The Portal of Geriatrics Online Education

University of Nebraska College of Medicine

Is this a Reynold's grantee: 
Yes

OSCE Handbook

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

Health Care Maintenance and Prevention for OSCE Preparation for the Integrated Clinical Experience Core. Geriatric content added. Materials will be sent upon request. Please email Jackie Whittington at jwhittin@unmc.edu.

Educational objectives: 

To provide Geriatric content on Health Care Maintenance and Prevention for OSCE Preparation for Integrated Clinical Experience Core. Learners should be able to describe age appropriate preventative care.

Additional information/Special implementation requirements or guidelines: 

2nd year Undergrad. Materials will be sent upon request. Please email Jackie Whittington at jwhittin@unmc.edu.

Date posted: 
Sun, 02/04/2007
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
OSCE Handbook. POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://pogoe.org/taxonomy/term/1224

Pattern Recognition Questions

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

The University of Nebraska Medical Center has developed three sets of questions for the Internal Medicine Clerkship, the Pattern Recognition series. 

Educational objectives: 

Differential diagnosis of dementing disorders; differential diagnosis for UI. After completion learners should be able to:

  1. identify the key diagnostic features that differentiate the cause of geriatric syndromes such as incontinence and dementia; and
  2. identify important aspects of history, physical and special diagnostics in evaluation of geriatric syndromes.
Date posted: 
Thu, 08/06/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/18/2011
Contact Person/Corresponding Author:



Suggested Citation:
Pattern Recognition Questions. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1224

Geriatric Days Lecture/Small Group Series

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

A series of lectures and case discussions with small group interaction. Designed for M-2 level. Contains lectures, handouts, and case discussion materials on: Dementia, Delirium, Urinary Incontinence, Functional Ability and Disabilities, Falls, Aging Physiology, and End of Life Care. Will send materials upon request. Please email jwhittin@unmc.edu.

Educational objectives: 

To introduce and integrate basic geriatric knowledge in preparation for clinical years. FALLS Learners should be able to: 1) Describe the significance of falls. 2) List the age related changes that predispose to falls. 3) List the medications that predispose to falls. 4) List the etiologies of falling. 5) Describe the evaluation of a fallen elder. 6) List the techniques and treatments to prevent falls. DEMENTIA The student will be able to: 1) Understand essential elements of history in the diagnosis and differential diagnosis of dementia. 2) Describe aspects of the neurological exam essential to diagnosis of the causes a dementing illness. 3) Recognize motor systems such as tremor, gait problems, rigidity, and involuntary movements. DELIRIUM The student will be able to: 1) Define delirium. 2) Describe the clinical presentation of delirium. 3) List the major causes and contributing factors to delirium. 4) Initiate prevention of delirium. 5) Initiate management of delirium. URINARY INCONTINENCE IN ELDERLY PEOPLE The student will be able to: 1) Identify risk factors for urinary incontinence. 2) Describe the four most common types of chronic urinary incontinence. 3) Identify reversible contributors to urinary incontinence. 4) Describe the treatment options for each type of incontinence. 5) Develop a treatment plan for patients with urinary incontinence. PHYSIOLOGY OF AGING The student will be able to: 1) Translate understanding of physiologic alterations into clinical interventions to reduce morbidity and mortality. 2) Identify the clinical scenarios where altered physiology is likely to make a difference in the clinical course of patients. ABILITIES & DISABILITIES The student will be able to: 1) Describe the common causes and patterns of functional disabilities. 2) Perform an initial evaluation and initiate treatment planning. 3) Describe the role of the physician in the recognition and management of disabilities. 4) Describe the strategies for minimizing the occurrence and for recovering function.

Additional information/Special implementation requirements or guidelines: 

Will send materials upon request. Please email jwhittin@unmc.edu.

Date posted: 
Thu, 08/06/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 04/16/2010
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Days Lecture/Small Group Series. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1224

Virtual Family: Elder Component

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

As part of the Family Medicine third year clerkship, students were involved in an online course which simulated actual patient visits of an entire family, including grandparents. Our portion was to create an elder component for this course. Will send materials upon request. 

Educational objectives: 

To provide learners knowledge on: 1.) Urinary incontinence 2.) The psycho-social aspects of aging 3.) Care of the abused or neglected elder --URINARY INCONTINENCE-- Learners will be able to: 1) Review anatomy and physiology of the urinary tract. 2) List the changes with aging in the urinary tract. 3) List the causes of urinary incontinence. 4) Evaluate urinary incontinence. 5) Initiate management of urinary incontinence. 6) Describe the performance of a pelvic exam for urinary incontinence. 7) Describe the performance of a post void residual. Learners will recognize that: 1) Patient education is an integral component to success in UI management. 2) Collaborative histories from other member's of the patient's family or caregivers have special value in UI management. --PSYCHO-SOCIAL ASPECTS OF AGING-- Learners will be able to: 1) Recognize and understand the interplay of an elder's social system, psychological status, with disease and dysfunction and it's affect on successful aging. --ELDER ABUSE/NEGLECT CARE GIVER'S ROLES-- Learners will be able to: 1) Recognize the historical features and physical signs of neglect and abuse. 2) Describe the appropriate pathway of reporting neglect and abuse. Learners will recognize: 1) The complex interplay of caregiver and patient that leads to abuse. 2) The high stress in caregivers and high rate of depression. 3) Vulnerability of the abused elder.

