The Portal of Geriatrics Online Education

Patient Safety

Elder Care A Resource for Interprofessional Providers: Substance Abuse in Older Adults

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

Substance Abuse in Older Adults  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. Identify signs and symptoms that might indicate that a patient has a substance abuse disorder.
  2. Name a questionnaire that can be used to screen for alcohol abuse in older adults.
  3. Name a drug used for treatment of alcohol abuse that requires dose adjustment in patients who have renal failure
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: 
Mon, 04/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 04/30/2017
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Substance Abuse in Older Adults. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/1089

Evaluating the Older Adult's Ability to Live Independently or Drive: An Occupational Therapist's Role in Assessment

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

This resident education module was developed to educate residents on what other team members do.  The content was organized around the IM-FM geriatric competencies and IM Milestones.  In this module, the learner will focus on how Occupational Therapists (or "OTs") approach the assessment and treatment of people with potential functional problems.

Educational objectives: 

1. Outline the global approach occupational therapists use to evaluate and treat their clients.

2. Explain assessment process used by occupational therapists to determine ability of cognitively impaired individuals to lilve safely and independently.

3. Explain assessment process used by occupational therapists to determine ability of individuals to drive safely.

Additional information/Special implementation requirements or guidelines: 

For evaluation purposes, there is a pre/post test available from the corresponding author.

Contact Person/Corresponding Author:



Suggested Citation:
Evaluating the Older Adult's Ability to Live Independently or Drive: An Occupational Therapist's Role in Assessment. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1089

The Audiologist's Role in Care of Hearing Loss and Vestibular Disease

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

This resident education module was developed to educate residents on what other team members do.  The content was organized around the IM-FM geriatric competencies and IM Milestones.  The focus of this module is to identify the audiologist's role in evaluating and treating hearing or vestibular concerns and to determine appropriate referral for other professionals in the care of hearing and vestibular problems.

Educational objectives: 


    1. Identify signs and symptoms of potential hearing or vestibular/balance problems.

    2. Identify the audiologist's role in evaluating and treating hearing or vestibular concerns.

    3. Determine appropriate referral for other professionals in the care of hearing and vestibular problems.

Additional information/Special implementation requirements or guidelines: 

For evaluation purposes, there are pre/post test questions available from the author.

Date posted: 
Thu, 01/22/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/21/2015
Contact Person/Corresponding Author:



Suggested Citation:
The Audiologist's Role in Care of Hearing Loss and Vestibular Disease. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1089

Elder Abuse Simulation

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

Elder abuse is expected to rise as the number of elderly frail patients increase.  Signs of elder abuse or neglect often mimic normal physiological aging process, thus clinicians should be well trained to identify signs of elder abuse or neglect to institute proper investigation and intervention.  

Educational objectives: 

By the end of the session, participants will be able to:

  1. Recognize and identify signs and symptoms of elder abuse and/or neglect 
  2. Identify appropriate actions to take to address the issue of elder abuse and or neglect
Date posted: 
Thu, 06/19/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/19/2014
Contact Person/Corresponding Author:



Suggested Citation:
Elder Abuse Simulation. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1089

When Patients Die: Decision-Making and Communication

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

With the aging population growing to be a significant portion of our population learners will likely face a scenario where a patient’s goals of care may be less aggressive than the standard of care.  It is important for learners to be aware of the need to assess these goals prior to initiating treatment.  In addition, it is important for learners to have the experience of filling out a death certificate as this is likely their first experience to do so.

Educational objectives: 

Upon completion of this simulation exercise, participants should:

1.  Understand goals of care

2.  Practice having a family discussion 

3.  Learn how to fill out a death certificate 

Date posted: 
Fri, 06/17/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/17/2016
Contact Person/Corresponding Author:



Suggested Citation:
When Patients Die: Decision-Making and Communication. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/1089

Interdisciplinary Team Care

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

Research suggests that good interdisciplinary team communication leads to improved patient and family outcomes (i.e., high levels of patient and family satisfaction, symptom control, and reductions in length of stay and hospital costs). The purpose of the interdisciplinary team is to foster regular, structured and expert communication among health professionals from different disciplines in order to establish, prioritize, and achieve patient treatment goals.

Interdisciplinary team communication is vital in an inpatient healthcare setting, as the complex nature and demands of the healthcare work environment requires the expertise and knowledge of differing disciplines or specialists who can work together to solve multifaceted and complex patient care problems. Interdisciplinary teamwork can improve the diagnostic and prognostic abilities of health professionals more than individual health professionals working alone.

The IDT conference focuses on:
1.    Establishing the patient’s progress toward medical goals;
2.    Considering possible resolutions of any problems that could impede the patient’s progress toward these goals;
3.    Reassessing the goals previously established, if needed; and
4.    Monitoring and revising the treatment plan, as needed

Educational objectives: 

At the end of this module, the student should be able to:
1.    Define the concept of interdisciplinary team care;
2.    Describe the professional role and scope of practice of individual members of an interdisciplinary health care team;
3.    Learn to structure an IDT Conference;
4.    Understand the goals of the IDT Conference;
5.    Identify ways to run an IDT Conference effectively; and
6.    Discuss common pitfalls of the IDT Conference

Date posted: 
Tue, 08/26/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 08/26/2014
Contact Person/Corresponding Author:



Suggested Citation:
Interdisciplinary Team Care. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1089

How Policy Impacts Practice: Case Study & Role Play

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Abstract: 

The purpose of this case study is to identify policies affecting the key characters and decision makers, which is a skill central to being an effective advocate for older adults. The central character of this case study is Isabella Wright, a fictitious name for a real client. However, the incidents in the case study are a collation of experiences from clients in similar situations as Isabella. This exercise is intended to demonstrate the policy dilemma of equity between generations as well as the dynamic relationship between policies from the macro to the micro level. The Advanced Gerontology Social Work Practice Guide identifies this class exercise to support students’ attainment of the advanced gerontology practice behavior 2.1.9—Respond to contexts that shape practice.

