The Portal of Geriatrics Online Education

Video

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

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/44

Virtual Patient Case #3: Mr. Clarence Malone - Chief Diagnosis: Dementia/Depression

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

Virtual Patient Case #3 is the third in a five part series. This is a CD-ROM containing short video clips of Mr. Malone from age 70 age 85. The clips show progression of dementia with coincident depression, degenerative joint disease, and carotid artery disease. Also included are screening tests, radiograph images, still pictures, a Doppler study and reports providing an array of resources for instructors to use to incorporate geriatrics into their teaching. To facilitate access to these audio/visual resources, these files are indexed by basic science courses, clinical rotations, and an additional 50+ other topics.

Educational objectives: 

Geriatric patients are a wonderful resource for illustrating key basic science and clinical concepts. By incorporating these learning objects into your instructional materials, we hope to achieve our ultimate goal: to provide needed exposure to issues commonly encountered with aging patients not only acutely, but life long. We hope that these easily accessible learning objects will enable you to use your creativity as a teacher to make our "virtual patients"; come alive, thereby improving the care for geriatric patients.

To integrate the AGS's Basic Competencies for Care of Older Patients (Attitudes, Knowledge, Skills) as a longitudinal thread throughout the medical student curriculum or in discrete teaching interactions by adding these case-based image resources to existing instruction. Particular emphasis focuses on:

  1. Care Giver Stress
  2. Carotid Artery Disease
  3. Dementia
  4. Depression
  5. Degenerative Joint Disease (DJD)
  6. Hypertension
  7. Interdisciplinary Teams
  8. Parkinson's Disease
  9. Prevention
Additional information/Special implementation requirements or guidelines: 

This case was created for use with medical students. It could also be used with practicing physicians. Learning environments where this case could be used include the Classroom, a Focus Group, Image Source File, Small Groups, Case Studies

This individual Virtual Patient case for Mr. Malone can be downloaded above (click Mr Malone CD Image). Once you have downloaded the CD image, follow the instructions in the help column above.

The Virtual Patient Cases can also be purchased individually or as a series. For more information, please visit our website at http://www.mcw.edu/display/docid596/GeriatricsCurr...

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

The development and implementation of the virtual patient CD-ROMs has been described in: Duthie E., Simpson D., Marcdante K., Kerwin D., Denson K., Cohan M. A Collaborative Strategy for Reciprocal Integration of Basic and Clinical Sciences. The Journal of the International Association of Medical Science Educators, 2004; 14(1):34-38.

They were also presented at the annual meetings of the Society of Teachers of Family Medicine, The Society of General Medicine, and the American Geriatrics Society.

The CD-ROMs have also been accepted by the STFM Bookstore following peer review.

Date posted: 
Tue, 08/25/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 06/06/2012
Contact Person/Corresponding Author:



Suggested Citation:
Virtual Patient Case #3: Mr. Clarence Malone - Chief Diagnosis: Dementia/Depression. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/44

Delirium Trigger Videos

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

The delirium trigger videos are one to two minute video clips produced by GeriU. The videos contain a visual scenario regarding delirium that the learners must address. There is often an emotional appeal to the video. Ask students, working in small groups, to view the situation, identify the problem, identify different courses of action, and then make recommendations. These videos deliver the information in an interactive way, step-by-step, through written text, animations, graphics and video clip demonstrations.

Educational objectives: 

The learner will be able to:

  1. Appreciate that delirium is a serious medical/surgical problem.
  2. Recognize potential risk factors for developing delirium.
  3. In a given patient, recognize characteristic findings of delirium.
Publications from, presentations from, and/or citations to this product: 

Ruiz JG, Paniagua M, Milanez M, Juan A, Phancao F, McEntire A, Picardo R. Delirium Trigger Videos (Digital videos). GeriU, the Online Geriatrics University, Stein Gerontological Institute, 2005

Ruiz J. Delirium Trigger Videos. MedEdPORTAL; 2006. Available from: www.mededportal.org/publication/229

Date posted: 
Fri, 08/01/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 08/01/2008
Contact Person/Corresponding Author:



Suggested Citation:
Delirium Trigger Videos. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/44

Geriatrics Assessment Lite

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

Geriatrics Assessment Lite is a CD based series of short 5 e-learning interactive tutorials or learning objects. These learning objects teach physicians and trainees how to perform the basic components of geriatric assessment in a fraction of the time that it would take to perform a comprehensive geriatric assessment. These learning object tutorials deliver the information in an interactive way, step-by-step, through written text, animations, graphics and video clip demonstrations.

