The Portal of Geriatrics Online Education

Virtual Patient

An interactive computer program that simulates a real-life clinical scenario in which the learner acts as a health care professional performing clinical skills (e.g. medical interview, physical exam, diagnostic and/or therapeutic decisions).

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/45

Transitions of Care: Online Curriculum

:  
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 presents a series of case studies with patient information, interactions with medical staff, analysis, diagnosis and care recommendations. It is designed to build knowledge and skill in transitions of care and to test your knoweldge proficiency levels.

Educational objectives: 

At the end of the training, you will be able to:

  • Interpret a case where multiple transitions of care in the hospital and within the community are involved
  • Review important principles involved in transitions of care
  • Recognize adverse outcomes of poor transitions of care
  • Decide which procedures and what techniques are necessary to ensure a proper transition in care
Date posted: 
Thu, 08/07/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 08/07/2014
Contact Person/Corresponding Author:



Suggested Citation:
Transitions of Care: Online Curriculum. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/45

Caring Across the Continuum: Mrs. Porter Age 88

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

Caring Across the Continuum: An Aging Virtual Patient Series. Case Four: Mrs. Porter Age 88 - Introduction to Palliative Care. This case, the fourth in a four-part series about the virtual patient, Mrs. Porter, introduces the learner to palliative care and hospice concepts and is set in an Acute Care for the Elderly (ACE) Unit.  Mrs. Porter has become less mobile, weak and is depressed. She has become more confused and has unintentionally lost 12 pounds since her last visit with Dr. Pat three months ago. Concepts included in this case are conducting a functional and nutritional assessment; setting goals of care; conducting a family conference; discussing Do Not Resuscitate (DNR) orders; discussing a hospice referral;  and, recognition of the interprofessional practitioners’ contributions to patient care.The case concludes with a home hospice care order for Mrs. Porter. The learner is asked to write a discharge summary for Geriatric Failure to Thrive, taking into account all the details in the case example of Mrs. Porter's family meeting with the interprofessional team.

Educational objectives: 

On completion of Case Four: Mrs. Porter Age 88, students will be able to:

  1. Recognize the clinical presentation of malnutrition
  2. Identify common contributing factors of malnutrition in older adults
  3. Define palliative care
  4. Identify at least three characteristics of palliative care
  5. Define general hospice criteria and criteria for failure to thrive/debility
  6. Demonstrate the ability to express the relative risks and benefits of treatment options
  7. Identify the key steps in conducting a family meeting;
  8. Describe strategies for working with families when there is disagreement or indecision
  9. Document a complete summary of the family conference
Additional information/Special implementation requirements or guidelines: 

This product is one part of a short series consisting of the following products:

As an innovative, virtual learning series, this web-based series of cases spans the 21-year relationship of care between geriatrician Dr. Patricia Thompson and her patient, Mrs. Alice Porter. This virtual learning experience for medical students, based on the Association of American Medical Colleges (AAMC) competencies, is designed to pique interest and enhance knowledge and skills in the care of older adults. The web-based learning environment provides students the unique opportunity to observe and interact with Mrs. Porter, in an ongoing doctor-patient relationship, outside of the traditional classroom setting. The series exposes students to the importance of continuity of patient care, since each case correlates to a different year of medical school education. As the medical student advances in their curriculum, Mrs. Porter continues to age, requiring more complex care and further application of critical thinking skills from the student. Each case has a unique focus that targets key geriatric and/or palliative concepts appropriate to the level of the student that can easily be embedded into existing medical school courses.

The virtual cases allow students to explore approaches to the patient; observe model clinician-patient interactions; choose practice techniques; offer health promotion, palliative counseling, and patient counseling; and contemplate complex ethical decisions regarding the care of the patient in an innocuous, self-paced, virtual environment. The embedded natural language system in each case offers an opportunity to pose real-world questions and problems to the learner, with the goal of eliciting critical thinking skills and reflective learning.

The series offers a readily available complementary assignment to the classroom and clinical experience. The self-paced case studies contain video animation, an interactive electronic medical record, Geriatric Gems and Palliative Pearls, natural language style critical thinking, clinical reasoning and clinical judgment learning activities, and evidence-based expert explanations. Evaluative tools include a pre and post quiz and rubric-scored natural language short answer and essay questions. The natural language system provides hints to the students and evaluates their responses based on the information they provide. Student actions and choices are captured for formative evaluation, as well as to provide student feedback.

