The Portal of Geriatrics Online Education

University of Rochester School of Medicine and Dentistry

Is this a Reynold's grantee: 
Yes

Mi Casa O Su Casa? Addressing Function and Values in the Home

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

Described is a longitudinal home visit experience for medical students to increase knowledge of geriatric syndromes, functional assessment, end-of-life care, and home care. Materials include a student guidebook to direct a series of three house calls, a description of the write-up assignment, and a home visit pocket card.

Educational objectives: 

Knowledge and experience in providing care to chronically or terminally ill homebound patients. Learners should be able to: 1) Identify appropriate patients for house calls 2) Perform in home functional assessments 3) Obtain a values and end-of-life care history 4) Gain knowledge and experience in providing care to chronically or terminally ill homebound patients.

Additional information/Special implementation requirements or guidelines: 

Ideal patients are those with significant chronic or terminal illness, yet who are able to maintain an ability to articulate their "story" and values. Used with 360 second year medical students in the classroom and patients' homes.

Date posted: 
Tue, 09/22/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 07/02/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . Mi Casa O Su Casa? Addressing Function and Values in the Home. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232

Hospital to Home

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

Hospital to Home is a DVD that creates a shared learning experience for medical residents who discharge frail older persons from hospitals to the home environment. The DVD contains individual clips of patient encounters in the hospital, including functional assessment, interviews and highlights of durable medical equipment needs. Patient videos from the hospital are complemented with clips from their homes, vividly illustrating how older adults function at home compared to the hospital. Clips and teaching points include medication management at home, physical function in the home, and the use of durable medical equipment and adaptive equipment. 

Educational objectives: 

To understand the importance of functional assessment of older adults being discharged from the hospital.

At the end of this lesson, the learner will be able to:

  1. Appreciate the complexity of medication compliance and organization.
  2. Have a greater understanding of the utilization of durable medical equipment and adaptive devices in the home.
Additional information/Special implementation requirements or guidelines: 

This product has been used with 100 medical residents and 100 medical students at a noon conference. Individual segments of the DVD may be used as trigger tapes.

Date posted: 
Wed, 12/12/2007
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sat, 12/11/2010
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Hospital to Home. POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://pogoe.org/taxonomy/term/1232

Continuing Mobile Education - Respiratory Issues in the Older Adult

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Respiratory Issues in the Older Adult block of podcasts, you will learn about anatomic and physiologic changes with aging, pneumonia, COPD, and pulmonary emboli.

Educational objectives: 

Episode 1: Respiratory System
- Review the function of the respiratory system
- Review changes that occur in the respiratory system associated with the ageing process
- Review components of the respiratory exam
- Review respiratory therapies

Episode 2: Pneumonia
- Understand the pathophysiology of pneumonia
- Review abnormal physical exam findings and symptoms seen in geriatric patients with pneumonia
- Review treatments for pneumonia in the field

Episode 3: COPD
- Learn about the epidemiology and pathophysiology of COPD
- Review abnormal physical exam findings seen in older adults with COPD
- Review treatments for COPD in the field

Episode 4: Pulmonary Emboli
- Learn about the epidemiology and pathophysiology of a pulmonary emboli
- Review abnormal physical exam findings and symptoms seen in geriatric patients with pulmonary emboli
- Review treatments for pulmonary emboli in the field

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Respiratory Issues in the Older Adult. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232

Continuing Mobile Education - Safety and the Older Adult

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Safety and the Older Adult block of podcasts, you will learn about safety issues that impact patients and prehospital providers. Topics covered include fire safety, fall prevention, smoking safety, and microorganism in prehospital care.

Educational objectives: 

Episode 1: Fire Safety
- Identify common fire hazards in the older adult's residence
- Made aware of community resources to aid in fire prevention

Episode 2: Fall Prevention
- Review common fall hazards and causes for falls
- Learn how EMS can help prevent falls in the older adult
- Made aware of community resources available for older adults at risk for falls

Episode 3: Smoking Safety
- Review fire hazards associated with smoking
- Learn strategies to help older adults reduce fire hazards associated with smoking
- Learn about cessation resources available to older adults

Episode 4: Microorganism in Prehospital Care
- Learn about infectious organisms like ORSA, MRSA, VRE and C. Difficile
- Understand how these organisms can be problematic for the older adult
- Review ways to prevent the spread of these bacteria

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Safety and the Older Adult. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232

Continuing Mobile Education - Procedures

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Procedures block of podcasts, you will learn about performing four common prehospital procedures on older adults: spinal immobilization, intravenous access, airway management, and evaluating and transporting patients with hip fractures.

