The Portal of Geriatrics Online Education

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A product that is primarily delivered in video format. Usually contains audio as well.

Building Caregiver Partnerships Through Interprofessional Education

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

Family caregivers are on the frontlines managing complicated chronic illnesses, assisting with day-to-day functioning, and providing direct care to manage symptoms and improve the quality of life of their loved ones. Yet, health professions students, medical/surgical residents, and care providers receive little, if any, training on the vital role that caregivers play on the healthcare team and how, effective partnering optimizes patient care throughout the illness trajectory and at end-of life.

The goal of Building Caregiver Partnerships through Innovative Interprofessional Education is to create effective partnerships between healthcare providers and family caregivers to reduce the burdens, ease suffering, and enhance the meaning of the caregiving experience for the patient, family and health care providers.  The project centers on a 20-minute film, No Roadmap: Caregiver Journeys, which features the compelling stories of four caregiving families. The film and companion discussion guides as well as resources for case-based learning and structured clinical encounters are freely accessible on the website. http://www.neomed.edu/medicine/palliativecare/building-caregiver-partnerships/

The website is designed so that faculty can easily select the materials that best fit their learners’ needs and the time constraints within their programs. The curricula is appropriate for medical, pharmacy, nursing, and other health professions educational programs at both undergraduate and graduate levels. Additionally, tools have been developed for interdisciplinary team-based forums and health provider training.  For medical/surgical residency programs, relevant ACGME milestones are identified. 

Educational objectives: 

The objectives of the educational tools are to prepare learners to:
• Describe home-based eldercare as a shared experience and the importance of building a relationship with family caregivers and care recipients based on trust, compassion and open communication; 
• Describe the vital role of family caregivers as important, but under recognized, members of the health care team;
• Discuss the meaning and challenges of family caregiving;
• Engage caregivers in meaningful discussions to identify the needs, values and goals of their caregiving family;
• Identify resources to address caregiver concerns and provide ongoing support; and
• Provide holistic team-based care to family caregivers that improves the quality of life for the care recipient and the caregivers. 

 

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

~~Date/Location Meeting/Forum Presentation Title Presenter(s)
Jan 28-31, 2016, Phoenix, Arizona; Society of Teachers of Family Medicine; 45 min presentation;  Exploring Caregiver Journeys: A Curricular Tool for Family Medicine Clerks;  D. Sperling; J.T. Thomas

March 10-13, 2016; Chicago, Ill;  American Academy of Hospice and Palliative Medicine;  60-min workshop; Using Film to Foster Empathetic Partnerships between Care Providers and Family Caregivers;  J. Drost; E. Scott; M. Scott; D. Damore; S. Radwany

May 19-21, 2016; Long Beach, Ca; American Geriatrics Society; Poster; Building Caregiver Partnerships Through Innovative Health Professions Education; E. Scott, S. Radwany, D. Drost, K. Baughman, B. Palmisano, M. Sanders

May 19-21, 2016; Long Beach, Ca; American Geriatrics Society; Educational Product Session; Building Caregiver Partnership Through Innovative Health Professions Education; J. Drost; B. Palmisano

May 25, 2016; NEOMED Department of Family and Community Medicine Resident Scholarship Day; 15 min presentation; Exploring Caregiver Journeys: A Curricular Tool for Family Medicine Residents; D. Sperling; J.T. Thomas
 

Date posted: 
Mon, 12/12/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 09/23/2020
Contact Person/Corresponding Author:



Suggested Citation:
Building Caregiver Partnerships Through Interprofessional Education. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/44

3D (dementia, depression, delirium) Flipped Classroom Didactic for Medical Students

