The Portal of Geriatrics Online Education

Resident

Elder Care A Resource for Interprofessional Providers: Delirium in the ICU

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

Delirium in the ICU  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. State reasons why delirium is often unrecognized in older adults in the ICU
  2. Name a well-validated screening tool for ICU delirium Medicare
  3. Name the recommended drug when continuous intravenous sedation is needed in ICU patients
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, 10/30/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 03/07/2016
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Delirium in the ICU. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/250

Elder Care A Resource for Interprofessional Providers: Frailty in Patients Undergoing Elective and Emergency Surgery

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

Frailty in Patients Undergoing Elective and Emergency Surgery  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 frailty
  2. Explain how frailty influences surgical outcomes for older adults
  3. Explain how to evaluate a patient for frailty
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: 
Wed, 07/17/2019
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 07/11/2019
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Frailty in Patients Undergoing Elective and Emergency Surgery. POGOe - Portal of Geriatrics Online Education; 2019 Available from: https://pogoe.org/taxonomy/term/250

When Eating Problems Arise in Advanced Dementia: An Interdisciplinary Trigger Video

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

This is an interactive seminar centered on a trigger video depicting a family meeting with the treating physician, the speech and language pathologist and the family of a patient with advanced dementia who suffers from dysphagia/poor oral intake. The seminar can be provided to a small group of 4-10 healthcare trainees (medical residents or students, nursing students, speech and language pathology students, social work students). The seminar is designed to present the learners with an interdisciplinary approach to conducting a family meeting on this topic. It starts with reading a case presentation, which is meant to emphasize the need for a family meeting, followed by playing the video until a trigger question comes up. At that point the participants are asked to reflect on the question and share their answers with the group. The group then watches the video exemplifying a way the question can be discussed. The process is repeated for all the trigger questions. At the end of the seminar the trainees are encouraged to debrief on language that could be modeled for goals of care discussions as well as aspects of the discussion that could have been approached differently. They are also provided with all the references used in the video as a resource for future family meetings. Trainees are asked to complete a short retrospective pre/post self-assessment survey. 

Educational objectives: 
  1. Review importance of completing advance directives (applied to patients with dementia); define surrogate decision maker, substituted judgment, and best interest concepts and discuss advance care planning for the case presented.
  2. Describe the natural history of advanced dementia.
  3. Become familiar with potential treatment burdens associated with tube feeding in patients with advanced dementia.
  4. Appreciate various options for eating/feeding in advanced dementia and swallowing problems.
  5. Analyze aspects of difficult conversations with surrogate decision makers.

 

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

Some of the materials for this seminar were presented during the Marketplace at the Reynolds Meeting in Las Vegas, Oct 7, 2014.

 

 "When Eating Problems Arise in Patients with Advanced Dementia- An Interdisciplinary Approach to

Communicating with Caregivers" This interactive seminar was presentated at the Annual

Assembly of the American Association of Hospice and Palliative Medicine Annual Meeting, February 2015, Philadelphia.

 

 

Date posted: 
Fri, 06/17/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/17/2016
Contact Person/Corresponding Author:



Suggested Citation:
When Eating Problems Arise in Advanced Dementia: An Interdisciplinary Trigger Video. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/250

Powerpoint: Medicare, Medicaid and Discharge Planning

:  
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 Powerpoint presentation designed to provide the backbone for a talk to primary care or specialty residents responsible for discharging hospitalized Medicare patients to another level of care. It reviews the available post-acute options (LTACH, AIR, SNF, LTC, home health) and provides just the information on Medicare and Medicaid that are critical to understanding the patient’s options. The presentation includes Medicare financial information and criteria for coverage specific to 2014, and Medicaid information specific to NC, so some modification and updating may be necessary for use in other venues or later years. The presentation can be accomplished in 45 minutes leaving room for questions in a one-hour time block. A decision-tree diagram is included as a handout that can be provided with the talk and provides a succinct summary for future reference.

