The Portal of Geriatrics Online Education

Introduction to the Older Patient

CC BY-NC-SA

Introduction to the Older Patient

Weill Cornell Medical College
Authors:  
Ronald Adelman, MD, PhD, Carol Capello, MD, PhD, Veronica Lofaso, MD, PhD
Sponsor: 
Donald W. Reynolds Foundation
POGOe Id: 
19011
Posted: 
05/17/2007
Updated: 
07/29/2012
4.333335
3 votes
Abstract: 

These materials enable replication of a four-hour module introducing the geriatric patient for first-year medical students. This curricular intervention highlights the importance of older-patient physician communication, the utility of an enhanced social history and functional assessment, and the pitfalls of ageism in the medical setting. The module incorporates film, the performing arts, and a small group exposure to a community-residing older person.

Educational objectives: 

To introduce first-year medical students to the importance of older patient-physician communication, the utility of an enhanced social history and functional assessment, and the pitfalls of ageism in the medical setting.

Knowledge:

  • Identify ageist behaviors that might occur within the physician-older patient relationship
  • Understand how ageist behaviors might lead to misdiagnosis
  • Recognize that disease may present atypically in the elderly
  • Identify common key interventions that might enhance physician-older patient communication
  • Identify areas that should be included in an enhanced social history of an older patient
  • List Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) 

Skills:

  • Administer the Simple Geriatrics Screen/Functional Assessment tool
  • Demonstrate an enhanced social history of an older adult
  • Modify interviewing skills to avoid ageist behaviors
  • Communicate effectively and empathetically with older adults, with an awareness of the barriers that frequently impede communication

Attitudes:

  • Appreciate the distinct culture – as well as the heterogeneity – of the older population
  • Reflect on one’s own attitudes toward older adults, including caring for the chronically ill
  • Develop appreciation of the courage, stamina, and strength required to “age well” in America
Additional information/Special implementation requirements or guidelines: 

Limitations include difficult administrative logistics:

  • Inviting and transporting older patients to small group setting
  • Finding available space for small groups
  • Rehearsals if doing a live performance

Financial support Note: If using the DVD, the second scene is somewhat lengthy and it is suggested to use pieces of it as a trigger tape rather than a complete viewing. For a copy of the DVD, please contact Carol F. Capello, PhD at [email protected].

Intended learner audience: 
Contact person/corresponding author: 
Carol Capello: [email protected]
Suggested Citation:
Ronald Adelman, Carol Capello and Veronica Lofaso. Introduction to the Older Patient. POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://www.pogoe.org/productid/19011

Comments

Submitted by akolanowski on

liked this quite a bit!

Submitted by bcapozzi on

very good sumary!