The Portal of Geriatrics Online Education

Pharmacists

Elder Care: A Resource for Interprofessional Providers: Nocturia in Older Adults

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

Nocturia In Older Adults is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 

After reading this issue of Elder Care, you should be able to…

  1. State how many episodes of voiding per night are considered abnormal (ie, diagnostic of nocturia).
  2. Describe the non-pharmacologic approaches to treatment that are recommended for patients with nocturia.
  3. List medications that can be used for treating nocturia.
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as

  1. content is not changed,
  2. no one is charged a fee to use or read the publication,
  3. authors and their affiliated institutions are noted without change, and
  4. the reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."
 
Publications from, presentations from, and/or citations to this product: 

The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.

Nelson, D. and Medina-Walpole, A. (2010, December), Elder care provider fact sheets. Journal of the American Geriatrics Society, 58(12), 2414-2415. Also available online.       

Date posted: 
Thu, 11/30/2017
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Elder Care: A Resource for Interprofessional Providers: Nocturia in Older Adults. POGOe - Portal of Geriatrics Online Education; 2017 Available from: https://pogoe.org/taxonomy/term/750

Aging Tsunami

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

The Aging Tsunami lecture details the reasoning behind the importance of geriatric and palliative education to the future of health care. It describes the statistics on the aging population in the United States and globally, and identifies changes that the older adult population presents to health care systems and health care professionals. It also explains why geriatric and palliative medicine is a growing medical career path.

Educational objectives: 

On completion, the learner will be able to:

  • Identify trends that will challenge geriatric health care professionals now and in the future
  • List some important areas of focus for future geriatric health care professionals 
Additional information/Special implementation requirements or guidelines: 

Speaker notes are provided as a separate document.

This product was reviewed by UT Health.

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

Ostwald, S.K. (2009, September), Preparing for the Aging Tsunami. International Geriatric and Gerontological Nursing Conference, Huadong Hospital, Fudan University, Shanghai, China. (invited keynote presentation) 

Date posted: 
Mon, 06/03/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 06/03/2013
Contact Person/Corresponding Author:



Suggested Citation:
Aging Tsunami. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/750

Elder Care: A Resource for Interprofessional Providers: Geriatric Evaluation

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

Geriatric Evaluation is one of a continuing series of practical, evidence based, Provider Fact Sheets which summarize key geriatric topics and provide clinically useful assessments and interventions. Initially developed for remote, rural clinical sites, they are useful for students and health care professionals from many fields and across a very broad range of health care settings.

Educational objectives: 

After reading this issue of Elder Care, you should be able to…

  1. Explain the difference between activities of daily living and instrumental activities of daily living
  2. Describe the components of a comprehensive geriatric evaluation
  3. List conditions and syndromes in older adults for which routine screening is recommended by the US Preventive Services Task Force
Additional information/Special implementation requirements or guidelines: 

Subscribers to POGOe are free to reprint Elder Care on their own stationery or in other publications without obtaining specific permission, so long as

  1. content is not changed,
  2. no one is charged a fee to use or read the publication,
  3. authors and their affiliated institutions are noted without change, and
  4. the reprint includes the following statement: “Reprinted courtesy of the Arizona Reynolds Program of Applied Geriatrics and the Arizona Geriatric Education Center."

Elder Care Provider Sheets can also be accessed at http://www.reynolds.med.arizona.edu/EduProducts/ElderCareProviderSheets.cfm.

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

The Elder Care provider sheets are occasionally published in the Arizona Geriatrics Society Journal, which is published twice yearly.

Date posted: 
Tue, 08/14/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 10/16/2018
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care: A Resource for Interprofessional Providers: Geriatric Evaluation. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/750

Improving Antipsychotic Appropriateness in Dementia Patients

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

This website includes information and resources to help clinicians, providers, and consumers better understand how to manage problem behaviors and psychosis in people with dementia using evidence-based approaches. This includes brief lectures, written content, quick reference guides for clinicians and providers, and information for families or patients on the risks and benefits of antipsychotics for people with dementia (a.k.a. Alzheimer’s disease and others). You can also request laminated quick reference guides to use in your practice, which can help you put the strategies you learn about into action.

