The Portal of Geriatrics Online Education

Caring for the Older Adult

Continuing Mobile Education - Psychosocial Issues

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Abstract: 

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Psychosocial Issues block of podcasts, you will learn about elder abuse and neglect, psychology and aging, barriers to transporting the older prehospital patient, and strategies to access social services for prehospital patients.

 

Educational objectives: 

Episode 1: Elder Abuse and Neglect
- Participants will define elder abuse
- Participants will define elder neglect
- Participants will name strategies for identifying elder abuse and neglect
- Participants will describe key physical exam points in identifying abuse
- Participants will understand key documentation points

Episode 2: Psychology and Aging
- Participants will understand some of the psychological changes associated with aging
- Participants will understand the prevalence of mental illness among older adults
- Participants will recognize the importance of screening for depression in older adults

Episode 3: Barriers to Transporting the Older Adult
- Discuss some of the reasons why older adults do not wish to be transported to the hospital
- Understand strategies to sensitively encourage older adults to accept transport to the emergency department

Episode 4: Accessing Social Services for Geriatric Patients
- Learn strategies to determine when a social services evaluation is appropriate
- Become familiar with the types of services available to older adults
- Understand the positive impact a proper social services referral can have

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Psychosocial Issues. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

Continuing Mobile Education - Assessment

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Assessment block of podcasts, you will learn about pearls and caveats for assessing the older adult in the prehospital setting, particularly patients with altered mental status, strokes, and falls.

Educational objectives: 

Episode 1: Evaluating Altered Mental Status
- Participants will identify common causes of altered mental status in the older adult
- Participants will learn the importance of determining the patient's baseline mental status
- Participants will learn interview strategies to assist in evaluating altered mental status

Episode 2: Evaluating Stroke in the Prehospital Setting
- Participants will learn the components of a focused physical exam to evaluate stroke
- Participants will be able to describe key physical findings associated with a stroke
- Participants will discuss what information is important to be relayed from the scene to the receiving facility

Episode 3: The Fallen Older Adult
- Participants will review common injury patterns seen with the older adult after a fall
- Participants will learn some obstacles in evaluating the older adult who has fallen
- Participants will review common causes and consequences of falls in older adults

Episode 4: Pearls of the Older Adult Physical Exam
- Participants will describe common physical findings associated with aging
- Participants will be able to describe some acute physical findings seen in the older adult

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Wed, 11/04/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Assessment. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

Continuing Mobile Education - Polypharmacy

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Polypharmacy block of vodcasts, you will learn the definition and significance of polypharmacy, some reasons why patients don't take their medications and ways to improve compliance, the reasons why older adults are more susceptible to altered mental status from medication and some common causes, and the signs of drug overdose and common medication combinations that may cause it.

Educational objectives: 

Episode 1: What are you taking?
- The Complete Pharmaceutical History
- Participants will be informed that older adults usually take multiple medications
- Participants will understand the importance of the prehospital pharmaceutical history
- Participants will learn the components of a complete pharmaceutical history

Episode 2: Did You Take Your Pills Today?
- Evaluating Medication Compliance
- Participants will know the epidemiology of medication non-compliance
- Participants will identify obstacles to medication compliance
- Participants will learn practical strategies to assess medication compliance

Episode 3: His Medicine Makes Him Like This
- Medications and Altered Mental Status
- Participants will understand the impact of medications on a patient's mental status
- Participants will be able to identify the most common medications that can cause altered mental status

Episode 4: He Took How Many?!?
- Recognizing Medication Toxicity
- Participants will recognize the common signs of medication toxicity
- Participants will recognize the most common drug interactions and their effects in the prehospital setting
- Participants will review the basic steps for prehospital treatment of a drug overdose

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Polypharmacy. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

Continuing Mobile Education - Communication

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Communication block of vodcasts, you will learn about some of the most common obstacles to communication, including hearing loss, aphasia, ageism and communicating with nursing home staff.

