The Portal of Geriatrics Online Education

Geriatric Palliative Care

Nonpharmacologic Management of BPSD: Behavioral and Psychological Symptoms of Dementia

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

In 2012, 5.4 million Americans were diagnosed with Alzheimer’s Disease.  Lifetime risk of experiencing BPSD (Behavioral and Psychological Symptoms of Dementia) is nearly 100%.  BPSD is associated with increased morbidity and nursing home placement and is potentially treatable.  The information in this curriculum has been created to help the general internist have a structured approach to the evaluation and management of BPSD. 

Educational objectives: 

Participants will be able to:

  1. Define BPSD
  2. Evaluate BPSD
  3. Discuss the Guidelines for Management of BPSD
Date posted: 
Mon, 09/12/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/12/2016
Contact Person/Corresponding Author:



Suggested Citation:
Nonpharmacologic Management of BPSD: Behavioral and Psychological Symptoms of Dementia. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/1101

Palliative Care Case

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Estimated time to complete: 
3
Abstract: 

Using a case study participants will follow an older patient who requires increasing levels of care. After breaking into interdisciplinary teams led by leaders in transitions of care, participants will discuss goals, long-term care planning, and transitions in and out of hospital.

 

Educational objectives: 

Upon completion participants will be able to:

  • Describe how a multidisciplinary team approach enhances quality of life for patients throughout the aging process.
  • Recognize the importance of understanding a patient’s values, goals, and beliefs while assisting with transitions of care and long-term care planning.
Date posted: 
Wed, 09/30/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 09/30/2015
Contact Person/Corresponding Author:



Suggested Citation:
Palliative Care Case. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1101

Surgical Palliative Care Immersion Training

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
999
Abstract: 

We developed a mandatory Surgical Palliative Care Immersion Training (SPCIT) for all surgical residents.  It was modeled after the Chief Resident Immersion Training (CRIT) Program and included ½ day interactive small table, facilitated case based discussion, with mini-lectures, and role play.  Our program includes a needs survey, the agenda, cases, power points for mini-lectures, instructions for role and just-in-time reference cards for delivering bad news and determine goals of care. 

Educational objectives: 

To describe the role of palliative surgery and symptom management

To demonstrate ability to communicate goals of care discussion

To demonstrate ability to deliver bad news

    

Date posted: 
Mon, 10/10/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/10/2016
Contact Person/Corresponding Author:



Suggested Citation:
Surgical Palliative Care Immersion Training. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/1101

Wound Care and Ostomy Nursing

:  
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.  During the course of this module, the learner will be introduced to the specialists who are experts in the field of wound care and ostomy nursing. A practical overview of the major clinical conditions that wound care nurse specialists take care of will be discussed.

Educational objectives: 

1). Introduction to nurse specialists who do this work

2). When to refer

3). Overview of conditions for which they can be helpful

Date posted: 
Tue, 08/18/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 08/18/2015
Product Viewing Instructions: 
Please turn on the volume on your device before viewing the module and allow a few seconds for the module to load.
Contact Person/Corresponding Author:



Suggested Citation:
Wound Care and Ostomy Nursing. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1101

Ethnogeriatrics: Language Translation Podcast

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

This is a podcast discussion on language translation that took place at the 2014 American Geriatric Society Annual Scientific Meeting in the Ethnogeriatrics Special Interest Group meeting.

Educational objectives: 

To provide instruction on the following two competencies:

1.  Demonstrate interviewing skills which promote culturally appropriate decision-making and mutual respect between health care providers and ethnic clients and their families in patient centered care through out the continuum of their lives, including end of life care.

2.  Communicate effectively and elicit information from elders of any ethnic background and their families, particularly those who speak little or no English, with appropriate use of interpreter services and information technology.

Date posted: 
Wed, 09/09/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 09/09/2015
Contact Person/Corresponding Author:



Suggested Citation:
Ethnogeriatrics: Language Translation Podcast. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1101

Hospice Social Work and Caregiver Stress Case Study

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

Practice issues related to who is the primary client, family-focused care, and strategies to prevent caregiver burnout are illustrated in this case study, which could be used in practice courses at the generalist practice level. This case offers some clear implications for social work with aging clients. Social workers must always be aware of the client’s right to self-determination. A client is not a client simply because the social worker is expected to work with him or her. Productive social work can only be done if the client chooses to participate in the relationship as well.  

Educational objectives: 

The social worker in this case needs to examine the barriers to effective communication with this family. Clients should be told upfront what services the agency they have contracted with will provide. A clear understanding of each person’s role in the treatment process is vital to good social work.