Educational objectives: 

The learner will be able to:

  1. Perform an assessment on the functional ability of an elderly patient using ADL and IADL scales.
  2. Perform a depression assessment on an elderly patient using the Geriatric Depression Scale and SIGECAPS, and interpret the results.
  3. Describe the key components of the geriatric review of systems.
  4. Administer, score, and interpret the results of a Mini-Cog Test.
  5. Administer, score, and interpret the results of the Timed "Up and Go" Test
Additional information/Special implementation requirements or guidelines: 

GeriU, the Online Geriatrics University, at the Stein Gerontological Institute, originally created this module in January 2005. Expertise was provided by faculty members from the University of Miami Miller School of Medicine, and the Miami VA, including Drs. J. Ruiz and A. Katz (geriatricians). 

System Requirements (viewing on web)

  1. Windows OS: Internet Explorer 6.0 and above, Netscape Navigator 7.0 and above.
  2. Macintosh OS: Mozilla 1.0 and above (which uses the same engine as Netscape).
  3. Flash 6.0 or higher
Publications from, presentations from, and/or citations to this product: 

Katz A, and Ruiz JG. Geriatric Assessment Lite (CD-ROM program). GeriU, the Online Geriatrics University, Stein Gerontological Institute, 2005

Date posted: 
Tue, 02/12/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sun, 10/18/2009
Contact Person/Corresponding Author:



Suggested Citation:
Geriatrics Assessment Lite. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/44

Video PBL Cases and Accompanying Scripts: Abuse of a Child, STDs, Diabetes, Alzheimer's Disease

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

Kinkade (Academic Medicine, 80, 300-301, 2005) recently reported that 70% of U.S. medical schools use problem based learning (PBL) in their preclinical curriculum. A study investigating the impact of adding video to PBL cases for residents found that the videos added improvement in data exploration, theory building and in theory evaluation (Baslev, DeGrave, Muijtjens, & Scherpbier, Medical Education, 39, 1086-1092, 2005). This resource contains four video PBL cases and accompanying scripts. These cases address the following clinical issues: 1. Abuse of a child 2. Sexually transmitted diseases (STDs) 3. Diabetes 4. Alzheimer's disease Additionally, there are multiple psychosocial issues addressed in each including confidentiality, patient-physician communication, access to care, and several others. Also included in the resource are 3 corresponding facilitator guides.

Educational objectives: 

The learner will be able to:

  1. Enhance problem based learning (PBL) by providing live patient cases.
  2. Focus on psychosocial issues in addition to clinical disorders.
  3. Highlight physician-patient communication.
Publications from, presentations from, and/or citations to this product: 

MedEd Portal

Date posted: 
Tue, 02/05/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 02/05/2008
Contact Person/Corresponding Author:



Suggested Citation:
Video PBL Cases and Accompanying Scripts: Abuse of a Child, STDs, Diabetes, Alzheimer's Disease. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/44

Fast Forward Rounds - An Innovative and Effective Transitional Care Curriculum

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

Fast Forward Rounds (FFR) is a 3 hour course created to teach medical students how to safely transition patients between different health care settings. The course combines interdisciplinary lectures, an interactive DVD with a clinical vignette, small-group discussion, and a team-based learning exercise. FFR emphasizes the use of functional assessment to identify patients at risk for poor discharge outcomes, promotes interdisciplinary collaboration to link vulnerable patients with appropriate services, reviews Medicare/Medicaid reimbursement, and teaches students to develop comprehensive care plans. The course evaluation tool assesses participants' knowledge, attitudes and behaviors within the domains of transitional care, functional assessment, interdisciplinary team, community resources, and reimbursement. For more information about the FFR course at Cornell University, go to www.cornellaging.com/medical/.

Educational objectives: 

After completing the Fast Forward Rounds course, learners should possess greater knowledge of transitional care, improved attitudes toward promoting safe transitions and increased performance transitional care behaviors. Participants will report improved understanding of: - the roles of interdisciplinary team members (nursing, social work, physical/occupational therapy) - home care and community resources - the variety of care settings and housing options for older adults - the importance of performing a thorough functional assessment - Medicare and Medicaid reimbursement policies for various home, community, and housing services Participants will report increased proficiency in: - Performance of functional assessment - Communication with physician and non-physician providers (e.g., home health care workers, nurses, and other interdisciplinary team members) - Education of patients, families and caregivers - Medication reconciliation to prevent medication errors - Management of the discharge process of complex patients

Additional information/Special implementation requirements or guidelines: 

Please see the facilitator guide for details regarding implementation requirement and guidelines.