Additional information/Special implementation requirements or guidelines: 

This program has been used to teach 120 medical school students. Student users at the University of Nebraska College of Medicine rated this program very highly. Will send materials upon request. Please email jwhittin@unmc.edu.

Date posted: 
Sun, 02/04/2007
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
Virtual Family: Elder Component. POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://pogoe.org/taxonomy/term/1224

Geri Pearls: Printable cards/web-based tutorial on common geriatric syndromes

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

A set of printable pocket cards. Print the cards and use in bedside teaching. Ideal for use by "one minute preceptors". Simple diagnostic and therapeutic algorithms! Send students to the website for a 15-20 minute tutorial and self study. TOPICS: dementia, delirium, falls, pharmacotherapy, preoperative assessment, depression, urinary incontinence, insomnia, palliative care, syncope, constipation, hospital care, pain management, pressure sores, and weight loss.

Educational objectives: 

To provide short concise reviews of geriatric topics, in a form suitable for printing and laminating. Upon completion, learners should be able to: 1) List key elements in evaluation and management of the following geriatric syndromes and issues. 2) List diagnostic criteria for the following geriatric syndromes: Aging Pharmacology, Dementia, Insomnia, Palliative Care, Syncope, Constipation, Depression, Hospital Admissions, Preop Assessment, Urinary Incontinence, Delirium, Falls, Pain Management, Pressure Sores and Weight Loss.

Additional information/Special implementation requirements or guidelines: 

We have had approximately over 4000 hits on the site; we don't have the ability to track if same learner uses multiple times. The learners consist of: medical students, practicing Physician Assistants, Nurse Practioners and students, house officers (IM and FP). Locations include: ambulatory medicine, hospital based medicine, nursing home rotations, anesthesia rotation, surgical rotations. For learners: 1) Identify an area in geriatrics that the learner needs to expand knowledge and confidence and set goals to complete all relevant modules on common geriatric topics. 2) Access website for guided tutorial modules on topics. 3) Upon completion, print out pocket card for summary of topic. 4) Carry card with you for readily accessible review for next patient encounter. For clinical faculty: 1) Print out copies of pearl cards and carry them with you to hand to learners for discussions at bedside. 2) Send learner to website for more in-depth review of the module on topic. 3) Assign learner to present short summary of module on next rounds using pearl card as an outline. Students wanted a web-based downloadable to PDA form of pearl cards, which are in process.

Date posted: 
Sun, 02/04/2007
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
and . Geri Pearls: Printable cards/web-based tutorial on common geriatric syndromes. POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://pogoe.org/taxonomy/term/1224

Elder Hypertension Project

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

As a required component to the M1 Integrated Clinical Experience core, M1 students visited assisted living facilities to provide blood pressure screening and to provide educational materials on health care maintenance. The purpose of this exercise was to introduce students to healthy aged earlier in their medical education, thereby improving attitudes toward the elderly.

Educational objectives: 

1.) Introduce 1st year medical students to positive role models of aging. 2.) Provide basic training in blood pressure evaluation and the unique problems of hypertension in the elderly. Learners should be able to: 1. Perform BP screening on older adults. 2. Take dietary, exercise and hypertension information from older adults. 3. Understand normal and abnormal blood pressures for elders. 4. Understand some of the social/physiologic/economic/dietary factors of aging and blood pressure control. 5. Gain insight into both healthy and pathologic aging.

Additional information/Special implementation requirements or guidelines: 

Best implemented in 1st year of medical school in a classroom environment, followed by a visit to an assisted living facility.

Date posted: 
Fri, 12/01/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
Elder Hypertension Project. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/1224

Computer Based PBL Case: Pain Management

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

Evaluation and management of post-operative pain. 2 levels available: Level 1 (M3-M4); Level 2 (PGY1).

Educational objectives: 

Introduction in basic training in post-operative pain management in the elderly. Learners should be able to: 1) List the prevalence of pain in the elderly. 2) List the reasons to treat post-operative pain. 3) Discuss the age and disease related changes that predispose to more pain and influence treatment. 4) Describe the unique problems of pain management in the elderly. 5) Describe the evaluation of acute pain in the elderly. 6) Describe the assessment of acute pain in the elderly. 7) List the nonpharmacologic means of pain management. 8) List the pharmacologic means of pain management.

