The Portal of Geriatrics Online Education

Palliative Care

"Can you help me out doc?" - Treatment of Pain in Persons with a History of Addictions

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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: 

This self-directed learning exercise explores the approach to pain management in terminally ill patients with a history of substance abuse.  Through a video case presentation and related readings, the learners will identify challenges and optimal strategies for caring for this special population.  Four to five multiple choice test questions are included in this module.  A brief review and follow up with an instructor is recommended to go over the answers. A workbook is provided. Some external materials are required; see the instructions below.

Educational objectives: 

After completion of this module the student should be able to:

  1. Define addiction, physical dependence, pseudoaddiction, and tolerance
  2. Describe basic principles for prescribing controlled substances to patients with advanced illness and issues of addiction
  3. Recommend appropriate guidelines for clinical management of terminally ill patients with addiction
Additional information/Special implementation requirements or guidelines: 

In order to complete this module, you will also need to access the following:

  • Video "Pain Management for a Patient with a History of Substance Abuse" from The Center for Palliative Care Education
  • Article Kirsh KL and Passik SD. Palliative care of the terminally ill drug addict. Cancer Investigation 2006;24:425-431.
  • The answer key for this product will be provided to faculty members only. To request the answer key, send an email to Editor@POGOe.org titled "Request for Answer Key to Product #20723". Include your full name, your institution, your intended use of the product and any additional information relevant to the request. Also include your supervisor's full name, email address and phone number so that we may confirm your status as a faculty member.

This product is part of a series of 3 independent learning modules on pain for medical students and other learners.  Companion products are "Addressing myths and managing side effects of opioid medications" (#20724) and "Assessment and treatment of neuropathic pain" (#20725).   The workbook for this series can also be accessed at http://champ.bsd.uchicago.edu/painControl/index.html

Date posted: 
Wed, 12/08/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 12/08/2010
Contact Person/Corresponding Author:



Suggested Citation:
"Can you help me out doc?" - Treatment of Pain in Persons with a History of Addictions. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/219

The Learning Curve: A Geriatrics Professional Development Webinar Series

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

This webinar series was created to provide professional development to the health providers participating in the Geriatric Scholars program funded by the Office of Rural Health through Greater LA GRECC. The participants are the MDs, DOs, NPs, and PAs participating in the program.

Educational objectives: 

At the conclusion of this webinar series, the Geriatric Scholars should be able to:

  1. Peer to Peer Education - Improve their communication skills in knowledge transfer with their peers who work in the CBOC's
  2. Adult Learning - Define the basic theories of adult learning to better understand what motivates and engages adults to incorporate new information into their health behaviors
  3. Health Literacy - Identify literacy barriers that affect learning in older patients
  4. Keys to Effective Leadership - Describe how to navigate team members through effective negotiations and discussions of team member roles; Apply open and frank discussion strategies among team members that serve to build commitment and confidence; Recommend opportunities for leadership among team members
  5. Managing Team Dynamics - Utilize successful team-based solutions to guide the members of the team to meet patient needs; Develop a strategy to foster productive collaboration with other team members
Additional information/Special implementation requirements or guidelines: 

THE LEARNING CURVE: A GERIATRICS PROFESSIONAL DEVELOPMENT WEBINAR SERIES is presented by the Department of Veterans Affairs Employee Education System in collaboration with the Consortium of New York Geriatric Education Centers, the Arkansas Education Center and the Geriatric Scholars Program, which is funded by the VA Office of Rural Health.

Date posted: 
Wed, 09/22/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 09/22/2010
Contact Person/Corresponding Author:



Suggested Citation:
, and . The Learning Curve: A Geriatrics Professional Development Webinar Series. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/219

Geropsychiatric Nursing Competency Enhancements

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

Nurses care for older adults in health and illness across the full range of health care settings. Especially in late life, physical illness often precipitates and/or is accompanied by psychiatric symptoms. Therefore it is important that nursing education programs provide knowledge and skills that prepare nurses to care for older adults with mental health concerns and psychiatric/substance misuse disorders.

The Geropsychiatric Nursing Collaborative has developed the following resources to draw attention to the special needs of older adults.

  • Definition of Geropsychiatric Nursing. This definition serves to guide future discussions about preparing nurses to care for older adults with mental health concerns.
  • Key Concepts. These key concepts are foundational to the geropsychiatric nursing competency enhancements.
  • Geropsychiatric Nursing Competency Enhancements. These enhancements are not intended to ‘stand-alone,’ but rather to enhance existing or to-be-developed competencies by relevant professional nursing organizations. The competency enhancements are organized in four topic areas: entry level and advanced practice level for Gerontological, Psychiatric-Mental Health and Other Specialties Caring for Older Adults, i.e.  Adult, Family, Acute Care, and Women’s Health. The advanced level category is further categorized by role, either Nurse Practitioner or Clinical Nurse Specialist.
Educational objectives: 

Based on the competency enhancements, the Geropsychiatric Nursing Collaborative is identifying and evaluating the quality and suitability (appropriateness, evidence base, relevance, cultural sensitivity, and currency) of extant curricular and training materials for each level of curricula and identifying gaps at both the entry level, i.e., Associate and Bachelor of Science in Nursing, and the advanced level, i.e.,Master of Science in Nursing in Gerontological, Psychiatric-Mental Health and Adult/Family/Acute Care Women’s Health  Clinical Nurse Specialist and Nurse Practitioner Programs and the Doctor of Nursing Practice. The project will foster linkages of nursing education programs whose graduates will care for older adults to basic, graduate, post-graduate and continuing education geropsychiatric curricular offerings (courses, textbooks, journal articles, toolkits, training films, web-based courses and materials, course syllabi, and learning tools). All levels of nurses practicing in many different settings will require ‘retooling’ with current knowledge and skills in order to best provide mental health services to older adults.

Additional information/Special implementation requirements or guidelines: 

The competency enhancements are meant to inform the development of new and the updating of existing nursing competencies for the level and specialty indicated.

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

Buckwalter, K., Beck, C, Evans, L. (In press). Envisioning the Future of Geropsychiatric Nursing. In K.D. Melillo & S. C. Houde (Eds.). Geropsychiatric and Mental Health Nursing, 2nd Ed. Boston: Jones & Bartlett Publishers.

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



Suggested Citation:
, and . Geropsychiatric Nursing Competency Enhancements. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/219

TEXAS Training Excellence in Aging Studies: Geriatric Gems and Palliative Pearls

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

"Geriatric Gems and Palliative Pearls" are a series of brief web modules, or "soundbytes", of geriatric medical topics developed by Texas Training Excellence in Aging Studies Program (TEXAS), funded by the D.W. Reynolds Foundation, and located at the University of Texas Medical School at Houston. UTH faculty developed the soundbytes using the AAMC and ACGME competencies germane to medical residents from a variety of speciality areas.   The "Gems and Pearls" are developed on andragogical principles employing brevity, repetition and an element of entertainment or compelling information to gain the learner's attention.  Each soundbyte takes about 3-5 minutes to review and is linked to videos, diagrams, text materials, and additional information on specific topics. Examples include Depression, Dementia, End-of-Life Issues and many others.

The rationale for using this form of educational methodology is based on research from the 70's and 80's showing that the spacing of education, repeated over time, results in more efficient learning and material retention than the massed presentation of educational materials.  This form of interactive spaced education (ISE) has been used by medical educators to teach physical diagnosis, effective feedback behaviors, and urology board review material.

Some of the topics covered include acute coronary syndrome, dementia, dying process, elder abuse, hazards of hospitalization, hospice, medical decision making, opioid toxicity, pain, self-neglect, urinary incontinence and executive function and capacity. 

Educational objectives: 

Learners will:

  1. Increase their knowledge, skills and attitudes in geriatric medicine
  2. Describe and differentiate variations in fundamental biomedical aspects of aging, geriatric assesment, and care coordination from younger adult populations; and
  3. Apply the knowledge and skills and demonstrate attitudes learned in caring fro geriatric patients in inpatient and outpatient clinical settings.
Date posted: 
Tue, 10/26/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 10/26/2010
Contact Person/Corresponding Author:



Suggested Citation:
, , , , and . TEXAS Training Excellence in Aging Studies: Geriatric Gems and Palliative Pearls. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/219

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