The Portal of Geriatrics Online Education

Lecture

A classroom session (or similar venue) that can be presented in the form of a video or audio recording, slide presentation or a transcript, accompanied by speaker's notes. Should include any materials that would accompany the lecture, such as a handout.

Decision-making in Multimorbid Patients

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

This workshop is designed to introduce learners (medical students or residents) to the concept of multimorbidity and an approach to decision-making in this patient population based on the American Geriatrics Society’s Guiding Principles for the Care of Older Adults with Multimorbidity. The workshop has been delivered to groups ranging in size from 20-80 participants and can be delivered in a single 60-90 minute session or spread over two 45 minute sessions. The basic format includes a large group didactic lecture as introduction, small group breakout session to work through multimorbid patient cases, and a large group wrap-up to discuss and review key points. It has been successfully implemented with second year medical students about to transition to their clinical clerkships as well as academic and community hospital internal medicine residents.

Educational objectives: 

After completing this workshop, learners will be able to:

  • Describe the impact of multimorbidity on the US health care system
  • Practice a 5 step approach to multimorbid patients
    • Elicit patient preferences
    • Consider evidence-based treatment options
    • Estimate prognosis
    • Determine clinical feasibility
    • Prioritize plan
Additional information/Special implementation requirements or guidelines: 

None

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

None

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 . Decision-making in Multimorbid Patients. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Aging Q3 Curriculum on Hearing Loss and Aging

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Estimated time to complete: 
0
Abstract: 

Using the Assessing Care of Vulnerable Elders (or ACOVE) paradigm and the principles of Academic Detailing, Aging Q3 is developing curricula on 16 different topics for teaching residents about providing quality care to elderly patients. Aging Q3 uses a sequence of multiple interventions where residents learn and experience the practice of Geriatrics in the clinical setting with limited interruption to the process of patient care. Each ACOVE is featured for 3 months. The curriculum includes a resident lecture during one of the residents' scheduled noon conferences, a handout used by the faculty to detail the resident on the issue during precepting or rounds, a poster which is displayed strategically in resident areas of the hospital and clinic, and observed demonstration and assessment of a defined skill. In the clinic, Residents are "cued" to address the featured issue with their elder patients by a "Blue Sheet" which contains a few brief questions on the ACOVE topic that the Patient Care Technician or Nurse have discussed with the patient during intake. A "Yellow Sheet" cues the Resident to address the featured issue on the hospital wards. Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

The Hearing Loss and Aging "ACOVE" is number 16 of 16 different curricula being developed in Aging Q3.

Educational objectives: 
  • Perform an Otoscopic exam to identify treatable causes of hearing loss.
  • Identify causes of sensorineural and conductive hearing loss.
  • Treat immediately reversible causes of hearing loss.
  • Be familiar with auditory assistance devices for those who can't be helped by ENT or can't afford hearing aids.

 

Date posted: 
Thu, 08/07/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/07/2014
Contact Person/Corresponding Author:



Suggested Citation:
, and . Aging Q3 Curriculum on Hearing Loss and Aging. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/36

Aging Q3 Curriculum on Urinary Incontinence and Aging

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Estimated time to complete: 
0
Abstract: 

Using the Assessing Care of Vulnerable Elders (or ACOVE) paradigm and the principles of Academic Detailing, Aging Q3 is developing curricula on 16 different topics for teaching residents about providing quality care to elderly patients. Aging Q3 uses a sequence of multiple interventions where residents learn and experience the practice of Geriatrics in the clinical setting with limited interruption to the process of patient care. Each ACOVE is featured for 3 months. The curriculum includes a resident lecture during one of the residents' scheduled noon conferences, a handout used by the faculty to detail the resident on the issue during precepting or rounds, a poster which is displayed strategically in resident areas of the hospital and clinic, and observed demonstration and assessment of a defined skill. In the clinic, Residents are "cued" to address the featured issue with their elder patients by a "Blue Sheet" which contains a few brief questions on the ACOVE topic that the Patient Care Technician or Nurse have discussed with the patient during intake. A "Yellow Sheet" cues the Resident to address the featured issue on the hospital wards. Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

The Urinary Incontinence and Aging "ACOVE" is number 15 of 16 different curricula being developed in Aging Q3.

