The Portal of Geriatrics Online Education

Caring for the Older Adult

Texas Tech Medcast Reynolds Geriatrics Series: Assessing the Older Adult

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

This podcast episode addresses techniques for obtaining a health history from an older adult, focusing on the physician’s demeanor, communication style, and approach to the patient.

For more information about the series, go to http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseri....

Educational objectives: 

The listener should be able to:

  • Adjust the environment for a visit with an older patient
  • Shape the content and pace of the visit
  • Effectively elicit symptoms from the patients
  • Address the cultural dimensions of aging
Additional information/Special implementation requirements or guidelines: 

This podcast episode is an MP3 file. It may be listened to on a computer with speakers or an MP3 player. It is available on the Texas Tech University Health Sciences Center website, where an episode fact sheet is also available, or for download from the iTunes Music Store (search term: "texas tech medcast").

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

Jones BG, Bickley LS, Dentino A, Prabhu FR, Martin C, Balmes M, Neilson R, Urban S, Nutis D. Using Podcasting to Teach Geriatrics to Third-Year Medical Students. Innovations in Medical Education poster, 119th Annual Meeting of the Association of American Medical Colleges, San Antonio, TX, October 31-November 5, 2008.

Jones BG, Bickley LS, Dentino A, Prabhu FR, Martin C, Balmes M, Neilson R, Urban S, Nutis D. Using Podcasting to Teach Geriatrics to Third-Year Medical Students. Peer Paper, 35th Annual Predoctoral Education Conference, Savannah, GA, January 22-24, 2009.

Jones BG, Bickley LS, Ragain RM, McMahon KK, Prabhu FR, Baker LK, Chauncey, KB Samiuddin M, Ranin M, McClure S, Casner P. Using Podcasting to Impact Third-Year Students' Knowledge of and Attitudes Toward Geriatrics. Poster on Research in Progress to the North American Primary Care Research Group Annual Conference, San Juan, PR, October 2008.

Date posted: 
Mon, 09/21/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . Texas Tech Medcast Reynolds Geriatrics Series: Assessing the Older Adult. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

Texas Tech Medcast Reynolds Geriatrics Series: Geriatric Polypharmacy

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

This podcast episode outlines 5 strategies for effective prescribing in the elderly.

For more information about the series, go to http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseri....

Educational objectives: 

The listener should be able to:

  • Explain how aging-related decline in organ function impacts pharmacokinetics with specific emphasis on the kidneys, liver, blood volume & muscle
  • Explain implications for polypharmacy in the elderly
  • Discuss measures that a physician can take to avoid over-medication in the elderly
  • Use the Beers Criteria to identify potentially inappropriate medications for the elderly
  • Manage clinical situations of pathologies in or drug-related problems in older adults
Additional information/Special implementation requirements or guidelines: 

This podcast episode is an MP3 file. It may be listened to on a computer with speakers or an MP3 player. It is available on the Texas Tech University Health Sciences Center website, where an episode fact sheet is also available, or for download from the iTunes Music Store (search term: "texas tech medcast").

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

Jones BG, Bickley LS, Dentino A, Prabhu FR, Martin C, Balmes M, Neilson R, Urban S, Nutis D. Using Podcasting to Teach Geriatrics to Third-Year Medical Students. Innovations in Medical Education poster, 119th Annual Meeting of the Association of American Medical Colleges, San Antonio, TX, October 31-November 5, 2008.

Jones BG, Bickley LS, Dentino A, Prabhu FR, Martin C, Balmes M, Neilson R, Urban S, Nutis D. Using Podcasting to Teach Geriatrics to Third-Year Medical Students. Peer Paper, 35th Annual Predoctoral Education Conference, Savannah, GA, January 22-24, 2009.

Jones BG, Bickley LS, Ragain RM, McMahon KK, Prabhu FR, Baker LK, Chauncey, KB Samiuddin M, Ranin M, McClure S, Casner P. Using Podcasting to Impact Third-Year Students' Knowledge of and Attitudes Toward Geriatrics. Poster on Research in Progress to the North American Primary Care Research Group Annual Conference, San Juan, PR, October 2008.