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

Citations: Ouchida, K, LoFaso V, Capello, C, Ramsaroop, R, and Reid, MC Fast Forward Rounds: An Effective Method for Teaching Medical Students to Safely Transition Patients Across Care Settings J Am Geriatr Soc 2007;55:s185 Presentations Northeast Group on Educational Affairs Annual Educational Retreat June 2007 Society of General Internal Medicine Annual Conference April 2008

Date posted: 
Thu, 09/24/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/17/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . Fast Forward Rounds - An Innovative and Effective Transitional Care Curriculum. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/44

GENI Players Standardized patient video

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

This product uses standardized patients in dramatizations that focus on teaching as well as clinical care. There are two takes to the dramatizations. The second take incorporates comments that learners who have viewed the dramatizations suggest as well as pre planned alterations for take two. The user will view the actual dramatizatizations on CD ROM and the scripts used to create them. To obtain a copy of the CD ROM, please contact the author.

Educational objectives: 

This module is designed to: -Enhance audience participation -Reinforce geriatrics teaching points -Present geriatrics clinical application of Relationship-Centered Care -Present clinical application of teaching geriatrics The learner will be able to: 1) Teach geriatrics content 2) Apply the Four Habits Model of Relationship-Centered Care 3) Understand the clinical application of geriatric syndromes (dementia, depression, falls and urinary incontinence)

Additional information/Special implementation requirements or guidelines: 

The CD ROM may be used to train standardized patients to become "GENI Players" or for the audience demonstration. Praciticing physicians and residents have used this product.

Date posted: 
Tue, 01/22/2008
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Sat, 10/17/2009
Contact Person/Corresponding Author:



Suggested Citation:
GENI Players Standardized patient video. POGOe - Portal of Geriatrics Online Education; 2008 Available from: https://pogoe.org/taxonomy/term/44

CHAMP (Curriculum for the Hospitalized Aging Medical Patient): PAIN CONTROL

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

"Pain Control" module is part of the CHAMP faculty development program, which aims to improve inpatient, geriatric medical care through a "teach the teacher" approach. It is central to one of CHAMP's themes, improving palliative and end of life care. Teaching materials include: a slide presentation with speaker's notes; bedside teaching triggers on assessing and treating pain and opiate conversions; a pocket teaching card; references; a sample session evaluation form; and the "CHAMP Overview and User's Guide." The weblink enables users to access to all CHAMP course materials.

CHAMP 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 course is organized around four themes in geriatric inpatient care: identifying and assessing vulnerable elders, preventing hazards of hospitalization, improving palliative and end of life care, and managing transitions of care. CHAMP addresses 15 geriatric topics and includes a mini-course entitled, "Teaching on Today's Wards," on advanced clinical teaching skills and teaching across the ACGME Core Competencies in the inpatient setting.

1 hour of Category 1 CME credit was awarded to physicians who participated in this session.

Educational objectives: 

The CHAMP "Pain Control" module teaches learners:

  1. How to use pain intensity scales at bedside with older adult patients;
  2. Recognize pain in persons with dementia;
  3. Use the WHO 3-step ladder for pain management;
  4. Use the opiate conversion table; and
  5. Manage side effects from opiates.
Publications from, presentations from, and/or citations to this product: 

Cumbler, E. (2009, October). Curriculum for the hospitalized aging medical patient review. Journal of the American Geriatrics Society, 57(10), 1915-1916. Also available online.

Date posted: 
Fri, 08/07/2009
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 08/07/2009
Contact Person/Corresponding Author:



Suggested Citation:
CHAMP (Curriculum for the Hospitalized Aging Medical Patient): PAIN CONTROL. POGOe - Portal of Geriatrics Online Education; 2009 Available from: https://pogoe.org/taxonomy/term/44

Health Literacy and the Older Adult Module - Online

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

This is a comprehensive web-based, online interactive module on Health Literacy in the Older Adult. It incorporates multiple modalities including hyperlinked text and resources, videos, mini-quizzes, and examples of health literacy assessment tools--all held together by an engaging speaker and guide through the module.