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

Background: Dementia, delirium, and depression are core minimum competencies outlined by the AAMC (Association of American Medical Colleges) for medical students by graduation. Focus groups with Hopkins’ medical students found that they had variable clinical experiences with 3Ds during neurology and psychiatry rotations and found it challenging to take a history from a patient with cognitive impairment.
Methods: A joint curriculum was established with psychiatry and neurology core clerkship directors for third and fourth year medical students. Pre-session: PowerPoint with information on 3Ds, mini-cog, 4AT, and PHQ-9. Using pre-recorded simulated videos, students completed worksheets and discussed in class. Additionally we incorporated an in person caregiver interview. We assessed students’ knowledge with in-class audience response questions, pre and post evaluations on how well learning objectives were addressed, and three month post didactic to assess behavior change. This curriculum will be repeated 4 more times during 2015-2016 academic year.
Results: In the first 3 quarters, 64 students completed didactic. Students scored 44-78% correct on 3/6 knowledge test questions (other 3 questions scored >90% correct). Students demonstrated most improvement in use and interpret mini-cog for dementia screen and 4AT for delirium screen as well as communication skills with patients and caregivers. No self-reported change pre and post didactic for students’ ability to differentiating between dementia and depression, or between dementia and delirium. Most importantly, a majority of students identified the importance of communicating with caregivers and providing support not only for the patient, but also for the caregiver. At three months follow up survey (75% completion rate), students identified communication techniques and understanding caregiver’s challenges as the most useful “take home” points from didactic.
Conclusions: Overall the 3D didactic was well received by medical students. They improved in identifying when to use screening tools for 3Ds, which may translate from knowledge to behavior at their next rotations. They also overwhelmingly identified the importance of communicating and assessing caregivers’ needs. More data will be collected during additional sessions this academic year. This curriculum could be easily disseminated without much additional resources.

Educational objectives: 

Knowledge & Skills objectives:
1. Recognize, compare and contrast  delirium, dementia, and depression in various clinical presentations.
2. Formulate a differential diagnosis and implement initial evaluation in a patient who exhibits delirium, dementia, or depression by evaluating video interviews among patient, caregiver, and provider triad communication skills.
3.  Assess an older patient with delirium, initiate a diagnostic work-up to determine the root cause (etiology), by identifying predisposing factors and differential diagnosis of delirium, by utilizing  non pharmacologic strategies for delirium.
4. Perform and interpret a cognitive assessment in older patients for whom there are concerns regarding memory or function by demonstrating the ability to differentiate the result of 4AT (rapid assessment test of delirium) based on video interview of delirious patient.  Proficiency to use Mini-Mental Status Exam (MMSE)and mini-cog to determine cognitive impairment.

Program/process Objectives:
• ≥ 95% of medical students in neurology and psychiatry rotation will attend the dementia day.
• Of students who attended didactic in person, 100% of the medical students will have demonstrated the ability to distinguish dementia, delirium, and depression using worksheets based on video interviews.

 

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

AGS poster presentation 2016

AGS Educational Showcase 2016

Date posted: 
Tue, 07/26/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 07/26/2016
Contact Person/Corresponding Author:



Suggested Citation:
3D (dementia, depression, delirium) Flipped Classroom Didactic for Medical Students. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/44

Your Role in Delirium Detection and Treatment: An Interdisciplinary Approach

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

This 24 minute video defines delirium and clarifies the role of each member of the acute care interdisciplinary team in detecting delirium and communicating with team members in the SBAR format (Situation, Background, Assessment and Request/Recommendation.)  The Confusion Assessment Method (CAM) is highlighted as the tool to use for delirium detection.  The video includes some voiceover with PowerPoint slides and a TeamSTEPPS video depictng a hospital nurse SBAR report to a provider on a patient with possible delirium. 

Educational objectives: 

Upon completion of this material, you will be able to:

  • Define and understand delirium and its significance in patient care.
  • Learn how to administer and interpret the Confusion Assessment Method (CAM.)
  • Define your role on an interdisciplinary team in caring for hospitalized patients with delirium.
  • Learn how to communicate effectively about delirium using SBAR (Situation, Background, Assessment, Request/Recommendation).

