The Portal of Geriatrics Online Education

Pharmacy Students

Patient Complexity and Interprofessional Team Care

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

Patient Complexity and Interprofessional Team Care is a geriatrics block rotation mini-course designed to improve medicine trainee’s understanding of health care teams.  It was developed in the setting of a new model of care collaboration for vulnerable seniors, Geriatric Resources for Assessment and Care of Elders.  The course is a blended curriculum offered during a 4-week residency block rotation in geriatrics. It is composed of a web-based, audio, PowerPoint lecture to introduce the Minnesota Complexity Assessment Method (MCAM) tool and application of the tool using paper cases.  The tool is then applied to actual patients discussed at an interprofessional team meeting of the GRACE care management program.

Educational objectives: 

Given a screening of the patient medical record, attendance at the patient’s GRACE interprofessional team meeting and completion of the Minnesota Complexity Assessment Method (MCAM) tool, the health professional trainee will identify patient situation complexity and describe ways that interprofessional team care members address patient care.

Given a printed Likert scale questionnaire, the resident will indicate positive change in degree of agreement with beliefs about interprofessional teams.

Publications from, presentations from, and/or citations to this product: 
Educational Strategies for Addressing Complex Patient Care Symposium
Aida Wen, MD, Todd James, MD, Miho Bautista, MD
October 21, 2013, 2013 Reynolds Grantee 11th Annual Meeting  in Coronado, CA

 

“Beliefs of Medicine Residents Regarding Interdisciplinary Teams,”  Poster presentation American Geriatrics Society Scientific Meeting, Grapevine, TX, May 2-5, 2013

Citation:  James, TC, Westmoreland, GR, Counsell SR. Beliefs of Medicine Residents Regarding Interdisciplinary Teams. J Am Geriatr Soc 2013; 61: Suppl s1; s157 (abstr C87).  http://onlinelibrary.wiley.com/doi/10.1111/jgs.122...

 

The poster described the 12-item physician survey to assess post-graduate medicine resident beliefs regarding interdisciplinary teams.  Resident responses demonstrated that interdisciplinary team participation is perceived as worthwhile. Yet, residents were uncertain about when their patient needed a team. There was significant agreement for having physicians as leaders of teams, and yet there was not clear agreement on team goals. Survey results support development of curricula for medicine residents geared toward teaching when a team approach is indicated and clarifying roles of various team members.

 

“Complexity and Interdisciplinary Team Care” Curriculum Presentation at Reynolds Grantee 9th Annual Meeting, St. Louis, MO, October 23 – 26, 2012

 

“Using a Complexity Tool with Geriatric Patients Teaches Residents Roles of Interprofessional Teams,” Buzz Session Presentation, InterProfessional Care for the 21st Century: Redefining Education and Care conference, Jefferson InterProfessional Education Center, Philadelphia, PA, May 18 – 19, 2012

 

“A New Strategy for Teaching Residents Roles of Interprofessional Teams” Poster Presentation at American Geriatrics Society Scientific Meeting, Seattle, WA, May 3 – 5, 2012.

Citation: James TC, Westmoreland GR, Arenson S, Counsell SR. A New Strategy for Teaching Residents Roles of Interprofessional Teams. .  J Am Geriatr Soc 2012; 60: Suppl s4;  s45 (abstr A84). http://www.americangeriatrics.org/files/documents/...

 

 “Academic Roles and Scholarly Activities” presentation, Faculty Forum, Indiana University Geriatrics, Indianapolis, IN, January 23, 2012

 

“Pilot Testing of a New Curriculum on Patient Complexity and Interdisciplinary Team Care” Poster Presentation at Collaborating Across Borders III, Tuscon, AZ, November 19 – 21, 2011.

 

 

 

Date posted: 
Wed, 04/03/2019
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 04/03/2019
Contact Person/Corresponding Author:



Suggested Citation:
Patient Complexity and Interprofessional Team Care. POGOe - Portal of Geriatrics Online Education; 2019 Available from: https://pogoe.org/taxonomy/term/751

Elder Care A Resource for Interprofessional Providers: Management of Persistent Pain 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: 

Management of Persistent Pain 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: 
  1. Perform a pain assessment on an older adult
  2. Prescribe analgesics for persistent pain based on the World Health Organization pain ladder
  3. Explain the initial dosing of opioids in older adult
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: 
Wed, 09/24/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 03/07/2016
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Management of Persistent Pain in Older Adults. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/751

GeriaTrailers

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

The didactic lecture remains a primary method of instruction in medical education, particularly for large class sizes. Capturing and maintaining the attention of students are some of the characteristics of an effective lecture. An excellent opening summary is critical to the success of the lecture and encourages students to focus with anticipation and mental alertness. The Iowa Geriatric Education Center has developed movie trailers on dementia, depression, delirium, and falls that can serve as excellent opening summaries to help capture the learners' attention. These one to two minute summaries have been used effectively to introduce didactic lecture topics as well as in interactive workshops.