The virtual patient system is a web-based application that runs on Windows Server, running IIS with ASP enabled within IIS. The project database is Microsoft Access.

The first time you explore a case, you will need to register. There is a "Register" button at the bottom of the login form. Click this button to register or to have your password sent to the email address you entered when you registered.

On the popup registration form, you will need to enter an ID and a password. Your ID can be anything you wish. You can use the same User ID and password for any of the four cases. All of the other fields are optional. (The email field is optional. If you don't enter an email address when you register, the system can't send you your password and/or ID if you forget them.)

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

Using a Virtual Patient to Teach the Comprehensive Geriatric Assessment to Medical Students. Poster presented February 24, 2012 at the AGHE Annual Meeting and Educational Leadership Conference.

Instructional Design and Management of a Virtual World: A Second Life for Geriatric Education. Project Demonstration presented February 3, 2011 at The University of Texas Academy of Health Science Education Interprofessional Health Science Education Conference.

Design and Management in a Virtual Environment: A Second Life for Geriatric Education. Presented October 25, 2010 at the Ninth Annual Reynolds Grantee Meeting.

Date posted: 
Fri, 02/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Caring Across the Continuum: Mrs. Porter Age 88. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/45

Caring Across the Continuum: Mrs. Porter Age 81

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

Caring Across the Continuum: An Aging Virtual Patient Series. Case Three: Mrs. Porter Age 81- Introduction to Common Geriatric Syndromes. This case, the third in a four-part series about the virtual patient, Mrs. Porter, introduces the learner to in-patient care, delirium and the interprofessional team (IPT) roles. The case is set in an Acute Care of the Elderly (ACE) Unit. Mrs. Porter is admitted to the ACE Unit with Dr. Pat and members of the IPT because she has had an unwitnessed fall and is delirious. Concepts included in this case are common etiologies and risk factors for falls; benefits of an IPT assessment in the ACE Unit; the effect of medication on falling; fall-induced delirium; types of delirium; the Confusion Assessment Method (CAM); obtaining a complete History of Present Illness; pain assessment; abnormal review of symptoms; and pre-operative testing.  After thorough evaluation, it is determined that Mrs. Porter has a fractured hip and will undergo surgery. The case concludes with a request of the learner to provide a complete pre-operative review of Mrs. Porter's assessment and exam.

Educational objectives: 

On completion of Case Three: Mrs. Porter Age 81, students will be able to:

  1. Define and describe select components of diagnosing an unwitnessed fall
  2. Describe multiple risk factors of falls
  3. Assess delirium using the Confusion Assessment Method (CAM) tool
  4. Provide a comprehensive abnormal review of symptoms for patient diagnosis
  5. Prepare a comprehensive pre-operative patient review
Additional information/Special implementation requirements or guidelines: 

This product is one part of a short series consisting of the following products:

As an innovative, virtual learning series, this web-based series of cases spans the 21-year relationship of care between geriatrician Dr. Patricia Thompson and her patient, Mrs. Alice Porter. This virtual learning experience for medical students, based on the Association of American Medical Colleges (AAMC) competencies, is designed to pique interest and enhance knowledge and skills in the care of older adults. The web-based learning environment provides students the unique opportunity to observe and interact with Mrs. Porter, in an ongoing doctor-patient relationship, outside of the traditional classroom setting. The series exposes students to the importance of continuity of patient care, since each case correlates to a different year of medical school education. As the medical student advances in their curriculum, Mrs. Porter continues to age, requiring more complex care and further application of critical thinking skills from the student. Each case has a unique focus that targets key geriatric and/or palliative concepts appropriate to the level of the student that can easily be embedded into existing medical school courses.

The virtual cases allow students to explore approaches to the patient; observe model clinician-patient interactions; choose practice techniques; offer health promotion, palliative counseling, and patient counseling; and contemplate complex ethical decisions regarding the care of the patient in an innocuous, self-paced, virtual environment. The embedded natural language system in each case offers an opportunity to pose real-world questions and problems to the learner, with the goal of eliciting critical thinking skills and reflective learning.

The series offers a readily available complementary assignment to the classroom and clinical experience. The self-paced case studies contain video animation, an interactive electronic medical record, Geriatric Gems and Palliative Pearls, natural language style critical thinking, clinical reasoning and clinical judgment learning activities, and evidence-based expert explanations. Evaluative tools include a pre and post quiz and rubric-scored natural language short answer and essay questions. The natural language system provides hints to the students and evaluates their responses based on the information they provide. Student actions and choices are captured for formative evaluation, as well as to provide student feedback.

