The Portal of Geriatrics Online Education

Patient Safety

HGNI: The Geriatric Nurse Educator, Leadership and the Nurse Educator Role

:  
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 fifth video in The Geriatric Nurse Educator: A Career for a Lifetime video series, a series of geriatric nursing recruitment videos.  This video "Leadership and the Nurse Educator Role" focuses on the nursing faculty shortage with an emphasis placed on the shortage of nursing faculty with an expertise in geriatric nursing.  The video highlights the positive aspects of a teaching career and the challenges inherent within the role. 

Educational objectives: 

Discuss what it means to be a geriatric nurse.
Discuss the benefits of being a nurse educator.
Dicuss the benefits of being a nurse scientist and researcher.
 

Additional information/Special implementation requirements or guidelines: 

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 older 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 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

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

Date posted: 
Thu, 08/26/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/26/2010
Contact Person/Corresponding Author:



Suggested Citation:
and . HGNI: The Geriatric Nurse Educator, Leadership and the Nurse Educator Role. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/1089

Failure to Thrive

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

This product is part of the GeriaSims series of interactive patient care simulations. In this simulation, learners ask history questions, perform virtual physical exams, order tests, and consult with specialists and other health care professionals. They make decisions about diagnosis, treatment, and other issues in the care of an elderly patient with severe weight loss, and receive feedback about all actions and decisions. Learners may also ask questions of a simulated mentor to access didactic information about failure to thrive. Depending on the learner's level of experience and interest, the simulation takes one to two hours to complete.

GeriaSims interactive patient care simulations are available online, both to accredited medical education institutions for use with students, residents, and fellows. For more information about the GeriaSims series, go to http://www.healthcare.uiowa.edu/igec/resources-edu....

GeriaSims are also available to practicing physicians, physician assistants, nurses and nurse practitioners for CME or CEU credit. To receive continuing education credit, you must register for the Geriatric Lecture Series. For more information, go to http://www.healthcare.uiowa.edu/igec/e-learning/ge....

Educational objectives: 

GeriaSims are interactive experiences during which the learner diagnoses and treats simulated patients. The simulations are designed to provide interactive learning experiences about geriatric syndromes and other issues that are often encountered in the primary care of elderly patients. Learners will be able to improve their overall knowledge about managing common geriatric syndromes and will understand the unique health care needs of older patients. They will learn about differences in the management of common clinical conditions, and how physiologic changes associated with aging impact management. They will develop a working knowledge of important legal and ethical issues associated with end-of-life care; and understand and apply principles of the multi-disciplinary geriatric assessment.

The learning objectives of this particular simulation are:

  1. Recognize the clinical presentation of undernutrition.
  2. Identify the common contributing causes of undernutrition in community-dwelling elders.
  3. Develop a plan, including tests and consults, to evaluate weight loss in an older adult.
  4. Determine which factors precipitating a patient's failure to thrive are potentially reversible.
  5. Formulate a treatment plan to correct a patient's failure to thrive. 6. Recognize when to call on the expertise or programs offered by other practitioners.
Additional information/Special implementation requirements or guidelines: 

These simulations were developed using a software template created by the University of Iowa. They are used in primary care residency programs and rotations for medical students in the clinical years at the University of Iowa, and also offered online for CME credit.

To use GeriaSims, a 256K or faster DSL, cable modem, LAN/Intranet, or other broadband Internet connection; Internet Explorer 6.0 or higher, Netscape 8.0 or higher, Firefox 1.0 or higher, Mozilla 1.7.5 or higher, or Safari 1.3 or higher web browser, with Java script enabled; version 8 or later of the Flash Player; and Adobe Reader 5 or later are required. A sound card and speakers are recommended. GeriaSims are best viewed at a screen resolution of 1024 x 768, but can be viewed at 800 x 600.

