Office - Based Geriatrics Assessment

mdangiolo — Fri, 07 May 2021 20:02:28 +0000

University of Central Florida College of Medicine

Abstract:

The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socioenvironmental circumstances. It is usually performed when the medical provider identifies a potential problem with the older adult patient. This holistic evaluation includes nutrition, vision, hearing, fecal and urinary continence, and balance. The geriatric assessment model has been studied in the home, inpatient and ambulatory care settings and there is evidence that it aids in the diagnosis of medical conditions; development of treatment and follow-up plans; coordination of management of care; and evaluation of long-term care needs and optimal placement.

Educational objectives:

Understand how to assess a new complex older patient in the office

Understand the importance of overall function, including activities of daily living (ADL and IADL)

Discuss validated tools for depression and cognitive assessment

Discuss medication review

Content Categories:

Caring for the Older Adult

Geriatric Syndromes

Intended learner audience:

Advanced Practice Nursing Student

Pharmacists

Fellow

Medical Student Clinical

Physician Assistant

Practicing Physician/CME

Resident

Geriatric Competencies:

MEDICATION MANAGEMENT

2 MM: Identify medications that should be avoided

3 MM: Document a patient’s medication list

COGNITIVE AND BEHAVIORAL DISORDERS

7 CBD: Perform and interpret a cognitive assessment

SELF-CARE CAPACITY

9 SCC: Assess and describe functional abilities

FALLS, BALANCE, GAIT DISORDERS

12 FBG: Ask about falls and intrepret tests

13 FBG: Construct diagnosis and evaluation plan for fallen patient

ATYPICAL PRESENTATION OF DISEASE

18 ATYP: Diagnose based on unique presentations of common conditions

Learning resource types:

Lecture

Discipline/specialty:

Family Medicine

Internal Medicine

Estimated time to complete:

1 hour

POGOe Id:

22037

Date posted:

Wed, 08/11/2021

Date Submitted or Reviewed/Updated for Clinical Accuracy:

Fri, 05/07/2021

No CME credits available

Not peer reviewed

None Selected

Office-Based Geriatrics Assessment
- 6.88 MB

Posting status:

Posted

Resident Level Competencies:

Medication Management

Cognitive, Affective, and Behavioral Health

Complex or Chronic Illness(es) in Older Adults

Conflict of Interest Disclosure:

No, I (we) have nothing to disclose.

Author(s):

"""Mariana Dangiolo, MD"""

Andrea Berry MPA

Adrienne L Gorman PhD

Contact Person/Corresponding Author:

"""""""Mariana Dangiolo, MD"""""""

Contact Person Email:

[email protected]">[email protected]

Advance Directives

mdangiolo — Fri, 19 May 2017 16:04:32 +0000

University of Central Florida College of Medicine

Abstract:

Advance Care Planning (ACP) is more than documenting life-sustaining treatment choices or identifying a surrogate decision-maker; it is a comprehensive, continuing communication and ‘shared decision-making’ process between the patient, family, and medical providers designed to document patient values and goals for treatment.

This interactive self- learning module is designed for undergraduate medical students with the goal of introducing learners to ACP while building their confidence in facilitating difficult conversations with patients. At the beginning of the module, we provide background on ACP including the challenges and benefits associated with the process. We showcase an elderly couple discussing how important it is to have advance directives in place. The second portion of the module reviews the common forms that are used to document advance directives and two patient case scenarios where the students can interact and reflect on the acquired content.

Educational objectives:

Recognize the relevance in conducting and documenting advance directive discussions with patients.
List commonly used advance directives documents.
Develop the skills necessary to engage patients in a discussion about advance directives through the use of realistic patient case scenarios.

Content Categories:

Caring for the Older Adult

Patient Safety

Geriatric Palliative Care

Intended learner audience:

Medical Student Pre-Clerkship

Medical Student Clinical

Resident

Geriatric Competencies:

HEALTH CARE PLANNING AND PROMOTION

14 HCP: Define and differentiate code status, proxies, and advance directives

Learning resource types: