The Portal of Geriatrics Online Education

RN

Brief Cognitive Screening in Older Adults

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

This module provides an overview of a variety of brief cognitive screening measures that exist in the public domain and can easily be integrated in care settings that serve older adults. The online module is designed to be an interactive didactic experience, which includes short videos, reflection questions, and experiential exercises.

Although this module is best implemented as a group activity with partners (particularly Section 3, which includes role play as both clinician and patient), it can be adapted and completed individually as well.

Educational objectives: 
  1. Discuss the purpose of evidence based brief cognitive screening instruments
  2. Review pros and cons of five brief screens
  3. Practice administration and scoring of brief cognitive screens.
Additional information/Special implementation requirements or guidelines: 

The entire course for Brief Cognitive Screening for Older Adults is hosted on the Oklahoma Geriatric Education Center (Ok-GEC) website through the Donald W. Reynolds Dept of Geriatric Medicine at the University of Oklahoma Health Sciences Center (OUHSC). http://www.ouhsc.edu/okgec/documents/Sorocco_Online_Courses/BriefCognitiveScreenCourse.pdf and consists of three sections:

  1. Intro to Brief Cognitive Screens for Older Adults: Includes link to webinar and two open-ended reflection questions (Survey Monkey link).
  2. Selecting a Brief Cognitive Screen for Older Adults: Includes link to webinar, links to download and review 5 brief cognitive screening tools, and reflective question (Survey Monkey link).
  3. Experience Using a Brief Cognitive Screen for Older Adults: Includes link to webinar, an experiential exercise of provider/patient role play (you will need to find a partner for this exercise) with instrument of choice (from the links provided in Section 2) to practice administration and scoring, reflective question, and final learner and course assessments (Survey Monkey link).
Date posted: 
Tue, 09/23/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 05/01/2015
Product Viewing Instructions: 
Please view course at: http://www.ouhsc.edu/okgec/documents/Sorocco_Online_Courses/BriefCognitiveScreenCourse.pdf
Contact Person/Corresponding Author:



Suggested Citation:
Brief Cognitive Screening in Older Adults. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/249

Shared Decision Making

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

This educational video module is on shared decision making with older adults. By the end of this module you should be able to work effectively as a member or leader of a health care team that practices shared decision making with older patients and families. You will learn to incorporate their cultural background, health literacy, desired level of participation, preferences, and goals of care.

The module focuses on the special issues in engaging in shared decision making with older patients, including those with cognitive impairment.  Concrete behaviors are discussed that can be engaged in to help shared decision making happen.

Educational objectives: 

Upon completion, learners will be able to:

  • Define patient-centered care & shared decision making, and know what a shared care plan is.
  • Describe the sorts of verbal and nonverbal behaviors that contribute to effective patient-centered care.
  • Incorporate patients' cultural background, health literacy, desired level of participation, preferences and goals of care.
  • Discuss the benefits to health care providers and patients who engage in this style of communication.

.

Date posted: 
Tue, 10/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 10/15/2013
Product Viewing Instructions: 
QuickTime Player is required for viewing
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . Shared Decision Making. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/249

How to discuss Code Status and make a recommendation

:  
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: 

Code status discussions are often rushed events done during a hospital admission by a doctor that the patient has never met.  The content, and therefore the quality, of these discussions varies widely and often contains very incomplete information that fails to meet a person at their individual health literacy level.  Additionally, once a physician decides to make a recommendation for a DNR status, the methods used may be crude and border on coercive.  

The goal of this lecture is to provide the listener with a complete understanding of CPR outcomes that can be presented flexibly at the level of the health literacy of the patient and family.  Second, the lecture provides a framework for making a recommendation of CPR by not viewing it soley as a health literacy problem but as a fit between a patient's stated values and the likely outcomes of CPR.  In this way, there are many reasons why a person may choose to be DNR.  

