The Portal of Geriatrics Online Education

Geriatric Palliative Care

Palliative Care

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

Web-based self-directed learning exercise that explores attitudes and barriers to effective palliative care. Effective pain management is explained with recommended regimens.

Educational objectives: 

The learner will be able to: 1) Obtain specific information about reimbursement for hospice care. 2) Distinguish between the sick and dying roles. 3) Describe common symptoms involved with the dying process.

Additional information/Special implementation requirements or guidelines: 

Used with approximately 1,400 third year medical students at University of Kansas School of Medicine.

Date posted: 
Mon, 08/24/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/24/2009
Contact Person/Corresponding Author:



Suggested Citation:
and . Palliative Care. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1101

DNR Orders and Advance Directives: Integrating Medicine, Law, and Ethics

:  
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. Kaldjian will explain the background and use of advance directives and "do not resuscitate" orders. He will discuss the limitations and benefits of advance directives, their legal requirements, and the need to emphasize the goal of care in end-of-life planning.

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.

At the end of this lecture, learners should be able to:

  1. Understand the purpose of advance directives and DNR orders.
  2. Appreciate the limitations and benefits of advance directives.
  3. Understand the legal requirements that govern advance directives.
  4. Recognize the importance of establishing the goal of care in end-of-life discussions.
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: 
Fri, 08/21/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/09/2012
Contact Person/Corresponding Author:



Suggested Citation:
DNR Orders and Advance Directives: Integrating Medicine, Law, and Ethics. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1101

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

:  
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/1101

The Stanford Faculty Development Center End-of-Life (ELC) Curriculum

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

This curriculum includes 8, 2-hour modules, consisting of PowerPoint slides sets and an extensive 155 page teaching guide with in depth notes on how to teach the curriculum and a discussion of particular challenges that arise in teaching specific content areas. The teaching guide also includes support material such as bibliographies. While originally designed as a curriculum that physician faculty could use to teach residents in training, the content and teaching methods have also been used successfully to teach other disciplines in the basics of palliative care. Modules titles: Death and Dying in the USA, Pain Management, Communicating with Patients and Families, Making Difficult Decisions, Non-Pain Symptom Management, Venues and Systems of Care, Psychiatric issues and Spirituality, and Instituting Change. The book, Palliative Care Perspectives, by the corresponding author, was written in parallel to this course. The on-line version through Growth House serves as background reading for the course in addition to other referenced material. This curriculum arose from a faculty development project for physicians, funded by a grant from the Robert Wood Johnson Foundation through the Stanford Faculty Development Program.

Educational objectives: 

The overall objective of this curriculum is to improve end-of-life attitudes, knowledge, and skills for clinicians, especially physicians. The curriculum is designed to be used in small group settings by a skilled facilitator in a manner that stresses active learner participation.

Additional information/Special implementation requirements or guidelines: 

Faculty may adapt the curriculum as they wish, but not modify it, by which we mean that proper attribution must be given for use of the curriculum and faculty must be clear in their presentations where any changes have been made, thereby distinguishing between SFDP and their own content.

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

Peer review publication being drafted at the current time. Presentations on the curriculum have been delivered at the Society for General Internal Medicine (SIGM) convention. While not part of the formal curriculum for which we are asking for peer review, the corresponding author, James Hallenbeck, does receive royalties on the linked book, Palliative Care Perspectives, if the book is purchased. This author does not receive any royalties directly related to the on-line version of the book and has no other financial interests. MedEd Portal

Date posted: 
Tue, 02/05/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 02/05/2008
Contact Person/Corresponding Author:



Suggested Citation:
The Stanford Faculty Development Center End-of-Life (ELC) Curriculum. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/1101

Educational Resources on Aging

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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/1101

Fast Forward Rounds - An Innovative and Effective Transitional Care Curriculum

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

Fast Forward Rounds (FFR) is a 3 hour course created to teach medical students how to safely transition patients between different health care settings. The course combines interdisciplinary lectures, an interactive DVD with a clinical vignette, small-group discussion, and a team-based learning exercise. FFR emphasizes the use of functional assessment to identify patients at risk for poor discharge outcomes, promotes interdisciplinary collaboration to link vulnerable patients with appropriate services, reviews Medicare/Medicaid reimbursement, and teaches students to develop comprehensive care plans. The course evaluation tool assesses participants' knowledge, attitudes and behaviors within the domains of transitional care, functional assessment, interdisciplinary team, community resources, and reimbursement. For more information about the FFR course at Cornell University, go to www.cornellaging.com/medical/.

