on the positive aspects of aging and on steps individuals can take to preserve their cognitive health as they age. The documentary features clinical and academic experts in several fields, but is also intended for general audiences. It is appropriate for college and graduate level health science classes, community groups, hospitals, senior centers and other audiences.

Additional information/Special implementation requirements or guidelines: 

This is a project of the Wyoming Geriatric Education Center (WyGEC) with funding from UW Division of Social Work, Richard Chatham, the Wyoming Department of Health - Office of Multicultural Health, Cheyenne Regional Medical Center, the UW Area Health Education Center and with WyGEC funds provided by the Ellbogen Foundation for Excellence. In-kind support was provided by AARP Wyoming and the St. John’s Institute for Cognitive Health in Jackson, WY.

The video was produced by Wyoming PBS, a public television station licensed to Central Wyoming College, and Wyoming AARP. It is preceeded by several messages from these sponsors. 

Date posted: 
Mon, 03/11/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 03/11/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , and . Gray Matters - Exploring the Mature Mind. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/246

Elder Abuse and Neglect Mandated Reporter Card - California

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

Template for a half-page card including: Elder abuse and neglect types and definitions in California, Mandated reporter requirement under CA WIC Code, Instructions on how to make a report of suspected abuse or neglect and Sample of reporting agencies.

Educational objectives: 
  • Recognize that anyone with full or intermittent responsibility for care or custody of an elder or dependent adult is mandated to report suspected Elder and Dependent Adult Abuse in California
  • Identify the types of abuse and neglect that require a mandated report in CA
  • Identify and compare Adult Protective Services and Long-term Care Ombudsman as agencies that will help consult about a situation, accept reports, and investigate alleged mistreatment

 

Additional information/Special implementation requirements or guidelines: 

For additional training materials on abuse and neglect, visit the Training Institute section of the website of the Center of Excellence on Elder Abuse & Neglect at UC Irvine http://www.centeronelderabuse.org

Date posted: 
Mon, 05/13/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 05/13/2013
Contact Person/Corresponding Author:



Suggested Citation:
Elder Abuse and Neglect Mandated Reporter Card - California. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/246

Oral Hygiene & Care-resistant Behaviors: Making a Difference

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

This video addresses care-resistant behavior exhibited by persons with dementia within the context of oral hygiene. Care-resistant behavior includes any actions on the part of the person with dementia to evade or avoid activities of daily living. Care-resistant behavior is theorized to be a reaction to a perceived threat; that is, the person with dementia interprets the caregiving activity as an assault or sees the caregiver as a person intent to doing harm. Oral hygiene activities, such as brushing the teeth or removing dentures, involve close proximity between the elder and the caregiver. This closeness heightens threat perception on the part of the elder with dementia. Several strategies to prevent and reduce care-resistant behavior are described and depicted in the video. Some of the strategies include promoting as much independence as possible, using nonverbal communication, and avoiding elderspeak.

Educational objectives: 

After watching this video, participants will be able to:

1. Describe how caregiving activities can be misinterpreted as threat by persons with dementia;

2. Identify care-resistant behavior in the context of oral hygiene activities;

3. Demonstrate at least one technique to prevent or reduce care-resistant behavior during oral hygiene activities.

 

Additional information/Special implementation requirements or guidelines: 

Content in this video was based on the following sources:

Oral-Systemic Link

      Azarpazhooh A, Leake JL. Systematic review of the association between respiratory diseases and oral health. J. Periodontol. 2006;77(9):1465-1482. doi:10.1902/jop.2006.060010.

      Bakhshandeh S, Murtomaa H, Mofid R, Vehkalahti MM, Suomalainen K. Periodontal treatment needs of diabetic adults. J. Clin. Periodontol. 2007;34(1):53-57. doi:10.1111/j.1600-051X.2006.01028.x.

     Furukawa T, Wakai K, Yamanouchi K, et al. Associations of Periodontal damage and tooth loss with atherogenic factors among patients with type 2 diabetes mellitus. Intern. Med. 2007:1359-1364. doi:10.2169/internalmedicine.

    Desvarieux M, Demmer RT, Rundek T, et al. Periodontal microbiota and carotid intima-media thickness: the Oral Infections and Vascular Disease Epidemiology Study (INVEST). Circulation. 2005;111(5):576-582. PMCID:PMC2812915.