The virtual patient system is a web-based application that runs on Windows Server, running IIS with ASP enabled within IIS. The project database is Microsoft Access.

The first time you explore a case, you will need to register. There is a "Register" button at the bottom of the login form. Click this button to register or to have your password sent to the email address you entered when you registered.

On the popup registration form, you will need to enter an ID and a password. Your ID can be anything you wish. You can use the same User ID and password for any of the four cases. All of the other fields are optional. (The email field is optional. If you don't enter an email address when you register, the system can't send you your password and/or ID if you forget them.)

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

Using a Virtual Patient to Teach the Comprehensive Geriatric Assessment to Medical Students. Poster presented February 24, 2012 at the AGHE Annual Meeting and Educational Leadership Conference.

Instructional Design and Management of a Virtual World: A Second Life for Geriatric Education. Project Demonstration presented February 3, 2011 at The University of Texas Academy of Health Science Education Interprofessional Health Science Education Conference.

Instructional Design and Management in a Virtual Environment: A Second Life for Geriatric Education. Presented October 25, 2010 at the Ninth Annual Reynolds Grantee Meeting.

Date posted: 
Fri, 02/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Caring Across the Continuum: Mrs. Porter Age 81. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/45

Caring Across the Continuum: Mrs. Porter Age 74

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

Caring Across the Continuum: An Aging Virtual Patient Series. Case Two: Mrs. Porter Age 74 - Introduction to Geriatric Differential Diagnosis. This case, the second in a four-part series about the virtual patient, Mrs. Porter, introduces the learner to the complexities associated with diagnosing a common geriatric condition, and occurs in an outpatient ambulatory setting. Mrs. Porter visits Dr. Pat after missing her last three appointments, but visits mainly to refill a prescription. Concepts included in this case focus on an in-depth geriatric history-taking; conducting a comprehensive medication review; and, screening for depression.  The importance of evaluating differential diagnoses for an older adult patient is also included. The Geriatric Gems in the case provide in-depth information and resources about a variety of geriatric health topics. The Gems in Case Two include Caregiver Stress; Depression; Hypothyroidism; and, Medication Review. The case concludes with a critical thinking activity inviting the learner to use the SOAP (subjective and objective observations, recommendations for further assessment, and a plan for treatment) format to complete their own assessment of Mrs. Porter. 

Educational objectives: 

On completion of Case Two: Mrs. Porter Age 74, students will be able to:

  1. Complete components of a comprehensive geriatric assessment
  2. Address the following Association of American Medical Colleges (AAMC) geriatric competencies:
    1. Identify and document a geriatric patient's medication review
    2. Assess falls, balance, and gait of the virtual patient
    3. Assess functional abilities
    4. Generate a differential diagnosis of a unique presentation of a common older adult condition
    5. Develop a SOAP note based on Mrs. Porter's Outpatient visit
  3. Generate a medical management plan for the virtual geriatric patient
Additional information/Special implementation requirements or guidelines: 

This product is one part of a short series consisting of the following products:

As an innovative, virtual learning series, this web-based series of cases spans the 21-year relationship of care between geriatrician Dr. Patricia Thompson and her patient, Mrs. Alice Porter. This virtual learning experience for medical students, based on the Association of American Medical Colleges (AAMC) competencies, is designed to pique interest and enhance knowledge and skills in the care of older adults. The web-based learning environment provides students the unique opportunity to observe and interact with Mrs. Porter, in an ongoing doctor-patient relationship, outside of the traditional classroom setting. The series exposes students to the importance of continuity of patient care, since each case correlates to a different year of medical school education. As the medical student advances in their curriculum, Mrs. Porter continues to age, requiring more complex care and further application of critical thinking skills from the student. Each case has a unique focus that targets key geriatric and/or palliative concepts appropriate to the level of the student that can easily be embedded into existing medical school courses.

The virtual cases allow students to explore approaches to the patient; observe model clinician-patient interactions; choose practice techniques; offer health promotion, palliative counseling, and patient counseling; and contemplate complex ethical decisions regarding the care of the patient in an innocuous, self-paced, virtual environment. The embedded natural language system in each case offers an opportunity to pose real-world questions and problems to the learner, with the goal of eliciting critical thinking skills and reflective learning.