Educational objectives: 

1. Review a few key elements of Medicare and Medicaid eligibility and benefits

2. Distinguish between Inpatient and Observation status for Medicare patients

3. Be able to clearly state a patient’s discharge needs

4. Know the various discharge options and the key differences between them

5. Apply the criteria for Medicare coverage of various discharge options

Date posted: 
Fri, 10/03/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 10/03/2014
Contact Person/Corresponding Author:



Suggested Citation:
Powerpoint: Medicare, Medicaid and Discharge Planning. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/250

Discharge Planning and Care Transition Curriculum for Interns

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

A discharge planning curriculum for internal medicine and family medicine interns consisting of two parts:

PART I: Five online self-study learning modules on:

  1. Multi-morbidity in Older Adults
  2. Hazards of Hospitalization
  3. Poor Discharge Outcome Risk Assessment
  4. Evidence Based Models of Care Transition
  5. Components of a Quality Discharge Planning

Each module consists of an introduction, learning objectives, pre-quiz, content, conclusion, and references. The online modules will emphasize knowledge and will consist of five learning modules covering the above listed topics. These topics were chosen to provide the broad knowledge base related to hospitalized older adults and their care transitions.

PART II

A live session is conducted utilizing and implementing multiple instructional strategies. This live session is divided into multiple segments or parts. Each segment is conducted utilizing a different instructional strategy and structured to encourage learner participation by incorporating at least one interactive activity:

Instructional Strategies

  • PowerPoint lecture with multiple choice questions and integrated audience response (clickers)
  • Co-teaching and expert panel discussion (incl. a therapist, hospital transition team member, and a social worker)
  • Minute paper (interval self-assessment and reflection on learning)
  • Case-based problem solving

Learning Outcomes

  • Knowledge
  • Skills
  • Attitudes
Educational objectives: 

At the completion of the modules, participants will be able to:

  • Define multi-morbidity and its effects
  • Identify the hazards of hospitalization and measures to prevent or minimize these hazards
  • Identify a medical patients at increased risk of poor outcomes post hospital discharge
  • Identify the components of a successful care transition
  • Identify the benefits of a structured discharge summary

At the end of the Modules and the IMPACT session, the Entrustable Professional Activities (EPA) expected of the interns includes:

  • Formulating a safe discharge plan for an older adult
  • Completing a high quality comprehensive discharge summary

 

Additional information/Special implementation requirements or guidelines: 

Non Indiana University (IU) faculty and students will need a guest account to access the online modules. Instructions on how to create an IU guest account can be found at:  https://kb.iu.edu/d/alqt

To create a guest account go to: https://itaccounts.iu.edu/

After a guest account has been created, send the e-mail address with which you created the guest account to: tociloab@iu.edu and access to the online learning modules will be granted to that e-mail/guest account.

Date posted: 
Mon, 10/06/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/06/2014
Contact Person/Corresponding Author:



Suggested Citation:
Discharge Planning and Care Transition Curriculum for Interns. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/250

Geriatric Nephrology OSCE

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

At the Medical College of Wisconsin (MCW), geriatricians, nephrologists and medical educators worked together to create and implement a geriatric nephrology OSCE for nephrology fellows. Key curriculum content gaps (pathophysiology of the aging kidney, medication and renal dosing and renal toxicity in elderly patients) were identified through a needs assessment including:

  1. ACGME nephrology requirements
  2. Nephrology fellows' in-service exam scores
  3. Survey of fellows and faculty to identify areas of perceived weakness
  4. Literature review, and
  5. Brief MCQ of basic science linked to clinical case questions.

Curriculum content was delivered using the Objective Structured Clinical Examination (OSCE) educational / assessment method. The curriculum session highlighted kidney injury and pharmacology topics: drug toxicity + underlying science through an OSCE session with post session debriefing provided by faculty. Fellows were evaluated by faculty and standardized patients using a checklist, and fellows evaluated the session at its completion. This submission contains all materials for the geriatric nephrology OSCE session.

Educational objectives: 

1. Demonstrate competence in the prevention, evaluation and management of geriatric aspects of nephrology, including disorders of the aging kidney and urinary tract.