Educational objectives: 
  • Understand the characteristics of primary types of incontinence
  • Demonstrate an initial workup/management of incontinence
  • Understand the importance of removing foley catheters
  • Define valid indications for inpatient foley catheters
Date posted: 
Wed, 07/16/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/16/2014
Contact Person/Corresponding Author:



Suggested Citation:
, and . Aging Q3 Curriculum on Urinary Incontinence and Aging. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/36

Aging Q3 Curriculum on Depression and Aging

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Estimated time to complete: 
0
Abstract: 

Using the Assessing Care of Vulnerable Elders (or ACOVE) paradigm and the principles of Academic Detailing, Aging Q3 is developing curricula on 16 different topics for teaching residents about providing quality care to elderly patients. Aging Q3 uses a sequence of multiple interventions where residents learn and experience the practice of Geriatrics in the clinical setting with limited interruption to the process of patient care. Each ACOVE is featured for 3 months. The curriculum includes a resident lecture during one of the residents' scheduled noon conferences, a handout used by the faculty to detail the resident on the issue during precepting or rounds, a poster which is displayed strategically in resident areas of the hospital and clinic, and observed demonstration and assessment of a defined skill. In the clinic, Residents are "cued" to address the featured issue with their elder patients by a "Blue Sheet" which contains a few brief questions on the ACOVE topic that the Patient Care Technician or Nurse have discussed with the patient during intake. A "Yellow Sheet" cues the Resident to address the featured issue on the hospital wards. Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

The Depression and Aging "ACOVE" is number 14 of 16 different curricula being developed in Aging Q3.

Educational objectives: 

Understand the epidemiology of late-life depression

Recognize the risk factors for depression in older adults

Recognize medications adversely associated with depression

Perform an initial screening for depression using the PHQ-9

Describe treatment options of non-psychotic major depressive disorder in older adults

 

 

 

Date posted: 
Mon, 07/14/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 07/14/2014
Contact Person/Corresponding Author:



Suggested Citation:
Aging Q3 Curriculum on Depression and Aging. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/36

Aging Q3 Curriculum on Osteoarthritis and Aging

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
0
Abstract: 

Using the Assessing Care of Vulnerable Elders (or ACOVE) paradigm and the principles of Academic Detailing, Aging Q3 is developing curricula on 16 different topics for teaching residents about providing quality care to elderly patients. Aging Q3 uses a sequence of multiple interventions where residents learn and experience the practice of Geriatrics in the clinical setting with limited interruption to the process of patient care. Each ACOVE is featured for 3 months. The curriculum includes a resident lecture during one of the residents' scheduled noon conferences, a handout used by the faculty to detail the resident on the issue during precepting or rounds, a poster which is displayed strategically in resident areas of the hospital and clinic, and observed demonstration and assessment of a defined skill. Residents are "cued" to address the featured issue with their elder patients by a "Blue Sheet" which contains a few brief questions on the ACOVE topic that the Patient Care Technician or Nurse have discussed with the patient during intake. Residents are assessed pre and post on knowledge, skill, and attitude by a Survey Monkey questionnaire.

Osteoarthritis "ACOVE" is number 13 of 16 different curricula being developed in Aging Q3

Educational objectives: 

Define Osteoarthritis and the scope of the problem

Review potential causes and associated symptoms of Osteoarthritis

Review diagnostic criteria, treatment options, and interventions

Date posted: 
Fri, 09/20/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 09/20/2013
Contact Person/Corresponding Author:



Suggested Citation:
and . Aging Q3 Curriculum on Osteoarthritis and Aging. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Bariatric and Metabolic Surgery and the Elderly

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

This one hour video lecture with accompanying PowerPoint slides describes the use of bariatric surgery as a treatment option for diseases resulting from obesity. The target audience is Interdisciplinary Health Care Professionals.