The series offers a readily available complementary assignment to the classroom and clinical experience. The self-paced case studies contain video animation, an interactive electronic medical record, Geriatric Gems and Palliative Pearls, natural language style critical thinking, clinical reasoning and clinical judgment learning activities, and evidence-based expert explanations. Evaluative tools include a pre and post quiz and rubric-scored natural language short answer and essay questions. The natural language system provides hints to the students and evaluates their responses based on the information they provide. Student actions and choices are captured for formative evaluation, as well as to provide student feedback.

The virtual patient system is a web-based application that runs on Windows Server, running IIS with ASP enabled within IIS. The project database is Microsoft Access.

The first time you explore a case, you will need to register. There is a "Register" button at the bottom of the login form. Click this button to register or to have your password sent to the email address you entered when you registered.

On the popup registration form, you will need to enter an ID and a password. Your ID can be anything you wish. You can use the same User ID and password for any of the four cases. All of the other fields are optional. (The email field is optional. If you don't enter an email address when you register, the system can't send you your password and/or ID if you forget them.)

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

Using a Virtual Patient to Teach the Comprehensive Geriatric Assessment to Medical Students. Poster presented February 24, 2012 at the AGHE Annual Meeting and Educational Leadership Conference.

Instructional Design and Management of a Virtual World: A Second Life for Geriatric Education. Project Demonstration presented February 3, 2011 at The University of Texas Academy of Health Science Education Interprofessional Health Science Education Conference.

Instructional Design and Management in a Virtual Environment: A Second Life for Geriatric Education. Presented October 25, 2010 at the Ninth Annual Reynolds Grantee Meeting.

Date posted: 
Fri, 02/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Caring Across the Continuum: Mrs. Porter Age 74. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/45

Caring Across the Continuum: Mrs. Porter Age 67

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

Caring Across the Continuum: An Aging Virtual Patient Series.  Case One: Mrs. Porter Age 67 - Introduction to Comprehensive Geriatric Assessment. This case, the first in a four-part series about the virtual patient, Mrs. Porter, highlights the main components of a comprehensive geriatric assessment (CGA), set in an outpatient ambulatory setting. Mrs. Porter, age 67 in this case, is visiting Dr. Pat for the first time. Dr. Pat conducts a thorough social, physical and mental evaluation of Mrs. Porter. The skill of active listening is illustrated to emphasize the importance of taking a thorough patient history during the CGA. The Geriatric Gems in the case provide in-depth information and resources about a variety of geriatric health topics. The Gems in Case One include Smoking and Older Adults; Geriatric Functional Assessment; Immunization Guidelines for Older Adults; Elder Abuse and Mistreatment; Falls; and, Incontinence. The case concludes with a critical thinking activity inviting the learner to discuss the major differences between a CGA and standard adult medical exam. 

Educational objectives: 

On completion of Case One: Mrs. Porter Age 67, students will be able to:

  1. Define and describe select components of a comprehensive geriatric assessment
  2. Describe the differences between a routine medical evaluation and an evaluation of an older adult
  3. Summarize concepts presented within the case through descriptive patient study
  4. Address the following Association of American Medical Colleges (AAMC) geriatric competencies:
    1. Assess falls, balance, and gait of the virtual patient
    2. Assess functional abilities.
  5. Generate a problem list and recommendations for Mrs. Porter
Additional information/Special implementation requirements or guidelines: 

This product is one part of a short series consisting of the following products:

As an innovative, virtual learning series, this web-based series of cases spans the 21-year relationship of care between geriatrician Dr. Patricia Thompson and her patient, Mrs. Alice Porter. This virtual learning experience for medical students, based on the Association of American Medical Colleges (AAMC) competencies, is designed to pique interest and enhance knowledge and skills in the care of older adults. The web-based learning environment provides students the unique opportunity to observe and interact with Mrs. Porter, in an ongoing doctor-patient relationship, outside of the traditional classroom setting. The series exposes students to the importance of continuity of patient care, since each case correlates to a different year of medical school education. As the medical student advances in their curriculum, Mrs. Porter continues to age, requiring more complex care and further application of critical thinking skills from the student. Each case has a unique focus that targets key geriatric and/or palliative concepts appropriate to the level of the student that can easily be embedded into existing medical school courses.

The virtual cases allow students to explore approaches to the patient; observe model clinician-patient interactions; choose practice techniques; offer health promotion, palliative counseling, and patient counseling; and contemplate complex ethical decisions regarding the care of the patient in an innocuous, self-paced, virtual environment. The embedded natural language system in each case offers an opportunity to pose real-world questions and problems to the learner, with the goal of eliciting critical thinking skills and reflective learning.

