The Portal of Geriatrics Online Education

Diseases

Elder Care: A Resource for Interprofessional Providers: Amyloid Imaging for Alzheimer's Disease

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

Amyloid Imaging for Alzheimer's Disease  is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 
  1. Describe what is seen on a positive vs a negative florbetapir amyloid scan in Alzheimer’s disease
  2. List three situation in which a florbetapir amyloid scan may aid in determining if a patient has Alzheimer’s disease.
  3. State the most common dementia (other than Alzheimer’s disease) that may have a positive florbetapir amyloid scan
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as:

  1. Content is not changed,
  2. No one is charged a fee to use or read the publication,
  3. Authors and their affiliated institutions are noted without change, and
  4. The reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."
Publications from, presentations from, and/or citations to this product: 

The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.

Nelson, D. and Medina-Walpole, A. (2010, December), Elder care provider fact sheets. Journal of the American Geriatrics Society, 58(12), 2414-2415. Also available online.

Date posted: 
Wed, 05/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 12/30/2016
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care: A Resource for Interprofessional Providers: Amyloid Imaging for Alzheimer's Disease. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/1077

Precise Evaluation of the Geriatric Patient in the Emergency Department

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

Background: The number of Emergency Department (ED) visits by patients over age 65 is increasing rapidly. Common chief complaints, such as abdominal pain, often are associated with atypical presentations and significant morbidity and mortality. Hence, it is important for Emergency Medicine (EM) physicians to have both a high suspicion for disease and an in-depth knowledge base when treating these patients. However, the unique presentations of disease in older patients are rarely focused on during EM residency training. The authors created an innovative, interactive small group activity with five cases of older patients presenting to the ED, focusing on fundamental disease processes and presentations, for training EM residents.

Methods: EM residents are divided into teams and challenged to provide the most efficient, cost-effective care in five cases. Using play money, the residents are given limited funds to perform specific exam components and order laboratory studies and imaging. After teams complete the cases, a debriefing is performed in a large group to discuss learning points, highlighting diagnoses and treatments specific to geriatric patients. This activity was developed for EM residents but has since been adapted for use with medical students and residents and faculty from other specialties, including Internal Medicine and Surgery.

Results: EM residents were very receptive to this exercise. On evaluations, they appreciated the interactive learning and case-based teaching. On a scale from 1-5, with 5 being the highest score, residents rated the overall quality of the session and teaching effectiveness as 4.6 and 4.3, respectively. Comments included: “awesome case format” and “very clinically applicable”.

Conclusions: A case-based, interactive small group exercise is an innovative way to educate EM residents about emergencies and atypical presentations in geriatric patients. These cases also can be adapted for residents in other specialties as well as for faculty and medical students.

Educational objectives: 

On completion, the learner will:

  • Understand Geriatric Emergency Medicine as its own subspecialty, with unique and evolving knowledge base and skills

  • Be wary of "under-triaging" geriatric patients, especially trauma patients

  • Identify acute abdominal pain in geriatric patients as often life threatening

  • Utilize the Mini Cog and ICU CAM

  • Identify delirium and understand that it requires further evaluation for an underlying cause

  • Treat pain appropriately in older patients

  • Treat agitation appropriately in older patients

  • Prepare for care transitions
Additional information/Special implementation requirements or guidelines: 

This is an interactive, case-based didactic on the evaluation of older patients in the Emergency Department (ED). This product consists of five cases of common chief complaints in the ED, as well as a lecture to describe the importance of Geriatric Emergency Medicine (EM) and highlight the keypoints of each case. The didactic is intended to begin with the Power Point lecture as a large group. Then, learners will break out in smaller teams to complete the "Precise Evaluation of Older Patients in the ED Game." Each team is provided with the packet of cases and play money, which can better demonstrate cost. The teams will work through the differential diagnoses on each case and selectively order tests to identify the correct diagnosis. Teams must keep track of the tests ordered on each case as well as total money spent. Either facilitators or one member of each team can provide results to the team from the appropriate answer key for each case. Teams then return to the large group to debrief and discuss each case. The lecture provides key learning points on each case specifically related to Geriatric EM, including atypical presentations and management. The winning team can be rewarded for spending the least while arriving at the correct diagnoses. The workshop in its entirety takes about 2 hours; however, less cases can be used for a shorter didactic. In addition, more cases can easily be added to this exercise to discuss other dieases processes. This curriculum has been used with EM residents as well as residents and faculty from other specialties and medical students.