Educational objectives: 

After completing the Fast Forward Rounds course, learners should possess greater knowledge of transitional care, improved attitudes toward promoting safe transitions and increased performance transitional care behaviors. Participants will report improved understanding of: - the roles of interdisciplinary team members (nursing, social work, physical/occupational therapy) - home care and community resources - the variety of care settings and housing options for older adults - the importance of performing a thorough functional assessment - Medicare and Medicaid reimbursement policies for various home, community, and housing services Participants will report increased proficiency in: - Performance of functional assessment - Communication with physician and non-physician providers (e.g., home health care workers, nurses, and other interdisciplinary team members) - Education of patients, families and caregivers - Medication reconciliation to prevent medication errors - Management of the discharge process of complex patients

Additional information/Special implementation requirements or guidelines: 

Please see the facilitator guide for details regarding implementation requirement and guidelines.

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

Citations: Ouchida, K, LoFaso V, Capello, C, Ramsaroop, R, and Reid, MC Fast Forward Rounds: An Effective Method for Teaching Medical Students to Safely Transition Patients Across Care Settings J Am Geriatr Soc 2007;55:s185 Presentations Northeast Group on Educational Affairs Annual Educational Retreat June 2007 Society of General Internal Medicine Annual Conference April 2008

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



Suggested Citation:
, and . Fast Forward Rounds - An Innovative and Effective Transitional Care Curriculum. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1101

American Medical Association's Medical Management of the Home Care Patient

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

Keep better track of patients with the Medical Management of the Home Care Patient: Guidelines for Physicians, now in its third edition. This valuable resource is available through close collaboration of the American Medical Association and the American Academy of Home Care Physicians. It promotes home care as a coordinated effort among the patients, physicians, families and other health care professionals to maintain the home care patient's maximal level of comfort, function and health. With over 100,000 copies of previous editions distributed, the third edition contains the most current information on continuity of care, based on a decade of proven approaches.

Educational objectives: 

Learners should be able to learn how to manage their home care patients

Additional information/Special implementation requirements or guidelines: 

Over 10,000 editions have been distributed as of 2007 and used in medical school classes, private offices, and home health care agencies.


Specific topics in this product include:

  • The physician's role in home care
  • The physician-patient-caregiver relationship
  • Paying for home care: eligibility and coverage
  • Implementation and oversight of the home care plan
  • Choosing a home care agency
  • Case management: making use of community resources
  • Special populations
  • Home hospice care
  • Technology
  • Medical ethics
  • A patient's rights and responsibilities
  • Detection and treatment of abuse in home care
  • Rules and regulations

 

Date posted: 
Fri, 08/07/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 08/07/2009
Contact Person/Corresponding Author:



Suggested Citation:
American Medical Association's Medical Management of the Home Care Patient. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1101

CHAMP (Curriculum for the Hospitalized Aging Medical Patient): ADVANCE DIRECTIVES AND DNR ORDERS

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

The "Advance Directives and DNR Orders" module is part of the CHAMP faculty development program, which aims to improve inpatient, geriatric medical care through a "teach the teacher" approach. It is central to one of the four the course themes, improving end of life care. Teaching materials available on the CHAMP webpage link include: a slide presentation; a bedside teaching trigger; a pocket teaching card; references; a sample session evaluation form; CHAMP overview/user's guide; and access to the entire CHAMP course and all resources.

Educational objectives: 

Learners will be able to:

  1. Recognize the opportunity for improving the documentation of advance directives discussions in the hospital;
  2. Better understand the general prognosis for in-hospital cardiac arrest and the poor prognostic factors for survival after in-hospital resuscitation;
  3. Better understand the common errors made in advance directives discussions by residents; and
  4. Articulate the steps of an advance directives discussion.
Additional information/Special implementation requirements or guidelines: 

CHAMP 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 course is organized around four themes in geriatric inpatient care: identifying and assessing vulnerable elders, preventing hazards of hospitalization, improving palliative and end of life care, and managing transitions of care. CHAMP addresses 15 geriatric topics and includes a mini-course entitled, "Teaching on Today's Wards," on advanced clinical teaching skills and teaching across the ACGME Core Competencies in the inpatient setting.

1 category CME credit hour was awarded to faculty who attended this teaching session.

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

Cumbler, E. (2009, October). Curriculum for the hospitalized aging medical patient review. Journal of the American Geriatrics Society, 57(10), 1915-1916. Also available online.