Educational objectives: 

On completion, the learner will be able to:

  1. Describe the weight trends accross the US and implications of obesity on the health of an elderly patient
  2. List treatment options to combat obesity in elderly population
  3. Describe effects of surgery on mortality in an elderly patient who is considered obese
Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

The video may take a few moments to load based on your connection. Please wait a few minutes if it doesn't appear right away.

Date posted: 
Thu, 06/27/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/27/2013
Product Viewing Instructions: 
The video may take a few moments to load based on your connection. Please wait a few moments if it does not appear right away.
Contact Person/Corresponding Author:



Suggested Citation:
and . Bariatric and Metabolic Surgery and the Elderly. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Precise Evaluation of the Geriatric Patient in the Emergency Department

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

Background: The number of Emergency Department (ED) visits by patients over age 65 is increasing rapidly. Common chief complaints, such as abdominal pain, often are associated with atypical presentations and significant morbidity and mortality. Hence, it is important for Emergency Medicine (EM) physicians to have both a high suspicion for disease and an in-depth knowledge base when treating these patients. However, the unique presentations of disease in older patients are rarely focused on during EM residency training. The authors created an innovative, interactive small group activity with five cases of older patients presenting to the ED, focusing on fundamental disease processes and presentations, for training EM residents.

Methods: EM residents are divided into teams and challenged to provide the most efficient, cost-effective care in five cases. Using play money, the residents are given limited funds to perform specific exam components and order laboratory studies and imaging. After teams complete the cases, a debriefing is performed in a large group to discuss learning points, highlighting diagnoses and treatments specific to geriatric patients. This activity was developed for EM residents but has since been adapted for use with medical students and residents and faculty from other specialties, including Internal Medicine and Surgery.

Results: EM residents were very receptive to this exercise. On evaluations, they appreciated the interactive learning and case-based teaching. On a scale from 1-5, with 5 being the highest score, residents rated the overall quality of the session and teaching effectiveness as 4.6 and 4.3, respectively. Comments included: “awesome case format” and “very clinically applicable”.

Conclusions: A case-based, interactive small group exercise is an innovative way to educate EM residents about emergencies and atypical presentations in geriatric patients. These cases also can be adapted for residents in other specialties as well as for faculty and medical students.

Educational objectives: 

On completion, the learner will:

  • Understand Geriatric Emergency Medicine as its own subspecialty, with unique and evolving knowledge base and skills

  • Be wary of "under-triaging" geriatric patients, especially trauma patients

  • Identify acute abdominal pain in geriatric patients as often life threatening

  • Utilize the Mini Cog and ICU CAM

  • Identify delirium and understand that it requires further evaluation for an underlying cause

  • Treat pain appropriately in older patients

  • Treat agitation appropriately in older patients

  • Prepare for care transitions
Additional information/Special implementation requirements or guidelines: 

This is an interactive, case-based didactic on the evaluation of older patients in the Emergency Department (ED). This product consists of five cases of common chief complaints in the ED, as well as a lecture to describe the importance of Geriatric Emergency Medicine (EM) and highlight the keypoints of each case. The didactic is intended to begin with the Power Point lecture as a large group. Then, learners will break out in smaller teams to complete the "Precise Evaluation of Older Patients in the ED Game." Each team is provided with the packet of cases and play money, which can better demonstrate cost. The teams will work through the differential diagnoses on each case and selectively order tests to identify the correct diagnosis. Teams must keep track of the tests ordered on each case as well as total money spent. Either facilitators or one member of each team can provide results to the team from the appropriate answer key for each case. Teams then return to the large group to debrief and discuss each case. The lecture provides key learning points on each case specifically related to Geriatric EM, including atypical presentations and management. The winning team can be rewarded for spending the least while arriving at the correct diagnoses. The workshop in its entirety takes about 2 hours; however, less cases can be used for a shorter didactic. In addition, more cases can easily be added to this exercise to discuss other dieases processes. This curriculum has been used with EM residents as well as residents and faculty from other specialties and medical students.

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

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Geriatric Abdominal Pain Game.”  Society of Academic Emergency Medicine 2013. Atlanta, Geargia. May 16, 2013. (Poster, Solicited).