Educational objectives: 

 Two to three minute videos utilized to provide preliminary overview of topics to capture the learners' attention.

 

Date posted: 
Mon, 09/29/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 09/29/2014
Contact Person/Corresponding Author:



Suggested Citation:
GeriaTrailers. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/751

Medical Reconciliation Worksheet

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

A useful tool for trainees and practitioners that facilitates appropriate medication reconciliation during transitions of care. Preceptors can use as a teaching tool, and practitioners can provided to patients upon discharge. Patients can provide the worksheet to their primary care physician. 

Educational objectives: 

1. Teach trainees the process of medication reconciliation during transitions of care.

2. Provide patients and physicians an explanation for medication related changes.

Date posted: 
Mon, 09/29/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Fri, 04/13/2018
Contact Person/Corresponding Author:



Suggested Citation:
Medical Reconciliation Worksheet. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/751

Elder Care A Resource for Interprofessional Providers: Osteoporosis: Good Bone Gone Bad

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

Osteoporosis: Good Bone Gone Bad 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: 

.

  1. State the current screening recommendations for osteoporosis
  2. Describe the initial evaluation of back pain in patients with osteopenia
  3. Identify important adverse effects of medications used for treatment of osteoporosis
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: 

he 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: 
Wed, 08/01/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 08/01/2018
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Osteoporosis: Good Bone Gone Bad. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/751

An Interprofessional Curriculum for Healthcare Providers Promoting Safety in Transitions of Care

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

The transition of patients to other settings of care requires input from multiple members of the healthcare team to ensure safe transitions.  Interprofessional collaborative practice has been described as key to safe, high quality, accessible, patient-centered care. Effective team based care is best obtained when members of the healthcare team understand their roles and how to collaborate and coordinate activities with other team members. We developed an interprofessional curriculum aimed at improving role understanding, communication and collaboration in care delivery while promoting patient safety during transitions of care.  The curriculum addresses the 4 competency domains of interprofessional collaborative practice including Values/Ethics for Interprofessional Practice; Roles/Responsibilities; Interprofessional Communication; Teams and Teamwork.

Using a multimodal approach, the curriculum is delivered through: 

  1. Didactics at the ongoing hospital inter-professional conferences.
  2. Small group sessions with case studies, video play and role play during inpatient unit interdisciplinary meetings. 
  3. A web based CBL module to be completed by hospital staff at the already existent mandatory annual training of hospital staff and orientation of new staff.
  4. A discharge process checklist distributed to the staff and also incorporated into the hospital electronic medical records. 

Educational objectives: 

After this session, you will be able to:

  1. Define the role of each member of the healthcare team in the discharge process,
  2. Describe team based collaboration in discharge care.
  3. Describe the most important elements of patient and provider communication at       discharge.
  4. Define components of comprehensive pre-discharge assessment of patients.
  5. Assess patients for appropriate discharge locations.
  6. Describe the process of efficient and effective care coordination that will ensure seamless transition of patients to other care settings. 
Contact Person/Corresponding Author:



Suggested Citation:
An Interprofessional Curriculum for Healthcare Providers Promoting Safety in Transitions of Care. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/751

Interprofessional Standardized Patient Exercise (ISPE): The Case of “Elsie Smith”

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

Interprofessional education (IPE) occurs when students/trainees of two or more healthcare professions engage in learning with, from, and about each other, and is viewed as a primary mechanism through which to improve interprofessional teamwork and the quality and safety of patient care. This Interprofessional Standardized Patient Exercise (ISPE) was created to provide health professions students with a structured learning experience working within an interprofessional health care team. The case of “Elsie Smith” involves multiple complex chronic medical conditions in an older adult with many needs and limited resources. It highlights the need to address medical, functional status, and social domains, among others, and accordingly is designed to be relevant to many health professions. It can easily be adapted according to the types of health professions students available. At our University, participants were from seven schools or programs: dentistry, medicine, nursing, nutrition, pharmacy, physical therapy, and social work. All students were in their 3rd or 4th year, except for the nurse practitioner and social work students, who were in their 2nd year of training, and dieticians completing a one year internship. Students work in interprofessional teams to interview the standardized patient and create an integrated, comprehensive patient care plan. Faculty facilitators from participating schools/programs observe the students and lead debriefing sessions.