 

Date posted: 
Mon, 06/13/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 06/13/2016
Contact Person/Corresponding Author:



Suggested Citation:
Your Role in Delirium Detection and Treatment: An Interdisciplinary Approach. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/44

Interprofessional Grand Rounds

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

The Rowan University School of Osteopathic Medicine, together with the Rutgers University School of Nursing, and Rutgers School of Health Related Professions, piloted an interactive, team-based “Interprofessional Grand Rounds” as an instructional strategy to promote interprofessional care plan development and enhance understanding of roles and responsibilities across disciplines.  A total of 235 nursing, physical therapy, respiratory therapy, and medical students collaborated in small groups to problem-solve a complex, multi-faceted case presented with video elements to facilitate gait analysis.  Students answered case study questions using an innovative scratch-off ticket technique.  A team of interdisciplinary faculty facilitated the case-based group discussions. 

Educational objectives: 
  • Explain the importance of effective team communication in a healthcare setting
  • Stimulate team skills in respectful communication and cooperation by creating collaborative interprofessional groups
  • Report increased knowledge of other health care professions and individual confidence in taking an active role as a member of an interprofessional team
Additional information/Special implementation requirements or guidelines: 

Students were seated in small groups of 5 to 7 students representing different health care professions.  This design created a collaborative atmosphere and allowed open communication among the students from all professions.

  • Chairs in clusters (no tables)
  • Mixture of team members from each health care profession
  • Typical team composition: 3 to 5 Medical Students, 1 Nursing student, 1 to 2  Physical Therapy students, and 1 Respiratory Therapy student
Date posted: 
Mon, 10/12/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/12/2015
Contact Person/Corresponding Author:



Suggested Citation:
Interprofessional Grand Rounds. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/44

The Geriatric Transitions Objective Structured Video Examination (GT-OSVE)

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Product Information
Estimated time to complete: 
3
Abstract: 

OSVEs (Objective Structured Video Examinations) may be used to teach principles of effective interdisciplinary team-based transitional care.  First introduced at the Medical College of Wisconsin in the mid-1990s, the OSVEs were used as brief “trigger videos” demonstrating ACGME competencies to which trainees would respond by completing multiple-choice or fill-in-the blank questions.  The Geriatric Transitions OSVE (GT-OSVE) replaces the individual, paper-based exercise with an experiential, team-based exercise focused on transitions of care.  The GT-OSVE also addresses interprofessional (IPE) competencies, including the importance of understanding the roles of other health care professionals.  A series of three GT-OSVE cases was developed with HRSA Geriatric Academic Career Award support (#K01HP20487) to meet an unmet need in care transitions education.  Most existing care transitions educational materials focus on the time of hospital discharge.  The three GT-OSVE cases focus instead on post-hospital transitional care in various settings, including the outpatient primary care clinic, skilled nursing facility and assisted living facility.  The GT-OSVE case presented here (“Hospital to Outpatient Care Transition”) is the first case in this series and addresses the first post-hospital primary care outpatient visit.  The GT-OSVE “Hospital to Outpatient Care Transition” case is a required component of the Patient-Centered Medical Home (PCMH) rotation for third-year family medicine residents at the University of Utah.  These residents work with clinical pharmacy residents and physician assistant students to complete the GT-OSVE exercise.  The GT-OSVE was designed to be applicable to health professions trainees ranging from novice (e.g. preclinical medical student) to advanced (e.g. senior medical resident), and to be equally relevant to both interdisciplinary teams and teams whose members are all of the same discipline.

Educational objectives: 

Upon completion of this material you will be able to: 

1. Understand best practices in post-hospital transitional care.
2. Acquire practical experience in formulating a high-quality, team-based transitions plan.
3. Discuss the contributions of other health professions trainees in formulating effective transitions.

Additional information/Special implementation requirements or guidelines: 

Order of Resource Files


First, trainees should complete the pretest and self-efficacy survey.