Educational objectives: 

<p>
Episode 1: I Can't Hear You<br />
- Hearing Loss in Field<br />
- Appreciate the epidemiology of hearing loss<br />
- Learn how to recognize hearing loss<br />
- Learn strategies to work with hearing loss in the field<br />
<br />
Episode 2: I Don't Understand You<br />
- Aphasia in the field<br />
- Be able to define aphasia<br />
- Understand the two main types of aphasia<br />
- Learn strategies to improve communicating with the aphasic patient<br />
<br />
Episode 3: Don't Talk To Me Like That!<br />
- Communicating With Respect<br />
- Participants will explore their own prejudices towards older adults<br />
- Participants will recognize phrases and patterns of speech which may offend the older adult<br />
- Describe 3 ways to improve communication with the older adult<br />
<br />
Episode 4: Communicating With Residential Care Facilities<br />
- Participants will understand the nursing home environment is unique<br />
- Participants will hear examples of positive and negative communication and explore why the encounter was positive or negative<br />
- Participants will gain insight as to how skilled care facility personnel view EMS and EMS interactions</p>

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 07/16/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Communication. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

HGNI: The Geriatric Nurse Educator, The Pathway to Teaching

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

This is the second video in The Geriatric Nurse Educator: A Career for a Lifetime video series, a series of geriatric nursing recruitment videos. This video "The Pathway to Teaching" targets nurses considering a masters degree and highlights the benefits of both geriatric nursing and being a nurse educator. The video provides statistics on aging in the United States and points out the lack of Geriatric Nursing faculty.  It focuses on the positive aspects of the educator role and is best used for recruiting into MS programs. The video is seven minutes long.

The 2008 IOM Report: Re-tooling For An Aging America brought to national attention the critical need for development of the health care workforce so all are prepared to care for the next generation of olders adults.  While all health care workers need the knowledge and skills to deliver basic care to older adults, there is also a huge void in the number of nurses who have expertise in geriatric nursing.  These individuals are needed to adequately care for the most complex cases and to train other health care providers.  This need for geriatric nursing faculty was the impetus for the the development of The Geriatric Nurse Educator: A Career for a Lifetime video series.  Each of the videos in the series have slightly different messages. To view the rest of the series, please visit http://www.hhdev.psu.edu/hartford/educators.html.

Educational objectives: 
  • Discuss what it means to be a geriatric nurse.
  • Discuss the benefits of being a nurse educator.
Additional information/Special implementation requirements or guidelines: 

To view this video, you will need high speed internet access and speakers.

Date posted: 
Fri, 09/18/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 09/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
HGNI: The Geriatric Nurse Educator, The Pathway to Teaching. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

The Think Aloud

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

The Think Aloud is a method for assessing and incorporating geriatric principles into existing problem-based learning (PBL) cases in the first- and second-year curricula at the University of Missouri. The Think Aloud channels the expertise of geriatricians directly into the development of PBL cases and is a useful strategy for refreshing geriatric teaching. This approach is also applicable to revitalizing teaching cases in the clinical years. 

Educational objectives: 

The primary objective is to measure how well MU's geriatric principles are incorporated into existing PBL cases and develop strategies to enhance their use.

Additional information/Special implementation requirements or guidelines: 

Requires PBL cases and geriatrician reviewers.

BACKGROUND Our program is based on ten principles of geriatric care that guide our educational initiatives.

  1. Multidisciplinary: Show consideration for the unique perspectives and contributions of each member of the multidisciplinary team caring for older patients.
  2. Family Caregivers: Respect the importance of family caregivers in the life of the older patient, and the individual needs of caregivers.
  3. Evidence-based: Strive to be evidence- based in the conduct of practice, recognizing the unending importance of the art of medicine.
  4. The Right Drugs: Pay special attention to the principles of geriatric pharmacology, including the avoidance of polypharmacy and its unnecessary side effects.
  5. Cost Effective: Consider the costs of care, particularly those costs generated by physicians in the diagnosis and treatment of acute and chronic diseases.
  6. Quality of Life: Improve and sustain quality of life and function more commonly than length of life, and attend to comfort, always.
  7. Relationships: Acknowledge the primacy of a doctor-patient relationship based on mutual respect, communication, trust, and continuity.
  8. Advocacy: Advocate for the elderly patient across settings of care: provide conscientious diagnosis and treatment, elicit and implement goals of care, and commit to service quality
  9. Ethics: Value and uphold the ethical principles of autonomy, beneficence, nonmaleficence, and justice in the care of patients.
  10. End-of-life care: Struggle to preserve the health and autonomy of older persons while recognizing that decline, disability, and death are inevitable developmental stages of aging.

INCORPORATING THE GERIATRIC PRINCIPLES INTO the UNIVERSITY of MIISOURI'S PBL CASES The Think Aloud works by asking a panel of geriatricians to review and rate existing PBL cases on each of the above principles with the following scores:
-1:Geriatric principle appears in such a way that a negative context is provided.
0: Case contains no reference to the geriatric principle.
1: Some reference is made to the principle, but opportunities are lost for developing the principle as a learning concept.
2: The principle is integrated into the case in such a way that the learner views the principle in the context of good patient care.

