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Orthopedic Surgery

Powerpoint: Medicare, Medicaid and 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 a Powerpoint presentation designed to provide the backbone for a talk to primary care or specialty residents responsible for discharging hospitalized Medicare patients to another level of care. It reviews the available post-acute options (LTACH, AIR, SNF, LTC, home health) and provides just the information on Medicare and Medicaid that are critical to understanding the patient’s options. The presentation includes Medicare financial information and criteria for coverage specific to 2014, and Medicaid information specific to NC, so some modification and updating may be necessary for use in other venues or later years. The presentation can be accomplished in 45 minutes leaving room for questions in a one-hour time block. A decision-tree diagram is included as a handout that can be provided with the talk and provides a succinct summary for future reference.

Educational objectives: 

1. Review a few key elements of Medicare and Medicaid eligibility and benefits

2. Distinguish between Inpatient and Observation status for Medicare patients

3. Be able to clearly state a patient’s discharge needs

4. Know the various discharge options and the key differences between them

5. Apply the criteria for Medicare coverage of various discharge options

Date posted: 
Fri, 10/03/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 10/03/2014
Contact Person/Corresponding Author:



Suggested Citation:
Powerpoint: Medicare, Medicaid and Discharge Planning. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/217

Chief Resident Workshop in Bad News Communication & Learner Feedback

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Estimated time to complete: 
2
Abstract: 

Incoming chief residents from all departments participate in a 90 minutes workshop with the dual objectives of teaching a model for sharing bad news and preparing these physician leaders to give feedback to learners about this important skill.  After reviewing a 6 step model for bad news communication, the chief residents share bad news with standardized patients using two cases of older adults with a new or recurrent cancer diagnosis.  The standardized patients all receive training about the workshop's objectives in a separate session prior to the workshop.  After communicating with the standardized patient, the chief resident receives feedback from the patient, a trained faculty small group facilitator and 1-2 other chief residents.  After both cases are completed, the chief residents gather for a large group discussion about the challenges and opportunities in providing feedback to learners about sensitive topics.  This workshop has been conducted for the past three years, and has received positive evaluations from the participating physicians and the school's Graduate Medical Education Office.

Educational objectives: 
  1. Recognize bad news communication as a core physician skill
  2. Understand the 6 basic steps used to initially deliver bad news
  3. Practice giving feedback to a resident whom delivered bad news
  4. Identify & discuss challenges of providing feedback about a sensitive topic
Date posted: 
Thu, 10/02/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 10/02/2014
Contact Person/Corresponding Author:



Suggested Citation:
Chief Resident Workshop in Bad News Communication & Learner Feedback. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/217

Wake GPS Quality Improvement Project Handbook

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

This handbook was developed for the Geriatrics Principles for Specialists (GPS) Program of Wake Forest School of Medicine.  In order to facilitate improvements in clinical care of older adult patients, it provides an overview of key steps for the development, implementation, and evaluation of quality improvement (QI) projects by graduate medical learners (i.e., residents and fellows) and faculty members. For each given step, the handbook reviews the associated purpose, content, and deliverables, and provides links or citations to additional learning resources.  The handbook is available in both PDF and ePub versions.

Educational objectives: 

The educational objectives of the handbook are to inform learners about:

  1. The model for improvement framework for selecting an improvement target to develop into an actionable project.
  2. The audit and feedback and technique for obtaining data and jump starting system change.
  3. Process mapping the steps to a given outcome.
  4. Assembling a care team to review the project plan.
  5. Planning a test of change using the concept of the PDSA cycle.
  6. Measuring outcomes.
Date posted: 
Wed, 10/01/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 10/01/2014
Product Viewing Instructions: 
To download the eBook version of the Wake GPS Quality Improvement Handbook, please go to the Wake Geriatrics website.
Contact Person/Corresponding Author:



Suggested Citation:
Wake GPS Quality Improvement Project Handbook. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/217

AEGIS - Surgical Informed Consent of the Geriatric Patient: First Do No Harm

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
2
Abstract: 

Informed Consent is an essential surgical skill that has moral, ethical and practical implications for the older patient. This module uses three video trigger tapes that present the “Typical” surgical informed consent, its potential aftermath, and follows with an example of an “Effective” informed consent. This module is part of the Advanced Education in Geriatrics for Surgeons (AEGIS) project.