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

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Geriatric Abdominal Pain Game.”  Society of Academic Emergency Medicine 2013. Atlanta, Geargia. May 16, 2013. (Poster, Solicited).

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Material and Methods Swap: Geriatric Abdominal Pain Game.” American Geriatrics Society 2013. Grapevine, Texas. May 5, 2013. (Oral Presentation, Invited).

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Geriatric Abdominal Pain Game.”  American Geriatrics Society 2013. Grapevine, Texas. Denver, Colorado. May 3, 2013. (Poster, Solicited).

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Educational Soundbites: Geriatric Abdominal Pain Game.” Council on Emergency Medicine Residency Directors Academic Assembly 2013. Denver, Colorado. March 7, 2013. (Oral Presentation, Invited). (1 hour, 200 faculty members)

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Geriatric Abdominal Pain Game.” Council on Emergency Medicine Residency Directors Academic Assembly 2013. Denver, Colorado. March 7, 2013. (Poster, Solicited).

Date posted: 
Thu, 09/05/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 09/05/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Precise Evaluation of the Geriatric Patient in the Emergency Department. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/1077

Age-Related Macular Degeneration (AMD)

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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 provides review of Age-Related Macular Degeneration (AMD) and possible treatment options as well as current studies looking for AMD biomarkers. The target audience is Interdisciplinary Health Care Professionals.
Educational objectives: 

​Upon completion, the learner will be able to:

  1. Summarize and review AMD.
  2. Describe the current research to search for biomarkers.
Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG)

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

Date posted: 
Thu, 03/20/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/20/2014
Contact Person/Corresponding Author:



Suggested Citation:
, and . Age-Related Macular Degeneration (AMD). POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1077

Ethnic & Cultural Considerations for Older Diabetes Care: One Standard for All?

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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 a review of diabetes amongst older adults including prevalence, biologic/non-biologic differences, and treatment options as well as a discussion of racial dispariaties as they relate to diabetes. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 
  1. Describe current diabetes care among older adults.
  2. Discuss racial disparities in diabetes prevalence, treatment and outcomes in elderly.
  3. Cite special considerations related to ethnicity, discuss clinical implications.
Additional information/Special implementation requirements or guidelines: 

Please note: A fire alarm disrupted this presentation so it was cut a bit short. This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

The video may take a few moments to load based on your connection. Please wait if it doesn't 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:
Ethnic & Cultural Considerations for Older Diabetes Care: One Standard for All?. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/1077

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

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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/1077

Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 8 - M Spikes are a Pain in the Back

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

The Step1Test Prep Series was created by second-year students at the Texas Tech School of Medicine in Lubbock as a project of the MS2 Aging Block of Systems Disorders II. It was developed as part of the Reynolds Geriatrics Podcast series, which is supported in part by an Aging and Quality of Life grant from the D.W. Reynolds Foundation. The episodes in this series are USMLE Step1-Style questions that have geriatrics content and patient vignettes from the Step1 Sample Exams.

Educational objectives: 

The second-year medical student studying for the Step 1 exam should be able to:

  • Describe the common findings of multiple myeloma.
  • Differentiate between multiple myeloma and other diseases found in older patients.
  • Describe the epidemiology related to multiple myeloma.
Additional information/Special implementation requirements or guidelines: 
Date posted: 
Fri, 10/19/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , and . Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 8 - M Spikes are a Pain in the Back. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/1077

Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 6 - Don't Go Blocking My Heart

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

The Step1Test Prep Series was created by second-year students at the Texas Tech School of Medicine in Lubbock as a project of the MS2 Aging Block of Systems Disorders II. It was developed as part of the Reynolds Geriatrics Podcast series, which is supported in part by an Aging and Quality of Life grant from the D.W. Reynolds Foundation. The episodes in this series are USMLE Step1-Style questions that have geriatrics content and patient vignettes from the Step1 Sample Exams.