     Desvarieux M, Demmer RT, Rundek T, et al. Relationship Between Periodontal Disease, Tooth Loss, and Carotid Artery Plaque: The Oral Infections and Vascular Disease Epidemiology Study. Stroke. 2003(9):2120-2125. PMCID:PMC2677013. doi:10.1161/01.STR.0000085086.50957.22.

      Promsudthi A, Pimapansri S, Deerochanawong C, W. K. The effect of periodontal therapy on uncontolled type2 diabetes mellitus in older subjects. Oral Dis. 2005;11:293-298. doi:10.1111/j.1601-0825.2005.01119.x.

      Quagliarello V, Ginter S, Han L, Van Ness P, Allore H, Tinetti M. Modifiable risk factors for nursing home-acquired pneumonia. Clin. Infect. Dis. 2005;40(1):1-6. doi:10.1086/426023.

     Terpenning M. Geriatric oral health and pneumonia risk. Clin. Infect. Dis. 2005;40(12):1807-1810. doi:10.1086/430603.

 

Care-Resistant Behavior as Response to a Perceived Threat

      Corcoran KA, Desmond TJ, Frey KA, Maren S. Hippocampal inactivation disrupts the acquisition and contextual encoding of fear extinction. J. Neurosci. 2005;25(39):8978-8987. doi:10.1523/JNEUROSCI.2246-05.2005.

      Henry JD, Thompson C, Ruffman T, et al. Threat perception in mild cognitive impairment and early dementia. J. Gerontol. B Psychol. Sci. Soc. Sci. 2009;64B(5):603-607. doi:10.1093/geronb/gbp064.

      LaBar KS, Torpey DC, Cook CA, et al. Emotional enhancement of perceptual priming is preserved in aging and early-stage Alzheimer's disease. Neuropsycologia. 2005;43:1824-1837. doi:10.1016/j.neuropsychologia.2005.01.018.

      LeDoux J. The emotional brain, fear, and the amygdala. Cell. Mol. Neurobiol. 2003;23(4-5):727-738. doi:10.1023/A:1025048802629.

      Luzzi S, Piccirilli m, Provinciali L. Perception of emotions on happy/sad chimeric faces in Alzheimer's Disease: Relationship with cognitive functions. Alzheimer Dis. Assoc. Disord. 2007;21(2):130-135. doi:10.1097/WAD.0b013e318064f445.

      Maren S. Building and burying fear memories in the brain. Neuroscientist. 2005;11(1):89-99. doi:10.1177/1073858404269232.

      Ohman A. The role of the amygdala in human fear: automatic detection of threat. Psychoneuroendocrinology. 2005;30(10):953-958. doi:10.1016/j.psyneuen.2005.03.019.

Mouth Care Protocol

      American Dental Association. Oral health topics: dentures.  http://www.ada.org/2996.aspx. Accessed 2010/02/23/.

      American Dental Association. Cleaning your teeth and gums (oral hygiene).  http://www.ada.org/2624.aspx. Accessed 2010/02/23/.

      Chalmers J, Johnson V, Tang JH, Titler MG. Evidence-based protocol: oral hygiene care for functionally dependent and cognitively impaired older adults. J. Gerontol. Nurs. 2004;30(11):5-12.

      Gil-Montoya JA, de Mello AL, Cardenas CB, Lopez IG. Oral health protocol for the dependent institutionalized elderly. Geriatr. Nurs. 2006;27(2):95-101. doi:10.1016/j.gerinurse.2005.12.003.

 

Interventions to Reduce Care-Resistant Behavior

      Beck C, Heacock P, Mercer SO, Walls RC, Rapp CG, Vogelpohl TS. Improving dressing behavior in cognitively impaired nursing home residents. Nurs. Res. 1997;46(3):126-132. doi:10.1097/00006199-199705000-00002.

      Burgener SC, Jirovec M, Murrell L, Barton D. Caregiver and environmental variables related to difficult behaviors in institutionalized, demented elderly persons. J. Gerontol. 1992;47(4):P242-249.

           Burnham H, Hogervorst E. Recognition of facial expressions of emotion by patients with dementia of the Alzheimer Type. Dement. Geriatr. Cogn. Disord. 2004;18:75-79. doi:10.1159/000077813.