Additional information/Special implementation requirements or guidelines: 

This is a problem-based case that was presented to 3rd year Undergrad, 4th year Undergrad and Resident PGY1 medical students.

Date posted: 
Fri, 12/01/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
Computer Based PBL Case: Pain Management. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/1224

Geriatric Home Visit

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Date posted: 
Fri, 12/01/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 04/16/2010
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Home Visit. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/1224

Geriatric Anesthesia Modules for Perioperative Evaluation and Management: Modules 1-5

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

Modules created to improve performance and knowledge of Anesthesia in Geriatric Patients.

Educational objectives: 

To improve performance and knowledge of preoperative evaluation, perioperative managment and anesthesia in Geriatric Patients. On completion of module 1, the resident should be able to: 1) List risk factors for adverse outcomes in non-cardiac surgery. 2) Work through an appropriate preoperative evaluation based on the risk factors identified in objective 1. 3) Identify preventive measures that may be taken to avoid adverse surgical or anesthetic outcomes. On completion of module 2, the resident should be able to: 1) List the elements of a history necessary for an effective pre-anesthesia evaluation. 2) List the appropriate physical exam elements for an effective pre-anesthesia evaluation. 3) List the appropriate preoperative testing with indications. 4) List and evaluate patients for preoperative risk factors for cardiac disease. 5) Clinically assess functional capacity. 6) Demonstrate ability to interpret preoperative testing and evaluate mental status. On completion of module 3, the resident should be able to describe: 1) The fluid management plan in this patient and in elders in general receiving spinal anesthesia. 2) The unique intraoperative complications associated with orthopedic surgery. 3) The problems associated with spinal anesthesia in the elderly patient. 4) The pathophysiologic consequences of arterial tourniquets. 5) Risk factors for the development of bradycardia and cardiac arrest during spinal anesthesia. On completion of Module 4, the resident should be able to: 1) List the causes and treatments for postoperative delirium. 2) List the signs and symptoms of fluid overload in the PACU. 3) List the various options for pain control in the elderly post op. On completion of module 5 and 6, the resident should be able to: 1) List the elements of a history necessary for an effective pre-anesthetic evaluation. 2) List the appropriate physical exam elements for an effective pre-anesthetic evaluation. 3) List the appropriate preoperative testing with indications. 4) List and evaluate patients for major preoperative risk factors for cardiac disease, pulmonary disease, sepsis, and renal disease. 5) Clinically assess functional capacity. 6) Demonstrate the ability to interpret preoperative testing, evaluate mental status, assess hydration, oxygenation, nutrition, manage polypharmacy, counsel the patient regarding their candidacy for various types of anesthesia and their anesthetic risk.

Additional information/Special implementation requirements or guidelines: 

Reference sources were provided as hard copy and these tended to be misplaced by learners. The following improves successful execution or use: 1. Required course 2. Hard copy of references available 3. Immediately useful information 4. Learners can schedule hours at their own convenience 5. Mentors and champions in PACU, immediate feedback and reinforcement Used with approximately 40 HO1 anesthesia residents and approximately 200 M4 students in anesthesia. HO1 anesthesia residents completed during Post Operative Care Unit rotation, M4 students during their 1 month anesthesia rotation.

Date posted: 
Wed, 11/08/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Geriatric Anesthesia Modules for Perioperative Evaluation and Management: Modules 1-5. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/1224

Geriatric Surgery Modules for Perioperative Evaluation and Management: Pain and Delirium

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

Modules created to improve performance and knowledge of Perioperative Surgical Care in Geriatric Patients.

Educational objectives: 

To improve performance and knowledge of perioperative management pain and delirium in Geriatric Patients. On completion of delirium module, the resident should be able to: 1) Identify a patient suffering from delirium postoperatively. 2) List factors to reduce and prevent delirium in the elderly patient. 3) Identify treatment strategies for the delirious elderly postoperative patient. On completion of pain module, the resident should be able to: Knowledge: List the prevalence of pain in the elderly. List the reasons to treat post-operative pain. Discuss the age & disease related changes that predispose to more pain and influence treatment. Describe the unique problems of pain management in the elderly. Describe the evaluation of acute pain in the elderly. Describe the assessment of acute pain in the elderly. List the nonpharmacologic means of pain management. List the pharmocologic means of pain management. Skills: Demonstrate the ability to use assessment tools for level of pain. Demonstrate the use of the level of function as assessment tool of level of pain. Develop a management plan for pain control post operatively. Attitudes: Develop an understanding and empathy for the differences in pain manifestation in elderly.

Date posted: 
Thu, 08/06/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
, and . Geriatric Surgery Modules for Perioperative Evaluation and Management: Pain and Delirium. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1224

Pages

Subscribe to RSS - University of Nebraska College of Medicine