The Portal of Geriatrics Online Education

Neurology

Polypharmacy Pocket Card

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

This pocket card on "Polypharmacy" was developed as a supplement to teaching polypharmacy to ward teams in the inpatient setting; however, it applies to patients in all care settings across the continuum. It includes both an overview of polypharmacy concepts such as risk factors and consequences, as well as immediately applicable tools such as clinical considerations in older adults, the Beer's Criteria, and the Medication Appropriateness Index (MAI).

Educational objectives: 

With use of this pocket card, learners should be able to:

  1. Diagnose polypharmacy occurence in patients of all ages
  2. Explain the adverse consequences associated with polypharmacy
  3. Manage patients' medication lists by stopping and starting medications appropriately
  4. Apply validated resources to decrease polypharmacy such as the Beers Citeria and the MAI
Additional information/Special implementation requirements or guidelines: 

Uses:

  1. The card is most commonly discussed and handed to learners in real time evalutaion of medication reconciliation and order writing during admission day rounds.
  2. The card has been used in the manner of "educational detailing" for raising awareness of polypharmacy and giving tools for immediate intervention.
  3. The card has been used by trainees to teach other trainees about polypharmacy as they move onto other services.
  4. The card is used as a supplement to polypharmacy lectures given to medical students, house officers, and fellows in different teaching venues.

This pocket card can also be accessed at http://www.gerisage.com/pocket_cards/Polypharmacy.pdf

Date posted: 
Fri, 06/15/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 05/29/2013
Contact Person/Corresponding Author:



Suggested Citation:
, and . Polypharmacy Pocket Card. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/212

Geriatric Gems & Palliative Pearls Mobile App

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

The Geriatric Gems and Palliative Pearls (Gems & Pearls) mobile app was developed to enhance clinician knowledge and skills in the care of older adults. Gems & Pearls Lite contains brief learning points based on AAMC/ACMGE competencies on geriatric and/or palliative topics. The topic areas include current issues in aging, approaches to the patient, care systems, geriatric syndromes, geriatric psychiatry, and diseases and disorders. The web-based Apple platform mobile application provides ease of use on various mobile platforms and the convenience of having geriatric medical information just a few clicks away, regardless of location.

Educational objectives: 

The mobile device will assist with:

1. Providing access to geriatric and palliative knowledge.

2. Describing fundamental biomedical aspects of aging, geriatric assessment, and care coordination. 

3. Providing geriatric educators with a bedside teaching tool. 

Additional information/Special implementation requirements or guidelines: 

IT Information:

This Gems & Pearls Lite v1 contains a limited selection of gems and pearls but is fully operational although display variations may occur among differing device operating systems.

Instructions:

To ensure optimal functionality, please add the web app to your home screen. Pages can be swiped sideways to move from one to another. Pages scroll vertically with up/down swiping. Supplementary page navigation is available by using the continue or next/previous button.



This app was reviewed by the Division of Geriatric and Palliative Medicine at the University of Texas Health Science Center at Houston (UTHealth) Medical School.

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

 

Title: Geriatric Gems and Palliative Pearls: Spaced Education and Case Study Results

Authors: Jennifer A. Larson, MSE; Nasiya Ahmed, MD; Md. Monir Hossain, PhD; Carmel Dyer, MD; Sharon Ostwald, PhD, RN, FGSA

Type: Poster

Event:  The Gerontological Society of America's 63th Annual Scientific Meeting

Date: November 20, 2010

Date posted: 
Mon, 03/05/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 03/05/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , and . Geriatric Gems & Palliative Pearls Mobile App. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/212

Delirium: Impact and Recognition

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

Delirium is one of the most common complications during hospitalization for older adults. In spite of this and its association with increased morbidity, mortality and long-term cognitive impairment, delirium can be difficult to diagnose. The primary goal of this educational program is to increase knowledge and recognition of delirium for all members of the interdisciplinary hospital team, including physicians, nurses and rehabilitaton therapists.