Educational objectives: 

Episode 1: Spinal Immobilization
- Review the indications for spinal immobilization in the older adult
- Be aware of the potential challenges in applying spinal immobilization in older adults

Episode 2: Establishing Intravenous Access
- Understand the importance of vascular access in older adults
- Understand changes in skin and vasculature which affect the ability to obtain vascular access
- Learn strategies to optimize attempts at peripheral vascular access
- Learn how BLS technicians can aid ALS technicians in establishing vascular access

Episode 3: Airway Management
- Know the indications for intubating the older adult in the prehospital setting
- Be aware of special considerations for the intubation of geriatric patients
- Understand proper technique for ventilating an intubated older adult in the prehospital setting
- Review BLS airway device use in older adults

Episode 4: Evaluating and Transporting Suspected Hip Fractures
- Know the epidemiology of hip fractures
- Understand the morbidity and mortality associated with hip fractures in the elderly
- Understand the key physical findings in hip fractures
- Understand the key considerations when transporting a patient with a suspected hip fracture

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Procedures. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232

Continuing Mobile Education - Psychosocial Issues

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Abstract: 

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Psychosocial Issues block of podcasts, you will learn about elder abuse and neglect, psychology and aging, barriers to transporting the older prehospital patient, and strategies to access social services for prehospital patients.

 

Educational objectives: 

Episode 1: Elder Abuse and Neglect
- Participants will define elder abuse
- Participants will define elder neglect
- Participants will name strategies for identifying elder abuse and neglect
- Participants will describe key physical exam points in identifying abuse
- Participants will understand key documentation points

Episode 2: Psychology and Aging
- Participants will understand some of the psychological changes associated with aging
- Participants will understand the prevalence of mental illness among older adults
- Participants will recognize the importance of screening for depression in older adults

Episode 3: Barriers to Transporting the Older Adult
- Discuss some of the reasons why older adults do not wish to be transported to the hospital
- Understand strategies to sensitively encourage older adults to accept transport to the emergency department

Episode 4: Accessing Social Services for Geriatric Patients
- Learn strategies to determine when a social services evaluation is appropriate
- Become familiar with the types of services available to older adults
- Understand the positive impact a proper social services referral can have

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Psychosocial Issues. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232

Continuing Mobile Education - Assessment

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Assessment block of podcasts, you will learn about pearls and caveats for assessing the older adult in the prehospital setting, particularly patients with altered mental status, strokes, and falls.

Educational objectives: 

Episode 1: Evaluating Altered Mental Status
- Participants will identify common causes of altered mental status in the older adult
- Participants will learn the importance of determining the patient's baseline mental status
- Participants will learn interview strategies to assist in evaluating altered mental status

Episode 2: Evaluating Stroke in the Prehospital Setting
- Participants will learn the components of a focused physical exam to evaluate stroke
- Participants will be able to describe key physical findings associated with a stroke
- Participants will discuss what information is important to be relayed from the scene to the receiving facility

Episode 3: The Fallen Older Adult
- Participants will review common injury patterns seen with the older adult after a fall
- Participants will learn some obstacles in evaluating the older adult who has fallen
- Participants will review common causes and consequences of falls in older adults

Episode 4: Pearls of the Older Adult Physical Exam
- Participants will describe common physical findings associated with aging
- Participants will be able to describe some acute physical findings seen in the older adult

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Wed, 11/04/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Assessment. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232

Continuing Mobile Education - End of Life Issues

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the End of Life Issues block of vodcasts, you will learn the definition of DNR and MOLST and the importance of finding and keeping track of the paperwork during prehospital care, the definition of a healthcare proxy and the protocol in dealing with them, the definition of hospice and palliative care and the different protocols involved with each, and you will be more aware of the stress on longterm caregivers.

