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Resident

Multiple Chronic Conditions: Geriatrics Evaluation and Management Strategies (MCC GEMS) App

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

With a grant from the Agency for Healthcare Research and Quality (AHRQ), The American Geriatrics Society (AGS) has developed the Multiple Chronic Conditions: Geriatrics Evaluation and Management Strategies App (MCC GEMS) to address one of the greatest challenges in clinical care of older adults: providing optimal care for frail elders with multiple chronic conditions, or multimorbidity. 

Educational objectives: 

The MCC GEMS App will help guide the clinician through an approach to managing patients with multimorbidity, one that is built on a firm understanding of the principles of evidence-based medicine, patient preferences and goals of care, clinically feasible methods for understanding prognosis, and the multi-factorial geriatric issues and syndromes that may be consequences of the combinations of diseases and conditions (e.g., polypharmacy). This Approach is based on the AGS’s Guiding Principles for the Care of Older Adults with Multimorbidity: An Approach for Clinicians.

Additional information/Special implementation requirements or guidelines: 

Login to www.GeriatricsCareOnline.org to view the accompanying online educational toolkit http://geriatricscareonline.org/toc/multimorbidity-toolkit/TK011.

Date posted: 
Thu, 06/11/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/11/2015
Product Viewing Instructions: 
Contact Person/Corresponding Author:



Suggested Citation:
Multiple Chronic Conditions: Geriatrics Evaluation and Management Strategies (MCC GEMS) App. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/250

PRIMED and READY: A Transitions of Care Pocket Card

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

     Transitions of care are important in improving patient safety and decreasing health care costs. Despite the necessity of education about this subject, there is often insufficient time to adequately teach internal medicine residents about performing care transitions. In many institutions, documentation of hospital discharge summaries, communication between transition sites, and patient education at the time of discharge need to be improved. Presented here is a pocket card consisting of two mnemonics which may be useful reminders for improving discharge summary documentation and transitions of care practices.
     One side of the card uses the mnemonic PRIMED to illustrate vital aspects of a discharge summary and stands for: Primary diagnosis, Return to, Inpatient course, Medication reconciliation, Exams and Expertise, and Destination and DNR status. The other side of the card uses the mnemonic READY as a reminder of steps needed to improve transitions of care and stands for: Referring and Receiving Providers, Educate, Anticipate needs, Discharge summary and Drugs, and Your contact information.

Educational objectives: 

To improve discharge summary documentation and transitions of care practices.

Date posted: 
Mon, 08/17/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
PRIMED and READY: A Transitions of Care Pocket Card. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/250

2015 Quick Reference App: Internal Medicine and Family Medicine Resident Geriatric Competencies

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Abstract: 

In 2010, the essential geriatric competencies for Internal Medicine (IM) and Family Medicine (FM) residents were published. To reinforce and disseminate these critical skills, we created a quick reference mobile application for IM and FM residents that addresses competencies in each of the seven key competency domains: Medication Management; Cognitive, Affective and Behavioral Health; Complex or Chronic Illness; Palliative and End-of-Life Care; Hospital Patient Safety; Transitions of Care; and Ambulatory Care.

This application can be used as a comprehensive reference by learners of multiple levels and disciplines while caring for patients in a variety of settings, including inpatient wards, outpatient clinic, nursing homes and home visits. Various screening tools, criteria, mnemonics and guidelines supporting each competency are included in this concise guide to caring for aging adults.

To access the free app:

  1. Go to Geriatrics Quick Reference App on AgileMD
  2. Create a free AgileMD account  
  3. Download the free AgileMD application using your smartphone app store 
  4. Open the AgileMD app and login with the username and password you created
Educational objectives: 
After using this quick reference tool, learners will be able to:
1.) Select and apply evidence-based tools to screen for or assess geriatric syndromes.
2.) Asses for and manage issues affecting older adult health across seven key competency domains: Medication Management; Cognitive, Affective and Behavioral Health; Complex or Chronic Illness; Palliative and End-of-Life Care; Hospital Patient Safety; Transitions of Care; and Ambulatory Care.
Publications from, presentations from, and/or citations to this product: 

AGS 2015 Educational Showcase Product Swap

Date posted: 
Mon, 09/28/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 04/03/2018
Contact Person/Corresponding Author:



Suggested Citation:
2015 Quick Reference App: Internal Medicine and Family Medicine Resident Geriatric Competencies. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/250

Ethnogeriatrics: Language Translation Podcast

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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: 

This is a podcast discussion on language translation that took place at the 2014 American Geriatric Society Annual Scientific Meeting in the Ethnogeriatrics Special Interest Group meeting.

Educational objectives: 

To provide instruction on the following two competencies:

1.  Demonstrate interviewing skills which promote culturally appropriate decision-making and mutual respect between health care providers and ethnic clients and their families in patient centered care through out the continuum of their lives, including end of life care.

2.  Communicate effectively and elicit information from elders of any ethnic background and their families, particularly those who speak little or no English, with appropriate use of interpreter services and information technology.

Date posted: 
Wed, 09/09/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 09/09/2015
Contact Person/Corresponding Author:



Suggested Citation:
Ethnogeriatrics: Language Translation Podcast. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/250

Vascular Influences on Late-Life Depression

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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: 

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/250

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/250

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/250

Diabetes Management in Long Term Care

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

Guidelines for managing diabetes in older adults and particularly the long-term care population have changed significantly over recent years.  Changes have included redefining HbA1c goals based on patient comorbidities and function.  Additional emphasis has been placed on discontinuing the use of sliding scale insulin in the long-term care population.  The current guidelines are reviewed, and a practical approach to the day-to-day management of diabetes in long-term care is outlined.