        Chalmers JM. Behavior management and communication strategies for dental professionals when caring for patients with dementia. Spec. Care Dentist. 2000;20(4):147-154. doi:10.1111/j.1754-4505.2000.tb01152.x.

        Chalmers JM, Levy SM, Buckwalter KC, Ettinger RL, Kambhu PP. Factors influencing nurses' aides provision of oral care for nursing facility residents. Spec. Care Dentist. 1996;16(2):71-79. doi:10.1111/j.1754-4505.1996.tb00837.x.

      Chalmers J, Pearson A. Oral hygiene care for residents with dementia: a literature review. J. Adv. Nurs. 2005;52(4):410-419. doi:10.1111/j.1365-2648.2005.03605.x

      Herman R, Williams KN. Elderspeak's influence on resistiveness to care: Focus on behavioral events. Am. J. Alzheimers Dis. Other. Demen. 2009;24(5):417-423. doi:10.1177/1533317509341949.

      Mahoney EK, Hurley AC, Volicer L, et al. Development and testing of the Resistiveness to Care Scale. Res. Nurs. Health. 1999;22(1):27-38. doi:10.1002/(SICI)1098-240X(199902)22:1<27::AID-NUR4>3.0.CO;2-T.

      Sloane PD, Hoeffer B, Mitchell CM, et al. Effect of person-centered showering and the towel bath on bathing-associated aggression, agitation, and discomfort in nursing home residents with dementia: a randomized, controlled trial. J. Am. Geriatr. Soc. 2004;52(11):1795-1804. doi:10.1111/j.1532-5415.2004.52501.x.

      Somboontanont W, Sloane PD, Floyd FJ, Holditch-Davis D, Hogue CC, Mitchell CM. Assaultive behavior in Alzheimer's disease: identifying immediate antecedents during bathing. J. Gerontol. Nurs. 2004;30(9):22-29; quiz 55-26.

      Williams KN, Herman R, Gajewski B, Wilson K. Elderspeak communication: impact on dementia care. Am. J. Alzheimers Dis. Other. Demen. 2009;24(1):11-20. PMCID:PMC2823803. doi:10.1177/1533317508318472.

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

Jablonski, R. A., Therrien, B., Mahoney, E., Kolanowski, A., Gabello, M., & Brock, A. (2011).  An Intervention to Reduce Care-Resistant Behavior in Persons with Dementia During Oral Hygiene: A Pilot Study. Special Care Dentistry.31(3): 77-87.

Jablonski, R.A. (2010). “Examining oral health in nursing home residents and overcoming mouth-care resistive behavior.” Annals of Long-Term Care: Clinical Care and Aging, 18(1), 21-26.

Date posted: 
Wed, 09/07/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 09/07/2011
Contact Person/Corresponding Author:



Suggested Citation:
Oral Hygiene & Care-resistant Behaviors: Making a Difference. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/246

Hospice and Pain Management

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

This one hour video lecture with accompanying PowerPoint slides describes evaluation and treatment of chronic pain in palliative care.  The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 
  1. List pain management medications are what they are used for.
  2. Discuss things to keep in mind when patients are dealing with pain.
Additional information/Special implementation requirements or guidelines: 

You will need to install the Microsoft Silverlight plugin to view this video. The video may take a while to load based on your connection. Please wait a few minutes if it doesn't appear right away.

Date posted: 
Fri, 06/08/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/08/2012
Contact Person/Corresponding Author:



Suggested Citation:
Hospice and Pain Management. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

Essential Tremors, Diagnosis and Treatment: Implications for the Elderly

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

This one hour video lecture with accompanying PowerPoint slides describes diagnosis and pathophysiology of tremors with treatment strategies. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 
  1. Define essential tremor and what is effected.
  2. Discuss treatment options including alternative therapies.
Additional information/Special implementation requirements or guidelines: 

You will need to install the Microsoft Silverlight plugin to view this video. The video may take a while to load based on your connection. Please wait a few minutes if it doesn't appear right away.

Date posted: 
Fri, 06/08/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/08/2012
Contact Person/Corresponding Author:



Suggested Citation:
Essential Tremors, Diagnosis and Treatment: Implications for the Elderly. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/246

Pages

Subscribe to RSS - Caregiver