The Portal of Geriatrics Online Education

RN

Resident Sexuality in Nursing Home Settings

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

This product is part of the GeriaFlix series at the University of Iowa. GeriaFlix are multidisciplinary presentations on topics in clinical geriatrics. Presented in a streaming digital video format with synchronized slides, each presentation lasts approximately 1 hour.

In this lecture, Dr. Mulhausen will present an overview of the main issues of sexuality in nursing home residents, including guidelines for dealing with the sexual issues of residents and a framework for assessment and management of disruptive sexual behavior. He will also discuss the important role of educational material for long-term care staff.

GeriaFlix presentations are available online, both to accredited medical education institutions for use with students, residents, and fellows. For more information about the GeriaFlix series, go to http://www.healthcare.uiowa.edu/igec/resources-edu.... GeriaFlix are also available to practicing physicians, physician assistants, nurses and nurse practitioners for CME or CEU credit. To receive continuing education credit, you must register for the Geriatric Lecture Series. For more information, go to http://www.healthcare.uiowa.edu/igec/e-learning/ge....

Educational objectives: 

This product is part of a series of digitized lectures devoted to topics in clinical geriatrics designed to teach important principles in the management of older persons. By using this lecture series, learners will be able to improve their overall knowledge about managing common geriatric syndromes; understand the unique health care needs of older patients, differences in the management of common clinical conditions, and how physiologic changes associated with aging impact management; develop a working knowledge of important legal and ethical issues associated with end-of-life care; and understand and apply principles of the multi-disciplinary geriatric assessment.

The learning objectives of this particular digitized presentation are:

  1. Identify prominent, key issues affecting the sexuality of nursing home residents.
  2. Develop a framework for the "management" of sexual issues that arise in residents of nursing homes.
  3. Recognize the potentially valuable role of long-term care staff education material about issues in resident sexuality.
  4. Use an organized framework from which to work when evaluating disruptive sexual behavior in long-term care residents.
Additional information/Special implementation requirements or guidelines: 

Viewing GeriaFlix presentations requires a 256K or faster DSL connection, cable modem, LAN/Intranet connection, or other broadband connection. You will also need QuickTime Player 6 or later, either Internet Explorer 5 or above or Netscape 6 or above, and a sound card with speakers. Screen resolution should be set at 800 x 600 or higher.

Date posted: 
Tue, 08/25/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 08/25/2009
Contact Person/Corresponding Author:



Suggested Citation:
Resident Sexuality in Nursing Home Settings. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/249

Geriatric Anesthesia Modules for Perioperative Evaluation and Management: Modules 1-5

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

Modules created to improve performance and knowledge of Anesthesia in Geriatric Patients.

Educational objectives: 

To improve performance and knowledge of preoperative evaluation, perioperative managment and anesthesia in Geriatric Patients. On completion of module 1, the resident should be able to: 1) List risk factors for adverse outcomes in non-cardiac surgery. 2) Work through an appropriate preoperative evaluation based on the risk factors identified in objective 1. 3) Identify preventive measures that may be taken to avoid adverse surgical or anesthetic outcomes. On completion of module 2, the resident should be able to: 1) List the elements of a history necessary for an effective pre-anesthesia evaluation. 2) List the appropriate physical exam elements for an effective pre-anesthesia evaluation. 3) List the appropriate preoperative testing with indications. 4) List and evaluate patients for preoperative risk factors for cardiac disease. 5) Clinically assess functional capacity. 6) Demonstrate ability to interpret preoperative testing and evaluate mental status. On completion of module 3, the resident should be able to describe: 1) The fluid management plan in this patient and in elders in general receiving spinal anesthesia. 2) The unique intraoperative complications associated with orthopedic surgery. 3) The problems associated with spinal anesthesia in the elderly patient. 4) The pathophysiologic consequences of arterial tourniquets. 5) Risk factors for the development of bradycardia and cardiac arrest during spinal anesthesia. On completion of Module 4, the resident should be able to: 1) List the causes and treatments for postoperative delirium. 2) List the signs and symptoms of fluid overload in the PACU. 3) List the various options for pain control in the elderly post op. On completion of module 5 and 6, the resident should be able to: 1) List the elements of a history necessary for an effective pre-anesthetic evaluation. 2) List the appropriate physical exam elements for an effective pre-anesthetic evaluation. 3) List the appropriate preoperative testing with indications. 4) List and evaluate patients for major preoperative risk factors for cardiac disease, pulmonary disease, sepsis, and renal disease. 5) Clinically assess functional capacity. 6) Demonstrate the ability to interpret preoperative testing, evaluate mental status, assess hydration, oxygenation, nutrition, manage polypharmacy, counsel the patient regarding their candidacy for various types of anesthesia and their anesthetic risk.

Additional information/Special implementation requirements or guidelines: 

Reference sources were provided as hard copy and these tended to be misplaced by learners. The following improves successful execution or use: 1. Required course 2. Hard copy of references available 3. Immediately useful information 4. Learners can schedule hours at their own convenience 5. Mentors and champions in PACU, immediate feedback and reinforcement Used with approximately 40 HO1 anesthesia residents and approximately 200 M4 students in anesthesia. HO1 anesthesia residents completed during Post Operative Care Unit rotation, M4 students during their 1 month anesthesia rotation.

Date posted: 
Wed, 11/08/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Geriatric Anesthesia Modules for Perioperative Evaluation and Management: Modules 1-5. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/249

CHAMP (Curriculum for the Hospitalized Aging Medical Patient) Overview and User's Guide

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

CHAMP: Curriculum for the Hospitalized Aging Medical Patient is a multi-tiered educational project with a faculty development program at its core. Hospitalists, general internists, and family practitioners who teach residents and medical students are the targeted audience. The overview and user's guide includes a CHAMP Table of Contents, an outline of the course themes and topics, learning objectives for all 15 geriatric content areas, as well as those for the newly developed mini-course entitled, Teaching on Today's Wards" on advanced clinical teaching skills and teaching across the ACGME Core Competencies.

The website link allows viewers to access all CHAMP teaching resources, bedside teaching tools, pocket cards and evaluation instruments.

CHAMP has been approved to offer one CME credit (category 1) for each course hour.

Educational objectives: 

<p>
To provide a clear understanding of CHAMP (Curriculum for the Hospitalized Aging Medical Patient), its aims, instruction on how to use the teaching materials, and the variety of teaching topics, materials and tools developed.<br />
<br />
The overall aim of CHAMP is to increase the quantity and quality of geriatric teaching in the inpatient setting.</p>

Additional information/Special implementation requirements or guidelines: 

The CHAMP Faculty Development Program has trained 12 geriatricians, 26 general internists, 2 hospitalists, and 7 fellows at the University of Chicago.

Date posted: 
Mon, 03/30/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/17/2012
Contact Person/Corresponding Author:



Suggested Citation:
CHAMP (Curriculum for the Hospitalized Aging Medical Patient) Overview and User's Guide. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/249

Society of Hospital Medicine: Discharge Checklist

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

Members of the SHM HQPS Committee developed the preliminary discharge planning Best practices checklist in 2005. The help of Care Transition experts were solicited to provide their input in order to complete a draft. The document was finalized and refined based on feedback received at the 2005 SHM Annual Meeting workshop session dedicated the development of the checklist. With support from the Hartford Foundation, the SHM HQPS Committee, with a panel of care transition experts, developed the discharge planning best practices checklist. SHM members also contributed input at the 2005 annual meeting in a dedicated workshop.

Educational objectives: 

To develop the foundation for discharge best practices for Hospitalists. Many adverse events are preventable through careful discharge planning. Discharge routines are usually based on experience and local factors such as case management and social work models rather then a best practice model, integrating evidence with expert opinion. The SHM discharge checklist offers best practices in an area that has not been defined by other national or professional organizations (to the best of SHM's knowledge). Using the proposed checklist, Hospitalists can adopt institutional strategies to improve and standardize the discharge process. - Define best practices as they specifically relate to discharge planning for older adults - Provide framework for interactions in outlined domains related to Discharge Planning, Medications and Discharge Summary Document

Date posted: 
Mon, 11/06/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sat, 05/08/2010
Contact Person/Corresponding Author:



Suggested Citation:
Society of Hospital Medicine: Discharge Checklist. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/249

Dementia: A Risk Factor for Delirium

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

Dementia is common in older adults and while it is not an inherent part of aging, delirium is common when patients with dementia are admitted to the hospital. This product enables hospital staff to differentiate between the two. Treatment of delirium starts with determining underlying causes and correcting them.

Educational objectives: 

To educate hospital staff on the difference between delirium and dementia, and to identify who is at risk for dementia or delirium. Learners should be able to: 1.) Distinguish between dementia and delirium; 2.) Learn ways to decrease the incidence of delirium in patients with dementia when they are admitted to the hospital; and 3.) Understand the differential for delirium.

Date posted: 
Mon, 11/06/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 11/06/2006
Contact Person/Corresponding Author:



Suggested Citation:
Dementia: A Risk Factor for Delirium. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/249

Geriatric Health Maintenance: Cancer Screening

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

A presentation for geriatricians to educate seniors on the importance of cancer screening.

Educational objectives: 

To educate seniors on the importance of cancer screening. Learners should be able to 1.) discuss with their physician the risks and benefits of cancer screening. 2.) identify the different methods of screening for cancer.

Date posted: 
Wed, 11/01/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 11/06/2006
Contact Person/Corresponding Author:



Suggested Citation:
Geriatric Health Maintenance: Cancer Screening. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/249

Rapid Assessment of Older Patients in the Emergency Department: A Resident Manual

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

This is a manual written for Emergency Medicine residents. It contains tools and information that can be used to facilitate the ED evaluation of older adults.

Educational objectives: 

Basic familiarity with assessment tools in geriatric medicine that are applicable in the ED setting. Learners should be able to: 1.) Perform a functional assessment. 2.) Screen for cognitive impairment. 3.) Screen for depression. 4.) Evaluate for gait instability. 5.) Screen for polypharmacy and adverse drug events.