First, an evidence review of outcomes are discussed by site of care (inpatient, outpatient and nursing home) including immediate failure, prolonged death in a hospital, survival with impaired neurological status and survival with intact neurological status.  Both absolute and relative rates are presented.  An evidence review of the risks are summarized including the trauma of CPR, what happens when a person fails to survive to hospital discharge and surviving with impaired neurological status.  Success rates in studies are analyzed by diagnosis, age, and functional baseline.  Finally, how to translate the outcomes into goals and values is discussed including when being DNR is appropriate for a patient.  Ideally, the learner will have more tools for helping a patient understand why DNR may be appropriate than before this educational session.  

Educational objectives: 

The purpose of this lecture is to allow the listener to have a much more complete understanding of the pros and cons of CPR and its outcomes and have a framework for making recommendations.  The goal is to move beyond simply thinking about the trauma and success rates of a procedure-oriented CPR discussion and move towards a value-based, patient-centered discussion.

Additional information/Special implementation requirements or guidelines: 

The power point lecture is accompanied by a handout that serves as a literature review.  There is also a bibliography.  In a small group setting, the handout could be the starting point of an interactive discussion.  I usually start by asking the housestaff and students when they have felt a patient who was full code should be DNR, why they felt that way, and how they went about trying to change the code status.  I ask what they communicate and how they communicate it. Having learners provide their own vignettes gets them more engaged in the discussion and at the end they can think about what they might have done differently.  

Date posted: 
Mon, 10/07/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/07/2013
Contact Person/Corresponding Author:



Suggested Citation:
How to discuss Code Status and make a recommendation. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/249

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/249

Interprofessional Geriatric Transitions of Care and Discharge Planning Series 2: Discharge Planning and Home Community-Based Services to Support Safe Transitions

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

Description:

Medicare states that discharge planning is "A process used to decide what a patient needs for a smooth transition from one level of care to another."
(http://www.caregiver.org/caregiver/jsp/content_node.jsp?nodeid=2312)

Discharge Planning involves the entire healthcare team, but is often coordinated by a nurse, social worker, or case manager. This module examines the process of discharge planning to various healthcare facilities.

Educational objectives: 

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

  • Discuss general components of discharge planning to ensure a safe transition.
  • Discuss issues related to discharge from hospital to nursing facility.
  • Discuss issues related to discharge from hospital to home.
  • Provide information regarding home and community resources to ensure safe transitions.
  • Increase knowledge of the scope and benefits that are available to older adults in their homes and community.
  • Understand eligibility requirements for home and community based services.
  • To be able to provide direct access to patients and families to home and community-based services.
Additional information/Special implementation requirements or guidelines: 

Technical Requirements and Notes:

This learning module uses Adobe Flash media and may require you to add a browser "plug-in" in order to display properly. Most computers already have this free plug-in installed. But, if yours does not, it is very easy to download and install. Try the module first because the software is "smart" enough to detect the Flash player. If the module doesn't begin, you will be automatically prompted to download the plug-in.

The module contains links to external websites which will open in a new browser window. Your browser's back button will not return to the module, so these new windows should be closed.

Date posted: 
Thu, 04/24/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/24/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , , , and . Interprofessional Geriatric Transitions of Care and Discharge Planning Series 2: Discharge Planning and Home Community-Based Services to Support Safe Transitions. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/249

Interprofessional Geriatric Transitions of Care and Discharge Planning Series 1: Ensuring Safe Transitions

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

"Transitional care is defined as a set of actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location." Transitions may happen between hospitals, sub-acute and post-acute residential care, home, long-term care facilities. (American Geriatrics Society Health Care Systems Committee, 2003, p. 556)

This module examines the transitions of care process and the professionals involved.

