The Portal of Geriatrics Online Education

Emergency Medicine

Geriatric Emergency Medicine Online Curriculum (GEM-OC) 4 - Assessing Falls and ADLs

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

This is Module Four of an online five-module curriculum. The modules, which are based on national geriatric emergency medicine competencies, cover a broad range of geriatric topics through an interactive teaching format. They require learners to review and analyze patient information, interpersonal interactions, laboratory and imaging results, diagnoses and treatment plans. This module teaches about assessing falls and activities of daily living (ADLs).

Educational objectives: 

At the end of this Module, you will be able to:

1) Identify and assess safety risks in the home environment, and make recommendations to mitigate these.

2) Ask all patients >65 years of age, or their caregivers, about falls in the last year, watch the patient rise from a chair and walk (or transfer), then record or interpret the findings.

3) Communicate the key components of a safe discharge plan (e.g., accurate medication list, plan for follow-up), including comparing/contrasting potential sites for discharge.

4) In a patient who has fallen, construct a differential diagnosis and evaluation plan that addresses the multiple etiologies identified  by history, physical examination and functional assessment.

5) Understand the role of physical and occupational therapy services for elderly patients with falls. Emphasize and encourage interdisciplinary patient care.

Additional information/Special implementation requirements or guidelines: 

For best viewing results, please:

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Date posted: 
Mon, 10/24/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/24/2011
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Geriatric Emergency Medicine Online Curriculum (GEM-OC) 4 - Assessing Falls and ADLs. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/200

Geriatric Emergency Medicine Online Curriculum (GEM-OC) 3 - Discharge Planning

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

This is Module Three of an online five-module curriculum. The modules, which are based on national geriatric emergency medicine competencies, cover a broad range of geriatric topics through an interactive teaching format. They require learners  to review and analyze patient information, interpersonal interactions, laboratory and imaging results, diagnoses and treatment plans. This module teaches about discharge planning.

Educational objectives: 

At the end of this module you will be able to:

1) Assess and describe baseline and current functional abilities in an older adult by collecting historical data from multiple sources, ensuring to include instrumental activities of daily living and activities of daily living, and performing a confirmatory hearing and vision examination.

2) Communicate the key components of a safe discharge plan (e.g., accurate medication list, plan for follow-up), including comparing/contrasting potential sites for discharge.

 

Additional information/Special implementation requirements or guidelines: 

For best viewing results, please:

  • Set your monitor resolution to 1024x768
  • Launch in either Internet Explorer 6 or higher, Firefox 2 or higher or Safari 3.2.1 or higher
  • Avoid using browser navigation. Use only the navigation provided within the course.

 

Date posted: 
Fri, 06/08/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/08/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Geriatric Emergency Medicine Online Curriculum (GEM-OC) 3 - Discharge Planning. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/200

Interviewing a Grandparent Caregiver with Age Related Hearing Loss

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

In this case, an older adult brings their grandchild to the ER due to a clonidine overdose. Pediatric residents are sent to obtain a history from the grandparent, unaware that the historian has hearing impairment. After the simulation is complete, the residents and students gather for a feedback session. Residents discuss the challenges of interviewing someone with hearing impairment and then geriatric and pediatric faculty offer strategies on how to optimize communication with a hearing impaired historian. Residents also discuss how to address medication safety with families, and review the proper management of clonidine ingestions. 

Educational objectives: 

Primary:

  1. To educate on history taking and communication with an older adult caregiver with hearing limitations.
  2. To educate on medication safety counseling, especially in the context of common illnesses in older adults (for example, arthritis).

Secondary:

  1. To demonstrate care for a child with clonidine ingestion.
  2. To recognize that age-related medical conditions in older adult caregivers impact pediatric care.
Publications from, presentations from, and/or citations to this product: 

Soong A, Evans H, Flood K. Interviewing a Grandparent Caregiver with Age Related Hearing Loss. MedEdPORTAL; 2011. Available from: www.mededportal.org/publication/8186

Date posted: 
Thu, 07/07/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 07/07/2011
Contact Person/Corresponding Author:



Suggested Citation:
, and . Interviewing a Grandparent Caregiver with Age Related Hearing Loss. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/200

Texas Tech Medcast Reynolds Geriatric Step 1 Prep Series 2011: No. 46--The iPhone Wielding Wife

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
0
Abstract: 

The Step1 Test Prep Series was created by second-year students at the Texas Tech School of Medicine in Lubbock as a project of the MS2 Aging Block of Systems Disorders II. It was developed as part of the Reynolds Geriatrics Podcast series, which is supported in part by an Aging and Quality of Life grant from the D.W. Reynolds Foundation. The episodes in this series are based on questions that have geriatrics content and patient vignettes from the 2011 Step1 Sample Exam, available from http://www.ttuhsc.edu/som/fammed/ttmedcast/gerseries/gerstep1prep.aspx.

