The Portal of Geriatrics Online Education

11 SCC: Identify safety risks in home

11. Identify and assess safety risks in the home environment, and make recommendations to mitigate these.

Elder Abuse & The Case of Dorothy Johnson

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Estimated time to complete: 
999
Abstract: 

This Elder Abuse Case of Dorothy Johnson was presented on Interprofessional Education Day at the University of New Mexico. Interprofessional Education Day brings students and faculty together from Medicine, Physical Therapy, Occupational Therapy, Nursing, Pharmacy, Social Work, and other related disciplines to promote a team-based approach to communication and problem solving on behalf of the older patient.

Follow the attached Agenda and Facilitator Guide to incorporate the Case in your teaching.

 

Educational objectives: 

At the conclusion of this learning experience, students will be able to:

  • Define Elder Abuse, with an understanding of its different forms (physical, mental, sexual, financial, neglect, self-neglect)
  • Recognize the signs of Elder Abuse
  • Assess patients for Elder Abuse
  • Communicate with patients suspected of experiencing Elder Abuse
  • Work as part of an interprofessional team to care for patients suspected of experiencing Elder Abuse
  • Identify community resources that are available to assist victims of Elder Abuse and their families

Interprofessional Competencies:

  • Work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of prevention and health services, legal counseling, and advocacy services.
  • Engage a diverse group of progessionals who complement one's own professional expertise, as well as associated resources, to develop strategies to meet specific patient care needs.
  • Listen actively and encourage ideas and opinions of other team members.
  • Engage other professionals in shared patient-centered problem solving.
Date posted: 
Tue, 09/23/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 09/23/2014
Contact Person/Corresponding Author:



Suggested Citation:
Elder Abuse & The Case of Dorothy Johnson. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/102

Dementia & Delirium TBL

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

This program is a team based learning program we use with our third year medical students in our longitudinal integrated curriculum. Both the facilitator and student version are included. The IRAT and GRAT cover broad areas of dementia and delirium including the diagnosis of postoperative delirium in a patient with dementia, interventions to prevent & treat delirium, outcomes of delirium, the pharmacologic treatment of Alzheimer’s disease, distinguishing mild cognitive impairment from Alzheimer’s disease, and the principles of comprehensive care for dementia patients. The application exercise is a case which requires synthesis and analysis as a team and requires considerations in comprehensive care of the patient.

Educational objectives: 

After completing this material you will be able to:

  1. Diagnose postoperative delirium in a patient with dementia.
  2. Describe interventions to prevent & treat delirium.
  3. Describe outcomes of delirium.
  4. Understand the pharmacologic treatment of Alzheimer’s disease.
  5. Differentiate mild cognitive impairment from Alzheimer’s disease.
  6. Apply principles of comprehensive care for dementia patients.
Date posted: 
Mon, 06/13/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 06/13/2016
Contact Person/Corresponding Author:



Suggested Citation:
Dementia & Delirium TBL. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/102

Patient-Centered Medical Home M4 Seminar

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

The Patient Centered Medical Home (PCMH) is a medical practice model in which the provider is enabled to practice primary care in a more ideal, comprehensive manner.  This practice model is becoming increasingly important as complexity in healthcare continues to increase, necessitating changes in the way physicians practice. The seminar will be presented using an interactive patient example to illustrate improvements in care with the medical home model. The overview of the seminar includes a patient presentation, care management plans,  a presentation of the basic priniciples of the Patient Centered Medical Home, a reworking of care management plans, and the development of ideas for possible quality improvement projects.

Educational objectives: 

1. List the guiding principles of the Patient-Centered Medical Home (PCMH).

2. Describe how using the PCMH model could improve patient care.

3. Understand Donabedian's framework for assessment of quality.

4. Design a quality improvement project with measurable outcomes.

Date posted: 
Thu, 08/07/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/07/2014
Contact Person/Corresponding Author:



Suggested Citation:
Patient-Centered Medical Home M4 Seminar. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/102

Meals-on-Wheels Falls Risk Assessment Program

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
999
Abstract: 

Falls in older adults have significant outcomes including injury, isolation due to the fear of falling, and an increase in morbidity and mortality. In this mandatory experience for third-year medical students rotating through Geriatrics, the student accompanies an assessor for the local Meals-on-Wheels (MOW) program to evaluate homebound seniors for their fall risk. The student obtains subjective and objective information including the number of falls, medications, visual acuity (using Snellen vision chart), cognition (using the Mini-Cog assessment instrument), and physical function. The student then determines the client's risk of falls as indicated by assigned readings and resources on falls prevention guidelines and the Beers List. The information obtained by the student is discussed and turned in at the wrap-up meeting with a faculty member at the end of the weeklong Geriatrics rotation.