Second, faculty facilitator(s) should consider emailing trainees the links to the online transitions and team functioning modules found in the optional advance preparation assignment document.  This content may be reviewed on each trainee’s own time prior to the didactic session.  The “Geriatric Interdisciplinary Team Training (GITT)” module is freely available; permission has been granted from the author of the “Transitions of Care:  Leaving the Hospital” module to use this module as an advance preparation assignment for the GT-OSVE.


Third, faculty should deliver the care transitions didactic presentation to trainees prior to the GT-OSVE exercise.  This didactic reinforces and expands upon the care transitions and team leadership content of the optional advance preparation assignment.


Fourth, on the day of the GT-OSVE exercise, faculty should ask each team member to discuss his or her role (e.g. resident, physician assistant, pharmacist, nurse, social worker).  A team leader (not necessarily the medical student or resident) should be identified.   Faculty should review the faculty and team leader instructions and discuss them with the team (see also “Facilitation Schema” below).  Trainees should then be provided with the hypothetical patient chart corresponding with Mr. John Coleman so that they have access to the same information as the resident physician depicted in the video.  Trainees should also be provided with the after-visit summary template that prompts them to consider Coleman’s “four pillars” of transitional care as well as barriers to transitional care.


Fifth, the video file, “Hospital to outpatient care transition,” should be shown.  The team leader should facilitate team discussion and should elicit the contributions of each team member.  After the team discussion, the team leader should present to faculty the transitions plan agreed upon by the team.  The faculty checklist of care transitions and team leadership domains should be used by faculty to help track the extent to which the team leader addresses key care transitions domains and identifies barriers to the transitions plan during his or her presentation of the transitions plan, and also the extent to which the team leader facilitates the transitions plan among the team. Finally, each trainee should complete the post-test and self-efficacy survey.


Practical implementation advice
The GT-OSVE case, “Hospital to Outpatient Care Transition,” was designed to ease the scheduling demands often inherent in interdisciplinary education.   Since this GT-OSVE case presents a videotaped encounter with a standardized patient, programs do not need to compensate or schedule standardized patients.  Required materials include a computer with Internet access, PowerPoint slides, and hard copies of ancillary materials including pretest and posttest surveys, faculty and team leader instructions, hypothetical patient chart materials, after-visit summary template and faculty checklist.  Optional materials include the advance preparation assignment and a projector and screen, although the video case can be displayed on a laptop with small groups.  Trainees will require 40 minutes to review the online modules prior to GT-OSVE administration.  Faculty should allow approximately 60 minutes on the day of the GT-OSVE exercise to include the following activities: explanation of the GT-OSVE exercise (10 minutes), viewing of the “Hospital to Outpatient Care Transition” video case (10 to 15 minutes), team formulation of the transitions plan (10 minutes), presentation of the transitions plan by the team leader to faculty (5 minutes), faculty debrief and team discussion (10 minutes) and completion of the posttest survey (5 minutes).  At least one faculty member must be present to set up the video and hard copy materials, introduce the case and debrief trainees at the end of the session.  Whenever possible, faculty from additional disciplines should participate to enrich the feedback provided to trainees during the debriefing component.  Estimated faculty preparation time includes reviewing the online modules (40 minutes), PowerPoint slides and GT-OSVE case (60 minutes), and hard copy materials (30 minutes).