Additional information/Special implementation requirements or guidelines: 

Greater than 50 Emergency Medicine residents at the University of Michigan have done this over the past 3 years. Distributed in hard copy to all incoming residents; accompanies a lecture regarding the ED assessment of older adults that is given once a year.

Date posted: 
Mon, 11/06/2006
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 11/06/2006
Contact Person/Corresponding Author:



Suggested Citation:
and . Rapid Assessment of Older Patients in the Emergency Department: A Resident Manual. POGOe - Portal of Geriatrics Online Education; 2006 Available from: https://pogoe.org/taxonomy/term/249

Recognizing and managing delirium among hospitalized older adults

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

This interactive DVD was developed as part of a quality improvement project designed to improve recognition of cognitive impairment and delirium among hospitalized older adults. The DVD was designed to review the prevalence and outcomes of delirium; train physicians and nurses on mental status assessment procedures, including identification of likely underlying etiologies; train on bed-side detection of delirium, and introduce guidelines for medication management of cognitively impaired and delirious older adults. Please email Reema Sutton at  rasutton@buffalo.edu to obtain the DVD.

Educational objectives: 

Learners should acquire skills in bedside assessment of mental status and differentiation of delirium from other cognitive states. The DVD is designed to enhance knowledge about delirium and improve assessment and diagnostic skills. A review of current knowledge about delirium is presented, including prevalence and outcomes. Common etiologies are reviewed as well as the steps necessary to identify potentially delirious patients. The knowledge gained is then tested with assessment of actual patients who present a range of clinical problems. The DVD includes fundamentals in the assessment and management of cognitive impairment and delirium. It provides for evaluation of actual patients and outlines elements of a successful program to reduce delirium among hospitalized older adults. The DVD format allows for presentations ranging from 20 minutes to 2.5 hours or longer. It is appropriate for beginners who have little understanding of cognitive assessment, as a review for experienced clinicians with limited focus on delirium and for experienced clinicians who are considering designing a new program for cognitively impaired older adults at significant risk of developing delirium.

Additional information/Special implementation requirements or guidelines: 

The DVD has been widely used at multiple medical schools, hospitals, and health organizations to provide training for medical students, post-graduate trainees, practicing physicians and their colleagues in nursing. All necessary information and evaluations are contained within the DVD; individual study is quite feasible. The DVD, however, was originally designed for small group education conferences. A facilitator with knowledge of the DVD, an ability to identify the clinical signs of delirium as demonstrated on the DVD, and comfort with eliciting responses from an audience is likely to be effective. Physicians and nurses alike have used the DVD to provide training in their respective disciplines. The only resources required are a DVD player and a television or LCD projector (for group study). To obtain the DVD and price, please email Reema Sutton at rasutton@buffalo.edu.

Date posted: 
Wed, 09/23/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/24/2012
Contact Person/Corresponding Author:



Suggested Citation:
Recognizing and managing delirium among hospitalized older adults. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/249

Geriatric Surgery Modules for Perioperative Evaluation and Management: Pain and Delirium

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

Modules created to improve performance and knowledge of Perioperative Surgical Care in Geriatric Patients.

Educational objectives: 

To improve performance and knowledge of perioperative management pain and delirium in Geriatric Patients. On completion of delirium module, the resident should be able to: 1) Identify a patient suffering from delirium postoperatively. 2) List factors to reduce and prevent delirium in the elderly patient. 3) Identify treatment strategies for the delirious elderly postoperative patient. On completion of pain module, the resident should be able to: Knowledge: List the prevalence of pain in the elderly. List the reasons to treat post-operative pain. Discuss the age & disease related changes that predispose to more pain and influence treatment. Describe the unique problems of pain management in the elderly. Describe the evaluation of acute pain in the elderly. Describe the assessment of acute pain in the elderly. List the nonpharmacologic means of pain management. List the pharmocologic means of pain management. Skills: Demonstrate the ability to use assessment tools for level of pain. Demonstrate the use of the level of function as assessment tool of level of pain. Develop a management plan for pain control post operatively. Attitudes: Develop an understanding and empathy for the differences in pain manifestation in elderly.

Date posted: 
Thu, 08/06/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
, and . Geriatric Surgery Modules for Perioperative Evaluation and Management: Pain and Delirium. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/249

Standardized Patient: Larry Marks

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

Larry Marks was developed as part of a multi-station, standardized patient assessment. The student's performance is measured by checklists filled out by the standardized patient and by the evaluation of responses to written questions on the interstation exercise. This patient is a 65 year-old carpenter who presents to the outpatient clinic with a 3-week history of hard small stools, bloating, and crampy abdominal pain. On examination he has lower abdominal tenderness. The examinee's task is to take a focused history and perform a focused physical examination. A complete set of student instructions, checklists, standardized patient training materials, written exercises and a grading key are included. The associated documents are available to faculty members only. 

Educational objectives: 

Evaluation of geriatrics clinical skills for a patient with constipation

Additional information/Special implementation requirements or guidelines: 

This standardized patient has been used as part of a clinical skills assessment for medical students, internal medicine residents and geriatric medicine fellows.

Date posted: 
Wed, 09/09/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 07/27/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . Standardized Patient: Larry Marks. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/249

Pages

Subscribe to RSS - RN