Date posted: 
Thu, 10/08/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Texas Tech Medcast Reynolds Geriatrics Series: Geriatric Polypharmacy. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

TTUHSC MSIV Lubbock Curriculum

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

TTUHSC MSIV Lubbock Curriculum

Educational objectives: 

As per product itself (new required two-week geriatric medicine MS-IV rotation at our medical school)

Date posted: 
Thu, 09/24/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/17/2012
Contact Person/Corresponding Author:



Suggested Citation:
TTUHSC MSIV Lubbock Curriculum. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1052

Geriatrics Review Syllabus

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

The core mission of the American Geriatrics Society (AGS) is to improve the health, independence, and quality of life of all older adults. Since the AGS published the first Geriatrics Review Syllabus (GRS) in 1989, the GRS has become recognized as the premier geriatric medicine resource for clinicians who wish to stay current and provide evidence-based, high-quality care to older adults. To keep pace with advances in geriatric medicine, the AGS is proud to publish this eighth edition (GRS8). Over 170 AGS members, and leaders in the field of geriatric medicine, contributed to the GRS8 as editors, authors, and question writers.

The GRS8 is available as a 3-volume set of books as well as an online format. Book 1 contains the Syllabus of 64 chapters and annotated references that allow the interested reader to pursue topics in greater depth. Book 2 contains 333 case-oriented, multiple-choice questions and is accompanied by an answer sheet for those participating in the continuing education program. Book 3 repeats the questions and contains answers, supporting critiques, and references to aid learner self-assessment. The online format comprises the entire program.

To accommodate new chapters, we have omitted the ACOVE quality indicators, which can be found in J Am Geriatr Soc. 2007 Oct;55 Suppl 2.

The Syllabus is divided into six sections—Principles of Aging, Approach to the Patient, Systems of Care, Syndromes, Psychiatry, and Diseases and Disorders. GRS8 highlights developments in geriatric medicine since publication of the seventh edition in 2010. When discussing specific drugs, the authors and editors verified that the information provided was up-to-date at the time of publication. Any mention of drug uses not specifically approved by the U.S. Food and Drug Administration (so called “off-label” uses) are tagged as OL. The majority of medications described in the text are approved in the United States, although authors occasionally note the use of medications that are approved in Europe, but not in the United States.

Educational objectives: 

The learning objectives for this activity have been designed to address participant knowledge, competence, performance, and patient outcomes. At the conclusion of this program, participants should be able to:

  • Describe the general principles of aging and the biomedical and psychosocial issues of aging (knowledge)
  • Discuss legal and ethical issues related to geriatric medicine (knowledge/competence)
  • Evaluate the financing of health care for older adults (knowledge/competence)
  • Identify the basic principles of geriatric medicine, including assessment, geriatric pharmacotherapy, prevention, exercise, palliative care, rehabilitation, and sensory deficits (knowledge/competence)
  • Use state-of-the-art approaches to geriatric care while providing care in hospital, office-practice, nursing-home, and home-care settings (performance)
  • Diagnose and manage geriatric syndromes, including dementia, delirium, urinary incontinence, malnutrition, osteoporosis, falls, pressure ulcers, sleep disorders, pain, dysphagia, and dizziness (performance)
  • Apply relevant information from the fields of internal medicine, neurology, psychiatry, dermatology, and gynecology to the care of older patients (performance)
  • Adjust patient care in the light of evidence-based data regarding the particular risks and needs of ethnic, racial, and sexual patient groups (patient outcomes)
  • Use quality indicators to assess and improve the care of older adults in their own practices (performance/patient outcomes) and
  • Use evidence-based data to increase the effectiveness of teaching geriatrics to all health professionals (performance)
Additional information/Special implementation requirements or guidelines: 
Publications from, presentations from, and/or citations to this product: 

Book, CD Rom, online

Date posted: 
Tue, 09/23/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/11/2015
Contact Person/Corresponding Author:



Suggested Citation:
Geriatrics Review Syllabus. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/1052

Communication and Dementia

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

Online webinar designed to educate direct care providers about best practices when treating a demented person.

Educational objectives: 

At the end of this webinar, participants should be able to: Explain characteristics of Dementia and Alzheimer's disease Recoognize challenges to providing quality care to individuals with dementia Utilize several communication techniques when working with persons with memory loss and confusion.

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

Citations included in product.

Date posted: 
Tue, 09/23/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 07/05/2010
Contact Person/Corresponding Author:



Suggested Citation:
Communication and Dementia. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/1052

Theories of Aging

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

Lecture presentation

Educational objectives: 

1. Differentiate chronological age from biological age. 2. Explain what is meant by the heterogeneity of aging in humans and describe its clinical implications. 3. Discuss the multiple coexisting forces which may work in concert to affect the aging process. 4. Compare life expectancy and lifespan. 5. Describe the general characteristics of aging 6. Describe what is meant by homeostenosis. 7. Evaluate the theories of aging presented and outline supporting and opposing evidence of each. 8. Compare and contrast the two theories of lifespan extension and describe their clinical implications.

Date posted: 
Fri, 09/19/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 10/18/2009
Contact Person/Corresponding Author:



Suggested Citation:
Theories of Aging. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/1052

Age/Gender Differences in Cardiopulmonary Function

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

This product consists of a Powerpoint presentation for a lecture on age and gender related differences in cardiopulmonary function amongst older patients.

Educational objectives: 

After the completion of the lectures and reading assignments, the student should be able to 1. Describe anatomic and physiologic changes in the cardiovascular system with aging and the clinical effect of these changes. • Hypertension • Congestive heart failure • Aortic stenosis • Atrial fibrillation 2. Describe anatomic and physiologic changes in the pulmonary system with aging and the clinical effect of these changes. • Pneumonia • Asthma • COPD 3. Define heart failure 4. Distinguish systolic dysfunction from diastolic dysfunction 5. Describe signs and symptoms associated with heart failure in older adults. 6. Describe barriers to cardiovascular diagnosis and care in women. 7. Define atrial fibrillation 8. Explain the clinical association between atrial fibrillation and cerebrovascular accident.(stroke) 9. Describe treatment approaches for atrial fibrillation 10. List the criteria for diagnosis of end-stage cardiopulmonary disease 11. Describe the demographics of asthma, COPD and pneumonia. 12. Explain the importance of recognizing atypical presentation of cardiopulmonary disease in older adults

Date posted: 
Fri, 09/19/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 10/18/2009
Contact Person/Corresponding Author:



Suggested Citation:
Age/Gender Differences in Cardiopulmonary Function. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/1052

The Right to Refuse Care

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

Lecture presentation

Educational objectives: 

Every student should be able to... 1. Describe the case of Karen Ann Quinlan, and how that case altered the rights of patients. 2. Distinguish between being in a persistent vegetative state and being dead. 3. Describe the source of a person’s right to refuse care. 4. Describe four state interests that are commonly raised as arguments against allowing a patient to exercise the right to refuse life-sustaining care. 5. Describe the case of Elizabeth Bouvia, and how it expanded the rights of patients beyond those outlined in the case of Karen Ann Quinlan. 6. Describe and explain several criteria which previously were used to distinguish between types of care that a patient could and could not refuse, but which distinctions are now generally rejected. 7. Explain the concept of competence. 8. Explain the concept of decision-making capacity, and describe how it differs from competence. 9. Describe how you would determine whether a patient has decision-making capacity.

Date posted: 
Fri, 09/19/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 10/18/2009
Contact Person/Corresponding Author:



Suggested Citation:
The Right to Refuse Care. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/1052

The Geriatric Interview

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

Lecture presentation addressing the challenges of interviewing an older patient to obtain all necessary information. The lecture addresses the challenges inherent in communicating with an older adult with declining function. Solutions and approaches are provided, including various tools to assess mental and physical capacities as well as the legal and ethical issues of dealing with alternate sources for information.

Educational objectives: 

Every student should be able to... 1. Demonstrate an appreciation of communication barriers that may present challenges when interviewing older adults. 2. Explain how cultural differences may affect the geriatric medical interview. 3. Discuss the importance of setting an agenda and of reviewing the goals of therapy during an office visit. 4. Describe methods used to improve effective communication and enhance patient adherence to the recommended plan of care. 5. List the ten components of the comprehensive geriatric assessment. 6. Identify components of the environmental interview. 7. Describe screening tools used to assess mood and memory in a clinical setting. 8. Define the activities of daily living and the instrumental activities of daily living. 9. Describe simple screening methods for vision and hearing evaluation. 10. Discuss the importance of serial weight evaluation as a marker of nutritional well-being and the degree of weight loss that should trigger intervention.

Date posted: 
Mon, 08/03/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/03/2009
Contact Person/Corresponding Author:



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

Immune Senescence

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

A self-directed learning activity.

Educational objectives: 

The student will identify age related changes in the immune system and the clinical ramifications of these changes.

Date posted: 
Fri, 09/19/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 10/18/2009
Contact Person/Corresponding Author:



Suggested Citation:
Immune Senescence. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/1052

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