This 20-question module is the first of two modules on delirium in the elderly hospitalized patient. This module focuses on the epidemiology, risk factors, impact and recognition of delirium in the geriatric patient. It is delivered using Interactive Spaced Education (ISE), a novel approach to online education in which small amounts of educational material are delivered and repeated over spaced intervals via interactive emails. The learner receives two questions with educational feedback every other day, and must answer each question correctly twice in a row. The average learner will complete the module in approximately 6-8 weeks, but spending only 10 minutes every other day.

Educational objectives: 

Upon completion of this module, the learner will be able to:

  1. List at least three risk factors for delirium in the hospital.
  2. State that there is a relationship between episodes of delirium and long-term cognitive impairment.
  3. Recognize the prevalence, morbidity and mortality associated with delirium in hospitalized elders.
  4. Use the Confusion Assessment Method to screen for delirium.
  5. Recognize features that differentiate delirium from dementia.
Additional information/Special implementation requirements or guidelines: 

We acknowledge the following individuals who reviewed and edited this module: Rose Bjorklund, P.T.; Catherine Currier-Buckingham, P.T. MBA; Elinor Hart, P.T.; Judith J. Joseph, OTR, MA; Lindsay Norene, M.A. CCC-SLP; Tom MacAdam, P.T.; Anita Major, M.D.; Jennifer Mebane, M.A. CCC-SLP; Lindsay Norene, M.D. CCC-SLP; Shannon Pearce, DNP, RN, A/GNP-BC; Judy Ragsdale, P.T.; James Rudolph, M.D.; Sarah Sheedy, MS CCC-SLP; George Taffet, M.D.; Terry Throckmorton, PhD, RN; Pam Willson, PhD, RN, FNP-BC.

Date posted: 
Thu, 05/02/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 05/02/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . Delirium: Impact and Recognition. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/212

Function In Sitting Test (FIST) Web-based Training

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Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Other Intended Learner Audiences: 
Product Information
Estimated time to complete: 
1
Abstract: 

The Function In Sitting Test (FIST) was developed as a standardized measure of sitting balance. Multiple studies have linked sitting balance to improved function and activity, improved gait outcomes, and improved abilities to perform activities of daily living. Many patient populations have sitting balance deficits including those with neurologic dysfunction and the acutely ill. The FIST is a reliable and valid measure to capture sitting balance dysfunction and changes in sitting balance. This web-based training covers the psychometrics, administration, scoring, and documentation of the FIST.

Educational objectives: 

Upon completion of this web-based training, the learner will be able to:

  • Describe the known psychometric properties of the Function In Sitting Test.
  • Examine sitting balance and function using the Function In Sitting Test.
  • Document and evaluate patient gains and results from the Function In Sitting Test.
Additional information/Special implementation requirements or guidelines: 

The documents are also available for download from the FIST website.

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

Cabanas-Valdés R, Bagur-Calafat C, CaballeroGómez FM, et al. Validation and reliability of the Spanish version of the Function in Sitting Test (S-FIST) to assess sitting balance in subacute post-stroke adult patients.Topics Stroke Rehabil, 2017; e-pub April 13, 2017. DOI:10.1080/10749357.2017.1316548 [View the abstract online]

Sung JH, Ousley CM, Shen S, Isaacs ZJK, Sosnoff JJ, Rice LA. Reliability and validity of the function in sitting test in nonambulatory individuals with multiple sclerosis. Int J Rehabil Res. 2016;39(4):308-312.[View the abstract online]

Gorman S, Harro C. Function In Sitting Test admission score predicts inpatient rehabilitation discharge destination.. Poster Presentation. IV STEP Conference, American Physical Therapy Association, Columbus, OH, July 17, 2016. [View the abstract online]  

Gorman SL, Harro C, Platko C, Greenwald C. Examining the Function In Sitting Test (FIST) for validity, responsiveness, and minimal clinically important difference. J Arch Phys Med Rehabil. 2014;95(12):2304–2311. [View the abstract on PubMed]

Ousley CM, Isaac ZJK, Wajda DA, Rice LA, Sosnoff JJ. Validation of seated postural control measures in persons with multiple sclerosis. (poster) 4th International Symposium of Gait and Balance in Multiple Sclerosis. Cleveland, Ohio, Oct 10-11, 2014.

