The Portal of Geriatrics Online Education

Patient

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/255

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/255

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/255

Hearing Loss 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: 

This one hour video lecture with accompanying PowerPoint slides provides an overview of hearing loss and effects on older adulty population. The target audience is Interdisciplinary Health Care Professionals. 

Educational objectives: 
  1. Describe hearing loss including prevelance and effects on older adult population.
  2. Describe treatment options for hearing loss in older adult population.
Additional information/Special implementation requirements or guidelines: 

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

Date posted: 
Thu, 09/04/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 09/04/2014
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:
Hearing Loss in Older Adults. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/255

Hearing Loss in the Elderly

:  
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/255

ePrognosis: Cancer Screening decision support app

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

The free "ePrognosis: Cancer Screening" app aims to help trainees and practicing clinicians guide conversations with elderly patients of whether to start, stop, or continue breast cancer and/or colorectal cancer screening. The app is created around the idea that estimating prognosis is a critical aspect in the decision to recommend for or against cancer screening, as there is a long "lag-time to benefit" for these interventions.  The objective is to focus cancer screening on those most likely to benefit from these medical interventions, and conversely, avoid screening in those who are unlikely to live long enough to see a benefit but will be exposed to immediate harms.

Educational objectives: 

The objective is to educate providers in guiding conversations with elderly patients of whether to start, stop, or continue breast cancer and/or colorectal cancer screening. When a user starts the app they will see the start screen asking you whether you are interested in screening for colorectal cancer, breast cancer, or both. Once a selection has been made the app runs the user through 15 health related questions including age, gender, BMI, symptoms, and functional impairment to calculate a mortality risk to estimate life expectancy. Based on the response to these questions, the user will be shown a speedometer like image that can help inform whether cancer screening is more likely to help or harm a patient. The user can also click on the "harms" or "benefits" buttons to learn more about what these may include. Lastly, one can also click the learn more button, which will run the user through a series of pictographs (each pictograph is of 1,000 squares where each square represents one person). These pictographs visually display information on harms and mortality benefits from cancer screening, as well overall mortality risk at 10 years.

Additional information/Special implementation requirements or guidelines: 

Requires iOS 5.1 or later. Compatible with iPhone, iPad, and iPod touch. This app is optimized for iPhone 5.  It can be downloaded at the iTunes store via the following link https://itunes.apple.com/us/app/eprognosis-cancer-screening/id714539993?mt=8

Date posted: 
Tue, 10/29/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 10/29/2013
Product Viewing Instructions: 
This app is designed for both iPhone and iPad. Download on iTunes to install on your mobile device
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , and . ePrognosis: Cancer Screening decision support app. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/255

How to discuss Code Status and make a recommendation

:  
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/255

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/255

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/255

Interprofessional Geriatric Oncology 2: Decision Making for Older Adults with Cancer

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

For older adults, cancer may be a more challenging experience due to additional health-related challenges for the patient as well as for the families involved. It is also more challenging for the healthcare team making recommendations regarding treatment options for cancer in the absence of high levels of evidence for treatment in the elderly and having to account for multiple co-morbid conditions and functional limitations often seen in older adults.

This module examines the process of decision making and factors to consider when recommending treatment for older adults with cancer.

Educational objectives: 

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

  • Discuss points of decision-making for older adults with cancer.
  • Discuss legal and ethical concepts which impact health professionals to assist in decision-making for older adults with cancer.
  • Provide health professionals with a guide on ways to assist older adults with cancer in decision-making in a culturally sensitive manner.
Additional information/Special implementation requirements or guidelines: 

You will be required to answer some questions about yourself prior to using the module when you leave pogoe.org. 

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 Oncology 2: Decision Making for Older Adults with Cancer. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/255

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