The Portal of Geriatrics Online Education

5 CBD: Formulate a diagnosis and evaluate the 3D's

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

Systems-Based Approach to Delirium for Multiple Learners-Interactive Web Module

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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: 
1
Abstract: 

This product is an interactive web-based module on delirium. Delirium is presented within a systems-based practice framework. The module focuses on recognition, management and prevention of delirium. Users follow a patient from admission to discharge. It emphasizes “how-to” clinical skills including performing Mini-Cog and CAM on patients. It includes a multiple choice questionnaire and a certificate of completion for the learner’s portfolio. It may be used by a wide range of learners including medical students and residents from internal medicine, family practice, and surgical subspecialties.

Educational objectives: 
  1. Review the clinical significance of delirium
  2. Outline an evidence-based clinical approach to the confused patient in the hospital
  3. Outline an effective work-up based on known and most likely etiologies
  4. Educate learners on clinical tools such as the CAM and the Min-Cog
  5. Address delirium within a systems-based framework
  6. Provide risk assessment and illustrate how to prevent delirium
Additional information/Special implementation requirements or guidelines: 

Self-directed internet -based learning module. Module has audio so speakers or headphones are required.

Date posted: 
Wed, 01/19/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 01/19/2011
Contact Person/Corresponding Author:



Suggested Citation:
and . Systems-Based Approach to Delirium for Multiple Learners-Interactive Web Module. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/82

Introduction to Geriatric Emergency Medicine

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

This lecture presentation provides an introduction to geriatric emergency medicine by discussing the special needs of the growing geriatric population and challenges faced by the emergency departments when providing care to geriatric patients. 

Educational objectives: 
  1. Improve the emergency care for older patients
  2. Educate the learners about the special needs of the geriatric population
  3. Give learners the knowledge and tools needed to feel comfortable in evaluating the older patients in the emergency room.
Date posted: 
Wed, 01/19/2011
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Wed, 01/19/2011
Contact Person/Corresponding Author:



Suggested Citation:
Introduction to Geriatric Emergency Medicine. POGOe - Portal of Geriatrics Online Education; 2011 Available from: https://pogoe.org/taxonomy/term/82

Dementia and its Challenges - A Problem-Based Learning Case

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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 is a problem-based learning (PBL) case for medical students featuring a 73-year-old female patient with cognitive impairment.  The focus of the PBL case is the assessment and diagnosis of dementia, issues of elder abuse, challenges of caring for patients with dementia, and the prevalence of caregiver stress. 

Educational objectives: 

Knowledge

  1. Understand the core symptoms of Alzheimer’s disease and other forms of dementia.
  2. Appreciate the distinctions between various subtypes of dementia, and develop a differential diagnosis for elderly patients presenting with cognitive impairment.
  3. Explain the role of historical, clinical, neuroradiological, and neuropsychological tests in making the diagnosis of dementia.

Skills

  1. Recognize potential signs of elder abuse.
  2. Appreciate the specific psychosocial vulnerabilities inherent in geriatric populations.
  3. Recognize that elder abuse can come in many forms (e.g., not just limited to physical abuse or neglect, but can include things like financial abuse or subtle forms of manipulation).
  4. Recognize when conservatorship may be appropriate for an elderly patient with cognitive impairments.

Attitudes

  1. Demonstrate the appropriate threshold of suspicion for reporting elder abuse.
  2. Recognize that a physician has a duty, under law, to report suspected elder abuse in a patient.
  3. Demonstrate empathy and compassion for the unique situation of someone in the early or mid-stages of dementia.  Appreciate the difficulties and challenges for the individual, family, and society, of assisting those with Alzheimer’s disease.
  4. Demonstrate an appreciation for, and ability to recognize, the common phenomenon of “caregiver burnout”.
Date posted: 
Tue, 01/31/2012
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Tue, 01/31/2012
Contact Person/Corresponding Author:



Suggested Citation:
Dementia and its Challenges - A Problem-Based Learning Case. POGOe - Portal of Geriatrics Online Education; 2012 Available from: https://pogoe.org/taxonomy/term/82

Physical Diagnosis in Older Adults

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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 independent learning web-based module was developed for third-year medical students in the geriatric clerkship rotation. Emphasis is placed on setting the tone for clinical encounters with older adults, atypical presentation of illness, importance of review of function and medications. Clinical considerations specific to older adults are presented for most systems. External websites are included in the module to augment or further enlighten the student about the content presented.

Educational objectives: 
  1. Recognize personal biases that may interfere with effective communication.
  2. Reproduce history taking techniques that foster respect and rapport with older adults.
  3. Employ methods to facilitate communication in the sensory impaired.
  4. Recognize the potential for under-reporting of illness by the older patient.
  5. Discuss the importance of understanding atypical presentation of illness.
  6. Explain the particular concerns regarding accurate history about medications and nutrition in older adults.
  7. Describe the potential impact on health status and quality of life in the older adult with unrecognized functional decline. 
  8. Recall at least one age-related finding for each organ system.
  9. Restate clinical considerations for common physiologic changes in older adults.
  10. Summarize the major components of the "Welcome to Medicare" visit.
Date posted: 
Fri, 10/15/2010
Date Submitted or Reviewed/Updated for Clinical Accuracy: 
Thu, 04/05/2018
Contact Person/Corresponding Author:



Suggested Citation:
and . Physical Diagnosis in Older Adults. POGOe - Portal of Geriatrics Online Education; 2010 Available from: https://pogoe.org/taxonomy/term/82

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