Educational objectives: 
On completion, the learner will be able to:
  1. List appropriate initial assessments to help determine the causes of problem behaviors or psychosis in dementia.
  2. Apply non-drug strategies to manage problem behaviors or psychosis in dementia.
  3. Assess delirium signs and symptoms using a delirium screening tool.
  4. Determine when an antipsychotic might be appropriate or inappropriate in a person with dementia, depending on symptoms and the type of dementia.
  5. Select an optimal antipsychotic for a patient with dementia based on efficacy, side effects, and patient comorbidities.
  6. Recognize antipsychotic side effects in a person with dementia.
  7. Discuss the risks and benefits of antipsychotics with patients and families using a shared decision making information sheet as a guide.
Additional information/Special implementation requirements or guidelines: 

This program is supported by the Agency for Healthcare Research and Quality (R18 HS19355-01).

The quick reference guides were reviewed by healthcare practitioners and direct care providers during development. The family guide was reviewed by the New Readers of Iowa and Alzheimer's Association support group participants.

Viewing the videos requires a broadband Internet connection, sound capability, and one of the following supported browsers, with JavaScript enabled:

  • Internet Explorer 7 or later on Windows with Flash version 11.1 or later
  • Chrome 15 or later, Firefox 8 or later, or Opera 10.5 or later on Windows
  • Firefox 8 or later, or Safari 5 or later on Mac OS X
  • iPad 1 or later

Viewing and printing the products and the evidence-based reviews requires Adobe Reader.

Publications from, presentations from, and/or citations to this product: 
  1. Carnahan R, Gryzlak B, Weckmann M, Kelly M, Reist J, Smith M, Lenoch S, Daly J, Levy B, Seydel L, Schultz S. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the College of Psychiatric and Neurologic Pharmacists Annual Meeting, Tampa, FL; April 29-May 2, 2012. 
  2. Carnahan R, Abrams MA, Weckmann M, Savage B, Daly J, Kelly M, Levy B, Mulhausen P, Reist J, Seydel L, Smith M, Raether R, Abrams E, Holland R, Schultz S. Development of a reader-friendly patient and family guide to facilitate shared decision making on antipsychotic use in dementia. Presented at the Health Literacy Iowa and New Readers of Iowa Conference, Des Moines, IA; April 13-14, 2012.
  3. Carnahan R, Gryzlak B, Weckmann M, Kelly M, Reist J, Smith M, Lenoch S, Daly J, Levy B, Seydel L, Uhlenkamp L, Schultz S. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the American Health Care Association/National Center for Assisted Living Quality Symposium, Houston, TX; Feb 23-24, 2012.
  4. Weckmann M, Daly J, Gryzlak B, Kelly M, Lenoch S, Levy B, Reist J, Schultz S, Seydel L, Smith M, Carnahan R. Decisional aides to train non-psychiatrists in evidence based use of antipsychotics in dementia. Poster presented at the Academy of Psychosomatic Medicine Annual Meeting. Phoenix, AZ; November 16-20, 2011.

This product has also been the subject of oral presentations at the American Association for Geriatric Psychiatry 2012 annual meeting, the American Society of Consultant Pharmacists 2011 annual meeting, and a number of regional, state, and local conferences.

 

Date posted: 
Mon, 08/27/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
, , , , , , , , and . Improving Antipsychotic Appropriateness in Dementia Patients. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/750

Geriatrics: A Resource Guide for Primary Care (iBook available on iTunes)

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

This FREE interactive iBook is intended to cover the most common geriatric topics seen in primary care. The first edition covers: Geriatric Assessment, Polypharmacy, Falls, Dementia, Delirium, and Frailty. The iBook includes presentations, podcasts, videos, links to evidence-based resources and board review questions. The target audience includes physicians, residents, medical students, nurse practitioners, and physician assistants.