Date posted: 
Fri, 08/07/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 08/07/2009
Contact Person/Corresponding Author:



Suggested Citation:
CHAMP (Curriculum for the Hospitalized Aging Medical Patient): ADVANCE DIRECTIVES AND DNR ORDERS. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1101

CHAMP (Curriculum for the Hospitalized Aging Medical Patient): Nursing Home 101: Transitions of Care

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

The "Nursing Home Care" module is part of the CHAMP faculty development program, which aims to improve inpatient, geriatric medical care through a "teach the teacher" approach. It is central to one of the four course themes, managing transitions of care. Teaching materials available on the CHAMP webpage link include: slide presentation; bedside teaching trigger; pocket teaching card; sample session evaluation form; CHAMP overview/user's guide; and access to the entire CHAMP course and all teaching resources.

CHAMP 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 course is organized around four themes in geriatric inpatient care: identifying and assessing vulnerable elders, preventing hazards of hospitalization, improving palliative and end of life care, and managing transitions of care. CHAMP addresses 15 geriatric topics and includes a mini-course entitled, "Teaching on Today's Wards," on advanced clinical teaching skills and teaching across the ACGME Core Competencies in the inpatient setting.

1 category CME credit hour was awarded to faculty who attended this teaching session.

Educational objectives: 

CHAMP "Nursing home care" module trains physicians in improving the transition from hospital care to nursing home care for older adult patients.

Learners will:

  1. appreciate why direct communication to the receiving nurse is critical to transferring care from one level to another;
  2. avoid frequent dosing and reliance on IVs in discharge planning;
  3. understand funding and reimbursement in acute care at all levels and long term care;
  4. differentiate between supportive care, palliative care, skilled nursing, sub-acute medical care, sub-acute rehab, and intermediate care;
  5. understand the discharge planning process involved in transferring to intermediate care; and
  6. inform patients and families about what to expect from nursing home care.
Publications from, presentations from, and/or citations to this product: 

Cumbler, E. (2009, October). Curriculum for the hospitalized aging medical patient review. Journal of the American Geriatrics Society, 57(10), 1915-1916. Also available online.

Date posted: 
Mon, 08/03/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 07/27/2012
Contact Person/Corresponding Author:



Suggested Citation:
CHAMP (Curriculum for the Hospitalized Aging Medical Patient): Nursing Home 101: Transitions of Care. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1101

CHAMP (Curriculum for the Hospitalized Aging Medical Patient): PALLIATIVE CARE AND CHANGING GOALS OF CARE

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

"Palliative care and changing goals of care" is part of the CHAMP faculty development program, which aims to improve inpatient, geriatric medical care through a "teach the teacher" approach. It is central to one of the four course themes, improving palliative and end of life care.

Teaching materials on "Palliative Care" include: slide presentation with speaker's notes; worksheet; references; sample session evaluation form; and user's guide/program overview of CHAMP. Resources on all CHAMP topics and course materials are also available on this website.

CHAMP 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 course is organized around four themes in geriatric inpatient care: identifying and assessing vulnerable elders, preventing hazards of hospitalization, improving palliative and end of life care, and managing transitions of care. CHAMP addresses 15 geriatric topics and includes a mini-course entitled, "Teaching on Today's Wards," on advanced clinical teaching skills and teaching across the ACGME Core Competencies in the inpatient setting. 1 CME credit hour (category 1) was awarded to physicians who attended this teaching session.

Educational objectives: 

"Palliative care and changing goals of care" strengthens learners skill teaching about:

  1. incorporating prognosis into plan of care;
  2. emphasizing palliation in the care of patients with advanced disease;
  3. weighing the benefits and burdens of diagnostics in patients with advanced disease;
  4. identifying older adult patients for whom hospice care is appropriate;
  5. discussing hospice care with older adult patients and their families;
  6. and assisting health care professionals, patients and families in overcoming barriers to enrollment in hospice.
Publications from, presentations from, and/or citations to this product: 

Cumbler, E. (2009, October). Curriculum for the hospitalized aging medical patient review. Journal of the American Geriatrics Society, 57(10), 1915-1916. Also available online.

Lim, L. S., Kandavelou, K. and Khan, N. (2012, June). Palliative Care Teaching in Medical Residency: A Review of Two POGOe Teaching Products. Journal of the American Geriatrics Society, 60, 1141-1144. doi: 10.1111/j.1532-5415.2012.03964.x

Date posted: 
Fri, 08/07/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 07/16/2012
Contact Person/Corresponding Author:



Suggested Citation:
CHAMP (Curriculum for the Hospitalized Aging Medical Patient): PALLIATIVE CARE AND CHANGING GOALS OF CARE. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1101

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