Educational objectives: 

The second-year medical student studying for the Step 1 exam should be able to:

  • Understand the pathophysiology of dehydration
  • Describe signs and symptoms which indicate dehydration
  • Use lab values to differentiate between volume depletion caused by dehydration, diabetic ketoacidosis, and gastrointestinal hemorrhage
  • Understand that severe volume depletion may lead to acute renal failure and the lab values used to monitor kidney function
  • Understand that urinalysis in SIADH may present similarly to dehydration, and describe how the underlying pathophysiology is different.
  • Understand that patients and their families have more access to information than ever
Date posted: 
Fri, 08/05/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , , and . Texas Tech Medcast Reynolds Geriatric Step 1 Prep Series 2011: No. 46--The iPhone Wielding Wife. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/200

Geriatric Learning Series: Ankle Foot Orthotics

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

A look at one of many orthotics that could be used in the geriatric population. This web module is designed for interdisciplinary training. A common lower limb orthotic is covered.

Educational objectives: 
  • Describe basic kinesiological and biomechanical principles of human joint motion.
  • Describe the design of orthoses to distribute forces to body segments.
  • Describe the influence of lower limb orthotics on gait.
  • Describe how the orthotic devices enhance functional gait
Additional information/Special implementation requirements or guidelines: 

References:

  1. Lusardi MM, Nielsen CC. Orthotics and Prosthetics in Rehabilitation, 2nd ed.  Elsevier, 2007. ISBN 0-7506-7479-9
  2. Pictures from Lusardi & Nielsen, the internet, and Edelstein JE & Bruckner J. Orthotics: A Comprehensive Clinical Approach. SLACK Inc. 2002. ISBN 1-55642-416-7
  3. Rancho Los Amigos Gait Analysis Form:

In Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice, 3rded. Lippincott Williams & Wilkins. 2007  Rancho Los Amigos Medical Center; Physical Therapy Department and Pathokinesiology Laboratory; Downey, CA 

 

Please evaluate the product at:   https://surveys.ttuhsc.edu/wsb.dll/s/60g89a 

Date posted: 
Thu, 07/28/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 07/28/2011
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Learning Series: Ankle Foot Orthotics. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/200

Texas Tech Medcast Reynolds Geriatric Step 2CK Test Prep Series 10-11: No. 104--The Costly Occlusion

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
0
Abstract: 

The Step2CK Test Prep Series was created by fourth-year students at the Texas Tech School of Medicine in Lubbock as a project of the fourth-year geriatrics rotation. It was developed as part of the Reynolds Geriatrics Podcast series, which is supported by an Aging and Quality of Life grant from the D.W. Reynolds Foundation. The episodes in this series are based on questions that have geriatrics content and patient vignettes from the 2010 Step 2CK Sample Exam.

Educational objectives: 

This episode is based on Question 104 on page 62 of the 2010 Step2CK Sample Exam. 

Learning Objectives -  the third-year medical student studying for the Step2CK exam should be able to:

  • Recognize ophthalmologic emergencies
  • Know the pathologic and physiology mechanisms of common ophthalmic diseases
  • Recognize risk factors for Central artery occlusion
  • Know how age plays a role as a risk factor for certain ophthalmic disease processes
  • Know basic treatments of eye emergencies
Additional information/Special implementation requirements or guidelines: 
Date posted: 
Fri, 08/05/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/22/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . Texas Tech Medcast Reynolds Geriatric Step 2CK Test Prep Series 10-11: No. 104--The Costly Occlusion. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/200

Dementia Vs. Delirium: Diagnosis Makes a Difference Sometimes...

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

Identification, treatment, and management of dementia and/or delirium applicable in acute care settings and long term or skilled nursing facility setting.