Educational objectives: 

Overview of common topics seen in primary care including: Geriatric Assessment, Polypharmacy, Falls, Dementia, Delirium, and Frailty.

Additional information/Special implementation requirements or guidelines: 

Download from iTunes FREE. This iBook can only be viewed using iBooks2 on an iPad. iOS5 is required.

Date posted: 
Tue, 01/29/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/29/2013
Contact Person/Corresponding Author:



Suggested Citation:
Geriatrics: A Resource Guide for Primary Care (iBook available on iTunes). POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/750

Interprofessional Geriatric Oncology 3: The Older Adult Oncology Patient and Nutrition

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

Nutrition for the older adult with cancer needs to be assessed in a comprehensive manner to promote quality of life. An interprofessional approach should be used for nutrition management. This module examines nutrition in the older adult with cancer in regards to nutritional assessment, risk factors, proper oral care, tips and support in managing nutrition effectively.

Educational objectives: 

Upon completion of this module, the participant will be able to:

  • Utilize oral and nutritional assessments.
  • Describe the goals of nutritional therapy during chemotherapy.
  • Discuss physiologic conditions related to nutrition in the older adult with cancer.
  • Recognize the effect of these conditions on the nutritional status of the patient.
  • Identify nutritional needs and dietary preferences.
  • Discuss nutritional supplements.
  • Understand the benefits/drawbacks of nutrition and hydration at the end of life.
  • State pharmacologic interventions and vitamin and mineral supplements for end of life care.
Additional information/Special implementation requirements or guidelines: 

Technical Requirements and Notes:

This learning module uses Adobe Flash media and may require you to add a browser "plug-in" in order to display properly. Most computers already have this free plug-in installed. But, if yours does not, it is very easy to download and install. Try the module first because the software is "smart" enough to detect the Flash player. If the module doesn't begin, you will be automatically prompted to download the plug-in.

The module contains links to external websites which will open in a new browser window. Your browser's back button will not return to the module, so these new windows should be closed.

In order to track your progress, you must create an account and fill out a brief demographic profile. Once the profile has been created, you can log directly into the course.

Date posted: 
Fri, 09/28/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 09/28/2012
Contact Person/Corresponding Author:



Suggested Citation:
, and . Interprofessional Geriatric Oncology 3: The Older Adult Oncology Patient and Nutrition. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/750

Interprofessional Geriatric Oncology 1: Risk Assessment Treatment Options in Older Adults with Cancer

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

Sixty percent of new cancers are diagnosed in patients 65 years and older. Cancer is the leading cause of death for men and women age 60-79. Healthcare professionals are making strides in addressing this issue through comprehensive risk assessments and exams to identify the issue early; as well as provide the patient with treatment options for care. This module examines geriatric oncology, assessments and treatment options for older adults with cancer.

Educational objectives: 

Upon completion of this module, the participant will be able to:

  1. Provide a geriatric perspective on cancer care
  2. Discuss the importance of individual risk assessment for cancer treatment options
  3. Discuss decision-making points for older adults with cancer and the cultural factors that influence decision-making.
  4. Recognize the legal and ethical concepts that influence health professionals ability to assist in decision-making with patients and families.
  5. Discuss the physiologic effects of cancer and cancer treatment on the nutritional status of older adults and provide methods to assess and offer nutritional support
Additional information/Special implementation requirements or guidelines: 

Technical Requirements and Notes:

This learning module uses Adobe Flash media and may require you to add a browser "plug-in" in order to display properly. Most computers already have this free plug-in installed. But, if yours does not, it is very easy to download and install. Try the module first because the software is "smart" enough to detect the Flash player. If the module doesn't begin, you will be automatically prompted to download the plug-in.