Date posted: 
Fri, 08/21/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 08/21/2009
Contact Person/Corresponding Author:



Suggested Citation:
Failure to Thrive. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Environmental Geriatrics

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

Our 3D animated course gives providers the necessary tools to incorporate Environmental Geriatrics as an essential component of chronic disease management. Using sound, text and moving images, the learner witnesses virtual patients who have reduced visual, hearing, mobility, and memory skills, struggling to accomplish daily tasks of living, i.e., bathing, eating, ambulating, and taking medications. The second half of the animation identifies specific assistive devices and environmental features that improve patients’ ADL/IADL functioning while reducing injury.

Educational objectives: 

Learners should be able to: 1. Identify risk factors associated with falls and burns in elderly patients 2. Identify specific assistive devices and environmental features that improve patients’ ADL/IADL functioning while reducing injury risk 3. List specific assessment tools for the geriatric patient 4. Learn about reimbursement mechanisms and national resources for home modifications and assistive technologies Using state-of-the-art 3D software that combines sound, text and moving images, our educational animation allows medical students, physicians, and other health care professionals: 1. To make a virtual home visit with an older patient who has reduced visual, hearing, mobility, and memory skills 2. Witness virtual patients unnecessarily struggling to accomplish daily tasks of living (e.g., bathing, eating, ambulating, and taking medications) 3. Observe patients encountering remediable environmental hazards that increase fall and burn risk, which are not usually observable in practice 4. Experience virtually the effect of visual impairments, such as macular degeneration or glaucoma, while interacting with the environment (e.g., descending stairs) 5. Identify interventions that improve patients’ ADL/IADL functioning while reducing injury risk

Additional information/Special implementation requirements or guidelines: 

55 third-year medical students at the Weill Medical College of Cornell University. This course takes about 45 minutes to an hour to complete. Students can view all three sections at once, or a facilitator can engage the students in a group discussion after each section. After all three sections are completed, a facilitator can break the class up into small groups of 4 to 6 and have the students engage in a solving a case. For example, you might present the following: "An 85-year-old woman with mild dementia and low vision (glaucoma) was admitted to the hospital with a fractured hip and is now getting ready for discharge. You are about to meet with both the patient and her daughter, who is very worried about her mother returning home. What issues do you need to consider, and what possible suggestions could you offer, so the patient can return home to an environment that will maximize her function and safety?"

Date posted: 
Thu, 10/05/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/01/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , , and . Environmental Geriatrics. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/1089

The Older Driver

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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 product is part of the GeriaFlix series at the University of Iowa. GeriaFlix are multidisciplinary presentations on topics in clinical geriatrics. Presented in a streaming digital video format with synchronized slides, each presentation lasts approximately 1 hour. In this presentation, Dr. Wilbur will discuss the issue of older drivers and how the skills involved in driving ability may alter with age. In addition, he will discuss the role of the health care team in evaluating the older driver and the development of an approach for assessing the older driver in an office setting.

Educational objectives: 

This product is part of a series of digitized lectures devoted to topics in clinical geriatrics designed to teach important principles in the management of older persons. By using this lecture series, learners will be able to improve their overall knowledge about managing common geriatric syndromes; understand the unique health care needs of older patients, differences in the management of common clinical conditions, and how physiologic changes associated with aging impact management; develop a working knowledge of important legal and ethical issues associated with end-of-life care; and understand and apply principles of the multi-disciplinary geriatric assessment.

The learning objectives of this particular digitized presentation are:

  1. Determine whether a "problem" with older drivers exists.
  2. Describe factors associated with driving ability and how these factors may change with age.
  3. Discuss the role of the health care team in evaluating, and if necessary reporting, the older driver.
  4. Develop an approach to assess the older driver in the office setting.
Additional information/Special implementation requirements or guidelines: 

For more information about the GeriaFlix series, go to http://www.healthcare.uiowa.edu/igec/resources-edu...

Date posted: 
Tue, 08/25/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/09/2012
Contact Person/Corresponding Author:



Suggested Citation:
The Older Driver. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

CHAMP (Curriculum for the Hospitalized Aging Medical Patient) Overview and User's Guide

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

CHAMP: Curriculum for the Hospitalized Aging Medical Patient is a multi-tiered educational project with a faculty development program at its core. Hospitalists, general internists, and family practitioners who teach residents and medical students are the targeted audience. The overview and user's guide includes a CHAMP Table of Contents, an outline of the course themes and topics, learning objectives for all 15 geriatric content areas, as well as those for the newly developed mini-course entitled, Teaching on Today's Wards" on advanced clinical teaching skills and teaching across the ACGME Core Competencies.