Educational objectives: 

1. To review recommended HbA1c goals determined by patient comorbidities.

2. To review recommendations regarding the use of sliding scale insulin in LTC patients.

3. To outline a practical approach to the day-to-day management of diabetes in the long-term care setting.

Date posted: 
Tue, 05/26/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 04/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
Diabetes Management in Long Term Care. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/250

Housecalls Pocket Card

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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: 

This pocket card is designed to prepare learners to conduct a home visit.  The pocket card can be reviewed prior to a visit to help prepare the learner with appropriate equipment and materials (forms, medical supplies) and can help guide the learner during the visit to ensure that a thorough assessment is completed.

Educational objectives: 
  1. Prepare learner for conducting a home visit by identifying equipment needed, and outlining the visit
  2. Learn to thoroughly assess patients home for safety, including environmental risks, medication risks, and elder abuse
  3. Identify unmet needs in a home-bound patients by performing a thorough medical, functional and social assessment at home
  4. Perform a thorough medication review in the patients home
  5. Perform an assessment of function, based upon self-reported history, caregiver history and observation.
  6. Determine which services may need needed for a homebound adult
Date posted: 
Wed, 02/18/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 02/18/2015
Contact Person/Corresponding Author:



Suggested Citation:
Housecalls Pocket Card. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/250

Patient Complexity and Interprofessional Team Care

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

Patient Complexity and Interprofessional Team Care is a geriatrics block rotation mini-course designed to improve medicine trainee’s understanding of health care teams.  It was developed in the setting of a new model of care collaboration for vulnerable seniors, Geriatric Resources for Assessment and Care of Elders.  The course is a blended curriculum offered during a 4-week residency block rotation in geriatrics. It is composed of a web-based, audio, PowerPoint lecture to introduce the Minnesota Complexity Assessment Method (MCAM) tool and application of the tool using paper cases.  The tool is then applied to actual patients discussed at an interprofessional team meeting of the GRACE care management program.

Educational objectives: 

Given a screening of the patient medical record, attendance at the patient’s GRACE interprofessional team meeting and completion of the Minnesota Complexity Assessment Method (MCAM) tool, the health professional trainee will identify patient situation complexity and describe ways that interprofessional team care members address patient care.

Given a printed Likert scale questionnaire, the resident will indicate positive change in degree of agreement with beliefs about interprofessional teams.

Publications from, presentations from, and/or citations to this product: 
Educational Strategies for Addressing Complex Patient Care Symposium
Aida Wen, MD, Todd James, MD, Miho Bautista, MD
October 21, 2013, 2013 Reynolds Grantee 11th Annual Meeting  in Coronado, CA

 

“Beliefs of Medicine Residents Regarding Interdisciplinary Teams,”  Poster presentation American Geriatrics Society Scientific Meeting, Grapevine, TX, May 2-5, 2013

Citation:  James, TC, Westmoreland, GR, Counsell SR. Beliefs of Medicine Residents Regarding Interdisciplinary Teams. J Am Geriatr Soc 2013; 61: Suppl s1; s157 (abstr C87).  http://onlinelibrary.wiley.com/doi/10.1111/jgs.122...

 

The poster described the 12-item physician survey to assess post-graduate medicine resident beliefs regarding interdisciplinary teams.  Resident responses demonstrated that interdisciplinary team participation is perceived as worthwhile. Yet, residents were uncertain about when their patient needed a team. There was significant agreement for having physicians as leaders of teams, and yet there was not clear agreement on team goals. Survey results support development of curricula for medicine residents geared toward teaching when a team approach is indicated and clarifying roles of various team members.

 

“Complexity and Interdisciplinary Team Care” Curriculum Presentation at Reynolds Grantee 9th Annual Meeting, St. Louis, MO, October 23 – 26, 2012

 

“Using a Complexity Tool with Geriatric Patients Teaches Residents Roles of Interprofessional Teams,” Buzz Session Presentation, InterProfessional Care for the 21st Century: Redefining Education and Care conference, Jefferson InterProfessional Education Center, Philadelphia, PA, May 18 – 19, 2012

 

“A New Strategy for Teaching Residents Roles of Interprofessional Teams” Poster Presentation at American Geriatrics Society Scientific Meeting, Seattle, WA, May 3 – 5, 2012.

Citation: James TC, Westmoreland GR, Arenson S, Counsell SR. A New Strategy for Teaching Residents Roles of Interprofessional Teams. .  J Am Geriatr Soc 2012; 60: Suppl s4;  s45 (abstr A84). http://www.americangeriatrics.org/files/documents/...

 

 “Academic Roles and Scholarly Activities” presentation, Faculty Forum, Indiana University Geriatrics, Indianapolis, IN, January 23, 2012

 

“Pilot Testing of a New Curriculum on Patient Complexity and Interdisciplinary Team Care” Poster Presentation at Collaborating Across Borders III, Tuscon, AZ, November 19 – 21, 2011.

 

 

 

Date posted: 
Wed, 04/03/2019
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 04/03/2019
Contact Person/Corresponding Author:



Suggested Citation:
Patient Complexity and Interprofessional Team Care. POGOe - Portal of Geriatrics Online Education; 2019 Available from: https://pogoe.org/taxonomy/term/250

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