Educational objectives: 

Episode 1: I Think She has a Living Will: Advance Directives in the Field
- Understand the concept of advance directives
- Be able to define "DNR" and "MOLST"
- Understand how DNR and MOLST forms can assist the prehospital care provider in the field

Episode 2: Working With Healthcare
- Proxies in the Field
- Understand the concept of a healthcare proxy
- Understand how a healthcare proxy may change the course of care
- Learn how to identify the healthcare proxy
- Describe how a healthcare proxy can assist EMS in patient care

Episode 3:EMS, Hospice, and Palliative Care
- Define palliative care
- Define hospice care
- Understand the treatment goals for hospice and palliative care patients may differ
- Be aware of situations where EMS may be called for these patients

Episode 4: EMS and Caregiver Stress
- Recognize that longterm caregivers may experience stress
- Describe some of the adverse consequences of stress experienced by longterm care providers
- Understand ways EMS providers can aid longterm caregivers as well as the patient

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - End of Life Issues. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232

Continuing Mobile Education - Polypharmacy

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Polypharmacy block of vodcasts, you will learn the definition and significance of polypharmacy, some reasons why patients don't take their medications and ways to improve compliance, the reasons why older adults are more susceptible to altered mental status from medication and some common causes, and the signs of drug overdose and common medication combinations that may cause it.

Educational objectives: 

Episode 1: What are you taking?
- The Complete Pharmaceutical History
- Participants will be informed that older adults usually take multiple medications
- Participants will understand the importance of the prehospital pharmaceutical history
- Participants will learn the components of a complete pharmaceutical history

Episode 2: Did You Take Your Pills Today?
- Evaluating Medication Compliance
- Participants will know the epidemiology of medication non-compliance
- Participants will identify obstacles to medication compliance
- Participants will learn practical strategies to assess medication compliance

Episode 3: His Medicine Makes Him Like This
- Medications and Altered Mental Status
- Participants will understand the impact of medications on a patient's mental status
- Participants will be able to identify the most common medications that can cause altered mental status

Episode 4: He Took How Many?!?
- Recognizing Medication Toxicity
- Participants will recognize the common signs of medication toxicity
- Participants will recognize the most common drug interactions and their effects in the prehospital setting
- Participants will review the basic steps for prehospital treatment of a drug overdose

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/11/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Polypharmacy. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232

Continuing Mobile Education - Communication

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

Continuing Mobile Education for EMS Providers is a video vodcast-based education program that includes interviews from physicians, EMTs, paramedics, and patients to help the EMS Provider give patients better care. The program was created to address the need for more "on-demand" educational opportunities for EMS Providers. Each month, a new block of four 10-minute vodcasts is posted to the program website, http://mlrems.org/page.php?55. In the Communication block of vodcasts, you will learn about some of the most common obstacles to communication, including hearing loss, aphasia, ageism and communicating with nursing home staff.

Educational objectives: 

<p>
Episode 1: I Can't Hear You<br />
- Hearing Loss in Field<br />
- Appreciate the epidemiology of hearing loss<br />
- Learn how to recognize hearing loss<br />
- Learn strategies to work with hearing loss in the field<br />
<br />
Episode 2: I Don't Understand You<br />
- Aphasia in the field<br />
- Be able to define aphasia<br />
- Understand the two main types of aphasia<br />
- Learn strategies to improve communicating with the aphasic patient<br />
<br />
Episode 3: Don't Talk To Me Like That!<br />
- Communicating With Respect<br />
- Participants will explore their own prejudices towards older adults<br />
- Participants will recognize phrases and patterns of speech which may offend the older adult<br />
- Describe 3 ways to improve communication with the older adult<br />
<br />
Episode 4: Communicating With Residential Care Facilities<br />
- Participants will understand the nursing home environment is unique<br />
- Participants will hear examples of positive and negative communication and explore why the encounter was positive or negative<br />
- Participants will gain insight as to how skilled care facility personnel view EMS and EMS interactions</p>

Additional information/Special implementation requirements or guidelines: 

To use this product, you must have a high speed internet connection and speakers. 

Date posted: 
Thu, 10/29/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 07/16/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Continuing Mobile Education - Communication. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/1232
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