Strategies to avoid potential pitfalls
We have noticed several potential pitfalls when administering the GT-OSVE “Hospital to Outpatient Care Transition” case.  First, depending on the personality of the trainees involved, one trainee sometimes dominates the team discussion.  In order to ensure that each trainee contributes to the transitions plan equitably, we created the after-visit summary template containing the “four pillars” of effective care transitions as well as a fifth component (barriers to an effective transition).  We ask each trainee to jot down notes on this after-visit summary template as they watch the GT-OSVE with the expectation that the team leader will elicit and integrate the contributions of each trainee.  This approach has reduced the tendency of one team member to dominate the discussion.  Second, we noticed that the 4 minute and 36 second pre-visit planning section section (from 0:00 to 4:36) and the 3 minute and 14 second post-visit planning section of the GT-OSVE “Hospital to Outpatient Care Transition” video (from 12:01-15:15), which depicts a resident physician modeling pre and post-visit planning with a medical assistant and a care manager, can prompt trainees with numerous items to include in the transitions plan.  As a result, we generally reserve the pre and post-visit planning sections of this GT-OSVE case for more novice teams of trainees, such as preclinical medical students, who are less likely than more advanced trainees to be familiar with the medical home setting.  This reduces the length of the video to 9 minutes and 10 seconds (4:37 – 12:00 and 15:16-17:03). Third, we noticed that stopping the video at 12:00 (just after the conversation with Mr. Coleman and his daughter-in-law) works well since, when trainees viewed the end of the clinical encounter (15:16 – 17:03) before discussing the case as a team, they provided feedback that the office visit was over and that parts of the transitions plan had already been presented in the video before they had an opportunity to formulate their own transitions plan.  We now play the last part of the clinical encounter (15:16-17:03) after the trainees present their transition plan.  This approach has worked well since the final segment demonstrates that even a carefully crafted transitions plan might not succeed if the patient is not fully engaged in the plan.  Finally, there may be instances in which more than one trainee from a single discipline is present (e.g. two physician assistant students).  When this occurs, we encourage the “duplicate” trainee to consider attending to aspects of the case they might not often address (e.g. nutritional, psychosocial, or functional issues).  We feel this approach helps increase trainees’ appreciation for the roles of other disciplines, even when trainees from other disciplines are not present, and also demonstrates that team members’ roles can often overlap.


Limitations of the resource and opportunities for improvement
The most important limitation of the GT-OSVE involves its videotaped format.  Although the videotaped standardized patient encounter ensures lack of variability in the case from session to session, we are unable to reproduce the spontaneity of live interactions between trainees and the standardized patient.  However, faculty can rewind the video to replay particularly noteworthy video clips and use this technique as a basis for discussion with their trainees.  The GT-OSVE could also serve as a training video to create a live OSCE session dedicated to care transitions.  We also recognize that the length of time (25 to 30 minutes) allotted for the team members to watch the video, formulate a transitions plan and present to a faculty preceptor may be longer than the time allotted during a real-world post-hospital primary care outpatient visit.  We mention in our faculty debrief to trainees that they may have less time to conduct real-world transitional care visits, and we emphasize that best practices in care transitions taught by the GT-OSVE case can be an organizing principle to help them structure what can otherwise be chaotic office visits following hospital discharge.  We also discuss in our faculty debrief to trainees the importance of other team members’ roles and working as a team to best meet the complex needs of vulnerable older adult patients in a timely fashion.

Permissions for Advance Preparation Assignment Materials

The GITT (Geriatrics Interdisciplinary Team Training) modules are freely available online from the Hartford Institute for Geriatric Nursing.

The online module entitled "Transitions of Care:  Leaving the Hospital" is used with permission from Kathyrn Eubank, MD.

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

Publications
Farrell T, Brunker C (2015). GT-OSVE: A Method to Teach Effective Interdisciplinary Team-Based Post-Hospital Transitional Care [Web]. MedEdPORTAL Publications.  Available from: https://www.mededportal.org/publication/10129 http://dx.doi.org/10.15766/mep_2374-8265.10129 - See more at: https://www.mededportal.org/publication/10129#sthash.R35yConZ.dpuf.


Farrell TW, Brunker C, Wong B, Luptak M, Supiano KP (2015). Health professions trainees' satisfaction with the Geriatric Transitions Objective Structured Video Examination (GT-OSVE) and self-efficacy in care transitions domains [Abstract]. Journal of the American Geriatrics Society, 63(S1), S56.