Educational objectives: 
  1. Students will demonstrate the ability to effectively communicate and collaborate with students from other health professions.
  2. Students will demonstrate the ability to efficiently interview and assess a patient with multiple chronic illnesses, showing sensitivity to a patient’s personal needs and resources.
  3. Students will develop a comprehensive care plan in collaboration with other health professions students to meet the patient’s healthcare needs.
  4. Students will describe the role of other healthcare professionals in caring for a patient with multiple chronic illnesses.
Additional information/Special implementation requirements or guidelines: 

This material was initally posted on MedEdPORTAL:

Rivera J, Yukawa M, Hyde S, Fitzsimmons A, Christman J, Gahbauer A, Scheid A, Wamsley M. Interprofessional Standardized Patient Exercise (ISPE): The Case of “Elsie Smith”. MedEdPORTAL; 2013. 

www.mededportal.org/publication/9507

Publications from, presentations from, and/or citations to this product: 
Date posted: 
Wed, 09/24/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 03/22/2018
Contact Person/Corresponding Author:



Suggested Citation:
Interprofessional Standardized Patient Exercise (ISPE): The Case of “Elsie Smith”. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/751

Elder Care A Resource for Interprofessional Providers: Anti-TNF Agents for Inflammatory Bowel Disease 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: 

Anti-TNF Agents for Inflammatory Bowel Disease 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: 
  1. Describe how the course of inflammatory bowel disease differs in older vs younger patients
  2. Identify the two main safety concerns when treating patients with biologic agents (TNF inhibitors)
  3. Name two infections for which patients should be tested prior to therapy with biologic agents
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: 
Mon, 12/10/2018
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Mon, 05/21/2018
Contact Person/Corresponding Author:



Suggested Citation:
Elder Care A Resource for Interprofessional Providers: Anti-TNF Agents for Inflammatory Bowel Disease in Older Adults. POGOe - Portal of Geriatrics Online Education; 2018 Available from: https://pogoe.org/taxonomy/term/751

GeriTeam Communication

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Learning Resource Type: 
Product Information
Abstract: 

This app was designed to introduce learners to the outpatient Geriatric health care team, common Geriatric terminology and ways to optimally communicate with team members.

Educational objectives: 
  1. Students will acquire a basic understanding of terminology that is specific to the geriatric practice of medicine.
  2. Students will learn the varieties of multi-disciplinary health care professionals that may be involved in geriatric medicine, the level of education and training they have, and what role they may play in comprehensive geriatric care.
  3. Through case examples, students will learn how a multidisciplinary care team interacts in the dynamic process of care provision for complex geriatric patients.
  4. Students will learn basic communication strategies that minimize conflict and foster collaborative patient-centered care.
Date posted: 
Wed, 10/22/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 10/22/2014
Contact Person/Corresponding Author:



Suggested Citation:
GeriTeam Communication. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/751

Elder Abuse & The Case of Dorothy Johnson

:  
Date Posted: 
12/31/1969
Date Reviewed/Updated for Clinical Accuracy: 
12/31/1969
Other Intended Learner Audiences: 
Product Information
Estimated time to complete: 
999
Abstract: 

This Elder Abuse Case of Dorothy Johnson was presented on Interprofessional Education Day at the University of New Mexico. Interprofessional Education Day brings students and faculty together from Medicine, Physical Therapy, Occupational Therapy, Nursing, Pharmacy, Social Work, and other related disciplines to promote a team-based approach to communication and problem solving on behalf of the older patient.

Follow the attached Agenda and Facilitator Guide to incorporate the Case in your teaching.

 

Educational objectives: 

At the conclusion of this learning experience, students will be able to:

  • Define Elder Abuse, with an understanding of its different forms (physical, mental, sexual, financial, neglect, self-neglect)
  • Recognize the signs of Elder Abuse
  • Assess patients for Elder Abuse
  • Communicate with patients suspected of experiencing Elder Abuse
  • Work as part of an interprofessional team to care for patients suspected of experiencing Elder Abuse
  • Identify community resources that are available to assist victims of Elder Abuse and their families

Interprofessional Competencies:

  • Work in cooperation with those who receive care, those who provide care, and others who contribute to or support the delivery of prevention and health services, legal counseling, and advocacy services.
  • Engage a diverse group of progessionals who complement one's own professional expertise, as well as associated resources, to develop strategies to meet specific patient care needs.
  • Listen actively and encourage ideas and opinions of other team members.
  • Engage other professionals in shared patient-centered problem solving.
Date posted: 
Tue, 09/23/2014
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 09/23/2014
Contact Person/Corresponding Author:



Suggested Citation:
Elder Abuse & The Case of Dorothy Johnson. POGOe - Portal of Geriatrics Online Education; 2014 Available from: https://pogoe.org/taxonomy/term/751

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