The module contains links to external websites which will open in a new browser window. Your browser's back button will not return to the module, so these new windows should be closed.

In order to track your progress, you must create an account and fill out a brief demographic profile. Once the profile has been created, you can log directly into the course.

Date posted: 
Wed, 08/01/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 08/01/2012
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Interprofessional Geriatric Oncology 1: Risk Assessment Treatment Options in Older Adults with Cancer. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/750

Elder Abuse and Mistreatment: A Two-Part Training Program

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

Although health care practitioners have a legal and ethical duty to identify and intervene in suspected cases of elder abuse and mistreatment, the existing lack of knowledge and perceived barriers to reporting often interferes with this duty. The goal of the elder abuse and mistreatment learning modules is to provide case-based training to health care professionals. The training consists of two presentation modules with embedded speaker notes. Module One: Identifying Elder Abuse, focuses on the descriptions, signs and symptoms of elder abuse and mistreatment. Module Two: Screening and Intervening, concentrates on screening for elder abuse and mistreatment and provides guidance for intervention. Combined, these modules provide a basic understanding of elder abuse and mistreatment to assist health care practitioners in identifying and reporting this prominent public health problem. 

Educational objectives: 

After reviewing these modules, participants will be able to:                      

  1. Describe three types of elder abuse.
  2. List five signs and symptoms that raise suspicion of elder abuse.
  3. Identify three factors for elder abuse and neglect.
  4. Determine the steps to screen for elder abuse.
  5. Describe three interventions for victims of elder abuse.
  6. Discuss three interventions for stressed caregivers.
  7. List common community resources available to elders and their families. 
Additional information/Special implementation requirements or guidelines: 

Many of the slides within these presentations contain animations. It would be advisable to closely review slides prior to presenting to an audience. Embedded speaker notes are an additional feature of the presentations. 

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

Selected Citations:

  1. Dyer CB, Hyman DJ, Festa NA, Pavlik VN:  The Profile of Texas Adult Protective Services Clients with Multiple Reports.  Presented at the Gerontological Society of America Meeting, San Francisco, CA, November 22, 1999.
  2. Dyer CB, Pavlik VN, Festa NA:  Elder Mistreatment:  Analysis of Allegation Types and Variables Associated with Multiple Allegations from a Statewide Database.  Selected for
  3. Presentation at the Presidential Poster Session at the American Geriatrics Society Meeting, Nashville, TN, May 20, 2000.Dyer CB, Toronjo C, Pavlik VN, Keith M, Silverman E:  How do Adult Protective Service
  4. Specialists Recognize Valid Self neglect.  Presented at the Gerontological Society Meeting, Washington D.C., November 19, 2000.
  5. Harrell R, Toronjo C, Dyer CB:  How do Geriatricians Diagnose Elder Abuse and Neglect?  Presented at the American Geriatrics Society Meeting, Chicago, IL, May 10, 2001.
  6. Heath J, Dyer CB, Mosqueda L:  Partnering With Adult Protective Service Agencies for Educational Experiences in Elder Mistreatment.  Presented at the American Geriatrics Society Meeting, Chicago, IL, May 10, 2001.
  7. Pavlik VN, Barth J, Khan F, Phung M, Lo M, Turner R, Hyman DJ, Dyer CB:  Abnormal Nutritional Markers in Elder Mistreatment Patients.  Presented at the Gerontological Society of America Annual Meeting, Chicago, IL, November 17, 2001.
  8. Dyer CB, Pavlik VN, Mitchell B, Hyman DJ, Poythress EL:  Neurospychiatric Testing in Elders with Self-Neglect.  Presented at the American Geriatrics Society Annual Meeting, Washington D.C., May 11, 2002.
  9. Dyer CB:  Outcomes of Interdisciplinary Geriatric Assessment and Intervention in Elder Abuse.  Presented at the Gerontological Society of America’s 55th annual Scientific Meeting, Boston, Ma, November 24, 2002.
  10. Dyer CB:  Outcomes of Interdisciplinary Geriatric Assessment and Intervention in Elder Abuse.  Presented at the Gerontological Society of America’s 55th Annual Scientific Meeting, Boston, MA, November 24, 2002.
  11. R Hariharan, SG Nash, VN Pavlik, J King, CB Dyer: Medical Complexities Among Elderly Abused and Neglected Patients. Presented at the American Geriatrics Society Meeting, Baltimore, MD, May 14th-18th, 2003.
  12. CB Dyer, VN Pavlik, T Regev, M Vogel, DJ Hyman, B Mitchell, EL Poythress: Outcomes of Interdisciplinary Geriatric Assessment and Intervention in Unresolved Elder Mistreatment Cases. Presented at the American Geriatrics Society Meeting, Baltimore, MD, May 14th-18th, 2003.
  13. Poythress E, Tremaine B, Dyer CB: Self-Neglecters Who Live in Squalor. Presented at the Gerontological Society of America's 56th Annual Scientific Meeting, San Diego, CA, November 21st-25th, 2003.
  14. Dyer CB, Pavlik V, Delgado M, Regev C, Vogel B, Tremaine B: Characterizing Victims of Financial Exploitation. Presented at the Gerontological Society of America's 56th Annual Scientific Meeting, San Diego, CA, November 21st-25th, 2003.
  15. Patel A, Fisher CJW, Dyer CB: Characterizing Sexual Abuse in Older Adults. Presented at the  American Geriatrics Society Meeting, Las Vegas, Na, May 20, 2004.
  16. Kim L, Nieves L, Dyer CB:  Do Medical Examines Determine Elder Mistreatment as a Cause of Death?  Presented at the American Geriatric Society Annual Scientific Meeting, Orlando, FL, May 14, 2005.
  17. Dyer CB, Nieves LE, Delossantos O, Barth J, Poythress EL, Vogel M, Tremaine B, Neycheril A, Harlan J, Kim L: The Cognitive, Functional and Social Profiles of 500 Cases of Elder Mistreatment.  Presented at the American Geriatrics Society Annual Scientific Meeting, Orlando, FL, May 11, 2005.
  18. Dyer CB, Kim LC: "Elder Mistreatment: Abuse, Neglect, & Exploitation" Current Geriatric Diagnosis & Treatment, Landefeld, Palmer, Johnson, Johnston, and Lyons eds. McGraw-Hill, 2004.
  19. Dyer CB,Kim LC: “Elder Mistreatment: Abuse, Neglect & Exploitation”, Current Geriatric Diagnosis & Treatment, Landefield, Palmer, Johnson, Johnston and Lyons eds. McGraw-Hill, 2004.
  20. Mehta MM, Dyer CB:  “A Practical Approach to Elder Abuse, Neglect, and Exploitation”, Practice of Geriatrics, 4th Edition, 2007.
  21. Brandl B, Dyer CB, Heisler CJ, Otto J, Stiegel L, Thomas R: Elder Abuse Detection and Intervention: A Collaborative Approach.  2006 Springer.

Selected Presentations:

  1. “ Elder Mistreatment: Identification, Treatment and the Prevention of Premature Death” Principles of Geriatric Care: A Certificate Program for Health Care Professionals,Houston, TX Feb 21, 2012
  2. “The Medical Signs of Abuse and Neglect”. Elder Justice Care Seminar, National Advocacy Center, Columbia, SC, January 5, 2011.
Date posted: 
Fri, 07/19/2013
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 07/19/2013
Contact Person/Corresponding Author:



Suggested Citation:
, , and . Elder Abuse and Mistreatment: A Two-Part Training Program. POGOe - Portal of Geriatrics Online Education; 2013 Available from: https://pogoe.org/taxonomy/term/750

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