Educational objectives: 

The second-year medical student studying for the Step 1 exam should be able to:

  • Describe the signs and symptoms of congestive heart failure.
  • Explain the mechanism of action and physiologic response to cardio-selective β blockers.
  • Explain the rationale for using a cardioselective versus a nonselective β blocker.
  • Explain the role of carotid baroreceptors in the regulation of blood pressure.
Additional information/Special implementation requirements or guidelines: 
Date posted: 
Fri, 10/19/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , and . Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 6 - Don't Go Blocking My Heart. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/1077

Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 5 - Metabolic Disturbances

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

The Step1Test Prep Series was created by second-year students at the Texas Tech School of Medicine in Lubbock as a project of the MS2 Aging Block of Systems Disorders II.  It was developed as part of the Reynolds Geriatrics Podcast series, which is supported in part by an Aging and Quality of Life grant from the D.W. Reynolds Foundation.  The episodes in this series are USMLE Step1-Style questions that have geriatrics content and patient vignettes from the Step1 Sample Exams.

Educational objectives: 

The second-year medical student studying for the Step 1 exam should be able to:

  • Describe the mechanism of metabolic disturbance based on clinical history and lab values.
  • Explain the physiological processes that accompany metabolic disturbances.
  • Predict clinical findings in a patient based on medical history and lab values.
Additional information/Special implementation requirements or guidelines: 
Date posted: 
Fri, 10/19/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , and . Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 5 - Metabolic Disturbances. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/1077

Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 4 - ACEing the Diagnosis

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

The Step1Test Prep Series was created by second-year students at the Texas Tech School of Medicine in Lubbock as a project of the MS2 Aging Block of Systems Disorders II. It was developed as part of the Reynolds Geriatrics Podcast series, which is supported in part by an Aging and Quality of Life grant from the D.W. Reynolds Foundation. The episodes in this series are USMLE Step1-Style questions that have geriatrics content and patient vignettes from the Step1 Sample Exams.

Educational objectives: 

The second-year medical student studying for the Step 1 exam should be able to:

  • Describe electrolyte imbalance, specifically hyperkalemia, in a geriatric patient.
  • Describe angiotensin converting enzyme (ACE) inhibitors as drugs that can cause hyperkalemia in geriatric patients.
  • Explain the mechanism through which ACE inhibitors cna cause hyperkalemia.
Additional information/Special implementation requirements or guidelines: 
Date posted: 
Fri, 10/19/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , , and . Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 4 - ACEing the Diagnosis. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/1077

Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 3 - Saturday Night Shiver

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

The Step1Test Prep Series was created by second-year students at the Texas Tech School of Medicine in Lubbock as a project of the MS2 Aging Block of Systems Disorders II. It was developed as part of the Reynolds Geriatrics Podcast series, which is supported in part by an Aging and Quality of Life grant from the D.W. Reynolds Foundation. The episodes in this series are USMLE Step1-Style questions that have geriatrics content and patient vignettes from the Step1 Sample Exams.

Educational objectives: 

The second-year medical student studying for the Step 1 exam should be able to:

  • Describe the route of temperature sensation from peripheral neuron to preoptic area.
  • Describe what pathway carries temperature sensation.
  • Explain where in the brain temperature sensation is registered.
  • Describe the anterolateral spinal tract with its various functions.
Additional information/Special implementation requirements or guidelines: 
Date posted: 
Fri, 10/19/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , and . Texas Tech Medcast Reynolds Geriatric Step1 Test Prep Series 2012: Group 3 - Saturday Night Shiver. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/1077

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