The website link allows viewers to access all CHAMP teaching resources, bedside teaching tools, pocket cards and evaluation instruments.

CHAMP has been approved to offer one CME credit (category 1) for each course hour.

Educational objectives: 

<p>
To provide a clear understanding of CHAMP (Curriculum for the Hospitalized Aging Medical Patient), its aims, instruction on how to use the teaching materials, and the variety of teaching topics, materials and tools developed.<br />
<br />
The overall aim of CHAMP is to increase the quantity and quality of geriatric teaching in the inpatient setting.</p>

Additional information/Special implementation requirements or guidelines: 

The CHAMP Faculty Development Program has trained 12 geriatricians, 26 general internists, 2 hospitalists, and 7 fellows at the University of Chicago.

Date posted: 
Mon, 03/30/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/17/2012
Contact Person/Corresponding Author:



Suggested Citation:
CHAMP (Curriculum for the Hospitalized Aging Medical Patient) Overview and User's Guide. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Recognizing and managing delirium among hospitalized older adults

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

This interactive DVD was developed as part of a quality improvement project designed to improve recognition of cognitive impairment and delirium among hospitalized older adults. The DVD was designed to review the prevalence and outcomes of delirium; train physicians and nurses on mental status assessment procedures, including identification of likely underlying etiologies; train on bed-side detection of delirium, and introduce guidelines for medication management of cognitively impaired and delirious older adults. Please email Reema Sutton at  rasutton@buffalo.edu to obtain the DVD.

Educational objectives: 

Learners should acquire skills in bedside assessment of mental status and differentiation of delirium from other cognitive states. The DVD is designed to enhance knowledge about delirium and improve assessment and diagnostic skills. A review of current knowledge about delirium is presented, including prevalence and outcomes. Common etiologies are reviewed as well as the steps necessary to identify potentially delirious patients. The knowledge gained is then tested with assessment of actual patients who present a range of clinical problems. The DVD includes fundamentals in the assessment and management of cognitive impairment and delirium. It provides for evaluation of actual patients and outlines elements of a successful program to reduce delirium among hospitalized older adults. The DVD format allows for presentations ranging from 20 minutes to 2.5 hours or longer. It is appropriate for beginners who have little understanding of cognitive assessment, as a review for experienced clinicians with limited focus on delirium and for experienced clinicians who are considering designing a new program for cognitively impaired older adults at significant risk of developing delirium.

Additional information/Special implementation requirements or guidelines: 

The DVD has been widely used at multiple medical schools, hospitals, and health organizations to provide training for medical students, post-graduate trainees, practicing physicians and their colleagues in nursing. All necessary information and evaluations are contained within the DVD; individual study is quite feasible. The DVD, however, was originally designed for small group education conferences. A facilitator with knowledge of the DVD, an ability to identify the clinical signs of delirium as demonstrated on the DVD, and comfort with eliciting responses from an audience is likely to be effective. Physicians and nurses alike have used the DVD to provide training in their respective disciplines. The only resources required are a DVD player and a television or LCD projector (for group study). To obtain the DVD and price, please email Reema Sutton at rasutton@buffalo.edu.

Date posted: 
Wed, 09/23/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/24/2012
Contact Person/Corresponding Author:



Suggested Citation:
Recognizing and managing delirium among hospitalized older adults. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Virtual Patient Case #5: Mr. and Mrs. Fred & Eleanor Clifford - Chief Diagnosis: Functional Aging

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

Virtual Patient Case #5 is the last case in a five part series. This is a CD-ROM containing short video clips of Mr. and Mrs. Clifford from ages 75-98. The clips depict the patient's interactions with physicians, nurses, PTs, OTs, social workers and family members. Also included are screening tests, radiograph images, still pictures and reports providing an array of resources for instructors to use in incorporating geriatrics into their teaching. To facilitate access to these audio/visual resources, the files are indexed by basic science courses, clinical rotations, and an additional 50+ other topics. This individual Virtual Patient case for Mr. and Mrs. Clifford can be downloaded above (click Mr. Clifford CD Image). Once you have downloaded the CD image, follow the instructions below. The Virtual Patient Cases can also be purchased individually or as a series. 