Educational objectives: 

The learner will be able to:

  1. State the prevalence of limited health literacy in the American adult population in general and in the geriatric population in particular;
  2. List risk factors for limited health literacy;
  3. Explain how to determine the prevalence of limited health literacy in a medical practice; and
  4. Explain techniques for improving communication with all patients, including those who have limited health literacy skills.
Publications from, presentations from, and/or citations to this product: 

Glass, A. P. and Butler, D. Q. (2010, January). Health literacy and older adults. Journal of the American Geriatrics Society, 58(1), 152-153. Also available online.

Date posted: 
Mon, 10/17/2016
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/17/2016
Contact Person/Corresponding Author:



Suggested Citation:
and . Health Literacy and the Older Adult Module - Online. POGOe - Portal of Geriatrics Online Education; 2016 Available from: https://pogoe.org/taxonomy/term/44

Pain Management and Palliative Care (Faculty Toolkit)

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

This DVD is designed as a "tool kit" for health professions faculty of multiple disciplines that can be downloaded or used for screen or web-based presentation. Modules are narrated and can be downloaded to an iPod. Five (5) modules include: Module I - Difficult Decisions at the End of Life; Module II - Pain Management in the Elderly; Module III - Palliative Care and the Role of Hospice; Module IV - The Final Hours: Symptom Management and the Dying Process; and Module V - The Final Hours: Acknowledging Cultural Diversity. Pre/post-test evaluations, citations/reference lists, sample test questions, and a case study that highlights the Interdisciplinary Approach to Pain Management in the Geriatric Patient, with accompanying questions and key discussion points, are also included.

Educational objectives: 

Provide health professions faculty with teaching "tools" on interdisciplinary, culturally sensitive approaches and therapeutic interventions in providing palliative care and pain management for the elderly.

At the end of Module I, Difficult Discussions at the End of Life, learners should be able to:

  • Know why the communication of bad news is important
  • Understand the 6-step protocol for delivering bad news
  • Discuss 3 different circumstances in which bad news is delivered


At the end of Module II, Pain Management in the Elderly, learners should be able to:

  • Recognize the prevalence of pain in the elderly
  • Be familiar with two pathophysiologic types of pain and common causes of each in the elderly
  • Understand the challenges to assessment of pain in the older patient
  • Be able to recommend pharmacologic treatment to older patients


At the end of Module III, Palliative Care and the Role of Hospice, learners should be able to:

  • Define Palliative Care
  • Distinguish Palliative Care from Hospice Care
  • Identify alternatives to aggressive care in patients with end stage medical conditions
  • Describe the role of the physician as a member of the interdisciplinary team in End of Life Care


At the end of Module IV, The Final Hours: Symptom Management and the Dying Process, learners should be able to:

  • Describe the pathophysiology of dying
  • Review the impact of personal, cultural, religious beliefs and rituals in the dying process
  • Discuss symptom management at the end of life
  • Assess and manage acute and initial grief reactions in families and caregivers
  • Discuss the tasks of grieving and role of the interdisciplinary team in providing support to families


At the end of Module V, The Final Hours: Acknowledging Cultural Diversity, learners should be able to:

  • Acknowledge the impact of personal beliefs, cultural and religious implications and rituals in the dying process
  • Define loss and understand the nature of loss
  • Discuss the role of the interdisciplinary team before, during and after loss
Additional information/Special implementation requirements or guidelines: 

Materials were used by medical school faculty and presented to more than 500 medical students, residents, dietitians, nurses, social workers, faculty of multiple disciplines, and health administrators from ambulatory, acute, and long term care settings. Learning occurred during Grand Rounds sessions, faculty development sessions, and in classroom lecture sessions. Grand Rounds were video-conferenced to multiple sites. The product is designed as a teaching "tool kit" for use by health professions faculty of multiple disciplines. It contains 5 modules on aspects of palliative care and pain management that are narrated PowerPoint presentations, each with lecture notes, pre/post-test evaluation tools, and sample test questions. An interdisciplinary case study on pain management in the geriatric patient, with questions and key discussion points is included. The materials can be used on the web, viewed on the computer or narrative versions of the PowerPoint presentations downloaded to iPod. Each module can be used individually, for self-guided instruction, if the faculty member makes them available to learners. An extensive list of resources and web links is provided.

Date posted: 
Mon, 11/12/2007
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 10/26/2009
Contact Person/Corresponding Author:



Suggested Citation:
, and . Pain Management and Palliative Care (Faculty Toolkit). POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://pogoe.org/taxonomy/term/44

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