The series offers a readily available complementary assignment to the classroom and clinical experience. The self-paced case studies contain video animation, an interactive electronic medical record, Geriatric Gems and Palliative Pearls, natural language style critical thinking, clinical reasoning and clinical judgment learning activities, and evidence-based expert explanations. Evaluative tools include a pre and post quiz and rubric-scored natural language short answer and essay questions. The natural language system provides hints to the students and evaluates their responses based on the information they provide. Student actions and choices are captured for formative evaluation, as well as to provide student feedback.

The virtual patient system is a web-based application that runs on Windows Server, running IIS with ASP enabled within IIS. The project database is Microsoft Access.

The first time you explore a case, you will need to register. There is a "Register" button at the bottom of the login form. Click this button to register or to have your password sent to the email address you entered when you registered.

On the popup registration form, you will need to enter an ID and a password. Your ID can be anything you wish. You can use the same User ID and password for any of the four cases. All of the other fields are optional. (The email field is optional. If you don't enter an email address when you register, the system can't send you your password and/or ID if you forget them.)

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

Using a Virtual Patient to Teach the Comprehensive Geriatric Assessment to Medical Students. Poster presented February 24, 2012 at the AGHE Annual Meeting and Educational Leadership Conference.

Instructional Design and Management of a Virtual World: A Second Life for Geriatric Education. Project Demonstration presented February 3, 2011 at The University of Texas Academy of Health Science Education Interprofessional Health Science Education Conference.

Instructional Design and Management in a Virtual Environment: A Second Life for Geriatric Education. Presented October 25, 2010 at the Ninth Annual Reynolds Grantee Meeting.

Date posted: 
Fri, 02/15/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 02/15/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Caring Across the Continuum: Mrs. Porter Age 67. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/45

CampER: Recognizing Delirium in the Emergency Department and the Case of Mrs. Jane Simon

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

Elderly patients frequently present in the Emergency Department with altered mental status. However, ED physicians fail to recognize delirium 70% of the time, which leads to poor patient outcomes. The case of Mrs. Jane Simon was developed to address this deficiency. Designed for upper level residents and attending faculty, the case assesses recognition of delirium, understanding of its multifactorial etiology, and appropriate nonpharmacologic and pharmacologic management in an elderly woman with hypoactive delirium.

Educational objectives: 

At the conclusion of this virtual patient experience, the learner will be able to:

  1. Distinguish hypoactive delirium in an older adult presenting to the emergency department with multiple co-morbidities.
  2. Assess hypoactive delirium in the older adult by using the Confusion Assessment Method (CAM), including correctly delivering the CAM and scoring it.
  3. Describe pharmacologic and non-pharmacologic tactics for managing an elderly patient with hypoactive delirium and multiple co-morbidities.
Date posted: 
Tue, 01/29/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/29/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , , and . CampER: Recognizing Delirium in the Emergency Department and the Case of Mrs. Jane Simon. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/45

Geriatric Emergency Medicine Online Curriculum (GEM-OC) 1 - Advance Directives

:  
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 is Module One of an online five-module curriculum.  The modules, which are based on national geriatric emergency medicine competencies, cover a broad range of geriatric topics through an interactive teaching format.  They require learners to review and analyze patient information, interpersonal interactions, laboratory and imaging results, diagnoses and treatment plans. This module teaches advance directives and palliative care.

Educational objectives: 

At the end of Module One, the learner should be able to:

1) Define and differentiate among types of code status, health care proxies, and advance directives in the state where one is training.

2) Accurately identify clinical situations where life expectancy, functional status, patient preference and goals of care should override standard recommendations for screening and treatment in older adults.

3) Present palliative care (including hospice) as a positive, active treatment option for a patient with advanced disease.

4) Formulate a differential diagnosis and implement initial evaluation in a patient who exhibits dementia, delirium, or depression.

5) In an older patient with delirium, urgently initiate a diagnostic work-up to determine the root cause (etiology).

Additional information/Special implementation requirements or guidelines: 

For best viewing results, please:

  • Set your monitor resolution to 1024x768
  • Launch in either Internet Explorer 6 or higher, Firefox 2 or higher or Safari 3.2.1 or higher
  • Avoid using browser navigation. Use only the navigation provided within the course.