Educational objectives: 

Upon completion, learners should be able to

1. Describe the informed consent process including components

2. Discuss unique concerns for the geriatric surgical patient during consent

Date posted: 
Wed, 12/04/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 12/04/2013
Product Viewing Instructions: 
Videos are located on the PHUSC Geriatrics Channel on Youtube
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , and . AEGIS - Surgical Informed Consent of the Geriatric Patient: First Do No Harm. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/217

It's My Old Back, Again: An Approach to Diagnosing and Managing Back Pain in the Older Adult.

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

Assessing and treating pain in older adults is of critical importance for nearly all health care providers. Back pain is a common, costly, disabling, yet under-addressed condition in this population. Specifically, musculoskeletal conditions, such as back pain - the focus of this educational module - are the leading causes of pain as adults age. This self-directed, web-based, interactive educational module addresses the evaluation and management of back pain in older adults. The audience for this module is anyone who provides care (both out-patient and in-patient) for older adults with back pain.

Educational objectives: 

1) Summarize the prevalence and impact of back pain in older persons.

2) Describe how to clinically evaluate back pain including a detailed examination.

3) List the differential diagnosis of back pain in older persons.

4) Explain how to manage the most common etiologies of back pain in older adults.

4) Summarize the risks, benefits and guidelines for specific pharmacologic management of back pain in older adults and how to minimize and monitor for adverse effects.

5) Summarize the various non-pharmacological approaches to managing back pain.

6) Describe which situations are appropriate for referral to more specialized care.

Date posted: 
Tue, 10/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 10/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, and . It's My Old Back, Again: An Approach to Diagnosing and Managing Back Pain in the Older Adult. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/217

Delirium: Prevention and Management in Hospitalized Elders

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

This course is intended for interdisciplinary members of the healthcare team in the hospital setting to improve knowledge of issues surrounding delirium in the elderly hospitalized patient. This 23-question module focuses on the evidence behind the recognition, prevention, and management of delirium in the geriatric patient.

Educational objectives: 

Upon completion the learner will be able to:

1. Use the Confusion Assessment Method to screen for delirium.

2. Understand features that differentiate delirium from dementia.

3. Name at least  five risk factors for delirium and techniques that target each risk factor to prevent the development of delirium.

4. Name at least three drugs that should be avoided in the geriatric patient.

5. Understand basic principles to the management of delirium, including work-up, behavioral management, and pharmacologic management.

6. Understand the importance of documentation of delirium and ways to improve transitions of care.

Additional information/Special implementation requirements or guidelines: 

This program will consist of 23 multiple choice questions on delirium in the geriatric patient in the hospital setting. The module will begin with two questions every other day in a single email from the website, www.qstream.com. This website will facilitate the delivery of questions and answers to the participant. You must log in to the website from the link posted above.

  •  If a question is answered incorrectly, the participant will receive the same question 5 days later.
  •  If a question is answered correctly, the participant will receive the same question 14 days later.
  •  If the participant answers the question correctly two times in a row, the question is then retired from the program and  is no longer repeated.
  •  The participant will complete the program when all 23 questions are retired (each question is answered correctly twice in  a row).  However, CE credit may be given when the program is 80% completed.

Given these parameters, it is estimated that the participant will complete the program in less than three months.

Participants may receive credit or contact hours ONLY by completing 80% of the questions in a module AND completing the end of module survey in LESS than four months time of enrollment.

Date posted: 
Wed, 11/13/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 11/13/2013
Product Viewing Instructions: 
You must register for the class and create a username
Contact Person/Corresponding Author:



Suggested Citation:
and . Delirium: Prevention and Management in Hospitalized Elders. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/217

Perioperative Evaluation and Management with Geriatric Consideration Powerpoint

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

This powerpoint presentation covers the perioperative evaluation and management of adult patients and includes considerations prominent in the care of the geriatric population.  Cardiac risk stratification is according to American College of Cardiology- American Heart Association (ACC-AHA) guidelines and includes their easy to use flow chart.  Pre and postsurgical pulmonary optimization, management of diabetes mellitus and adrenal insufficiency, medication and geriatric considerations including delirium, cognitive dysfunction, nutrition, pain, physical therapy, frailty, hydration and volume status, medications and discharge planning are included.  