Educational objectives: 
  1. Recognize delirium and dementia
  2. Describe the difference between delirium and dementia
  3. Effectively manage patients with delirium or dementia or both
Additional information/Special implementation requirements or guidelines: 

Evaluation of Product URL:   https://surveys.ttuhsc.edu/wsb.dll/s/60g898

Additional Referece Materials noted at end of video:

  1. Larson EB, Shadlen M, Wang L, McCormick WC, Bowen JD, Teri L, et al. Survival after initial diagnosis of alzheimer disease. Annals of Internal Medicine. 2004 April 06;140(7):501-9.
  2. Clinics in Geriatric Medicine, Volume 20, Issue 1, February 2004

 

 

 

Date posted: 
Wed, 07/27/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/27/2011
Contact Person/Corresponding Author:



Suggested Citation:
Dementia Vs. Delirium: Diagnosis Makes a Difference Sometimes... POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/200

Geriatric Emergency Medicine Online Curriculum (GEM-OC) 2 - Transitions of Care

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

This is Module Two of an online five-module curriculum. The modules, which are based on national geriatric emergency medicine competencies, cover a broad range of geriatric topics through an interactive teaching format. They require learners to review and analyze patient information, interpersonal interactions, laboratory and imaging results, diagnoses and treatment plans. This module teaches about transitions of care.

Educational objectives: 

At the end of Module Two, the learner should be able to:

1) Develop a preliminary management plan for patients presenting with functional deficits including adaptive interventions and involvement of interdisciplinary team members from appropriate disciplines, such as social work, nursing, rehabilitation, nutrition, and pharmacy.

2) Accurately identify clinical situations where life expectancy, functional status, patient preference and goals of care should override standard recommendations for screening and treatment in older adults.

3) Assess and describe baseline and current functional abilities in an older adult by collecting historical data from multiple sources, include instrumental activities of daily living and activities of daily living, and perform a confirmatory hearing and vision examination.

4) Define and differentiate among types of code status, health care proxies, and advance directives in the state where one is training.

Additional information/Special implementation requirements or guidelines: 

 

For best viewing results, please:

-      Set your monitor resolution to 1024x768

-      Launch in either Internet Explorer 6 or higher, Firefox 2 or higher or Safari 3.2.1 or higher

-      Avoid using browser navigation. Use only the navigation provided within the course.

 

Date posted: 
Fri, 06/08/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 06/08/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Geriatric Emergency Medicine Online Curriculum (GEM-OC) 2 - Transitions of Care. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/200

Elder Care: A Resource for Interprofessional Providers: Hip Fractures in Older Adults: Peri-Operative Considerations

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

Hip Fractures in Older Adults: Peri-Operative Considerations is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 
After reading this issue of Elder Care, you should be able to…
  1. State the ideal time frame for hip repair surgery in older adults with hip fracture
  2. List geriatric syndromes that must be considered when caring for older adults with hip fracture
  3. State when bisphosphonates should be started in older adults with hip fracture
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as

  1. content is not changed,
  2. no one is charged a fee to use or read the publication,
  3. authors and their affiliated institutions are noted without change, and
  4. the reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."

Elder Care Provider Sheets can also be accessed at http://www.reynolds.med.arizona.edu/EduProducts/ElderCareProviderSheets.cfm.

Publications from, presentations from, and/or citations to this product: 
The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.
Date posted: 
Mon, 08/20/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/13/2018
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care: A Resource for Interprofessional Providers: Hip Fractures in Older Adults: Peri-Operative Considerations. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/200

Elder Care: A Resource for Interprofessional Providers: Medication-Induced Hypokalemia: A Common Problem

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

Medication-Induced Hypokalemia: A Common Problem is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 

Objectives:

  1. List common symptoms of medication-induced hypokalemia in older adults
  2. List the classes of drugs most likely to cause hypokalemia
  3. Identify antibiotics most likely to cause hypokalemia
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as

  1. content is not changed,
  2. no one is charged a fee to use or read the publication,
  3. authors and their affiliated institutions are noted without change, and
  4. the reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."

Elder Care Provider Sheets can also be accessed at http://www.reynolds.med.arizona.edu/EduProducts/ElderCareProviderSheets.cfm.

Publications from, presentations from, and/or citations to this product: 
The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.
Date posted: 
Thu, 01/23/2020
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 01/23/2020
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care: A Resource for Interprofessional Providers: Medication-Induced Hypokalemia: A Common Problem. POGOe - Portal of Geriatrics Online Education; 2020 Available from: https://pogoe.org/taxonomy/term/200

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