Educational objectives: 

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

  • Understand the consequences of poor transitions in care.
  • Understand the roles of health care professionals, patients, and caregivers in transitions of care.
  • Discuss the challenges of safe transitions, including systems, patients, and provider-based factors.
  • Discuss strategies and evidence-based models to ensure safe transitions.
  • Recognize and address health literacy issues and cultural differences that may impact safe transitions.
Additional information/Special implementation requirements or guidelines: 

Technical Requirements and Notes:

This learning module uses Adobe Flash media and may require you to add a browser "plug-in" in order to display properly. Most computers already have this free plug-in installed. But, if yours does not, it is very easy to download and install. Try the module first because the software is "smart" enough to detect the Flash player. If the module doesn't begin, you will be automatically prompted to download the plug-in.

The module contains links to external websites which will open in a new browser window. Your browser's back button will not return to the module, so these new windows should be closed.

Date posted: 
Thu, 04/24/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/24/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , and . Interprofessional Geriatric Transitions of Care and Discharge Planning Series 1: Ensuring Safe Transitions. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/249

Interprofessional Geriatric Oncology 2: Decision Making for Older Adults with Cancer

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

For older adults, cancer may be a more challenging experience due to additional health-related challenges for the patient as well as for the families involved. It is also more challenging for the healthcare team making recommendations regarding treatment options for cancer in the absence of high levels of evidence for treatment in the elderly and having to account for multiple co-morbid conditions and functional limitations often seen in older adults.

This module examines the process of decision making and factors to consider when recommending treatment for older adults with cancer.

Educational objectives: 

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

  • Discuss points of decision-making for older adults with cancer.
  • Discuss legal and ethical concepts which impact health professionals to assist in decision-making for older adults with cancer.
  • Provide health professionals with a guide on ways to assist older adults with cancer in decision-making in a culturally sensitive manner.
Additional information/Special implementation requirements or guidelines: 

You will be required to answer some questions about yourself prior to using the module when you leave pogoe.org. 

Technical Requirements and Notes:

This learning module uses Adobe Flash media and may require you to add a browser "plug-in" in order to display properly. Most computers already have this free plug-in installed. But, if yours does not, it is very easy to download and install. Try the module first because the software is "smart" enough to detect the Flash player. If the module doesn't begin, you will be automatically prompted to download the plug-in.

The module contains links to external websites which will open in a new browser window. Your browser's back button will not return to the module, so these new windows should be closed.

Date posted: 
Thu, 04/24/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/24/2014
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , , and . Interprofessional Geriatric Oncology 2: Decision Making for Older Adults with Cancer. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/249

Elder Care: A Resource for Interprofessional Providers: Fit to Fly? Older Adults and Air Travel

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

Fit to Fly? Older Adults and Air Travel  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: 
  1. Use room-air oxygen saturation levels to determine when a patient should receive supplemental oxygen during an airline flight
  2. List cardiovascular conditions with which air travel is considered unsafe
  3. Make recommendations to patients planning long-distance air travel for prevention of venous thromboembolism 
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."
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.

Nelson, D. and Medina-Walpole, A. (2010, December), Elder care provider fact sheets. Journal of the American Geriatrics Society, 58(12), 2414-2415. Also available online.      

Date posted: 
Thu, 08/02/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 05/21/2018
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Elder Care: A Resource for Interprofessional Providers: Fit to Fly? Older Adults and Air Travel. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/249

Elder Care: A Resource for Interprofessional Providers: Lower Extremity Edema in Older Adults

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

Lower Extremity Edema in Older Adults 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: 
  1. Explain the significance of bilateral vs unilateral pedal edema
  2. List contraindications to prescribing compression stockings for treatment of pedal edema
  3. List medications that commonly cause pedal edema
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."
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.

Nelson, D. and Medina-Walpole, A. (2010, December), Elder care provider fact sheets. Journal of the American Geriatrics Society, 58(12), 2414-2415. Also available online.                                                                                                                  

Date posted: 
Wed, 07/17/2019
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 06/25/2019
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Elder Care: A Resource for Interprofessional Providers: Lower Extremity Edema in Older Adults. POGOe - Portal of Geriatrics Online Education; 2019 Available from: https://pogoe.org/taxonomy/term/249

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/249

Pages

Subscribe to RSS - RN