Gorman SL, Rivera M, McCarthy L. Reliability of the Function In Sitting Test (FIST). Rehabil Res Prac. 2014;Article ID 593280,http://dx.doi.org/10.1155/2014/593280. [View the open access article here]

Mustille R, Petersen H, Abele J, et al. A pilot study of the FIST as a functional outcomes measure in a neurological acute care population (abstract). J Acute Care Phys Ther.2013;4(3):129-130. [View the abstract here]

Rideout D, Nordstrom TM, Lazaro RT. Case 6: Coccidioidomycosis meningitis. In: Jobst E, ed. Case Files in Physical Therapy (Neurological Rehabilitation). Boston, MA:McGraw-Hill; 2014.

Gorman SL, Harro C, Platko C. Validity and responsiveness of the Function In Sitting Test (FIST) in adults in inpatient rehabilitation: preliminary results (abstract). J Rehabil Med. 2013;6(Suppl 53):99. [View the conference proceedings open access]

Gorman SL. Case 1: Acute cerebrovascular accident. In: Jobst E, ed. Case Files in Physical Therapy (Acute Care). Boston, MA:McGraw-Hill; 2013.

Gorman SL, Radtka S, Melnick M, Abrams G, Byl NN.  Development and validation of the Function In Sitting Test (FIST) in adults with acute stroke. J Neuro Phys Ther. 2010:34(3);150-160. [View the abstract on PubMed]

Date posted: 
Tue, 09/11/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/15/2018
Contact Person/Corresponding Author:



Suggested Citation:
Function In Sitting Test (FIST) Web-based Training. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/212

The UAB Train the Trainer Experience: Teaching Geriatrics to Change Behavior

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
999
Abstract: 

This product guides the user through a four-hour workshop aimed at teaching clinician educators how to teach four geriatrics topics: delirium, medication management, health literacy, and dementia. A variety of innovative teaching techniques are integrated into each topic area. There is an introductory session on adult learning theory, and all teaching techniques introduced in the workshop are based in these theories. All materials needed to teach the four topics are included in the guide.  

Educational objectives: 
  1. Name three key principles of adult learning theory.
  2. Describe three instructional techniques that illustrate principles of adult learning theory.
  3. Teach three key points about each of the following topics: delirium, dementia, medication management and health literacy.
Additional information/Special implementation requirements or guidelines: 

Instructors that wish to present selected components of the experience will need to download the facilitators guide and only selected materials.

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

This product was presented at the 2011 Donald W. Reynolds Foundation Annual Meeting in St. Louis, MO. 

Date posted: 
Tue, 01/01/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/01/2013
Contact Person/Corresponding Author:



Suggested Citation:
The UAB Train the Trainer Experience: Teaching Geriatrics to Change Behavior. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/212

Numb and Number: A Practical Approach to Peripheral Neuropathy

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

If one of your weaknesses is a brief comprehensive peripheral nerve examination and you encounter patients with peripheral neuropathy then this is the module for you. This product is a self-directed interactive web-based module. It will tune up your anatomy skills (including the brachial plexus and lumbo-sacral plexus) and is presented within a clinical framework. It includes key aspects of history-taking, a step-wise clinical exam, etiologies, evaluation, management, a quiz, references and even the Texas Plexus Game to test your new skills. It emphasizes a “how-to” approach. It may be used by a wide range of learners including medical students, residents from internal medicine, and family practice, advanced nurse practitioners, physician assistants and geriatric medicine fellows.