Farrell TW, Brunker CB (2014). Tools you can use: geriatric structured video examination [Web]. John A. Hartford Foundation. Available from: http://www.jhartfound.org/blog/tools-you-can-use-geriatric-transitions-objective-structured-video-examination/


Presentations
Farrell TW. Health professions trainees' satisfaction with the Geriatric Transitions Objective Structured Video Examination (GT-OSVE) and self-efficacy in care transitions domains. American Geriatrics Society 2015 Annual Scientific Meeting, National Harbor, MD.


Farrell TW, Brunker CP, Supiano KP (2015). The Geriatric Transitions Objective Structured Video Examination (GT-OSVE): an interdisciplinary approach to teaching and assessing best practices in transitional care. University of Utah Division of Geriatics: Research in Progress series.


Farrell TW and Brunker CB (2014). The Geriatric Transitions Objective Structured Video Examination (GT-OSVE): an interdisciplinary approach to teaching and assessing best practices in transitional care. Society for Social Work Leadership in Health Care (SSWLHC) 49th Annual Conference, Salt Lake City, UT.


Farrell TW (2014). Geriatric Transitions Objective Structured Video Examination (GT-OSVE). Department of Veterans Affairs National GEC Leads Virtual Conference.


Farrell TW and Brunker CB (2014). Geriatrics Transitions Objective Structured Video Examination (GT-OSVE). HRSA Geriatric Academic Career Award: Quarterly Technical Assistance Call.


Farrell TW (2014).  Geriatrics Transitions Objective Structured Video Examination (GT-OSVE).  John A. Hartford Center of Geriatric Nursing Excellence annual site visit.


Luther B, Farrell TW, Wilson R (2014). Innovative methods of developing interprofessional education. University of Utah College of Nursing Care Management Workshop: Developing Skills of Change. Salt Lake City, UT.


Farrell TW. Objective structured video examinations (OSVEs) focused on transitions of care. Presented at Education Product Showcase, American Geriatrics Society 2013 Annual Scientific Meeting. Grapevine, TX.


Farrell TW, Brunker CB (2013). Geriatric transitions objective structured video examination (OSVE). Marketplace II session, Donald W. Reynolds Foundation 11th Annual Grantee Meeting. Coronado, CA.


Farrell TW, Brunker CB (2012). Geriatric transitions objective structured video examination (OSVE). Presented at Marketplace I session, Donald W. Reynolds Foundation 10th Annual Meeting. St. Louis, MO.


Farrell TW (2012). Geriatric Transitions Objective Structured Video Examination (OSVE).  John A. Hartford Center of Geriatric Nursing Excellence annual site visit. Salt Lake City, UT.


Farrell TW (2012).  Geriatrics Transitions Objective Structured Video Examination (GT-OSVE).  John A. Hartford Center of Geriatric Nursing Excellence annual site visit.  Salt Lake City, UT.


Farrell TW and Nagoshi M (2012).  Interprofessional education products developed by the University of Utah and the University of Hawaii. 'Geri-West' consortium conference call.


Citations
US Department of Health and Human Services.  Multiple chronic conditions resource summary:  Geriatric Transitions Objective Structured Video Examination (GT-OSVE).  Available at:  http://www.hhs.gov/ash/initiatives/mcc/educational...

 

 

 

 

Date posted: 
Thu, 10/06/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 06/30/2019
Product Viewing Instructions: 
Each user is asked to indicate his or her name, degree, academic title, name of institution or organization, contact information, purpose for using OSVE videos, and disciplines of those using the videos.
Contact Person/Corresponding Author:



Suggested Citation:
The Geriatric Transitions Objective Structured Video Examination (GT-OSVE). POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/44

Diabetes Management in Long Term Care

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

Guidelines for managing diabetes in older adults and particularly the long-term care population have changed significantly over recent years.  Changes have included redefining HbA1c goals based on patient comorbidities and function.  Additional emphasis has been placed on discontinuing the use of sliding scale insulin in the long-term care population.  The current guidelines are reviewed, and a practical approach to the day-to-day management of diabetes in long-term care is outlined.