Educational objectives: 

1. To perform a falls risk assessment of a community-based older adult

2.  To practice clinical skills in the geriatric competencies of medication management, cognitive and behavioral disorders, self care capacity, and falls/balance/gait disorders

3.  To integrate knowledge and data from a variety of sources into a comprehensive assessment

4.  To provide an effective educational intervention for clinical students in Geriatrics in the face of limited faculty time

Additional information/Special implementation requirements or guidelines: 
Publications from, presentations from, and/or citations to this product: 

Atkinson HH et al.  Teaching Medical Student Geriatrics Competencies in 1 Week: An Efficient Model to Teach and Document Selected Competencies Using Clinical and Community Resources.   J Am Geriatr Soc 61:1182–1187, 2013.

Date posted: 
Fri, 10/11/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 10/11/2013
Contact Person/Corresponding Author:



Suggested Citation:
Meals-on-Wheels Falls Risk Assessment Program. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/102

What's Wrong with Mom (Dad)? Chronic Care Evaluation and Management of the Older Adult (and their Caregivers) with Alzheimer's disease

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
999
Abstract: 

“What’s wrong with Mom?” is an innovative Family Medicine Clerkship longitudinal teaching module developed by the University of Cincinnati (UC) Department of Family and Community Medicine in collaboration with the UC Division of Geriatrics, UC College of Pharmacy and the Alzheimer’s Association of Southwestern Ohio.

Students learn the evaluation and management of the older adult and caregiver with a focus on Alzheimer’s Disease.   This module consists of a large group session (clerkship orientation week), a community resource fair, a standardized patient session, individualized assignments (weeks 2 & 3), and a clinical experience (week 4.)  The large group session presents and reviews background information on dementia and delirium.  In the standardized patient session, students interview a standardized patient and caregiver dyad and discuss initial diagnosis and management of Alzheimer’s Disease.  Students receive real time feedback from the standardized dyad and observing faculty.  In weeks 2 & 3, students individually receive questions from the caregiver of the patient they interviewed.  These questions reflect real life challenges commonly faced by families of patients with Alzheimer’s as the disease progresses. During week 4, course faculty participate in a panel discussion with the students on their responses and follow up management of the patient and caregiver.  Evaluative components consist of: online post test assessment, Standardized Patient Student Feedback (verbal and written), student email responses to caregivers, final student self assessment.

Educational objectives: 

Goals:

  1. Understand the role of the family physician, patient, family and community in the chronic care of patients and their families.
  2. Identify the significant components of the geriatric assessment in an older adult with memory challenges
  3. Develop effective and empathic medical interviewing and communication skills in the diagnosis, assessment and management of AD with patients and their families.

 

Objectives:

  1. Apply the behavioral, mood and cognitive testing tools in the diagnosis and management of the older adult.
  2. Develop skills in appropriate e-communication with the chronic care patient and family
  3. Accurately interpret diagnostic cognitive testing tools in the AD patient
  4. Create a comprehensive assessment and problem list in the care of an older adult with AD.
  5. Identify medical, pharmaceutical and behavioral management challenges and strategies in the care of the AD patient and family.
  6. Identify and integrate expertise from community based interprofessional resources in the care of the AD patient and family.

 

Additional information/Special implementation requirements or guidelines: 

This innovative longitudinal teaching curriculum is used in the third year Family Medicine Clerkship.  This is a 4- week, required rotation.  Approximately 160 students complete this clerkship each year with 12-15 students on the clerkship at a time.  While on the clerkship, the students rotate at either a residency, faculty, or community based family medicine site.  All students come back to the medical school for Family Medicine didactic sessions every Friday during the clerkship.  This geriatrics based curriculum is taught during these weekly sessions.

A detailed curriculum document is the first file in the folder above. 

 

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

An earlier version was reviewed and posted on the Family Medicne Digitial Resource Library site.

Date posted: 
Sat, 09/28/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 06/23/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . What's Wrong with Mom (Dad)? Chronic Care Evaluation and Management of the Older Adult (and their Caregivers) with Alzheimer's disease. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/102

Geriatric EMR Templates

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Estimated time to complete: 
999
Abstract: 

This project involved “geriatricizing” the EMR through the creation of geriatric templates so that it could be used to enhance geriatric education in required geriatric experiences.  The program includes geriatric templates that have been collapsed into a word document to allow interested programs the ability to adapt templates to their institutional EMR systems as well as a facilitator's guide that describes the background, rationale, description and outcome data related to the implementation of the program in a medical school curriculum.

Educational objectives: 

After utilizing the geriatric EMR templates, the learner will be able to:

  • Complete a comprehensive geriatric assessment,
  • Document critical geriatric patient information in an electronic medical record, and
  • Describe common geriatric symptoms, findings and diagnoses.
Additional information/Special implementation requirements or guidelines: 

Templates must be adapted to templates in an organizational EMR system.  There may be limitations in the functionality of certain EMR systems that should be taken into account before implementing the program.  The authors described the templates as they used in them in SOAPware.

