The Portal of Geriatrics Online Education

University of Washington School of Medicine

Clinical Evaluation Exercise (Mini-CEX) Advance Directives: Determining Code Status

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

This product is a mini-CEX form and faculty guide designed to use with a learner during an actual patient encounter. Code status discussions are often difficult and performed in non-ideal settings. For example, many residents must discuss code status with a patient he or she has just met in the inpatient setting when the patient is acutely ill. These conversations often don’t go well and therefore faculty support of the learner is paramount. The mini-CEX provides a concrete form on which to document resident competency in discussing code status.
 

Educational objectives: 

Learners using this mini-CEX will:

  1. Demonstrate competence in introducing and gaining permission to discuss code status.
  2. Demonstrate competence in assessment of a patient’s understanding of his or her illness.
  3. Demonstrate competence in recommending code or no code status to a patient based on his or her goals, values, and the medical context.
  4. Demonstrate appropriate documentation of code status and the conversation surrounding the decision.
     
Date posted: 
Mon, 08/27/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/27/2012
Contact Person/Corresponding Author:



Suggested Citation:
and . Clinical Evaluation Exercise (Mini-CEX) Advance Directives: Determining Code Status. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/1241

Restraint Use in the Elderly

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
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Other Learning Resource Type: 
Web module
Product Information
Abstract: 

Management of the agitated elderly patient represents one of the greatest challenges in geriatric medicine. Historically, the use of both physical and chemical restraints was widespread. In more recent years, legislation has been passed to encourage alternative means of management as restraint use may lead to increase morbidity and mortality. The following three cases are common scenarios where restraints may be considered. The cases and accompanying questions are intended to be used by faculty to lead a discussion on this topic.

Educational objectives: 

After using this educational tool learners should be able to:

1. Describe what constitutes a physical or chemical restraint.

2. Differentiate when it is and is not appropriate to use a physical or chemical restraint in an elderly patient.

3. List alternatives to physical and chemical restraints.

4. Explain the dangers of physical and chemical restraints.

Date posted: 
Mon, 12/12/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 12/12/2011
Contact Person/Corresponding Author:



Suggested Citation:
Restraint Use in the Elderly. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/1241
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