Educational objectives: 

Geriatric patients are a wonderful resource for illustrating key basic science and clinical concepts. By incorporating these learning objects into your instructional materials, we hope to achieve our ultimate goal: to provide needed exposure to issues commonly encountered with aging patients not only acutely, but life long. We hope that these easily accessible learning objects will enable you to use your creativity as a teacher to make our "virtual patients"; come alive, thereby improving the care for geriatric patients. To integrate the AGS's Basic Competencies for Care of Older Patients (Attitudes, Knowledge, Skills) as a longitudinal thread throughout the medical student curriculum or in discrete teaching interactions by adding these case-based image resources to existing instruction. Particular emphasis focuses on: 1) Aging - Longevity 2) Hearing - Vision 3) Infection - Bacterial and Viral 4) Injury - Motor Vehicle 5) Oral Health 6) Prostatitis 7) Sexuality 8) Skin Cancer

Additional information/Special implementation requirements or guidelines: 

This case was created for use with medical students. It could also be used with practicing physicians. Learning environments where this case could be used include the Classroom, a Focus Group, Image Source File, Small Groups, Case Studies. INSTRUCTIONS Using a .iso Disk Image file you downloaded from POGOe: A file with the extension '.iso', of which many are available for download with various POGOe products, is a replica of a CD saved on the hard drive. These are often called CD Images or Disk Images. This is a common way to distribute software over the internet that normally comes on a CD. Unfortunately on Windows operating systems, including Windows XP and Windows Vista, you cannot simply click a Disk Image file and open it like a CD. Follow these instructions to access the contents of the .iso file. Mac OsX -------------- Just Click the file and it opens like it was a CD. Windows ------------- 1) Burn the image to a CD using burning software. (To do, insert instructions for how to do that with windows explorer.) Then eject and reinsert the CD. or 2) Install software that treat .iso files as if they were a CD and let you access them from your hard drive. Search on the internet for these tools. Such as this Microsoft Product(http://download.microsoft.com/download/7/b/6/7b6ab...) , or other ones that we have used are Iso Recorder (free) and Power Iso. As of 3-12-2009 you could find a list of Vista compatible free tools with reviews here (http://www.petri.co.il/mount_iso_files_in_windows_...). All Operating Systems ------------------------------ Once you can access the contents in the .iso file, if the program does not start automatically, check the notes in the product page or in the files within the Disk Image for instructions on how to launch the program.

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

The development and implementation of the virtual patient CD-ROMS has been described in: Duthie E, Simpson D, Marcdante K, Kerwin D, Denson K, Cohan M. A Collaborative Strategy for Reciprocal Integration of Basic and Clinical Sciences. The Journal of the International Association of Medical Science Educators, 2004; 14(1):34-38. They were also presented at the annual meetings of the Society of Teachers of Family Medicine, The Society of General Medicine, and the American Geriatrics Society. The CD-ROMS have also been accepted by the STFM Bookstore following peer review. MedEd Portal

Date posted: 
Tue, 08/25/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 06/06/2012
Contact Person/Corresponding Author:



Suggested Citation:
Virtual Patient Case #5: Mr. and Mrs. Fred & Eleanor Clifford - Chief Diagnosis: Functional Aging. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

Home Safety Assessment

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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: 

The home safety assessment learning object consists of two components:

  1. An interactive multimedia tutorial that introduces the learners to basic concepts and rationale for the use of home safety assessment for older persons with special emphasis in older persons with dementia. The tutorial uses textual content enhanced by multimedia animations and graphics. 
  2. Practice Exercises consisting of simulated home environments where the learner has an opportunity to identify home safety hazards. 
Educational objectives: 

The learner will be able to identify home related fall hazards and safety concerns for patients, including patients with dementia.