Educational objectives: 

1. To review recommended HbA1c goals determined by patient comorbidities.

2. To review recommendations regarding the use of sliding scale insulin in LTC patients.

3. To outline a practical approach to the day-to-day management of diabetes in the long-term care setting.

Date posted: 
Tue, 05/26/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 04/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
Diabetes Management in Long Term Care. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/44

Gait Disorders in the Elderly

:  
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 educational modules teaches learners how to recognize normal patterns of gait in the elderly and discuss various geriatric gait disorders.  There is a quiz at the end of the module.

Educational objectives: 

After reviewing the module, learners should be able to:

1) observe and assess gait disorders in the elderly.

2) classify and describe gait disorders in the elderly.

3) know when to refer for more specialized care.

Additional information/Special implementation requirements or guidelines: 

Authors:  Richard B. Dewey, Jr., MD; Shilpa Chitnis, MD; Cherian Abraham Karunapuzha, MD

Geriatrician: Amit Shah, MD

Medical Illustrator: Lindsay Oksenberg, MA

Date posted: 
Wed, 12/10/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 12/10/2014
Product Viewing Instructions: 
Quicktime is needed
Contact Person/Corresponding Author:



Suggested Citation:
Gait Disorders in the Elderly. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/44

Evaluation and Management of Late Life Psychosis

:  
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, web-based, interactive educational module addresses the evaluation and management of psychosis in older adults.

Educational objectives: 

After reviewing this module, learners should be able to:

1) list examples of psychotic symptoms.

2) describe the steps involved in performing a diagnostic work-up.

3) summarize treatment principles.

Additional information/Special implementation requirements or guidelines: 

Author:  Mary Camp, MD

Geriarician:  Amit Shah, MD

Medical Illustrator:  Lindsay Oksenberg, MA

Date posted: 
Tue, 01/20/2015
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/20/2015
Contact Person/Corresponding Author:



Suggested Citation:
Evaluation and Management of Late Life Psychosis. POGOe - Portal of Geriatrics Online Education; 2015 Available from: https://pogoe.org/taxonomy/term/44

Cognitive Assessment in the Elderly

:  
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 module demonstrates how to administer the Montreal Cognitive Assessment Test (MoCA).  The MoCA was created to screen patients who present with mild cognitive complaints and who usually perform in the normal range on the Mini-Mental State Examination or MMSE.

Educational objectives: 

After reviewing the module, learners should be able:

  • to know when to utilize the MoCA to screen a patient.
  • to know how to perform and score the MoCA.
Additional information/Special implementation requirements or guidelines: 

Quicktime is needed to view this video.

Author:  Mary Ellen Quiceno, MD

Geriatrician:  Belinda Vicioso, MD

Medical Illustrator: Lindsay Oksenberg, MA

Date posted: 
Tue, 12/02/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 12/02/2014
Contact Person/Corresponding Author:



Suggested Citation:
Cognitive Assessment in the Elderly. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/44

Degenerative Aortic Stenosis

:  
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: 

The UT Southwestern SAGE Aortic Stenosis module is self-directed learning of degenerative aortic stenosis in the elderly. After completion of the program, medical students will have reviewed the disease, patient presentation, physical exam and treatment of aortic stenosis.

Educational objectives: 

After completion of the aortic stenosis module, learners will be able to describe:

  • anatomy and physiology of aortic stenosis
  • patient symptoms of aortic stenosis
  • diagnosis of aortic stenosis
  • treatment of aortic stenosis
Additional information/Special implementation requirements or guidelines: 

Quicktime is needed to view this material.

Author:  Melane Sulistio, MD

Geriatrician:  Kathryn Eubank, MD

Medical Illustrator: Lindsay Oksenberg, MA

Date posted: 
Tue, 12/02/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 12/02/2014
Contact Person/Corresponding Author:



Suggested Citation:
Degenerative Aortic Stenosis. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/44

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