Date posted: 
Wed, 11/29/2017
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 11/29/2017
Contact Person/Corresponding Author:



Suggested Citation:
Hospice Social Work and Caregiver Stress Case Study. POGOe - Portal of Geriatrics Online Education; 2017 Available from: https://pogoe.org/taxonomy/term/1101

When Eating Problems Arise in Advanced Dementia: An Interdisciplinary Trigger Video

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

This is an interactive seminar centered on a trigger video depicting a family meeting with the treating physician, the speech and language pathologist and the family of a patient with advanced dementia who suffers from dysphagia/poor oral intake. The seminar can be provided to a small group of 4-10 healthcare trainees (medical residents or students, nursing students, speech and language pathology students, social work students). The seminar is designed to present the learners with an interdisciplinary approach to conducting a family meeting on this topic. It starts with reading a case presentation, which is meant to emphasize the need for a family meeting, followed by playing the video until a trigger question comes up. At that point the participants are asked to reflect on the question and share their answers with the group. The group then watches the video exemplifying a way the question can be discussed. The process is repeated for all the trigger questions. At the end of the seminar the trainees are encouraged to debrief on language that could be modeled for goals of care discussions as well as aspects of the discussion that could have been approached differently. They are also provided with all the references used in the video as a resource for future family meetings. Trainees are asked to complete a short retrospective pre/post self-assessment survey. 

Educational objectives: 
  1. Review importance of completing advance directives (applied to patients with dementia); define surrogate decision maker, substituted judgment, and best interest concepts and discuss advance care planning for the case presented.
  2. Describe the natural history of advanced dementia.
  3. Become familiar with potential treatment burdens associated with tube feeding in patients with advanced dementia.
  4. Appreciate various options for eating/feeding in advanced dementia and swallowing problems.
  5. Analyze aspects of difficult conversations with surrogate decision makers.

 

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

Some of the materials for this seminar were presented during the Marketplace at the Reynolds Meeting in Las Vegas, Oct 7, 2014.

 

 "When Eating Problems Arise in Patients with Advanced Dementia- An Interdisciplinary Approach to

Communicating with Caregivers" This interactive seminar was presentated at the Annual

Assembly of the American Association of Hospice and Palliative Medicine Annual Meeting, February 2015, Philadelphia.

 

 

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 Eating Problems Arise in Advanced Dementia: An Interdisciplinary Trigger Video. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/1101

Advance Care Planning Curriculum

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Estimated time to complete: 
999
Abstract: 

Advance care planning (ACP) is a critical component of quality end-of-life care, yet there is little formal training in medical school education.  This novel curriculum enables third-year medical students to practice communication skills and build confidence interviewing a patient about advance care planning, personal values and quality of life.  The curriculum consists of: a lecture, readings, demonstration video, and a mock interview with a senior “trained patient.”  Senior, volunteers were recruited from an independent senior building that is part of a retirement community.  "Trained patients" participate in a 1.5-hour training session preparing them for the interview and to evaluate students' clinical interviewing skills. Following the interview, students receive verbal feedback and written assessment of their skills from trained patients. Students also complete a self-assessment of skills survey, attend a debriefing session with faculty, and write a 250-word reflective essay about the encounter.  The Advance Care Planning online module developed by University of North Carolina Chapel Hill, POGOe product #19059, is a recommended component.

Educational objectives: 

After completing this curriculum, learners should be able to:

1. Define and differentiate among types of code status, health care proxies, and advance directives in Illinois.

2. Utilize effective communication techniques in completing an advance directive discussion with a patient.

3. Identify own biases and attitudes toward advance care planning.

Date posted: 
Mon, 09/29/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/29/2014
Contact Person/Corresponding Author:



Suggested Citation:
Advance Care Planning Curriculum. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/1101

Palliative Care Lectures

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
999
Abstract: 

This educational series of lectures was designed with a focus to teach the medical professional training in palliative care medicine and can be used to teach advanced care nurses, medical students, residents and fellows.  The lectures cover a variety of topics in palliative medicine, ranging from the basics to specialty areas, and include case studies to supplement the teaching.

In addition to pain and symptom management, there are specific lectures to discuss common symptoms such as nausea, vomiting, constipation, diarrhea, and shortness of breath. The psychosocial care of the patient is addressed including depression, goals of care, ethics, and spiritual care.  Specialty lectures include palliative chemotherapy and palliative surgery as well as special cases at end of life in dementia patients. There are lectures covering the last hours of life, controlling terminal delirium and anorexia, as well as risk benefits of tube feeding at end of life.  In addition there is a lecture on terminal weaning and ventilator withdrawal.

References include relevant articles that were used to help create the lectures and should be accessed for further study. Topics seen on the palliative medicine board examination are covered and reviewed.

Educational objectives: 
  • To review the general principles of palliative care and hospice
  • To discuss the evaluation and management of pain and non-pain symptoms
  • To review the assessment and treatments of common symptoms in palliative medicine and hospice
  • To review special issues in palliative care including dementia, palliative chemotherapy, & palliative surgery
  • To discuss spirituality and psychosocial aspects of palliative medicine
  • To review ethical principles in medicine and important topics in end of life
  • To discuss patient interactions including goals of care, advance directives and legal issues in palliative care
  • To provide an overview for the palliative medicine and hospice board examination
Date posted: 
Mon, 04/13/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 04/13/2015
Contact Person/Corresponding Author:



Suggested Citation:
Palliative Care Lectures. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/1101

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/1101

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