Date posted: 
Wed, 11/13/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 03/16/2018
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Geriatric EMR Templates. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/102

Prescription for Safety and Well Being: Home Modifications

:  
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 decribes possible home modifications for older adults and ways older adults can stay safe in thier homes. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 

 List home modifications that promote safety for older adults in the home.

Additional information/Special implementation requirements or guidelines: 

Please note: The speaker was caught in traffic so the first 9 minutes of presentation are Q&A with Dr. James Powers about home and safety modifications from a MD perspective. This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

This video may take a few moments to load based on your connection. Please wait if it does not appear right away.

Date posted: 
Wed, 05/22/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 05/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
Prescription for Safety and Well Being: Home Modifications. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/102

"The Case of Sherman Davis: An Interprofessional Analysis of Geriatric Medical Problems"

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
999
Abstract: 

This case demonstrates the evaluation and care of an elderly gentleman who has fallen.  The complexity of caring for the geriatric patient becomes evident early in the case.  The following points are emphasized:

(1) medical problems common in elderly patients include falls, fluid and nutrition problems;

(2) the elderly often present with common problems in an atypical way;

(3) the morphologic, microbiologic, and epidemiologic aspects of tuberculosis;

(4) interprofessional teams are needed to provide optimal care.

Educational objectives: 

The students will be able to formulate a broad differential diagnosis for an elderly patient after receiving physical and history information. It is important to stress the difficulties in formulating a differential diagnosis when patient history is lacking, but also to discuss strategies to overcome these barriers (e.g. multi-professional evaluation, collateral source history). The students will then be given additional laboratory and x-ray results and more history from the patient's nephew. This will allow the students to narrow  differential diagnoses down. There is much happening with this patient. Students will understand that patients, especially the elderly, do not always present with one problem. By the end of the session, the students will be able to review the care of the patient and have a good understanding of most learning objectives in the case, including those for tuberculosis and community acquired pneumonia.

Additional information/Special implementation requirements or guidelines: 

This case will be used with second-year medical students as part of  the Introduction to Disease Processes Core. This Interprofessional Problem-Based Learning Case will be used as a small group activity (10-12 students) with 1-2 faculty leaders.

Date posted: 
Sun, 01/01/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/31/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , and . "The Case of Sherman Davis: An Interprofessional Analysis of Geriatric Medical Problems". POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/102

Cognitive Screening and Functional Assessment OSCE

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

This product contains materials for the completion of a Cognitive Screening and Functional Assessment OSCE. Instructional guides for the standardized patients, the student, and the preceptors are included. There is a template for the evaluation of the student's performance, completion of the Mini-Cog, and documentation of the plan for the patient. Finally, the product includes a description of the proposed timing, a student self assessment, and an evaluation form for the OSCE.

Educational objectives: 

On completion, the learner will be able to:

  1. Demonstrate the use of the Mini-Cog for the evaluation of a patient with suspected cognitive impairment
  2. Demonstrate the use of the Get-Up and Go Test on a patient who has fallen
  3. Develop a preliminary management plan for a patient with gait abnormalities and cognitive impairment

  4.  
Date posted: 
Fri, 01/11/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 04/13/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Cognitive Screening and Functional Assessment OSCE. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/102

Standardized Patient: Ted Lee

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

Ted Lee was developed as part of a multi-station, standardized patient assessment. The student’s performance is measured by checklists filled out by the standardized patient and by the evaluation of responses to written questions on the interstation exercise. This Standardized Interdisciplinary Team Meeting scenario was developed as part of a multi-station, standardized patient assessment. The student’s performance is measured by checklists filled out by the standardized team members and by the evaluation of responses to written questions on the interstation exercise.   It is designed to be the first of two consecutive stations used to assess interdisciplinary team skills.  This patient is a 75 year old retired male who has been hospitalized for the last 3 days after a fall at home which resulted in a fracture of the right humeral shaft. Work up since admission was unremarkable.  An orthopedic consult was obtained and recommended conservative management and physical therapy. Mr. Lee knows he will have trouble caring for himself at home, but refuses to go to a Rehabilitation Unit even for a short period of time.  The student’s task is to interview and examine Mr. Lee in preparation for an interdisciplinary team meeting to discuss discharge plans.

Educational objectives: 

On completion, the instructor will be able to:

  • Evaluate a student’s ability to take a focused history and perform a focused physical exam related to a patient who is disabled after a fall in preparation for an interdisciplinary team meeting.
Additional information/Special implementation requirements or guidelines: 

See the second of two consecutive stations used to assess interdisciplinary team skills at Standardized Interdisciplinary Team Meeting Case.

Date posted: 
Fri, 07/12/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/16/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , and . Standardized Patient: Ted Lee. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/102

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