2. Apply knowledge of physiology and pathology of the aging kidney + drug dosing and renal toxicity in the elderly patient.

3. When called as a consultant, to quickly: a. Identify signs of adverse drug reactions (drug overdose/toxicity) in an elderly patient and, b. Communicate a management plan to the patient and family.

Additional information/Special implementation requirements or guidelines: 

Additional details may be found in the detailed Instructors' Guide included in the submission.

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

Denson K, Manzi G, Foy P, Vasudev B, Malmsten C, Rehm J, Brown D, Simpson D, Duthie E, Using Teaching Objective Structured Clinical Examination (OSCEs) to Expand Fellows' Perceptions Around Quality Care for Older Adults, American Geriatrics Society Annual Meeting, Orlando, FL 04/2014.

Date posted: 
Fri, 09/25/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 09/25/2015
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Nephrology OSCE. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/250

GeriaTrailers

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

The didactic lecture remains a primary method of instruction in medical education, particularly for large class sizes. Capturing and maintaining the attention of students are some of the characteristics of an effective lecture. An excellent opening summary is critical to the success of the lecture and encourages students to focus with anticipation and mental alertness. The Iowa Geriatric Education Center has developed movie trailers on dementia, depression, delirium, and falls that can serve as excellent opening summaries to help capture the learners' attention. These one to two minute summaries have been used effectively to introduce didactic lecture topics as well as in interactive workshops.

Educational objectives: 

 Two to three minute videos utilized to provide preliminary overview of topics to capture the learners' attention.

 

Date posted: 
Mon, 09/29/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/29/2014
Contact Person/Corresponding Author:



Suggested Citation:
GeriaTrailers. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/250

Medical Reconciliation Worksheet

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

A useful tool for trainees and practitioners that facilitates appropriate medication reconciliation during transitions of care. Preceptors can use as a teaching tool, and practitioners can provided to patients upon discharge. Patients can provide the worksheet to their primary care physician. 

Educational objectives: 

1. Teach trainees the process of medication reconciliation during transitions of care.

2. Provide patients and physicians an explanation for medication related changes.

Date posted: 
Mon, 09/29/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 04/13/2018
Contact Person/Corresponding Author:



Suggested Citation:
Medical Reconciliation Worksheet. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/250

Chief Resident Workshop in Bad News Communication & Learner Feedback

:  
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: 

Incoming chief residents from all departments participate in a 90 minutes workshop with the dual objectives of teaching a model for sharing bad news and preparing these physician leaders to give feedback to learners about this important skill.  After reviewing a 6 step model for bad news communication, the chief residents share bad news with standardized patients using two cases of older adults with a new or recurrent cancer diagnosis.  The standardized patients all receive training about the workshop's objectives in a separate session prior to the workshop.  After communicating with the standardized patient, the chief resident receives feedback from the patient, a trained faculty small group facilitator and 1-2 other chief residents.  After both cases are completed, the chief residents gather for a large group discussion about the challenges and opportunities in providing feedback to learners about sensitive topics.  This workshop has been conducted for the past three years, and has received positive evaluations from the participating physicians and the school's Graduate Medical Education Office.

Educational objectives: 
  1. Recognize bad news communication as a core physician skill
  2. Understand the 6 basic steps used to initially deliver bad news
  3. Practice giving feedback to a resident whom delivered bad news
  4. Identify & discuss challenges of providing feedback about a sensitive topic
Date posted: 
Thu, 10/02/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 10/02/2014
Contact Person/Corresponding Author:



Suggested Citation:
Chief Resident Workshop in Bad News Communication & Learner Feedback. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/250

Elder Care A Resource for Interprofessional Providers: Osteoporosis: Good Bone Gone Bad

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

Osteoporosis: Good Bone Gone Bad 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. State the current screening recommendations for osteoporosis
  2. Describe the initial evaluation of back pain in patients with osteopenia
  3. Identify important adverse effects of medications used for treatment of osteoporosis
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: 

he 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: 
Wed, 08/01/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 08/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Osteoporosis: Good Bone Gone Bad. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/250

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