Educational objectives: 

1. Know and use ACC-AHA guidlines to cardiac risk stratify patients.

2. Know and use pulmonary recommendations in the care of surgical patients.

3. Know and use diabetes and adrenal insufficiency recommendations in the care of surgical patient.

4. Know the special considerations of geriatric surgical patients and use recommended care for these issues.

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

none

Date posted: 
Thu, 06/26/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/26/2014
Contact Person/Corresponding Author:



Suggested Citation:
and . Perioperative Evaluation and Management with Geriatric Consideration Powerpoint. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/217

Elder Care: A Resource for Interprofessional Providers: Canes

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

Canes 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. List the three main types of canes
  2. State which type of cane us best for patients who need the cane to support weight
  3. State the elbow flexion and length for a properly fitted cane
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."

For more information on this series, go to http://www.reynolds.med.arizona.edu/html/ElderCare.html.

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, 03/01/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 03/06/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Elder Care: A Resource for Interprofessional Providers: Canes. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/217

Osteoporosis Educational Series

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

This three-part lecture series provides an overview of  topics related to the elderly and osteoporosis. The lectures are designed to be presented in sequence and illustrate learning principles developed for residents but suitable for a variety of learner levels.

Lecture one: A Public Health Problem of Older Age

Lecture two: Pathogenesis and Risk Factors

Lecture three: Treatment and Prevention

Educational objectives: 

Lecture one:

  1. Define osteoporosis
  2. Describe the health impact of osteoporotic fractures from an individual to health care system level.
  3. Identify the generally recommended DEXA site to diagnose osteoporosis.

Lecture two:

  1. Explain normal and abnormal state of bone metabolism
  2. Define bone remodeling
  3. Identify risk factors for bone loss
  4. Calculate risk of facture

Lecture three:

  1. Characterize the pathophysiology of osteoporosis
  2. Identify the clinical diagnosis of osteoporosis
  3. Summarize treatment and prevention options
Additional information/Special implementation requirements or guidelines: 

Speaker notes are embedded within the PowerPoint Presentation.

Date posted: 
Thu, 08/08/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/08/2013
Contact Person/Corresponding Author:



Suggested Citation:
Osteoporosis Educational Series. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/217

Elder Abuse and Mistreatment: A Two-Part Training Program

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
2
Abstract: 

Although health care practitioners have a legal and ethical duty to identify and intervene in suspected cases of elder abuse and mistreatment, the existing lack of knowledge and perceived barriers to reporting often interferes with this duty. The goal of the elder abuse and mistreatment learning modules is to provide case-based training to health care professionals. The training consists of two presentation modules with embedded speaker notes. Module One: Identifying Elder Abuse, focuses on the descriptions, signs and symptoms of elder abuse and mistreatment. Module Two: Screening and Intervening, concentrates on screening for elder abuse and mistreatment and provides guidance for intervention. Combined, these modules provide a basic understanding of elder abuse and mistreatment to assist health care practitioners in identifying and reporting this prominent public health problem. 

Educational objectives: 

After reviewing these modules, participants will be able to:                      

  1. Describe three types of elder abuse.
  2. List five signs and symptoms that raise suspicion of elder abuse.
  3. Identify three factors for elder abuse and neglect.
  4. Determine the steps to screen for elder abuse.
  5. Describe three interventions for victims of elder abuse.
  6. Discuss three interventions for stressed caregivers.
  7. List common community resources available to elders and their families. 
Additional information/Special implementation requirements or guidelines: 

Many of the slides within these presentations contain animations. It would be advisable to closely review slides prior to presenting to an audience. Embedded speaker notes are an additional feature of the presentations. 

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

Selected Citations:

  1. Dyer CB, Hyman DJ, Festa NA, Pavlik VN:  The Profile of Texas Adult Protective Services Clients with Multiple Reports.  Presented at the Gerontological Society of America Meeting, San Francisco, CA, November 22, 1999.
  2. Dyer CB, Pavlik VN, Festa NA:  Elder Mistreatment:  Analysis of Allegation Types and Variables Associated with Multiple Allegations from a Statewide Database.  Selected for
  3. Presentation at the Presidential Poster Session at the American Geriatrics Society Meeting, Nashville, TN, May 20, 2000.Dyer CB, Toronjo C, Pavlik VN, Keith M, Silverman E:  How do Adult Protective Service
  4. Specialists Recognize Valid Self neglect.  Presented at the Gerontological Society Meeting, Washington D.C., November 19, 2000.
  5. Harrell R, Toronjo C, Dyer CB:  How do Geriatricians Diagnose Elder Abuse and Neglect?  Presented at the American Geriatrics Society Meeting, Chicago, IL, May 10, 2001.
  6. Heath J, Dyer CB, Mosqueda L:  Partnering With Adult Protective Service Agencies for Educational Experiences in Elder Mistreatment.  Presented at the American Geriatrics Society Meeting, Chicago, IL, May 10, 2001.
  7. Pavlik VN, Barth J, Khan F, Phung M, Lo M, Turner R, Hyman DJ, Dyer CB:  Abnormal Nutritional Markers in Elder Mistreatment Patients.  Presented at the Gerontological Society of America Annual Meeting, Chicago, IL, November 17, 2001.
  8. Dyer CB, Pavlik VN, Mitchell B, Hyman DJ, Poythress EL:  Neurospychiatric Testing in Elders with Self-Neglect.  Presented at the American Geriatrics Society Annual Meeting, Washington D.C., May 11, 2002.
  9. Dyer CB:  Outcomes of Interdisciplinary Geriatric Assessment and Intervention in Elder Abuse.  Presented at the Gerontological Society of America’s 55th annual Scientific Meeting, Boston, Ma, November 24, 2002.
  10. Dyer CB:  Outcomes of Interdisciplinary Geriatric Assessment and Intervention in Elder Abuse.  Presented at the Gerontological Society of America’s 55th Annual Scientific Meeting, Boston, MA, November 24, 2002.
  11. R Hariharan, SG Nash, VN Pavlik, J King, CB Dyer: Medical Complexities Among Elderly Abused and Neglected Patients. Presented at the American Geriatrics Society Meeting, Baltimore, MD, May 14th-18th, 2003.
  12. CB Dyer, VN Pavlik, T Regev, M Vogel, DJ Hyman, B Mitchell, EL Poythress: Outcomes of Interdisciplinary Geriatric Assessment and Intervention in Unresolved Elder Mistreatment Cases. Presented at the American Geriatrics Society Meeting, Baltimore, MD, May 14th-18th, 2003.
  13. Poythress E, Tremaine B, Dyer CB: Self-Neglecters Who Live in Squalor. Presented at the Gerontological Society of America's 56th Annual Scientific Meeting, San Diego, CA, November 21st-25th, 2003.
  14. Dyer CB, Pavlik V, Delgado M, Regev C, Vogel B, Tremaine B: Characterizing Victims of Financial Exploitation. Presented at the Gerontological Society of America's 56th Annual Scientific Meeting, San Diego, CA, November 21st-25th, 2003.
  15. Patel A, Fisher CJW, Dyer CB: Characterizing Sexual Abuse in Older Adults. Presented at the  American Geriatrics Society Meeting, Las Vegas, Na, May 20, 2004.
  16. Kim L, Nieves L, Dyer CB:  Do Medical Examines Determine Elder Mistreatment as a Cause of Death?  Presented at the American Geriatric Society Annual Scientific Meeting, Orlando, FL, May 14, 2005.
  17. Dyer CB, Nieves LE, Delossantos O, Barth J, Poythress EL, Vogel M, Tremaine B, Neycheril A, Harlan J, Kim L: The Cognitive, Functional and Social Profiles of 500 Cases of Elder Mistreatment.  Presented at the American Geriatrics Society Annual Scientific Meeting, Orlando, FL, May 11, 2005.
  18. Dyer CB, Kim LC: "Elder Mistreatment: Abuse, Neglect, & Exploitation" Current Geriatric Diagnosis & Treatment, Landefeld, Palmer, Johnson, Johnston, and Lyons eds. McGraw-Hill, 2004.
  19. Dyer CB,Kim LC: “Elder Mistreatment: Abuse, Neglect & Exploitation”, Current Geriatric Diagnosis & Treatment, Landefield, Palmer, Johnson, Johnston and Lyons eds. McGraw-Hill, 2004.
  20. Mehta MM, Dyer CB:  “A Practical Approach to Elder Abuse, Neglect, and Exploitation”, Practice of Geriatrics, 4th Edition, 2007.
  21. Brandl B, Dyer CB, Heisler CJ, Otto J, Stiegel L, Thomas R: Elder Abuse Detection and Intervention: A Collaborative Approach.  2006 Springer.

Selected Presentations:

  1. “ Elder Mistreatment: Identification, Treatment and the Prevention of Premature Death” Principles of Geriatric Care: A Certificate Program for Health Care Professionals,Houston, TX Feb 21, 2012
  2. “The Medical Signs of Abuse and Neglect”. Elder Justice Care Seminar, National Advocacy Center, Columbia, SC, January 5, 2011.
Date posted: 
Fri, 07/19/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 07/19/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Elder Abuse and Mistreatment: A Two-Part Training Program. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/217

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