Under the leadership of a curriculum expert, the geriatricians discuss their findings and suggest ways to enhance and align the PBL case with our geriatric principles.

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

Hoffman K, Hosokawa M, Zweig S: Think Aloud: A Strategy for Refreshing Geriatric Teaching. Presented at the Society of Teachers of Family Medicine annual meeting, San Francisco, CA, April 2006.

Date posted: 
Wed, 09/23/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 12/21/2012
Contact Person/Corresponding Author:



Suggested Citation:
and . The Think Aloud. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

HGNI: An Interview with Dr. Terri Fulmer on the IOM Report

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

This is one in a series of podcasts examining the healthcare needs of older Americans. In this episode, Dr Terri Fulmer, Dean of the College of Nursing at NYU and Co-Director of the John A Hartford Institute for Geriatric Nursing discusses the IOM Report: "Retooling for an Aging America" and what it means for the future healthcare workforce for older Americans. The podcast is 27 minutes long. To access the rest of the podcast series on the unique healthcare needs of older Americans, please visit http://www.hhdev.psu.edu/hartford/podcast.html.

Educational objectives: 
  • Understanding the future healthcare workforce for older Americans.
  • Discuss the major findings and recommendations from the IOM Report.
  • Discuss new models of care delivery for older adults.
Additional information/Special implementation requirements or guidelines: 

In order to use this podcast, you must have software that can play an mp3 file and computer speakers.

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

Committee on the Future Health Care Workforce for Older Americans. (2008). Retooling for an aging America: Building the health care workforce. Washington, D.C.: The National Academies Press

Date posted: 
Fri, 09/18/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 09/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . HGNI: An Interview with Dr. Terri Fulmer on the IOM Report. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

Functional and Cognitive Assessment of the Geriatric Patient

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

This product is a slide show presentation and audio recording of Dr. Boling's lecture. In the presentation, Dr. Boling defines functional and cognitive assessment and explains its importance. He explains how to perform the assessment tests and there are videos for visual demonstration.

Educational objectives: 

Upon completion of this module, learners should: - Know what functional assessment is. - Know why we do it. - Learn basic skills for assessing physical and cognitive function.

Additional information/Special implementation requirements or guidelines: 

To play this presentation, you must have Flash Player 8 or higher and an internet connection.

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 10/29/2009
Contact Person/Corresponding Author:



Suggested Citation:
Functional and Cognitive Assessment of the Geriatric Patient. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

Geriatrics Clipboard

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

The Harvard-Reynolds AGE Project's Geriatrics Clipboard is a creative and practical tool for teaching medical students vital concepts in geriatric history and physical examination. Printed on the front of the clipboard is a mnemonic "GRANDMA" that lists the 'must do' elements of a geriatric H & P as well as useful screening tools: the Confusion Assessment Method (CAM) for delirium and the Mini-Cog for dementia. On the back are laboratory reference values and on the clip is a handy solar-powered calculator. Aimed at second year students enrolled in the physical diagnosis course, the sturdy clipboard can also serve as a useful teaching tool for third/fourth year medical student during their clerkships and interns/residents.

Educational objectives: 

To aid medical students in learning vital concepts in geriatric history and physical examination.

Date posted: 
Wed, 09/23/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 09/23/2009
Contact Person/Corresponding Author:



Suggested Citation:
, and . Geriatrics Clipboard. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

MMSE CEX

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

This is a structured clinical evaluation exercise (mini-CEX) that is designed to be used with any level of learner. The purpose is to observe how well the learner administers and scores the Mini Mental State Exam.

Educational objectives: 

The object is to give structured feedback on the learner's administration of a Mini-Mental State Exam. It is intended to be used as a formative evaluation tool.

Additional information/Special implementation requirements or guidelines: 

This Mini Mental State Exam CEX is to be used with the MMSE©. The MMSE can be purchased from PAR, Inc. by calling (813) 968-3003 or from http://www.minimental.com/ . PAR also has scoring rubrics and guidelines for the MMSE.

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

Reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc. 16204 North Florida Avenue, Lutz, Florida 33549, from the Mini Mental State Examination, by Marshal Folstein and Susan Folstein, Copyright 1975, 1998, 2001 by Mini Mental LLC, Inc. Published 2001 by Psychological Assessment Resources, Inc. Further reproduction is prohibited without permission of PAR, Inc.

Date posted: 
Wed, 10/21/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 10/21/2009
Contact Person/Corresponding Author:



Suggested Citation:
MMSE CEX. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

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