 

Date posted: 
Tue, 10/19/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 08/08/2011
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , and . Geriatric Emergency Medicine Online Curriculum (GEM-OC) 1 - Advance Directives. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/45

PATCH (Palliative Access Through Care at Home) Match: Virtual Training in Geriatric Palliative Home Visits

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

PATCH Match is a competency-based, virtual training experience in geriatric palliative home care, accessible online and suitable for a wide range of health care professionals such as medical and nursing students, residents, fellows, and others. Through simulated home visits, PATCH Match aims to teach learners to recognize that visiting frail older adults in their homes provides a more comprehensive understanding of patients, and that palliative care can be delivered effectively on home visits. Learners visit up to 4 homebound elderly patients, and face decisions about assessment and treatment relating to issues in: dementia with acute agitation, dementia with pain, falls at home, and transitions of care (from hospital to home). 

Educational objectives: 

After "visiting" the PATIENT WITH DEMENTIA AND PAIN, learners should be able to:

  1. recognize atypical ways in which pain may present in patients with advanced dementia,
  2. assess pain in patients with advanced dementia,
  3. identify options for pain treatment in patients with advanced dementia, and
  4. discuss the caregivers' role in caring for patients with advanced dementia and pain.

After "visiting" the PATIENT WITH DEMENTIA AND AGITATION, learners should be able to:

  1. recognize that agitation can be a symptom of emotional or physical distress in patients with advanced dementia,
  2. explain how the environment can have a positive or negative effect on agitated patients with dementia,
  3. describe behavioral and communication strategies for managing agitation in patients with dementia.

After "visiting" the PATIENT WITH RECENT FALLS, learners should be able to:

  1. report common causes of falls at home,
  2. name components of a falls risk assessment,
  3. recognize that most falls are the result of multi-factorial causes,
  4. explain how medications may contribute significantly to falls, and
  5. identify strategies for falls prevention that maximize patients' function and minimize injury.

After "visiting" the patient recently discharged from the hospital (TRANSITION OF CARE), learners should be able to:

  1. recognize problems that occur in the transition from hospital discharge to home relating to medication use and communication about hospital care and follow up,
  2. explain the teach-back method of communicating with patients and families, and
  3. discuss how a multi-disciplinary team and social support system may be engaged during transitions from hospital to home
Date posted: 
Fri, 11/12/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/12/2010
Contact Person/Corresponding Author:



Suggested Citation:
, and . PATCH (Palliative Access Through Care at Home) Match: Virtual Training in Geriatric Palliative Home Visits. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/45

Virtual Family: Elder Component

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

As part of the Family Medicine third year clerkship, students were involved in an online course which simulated actual patient visits of an entire family, including grandparents. Our portion was to create an elder component for this course. Will send materials upon request. 

Educational objectives: 

To provide learners knowledge on: 1.) Urinary incontinence 2.) The psycho-social aspects of aging 3.) Care of the abused or neglected elder --URINARY INCONTINENCE-- Learners will be able to: 1) Review anatomy and physiology of the urinary tract. 2) List the changes with aging in the urinary tract. 3) List the causes of urinary incontinence. 4) Evaluate urinary incontinence. 5) Initiate management of urinary incontinence. 6) Describe the performance of a pelvic exam for urinary incontinence. 7) Describe the performance of a post void residual. Learners will recognize that: 1) Patient education is an integral component to success in UI management. 2) Collaborative histories from other member's of the patient's family or caregivers have special value in UI management. --PSYCHO-SOCIAL ASPECTS OF AGING-- Learners will be able to: 1) Recognize and understand the interplay of an elder's social system, psychological status, with disease and dysfunction and it's affect on successful aging. --ELDER ABUSE/NEGLECT CARE GIVER'S ROLES-- Learners will be able to: 1) Recognize the historical features and physical signs of neglect and abuse. 2) Describe the appropriate pathway of reporting neglect and abuse. Learners will recognize: 1) The complex interplay of caregiver and patient that leads to abuse. 2) The high stress in caregivers and high rate of depression. 3) Vulnerability of the abused elder.

Additional information/Special implementation requirements or guidelines: 

This program has been used to teach 120 medical school students. Student users at the University of Nebraska College of Medicine rated this program very highly. Will send materials upon request. Please email jwhittin@unmc.edu.

Date posted: 
Sun, 02/04/2007
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 11/13/2009
Contact Person/Corresponding Author:



Suggested Citation:
Virtual Family: Elder Component. POGOe - Portal of Geriatrics Online Education; 2007 Available from: https://pogoe.org/taxonomy/term/45

Pages

Subscribe to RSS - Virtual Patient
Error | POGOe - Portal of Geriatrics Online Education

Error

The website encountered an unexpected error. Please try again later.