Educational objectives: 

The purpose of this case study is to identify policies affecting the key characters and decision makers, which is a skill central to being an effective advocate for older adults. Social work students are not expected to be knowledgeable about the policies that they identify but are expected to suggest where they might find more information about particular policies.

Date posted: 
Tue, 02/24/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 02/24/2015
Contact Person/Corresponding Author:



Suggested Citation:
How Policy Impacts Practice: Case Study & Role Play. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1089

Brief Cognitive Screening in Older Adults

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

This module provides an overview of a variety of brief cognitive screening measures that exist in the public domain and can easily be integrated in care settings that serve older adults. The online module is designed to be an interactive didactic experience, which includes short videos, reflection questions, and experiential exercises.

Although this module is best implemented as a group activity with partners (particularly Section 3, which includes role play as both clinician and patient), it can be adapted and completed individually as well.

Educational objectives: 
  1. Discuss the purpose of evidence based brief cognitive screening instruments
  2. Review pros and cons of five brief screens
  3. Practice administration and scoring of brief cognitive screens.
Additional information/Special implementation requirements or guidelines: 

The entire course for Brief Cognitive Screening for Older Adults is hosted on the Oklahoma Geriatric Education Center (Ok-GEC) website through the Donald W. Reynolds Dept of Geriatric Medicine at the University of Oklahoma Health Sciences Center (OUHSC). http://www.ouhsc.edu/okgec/documents/Sorocco_Online_Courses/BriefCognitiveScreenCourse.pdf and consists of three sections:

  1. Intro to Brief Cognitive Screens for Older Adults: Includes link to webinar and two open-ended reflection questions (Survey Monkey link).
  2. Selecting a Brief Cognitive Screen for Older Adults: Includes link to webinar, links to download and review 5 brief cognitive screening tools, and reflective question (Survey Monkey link).
  3. Experience Using a Brief Cognitive Screen for Older Adults: Includes link to webinar, an experiential exercise of provider/patient role play (you will need to find a partner for this exercise) with instrument of choice (from the links provided in Section 2) to practice administration and scoring, reflective question, and final learner and course assessments (Survey Monkey link).
Date posted: 
Tue, 09/23/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 05/01/2015
Product Viewing Instructions: 
Please view course at: http://www.ouhsc.edu/okgec/documents/Sorocco_Online_Courses/BriefCognitiveScreenCourse.pdf
Contact Person/Corresponding Author:



Suggested Citation:
Brief Cognitive Screening in Older Adults. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1089

How to discuss Code Status and make a recommendation

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

Code status discussions are often rushed events done during a hospital admission by a doctor that the patient has never met.  The content, and therefore the quality, of these discussions varies widely and often contains very incomplete information that fails to meet a person at their individual health literacy level.  Additionally, once a physician decides to make a recommendation for a DNR status, the methods used may be crude and border on coercive.  

The goal of this lecture is to provide the listener with a complete understanding of CPR outcomes that can be presented flexibly at the level of the health literacy of the patient and family.  Second, the lecture provides a framework for making a recommendation of CPR by not viewing it soley as a health literacy problem but as a fit between a patient's stated values and the likely outcomes of CPR.  In this way, there are many reasons why a person may choose to be DNR.  

First, an evidence review of outcomes are discussed by site of care (inpatient, outpatient and nursing home) including immediate failure, prolonged death in a hospital, survival with impaired neurological status and survival with intact neurological status.  Both absolute and relative rates are presented.  An evidence review of the risks are summarized including the trauma of CPR, what happens when a person fails to survive to hospital discharge and surviving with impaired neurological status.  Success rates in studies are analyzed by diagnosis, age, and functional baseline.  Finally, how to translate the outcomes into goals and values is discussed including when being DNR is appropriate for a patient.  Ideally, the learner will have more tools for helping a patient understand why DNR may be appropriate than before this educational session.  

Educational objectives: 

The purpose of this lecture is to allow the listener to have a much more complete understanding of the pros and cons of CPR and its outcomes and have a framework for making recommendations.  The goal is to move beyond simply thinking about the trauma and success rates of a procedure-oriented CPR discussion and move towards a value-based, patient-centered discussion.

Additional information/Special implementation requirements or guidelines: 

The power point lecture is accompanied by a handout that serves as a literature review.  There is also a bibliography.  In a small group setting, the handout could be the starting point of an interactive discussion.  I usually start by asking the housestaff and students when they have felt a patient who was full code should be DNR, why they felt that way, and how they went about trying to change the code status.  I ask what they communicate and how they communicate it. Having learners provide their own vignettes gets them more engaged in the discussion and at the end they can think about what they might have done differently.  

Date posted: 
Mon, 10/07/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/07/2013
Contact Person/Corresponding Author:



Suggested Citation:
How to discuss Code Status and make a recommendation. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/1089

Elder Care: A Resource for Interprofessional Providers: Fit to Fly? Older Adults and Air Travel

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

Fit to Fly? Older Adults and Air Travel  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. Use room-air oxygen saturation levels to determine when a patient should receive supplemental oxygen during an airline flight
  2. List cardiovascular conditions with which air travel is considered unsafe
  3. Make recommendations to patients planning long-distance air travel for prevention of venous thromboembolism 
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: 
Thu, 08/02/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 05/21/2018
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Elder Care: A Resource for Interprofessional Providers: Fit to Fly? Older Adults and Air Travel. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/1089

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