Additional information/Special implementation requirements or guidelines: 

These computer-based tutorials were created as "reusable learning objects", and are available in CD ROM and web-based versions. 

This product can be used in conjunction with Eliminate Hazards in Your Home: A Safety Checklist with Recommendations, a checklist designed for medical students, primary care residents, and other healthcare trainees and professionals who participate in the evaluation of older adults in the home. It is helpful if the learner has received basic instruction on home safety evaluation as this will help them complete a more in-depth assessment. This checklist can also be used as a patient education tool.

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

Rodriguez O, Ruiz JG, Phancao F. Home Safety Assessment (web-based program). GeriU, the Online Geriatrics University, Stein Gerontological Institute, 2006.

Date posted: 
Mon, 09/21/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/21/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . Home Safety Assessment. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

The Healthcare Matrix: Improving Care by Linking Outcomes to Competencies

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

The Healthcare Matrix is currently a Word document, but will soon have a web-based interface attached to a database. The 36-cell Matrix has one cell to represent each intersection of an IOM Aim for Improvement (identified in the IOM report, crossing the Quality Chasm) with an ACGME Core Competency. This tool provides learners with a structured framework to analyze complex episodes of patient care in terms of the Aims and Competencies. The individual cells of the Matrix allow the care analysis to be segmented into more manageable parts. By associating the Aims for Improvement with the Core Competencies, The Matrix encourages learners to reflect on the care they provide and determine the improvements needed, while helping them learn and apply the Aims and Competencies. If learners cannot identify issues in the bottom line of the Matrix-practice-based learning and improvement--then they have not sufficiently analyzed the care. Learners may then use this information to develop action plans that improve care from an individual -- and systems-perspective so that they experience first-hand the 'Practice-Based Learning & Improvement' Core competency.

Educational objectives: 

1. To offer schools a way to meet Phase III of the ACGME Outcomes Project by presenting an educational tool that links the outcomes of care to the ACGME Core competencies. 2. To encourage learners to associate their education (beyond medical knowledge with the care of their patients.) 3. To guide learners in analyzing the care of their own patients by using the Core competencies to identification of opportunities for improvement. 4. To change the environment of case presentations and M&M conferences from one of blame to one of system analysis and quality improvement.

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

Bingham, John et. al. "Using a Healthcare Matrix to Assess Patient Care in Terms of Aims for Improvement and Core Competencies." Joint Commission Journal on Quality and Patient Safety. Joint Commission. February 2005. 31 (2). MedEd Portal

Date posted: 
Fri, 02/22/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/22/2008
Contact Person/Corresponding Author:



Suggested Citation:
The Healthcare Matrix: Improving Care by Linking Outcomes to Competencies. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/1089

Educational Resources on Aging

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

The Educational Resources on Aging (ERA) is a Brown University website developed by the Reynolds project team at Brown University. The site contains all our aging-related curriculum products for medical students, residents, and faculty. These include organ system syllabi, problem-based learning cases for students in clerkships, SIM center cases, aging-related lecture slide sets, aging-related exam questions, Doctoring course guidelines, and much more. The site also contains relevant website tools, research articles, and presentations relevant to education in aging, organized by topic. To access the products on the ERA website, click on the "Table of Contents" link located on the left-hand side menu at this website: https://www.brown.edu/research/projects/educational-resources-on-aging/home.

Educational objectives: 

The ERA repository is designed to provide access to comprehensive information on major geriatrics topics by educators and clinicians.

Additional information/Special implementation requirements or guidelines: 

Brown University operates under the "fair use" exemption to the U.S. copyright law. If you plan to use copyrighted materials in ways that go beyond fair use or applicable copyright law, you will need to get written permission from the copyright holder.

Product Viewing Instructions: 
Use the url to access the ERA website: https://www.brown.edu/research/projects/educational-resources-on-aging/home
Contact Person/Corresponding Author:



Suggested Citation:
and . Educational Resources on Aging. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1089

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