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Material and Methods Swap: Geriatric Abdominal Pain Game.” American Geriatrics Society 2013. Grapevine, Texas. May 5, 2013. (Oral Presentation, Invited).

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Geriatric Abdominal Pain Game.”  American Geriatrics Society 2013. Grapevine, Texas. Denver, Colorado. May 3, 2013. (Poster, Solicited).

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Educational Soundbites: Geriatric Abdominal Pain Game.” Council on Emergency Medicine Residency Directors Academic Assembly 2013. Denver, Colorado. March 7, 2013. (Oral Presentation, Invited). (1 hour, 200 faculty members)

Waller N, Biese K, Barrio K, Howarth C, Roberts E, Busby-Whitehead J. “Geriatric Abdominal Pain Game.” Council on Emergency Medicine Residency Directors Academic Assembly 2013. Denver, Colorado. March 7, 2013. (Poster, Solicited).

Date posted: 
Thu, 09/05/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 09/05/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Precise Evaluation of the Geriatric Patient in the Emergency Department. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Geriatric Incontinence and Voiding Dysfunction

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

This one hour video lecture with accompanying PowerPoint slides describes urinary incontinence among the elderly population as well as voiding dysfunction. The target audience is Interdisciplinary Healthcare Professionals.  

Educational objectives: 

On completion, the learner will be able to:

  1. Define frequency, nocturia, urgency, and incontinence
  2. Explain differences in Geriatric UI/VD including pathophysiology, co-morbities, and treatment options
  3. Describe newer treatement options available for the elderly population diagnosed with UI/VD
Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

The video may take a few moments to load based on your connection. Please wait a few minutes if it does not load right away.

Date posted: 
Thu, 06/27/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/27/2013
Product Viewing Instructions: 
The video may take a moment to load based on your connection. Please wait a few minutes if it does not appear right away.
Contact Person/Corresponding Author:



Suggested Citation:
, and . Geriatric Incontinence and Voiding Dysfunction. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Vestibular Rehabilitation

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

This one hour video lecture with accompanying PowerPoint slides describes common vestibular conditions and treatment options. The target audience is Interdisciplinary Heath Care Professionals. The images and videos found in this presentation are owned by Vanderbilt.  All participants provided consent for video to be used.

Educational objectives: 

On completion, the learner will be able to:

  1. Define vertigo and vestibular vs non-vestibular dizziness
  2. List common vestibular conditons including signs and symptoms of each
  3. List treatment options for common vestibular conditons
Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

This video may take a few moments to load based on your connection. Please wait a few minutes if it doesn't appear right away.

Date posted: 
Wed, 07/03/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 07/03/2013
Product Viewing Instructions: 
The video may take a moment to load based on your connection. Please wait a few minutes if it does not appear right away.
Contact Person/Corresponding Author:



Suggested Citation:
and . Vestibular Rehabilitation. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

Psychosis, Agitation, and their Management with Psychotropic Medications 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 one hour video lecture with accompanying PowerPoint slides describes use of psychotropic medications to manage psychosis and/or agitation in and elerly patient. The target audience is Interdisciplinary Healthcare Professionals.

Educational objectives: 

On completion, the learner will be able to:

  1. Define both Psychosis and Agitation
  2. Identify assessment tools to effectiviely diagnosis psychosis and agitation in an elderly patient
  3. List medications useful in the treatment of psychosis and/or agitation in the elderly patient
Additional information/Special implementation requirements or guidelines: 

This material is from the Geriatrics and Gerontology Interest Groups (GGIG) of Vanderbilt University

The video may take a few moments to load based on your connection. Please wait a few minutes if it does not appear right away.

Date posted: 
Thu, 06/27/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 06/27/2013
Product Viewing Instructions: 
The video may take a moment to load based on your connection. Please wait a few minutes if it does not appear right away.
Contact Person/Corresponding Author:



Suggested Citation:
and . Psychosis, Agitation, and their Management with Psychotropic Medications in Older Adults. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/36

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