Educational objectives: 

Educational objectives

  1. Review the anatomy of the peripheral nervous system
  2. Take a focused history from a patient with peripheral neuropathy
  3. Perform a concise examination of the patient’s peripheral nervous system
  4. Outline the most common etiologies and develop an effective work up and evaluation strategy
  5. Provide a practical treatment plan that includes optimizing physical function 
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 . Numb and Number: A Practical Approach to Peripheral Neuropathy. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/212

The Einstein Geriatrics Fellowship Core Curriculum: Communication and Interviewing Skills with the Geriatric Patient

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

This lecture discusses communication and interviewing skills with the geriatric patient. It is part of The Einstein Geriatrics Fellowship Core Curriculum, which is a 20 part lecture series designed for first year geriatrics fellows.

Educational objectives: 

By the end of the lecture the student should be able to:

1. Review the common modifications required for interviewing older adults including adults with visual, auditory and cognitive deficits

2. Understand the unique aspects of obtaining a geriatrics social and functional history

3. Review styles of inquiry that increase the effectiveness of interviewing older adults and their caregivers

Additional information/Special implementation requirements or guidelines: 

The Einstein Geriatrics Fellowship Core Curriculum is a 20 part lecture series designed for first year geriatrics fellows. The series covers the content areas outlined in the ACGME program requirements for geriatrics fellowship training including: Geriatrics syndromes (Delirium, Falls, Weight Loss, Urinary Incontinence, Pressure Ulcers,) Geriatric Psychiatry, Economic Aspects of Care, Pharmacology, Sites of Geriatrics Care (LTC, Home Visiting), Functional Assessment, Preventive Medicine, Communication Skills, Sexuality, Podiatry, Ophthalmology, Audiology, Rheumatology, Dermatology, Orthopedics and Hip Fractures. The lectures are 45 minute PowerPoint presentations with extensive speaker notes. Each lecture covers a specific content area. Most lectures are also appropriate for learners at other levels including IM/FM residents and students on clinical rotations.

Date posted: 
Thu, 12/15/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 12/15/2011
Contact Person/Corresponding Author:



Suggested Citation:
The Einstein Geriatrics Fellowship Core Curriculum: Communication and Interviewing Skills with the Geriatric Patient. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/212

Texas Tech Medcast Reynolds Geriatric Step 1 Prep Series 2011: No. 51--The Jitterbug Blues

:  
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 anatomy of the human brain stem cross section.
  • Correlate the region of brain stem injury to its physical manifestations.  Specifically appreciate the symptoms of an anterior spinal artery infarct.
  • Recognize the presentation of a positive Babinski reflex.
  • Trace the pathway of normal motor signaling.
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. 51--The Jitterbug Blues. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/212

Geriatric Learning Series: Ankle Foot Orthotics

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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/212

Pharmacologic Management of Persistent Pain in Older Adults: Best Practice Recommendations

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

This is the third of three slide presentations with accompanying audio lectures by Keela Herr, PhD, RN, FAAN, AGSF, of the University of Iowa College of Nursing. 

Dr. Herr was sponsored by The University of Minnesota Hartford Center of Geriatric Nursing Excellence and the American Academy of Pain Medicine/Pfizer Visiting Professorship in Pain Medicine to consult with faculty and students and present three formal lectures on the following topics:

  • Pain and Aging
  • Recognizing and Assessing Pain in Cognitively Impaired Older Adults
  • Pharmacologic Management of Persistent Pain in Older Adults.
Educational objectives: 
  • Recognizing factors impacting pharmacological pain management in older adults.
  • Discuss best practice recommendations for pharmacologic management of persistent pain in older adults.
Additional information/Special implementation requirements or guidelines: 

The University of Iowa College of Nursing's John A Hartford Foundation Center of Geriatric Nursing Excellence's Evidence Based Guidelines

Date posted: 
Tue, 08/30/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 08/30/2011
Contact Person/Corresponding Author:



Suggested Citation:
Pharmacologic Management of Persistent Pain in Older Adults: Best Practice Recommendations. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/212

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