The Portal of Geriatrics Online Education

Weill Cornell Medical College

Is this a Reynold's grantee: 
Yes

This Caring Home

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

An animated web-based educational tool providing tips to enhance home safety for persons with Alzheimer's and other types of dementia. Highlights include a virtual home, product guides, videos and animations.

Additional information/Special implementation requirements or guidelines: 

ThisCaringHome.org is an award-winning website that can help caregivers learn new strategies that enhance the safety and well-being of their loved ones. A unique and beneficial part of this website is its Home Safety Section that allows caregivers to explore research-based solutions to home safety and daily care issues by a simple mouse click over a room. Learn about best practices and simple everyday solutions including:

  • 7 Steps to Better Bathing
  • Better Mealtimes
  • Cooking Safety
  • Smart Home Technologies
  • Activities to Reduce Agitation

Prepared by experts at Weill Cornell Medical College, this website features videos, animations, and photographs, as well as reviews of home furnishings, smart technologies, and homecare products. 

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

Winner of the 2010 National Alzheimer's Caregiver Award, awarded by the National Alliance of Caregivers and MetLife Foundation

Date posted: 
Wed, 10/20/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 10/20/2010
Contact Person/Corresponding Author:



Suggested Citation:
This Caring Home. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/1248

Outcomes of Complex Reconstruction in the Elderly

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

Much of what has been learned in the care of the elderly patient has been gained from the study of surgical outcomes of fractures of the hip over the past twenty years. Through this study a new paradigm for the approach to care and the evaluation of outcomes has emerged. The purpose of this presentation is to review the most current results of reconstructive surgery in 85+ year old age group and to suggest general principles in approaching the elderly patient that needs reconstructive surgery.

Educational objectives: 

1. To review the most current results of reconstructive surgery in 85+ year old age group. 2. To suggest general principles in approaching the elderly patient that needs reconstructive surgery.

Date posted: 
Wed, 01/13/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 01/13/2010
Contact Person/Corresponding Author:



Suggested Citation:
Outcomes of Complex Reconstruction in the Elderly. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/1248

Environmental Geriatrics

:  
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/1248

Fast Forward Rounds - An Innovative and Effective Transitional Care Curriculum

:  
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/1248

Introduction to the Older Patient

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

These materials enable replication of a four-hour module introducing the geriatric patient for first-year medical students. This curricular intervention highlights the importance of older-patient physician communication, the utility of an enhanced social history and functional assessment, and the pitfalls of ageism in the medical setting. The module incorporates film, the performing arts, and a small group exposure to a community-residing older person.

Educational objectives: 

To introduce first-year medical students to the importance of older patient-physician communication, the utility of an enhanced social history and functional assessment, and the pitfalls of ageism in the medical setting.

Knowledge:

  • Identify ageist behaviors that might occur within the physician-older patient relationship
  • Understand how ageist behaviors might lead to misdiagnosis
  • Recognize that disease may present atypically in the elderly
  • Identify common key interventions that might enhance physician-older patient communication
  • Identify areas that should be included in an enhanced social history of an older patient
  • List Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) 

Skills:

  • Administer the Simple Geriatrics Screen/Functional Assessment tool
  • Demonstrate an enhanced social history of an older adult
  • Modify interviewing skills to avoid ageist behaviors
  • Communicate effectively and empathetically with older adults, with an awareness of the barriers that frequently impede communication

Attitudes:

  • Appreciate the distinct culture – as well as the heterogeneity – of the older population
  • Reflect on one’s own attitudes toward older adults, including caring for the chronically ill
  • Develop appreciation of the courage, stamina, and strength required to “age well” in America
Additional information/Special implementation requirements or guidelines: 

Limitations include difficult administrative logistics:

  • Inviting and transporting older patients to small group setting
  • Finding available space for small groups
  • Rehearsals if doing a live performance

Financial support Note: If using the DVD, the second scene is somewhat lengthy and it is suggested to use pieces of it as a trigger tape rather than a complete viewing. For a copy of the DVD, please contact Carol F. Capello, PhD at cfc2002@med.cornell.edu.

Date posted: 
Thu, 05/17/2007
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 07/29/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . Introduction to the Older Patient. POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://pogoe.org/taxonomy/term/1248
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