Geriatric Syndromes. Elizabeth K Keech PhD, RN Elise Pizzi MSN, GNP-BC
|
|
- Audrey Cole
- 6 years ago
- Views:
Transcription
1 Geriatric Syndromes Elizabeth K Keech PhD, RN Elise Pizzi MSN, GNP-BC
2 What are they? Conditions, not diseases Common in the elderly Typically: Multifactorial Share risk factors Linked with functional decline, increasing frailty and poor health outcomes
3 Tend to include: Polypharmacy Chronic pain Falls Delirium Urinary incontinence Depression.
4 Prevalence Study of 62,829 Looked at 3: Falls, Urinary incontinence & Depression Community dwelling women between years of age % had 1 Geriatric Syndrome % had 2 or more
5 Effects: Independent Physical & social functioning and disability Quality of life measures The Odds Ratio were as large for physical and social limitations as were those for chronic conditions
6 Effect: Synergistic Concurrence of Chronic diseases
7 Shared Risk Factors Diabetes: Risk for : Dementia Decline in mobility Disability Falls Urinary Incontinence Malnutrition: Correlated with: - Depression - Dementia - Functional dependence Associated with: - Multiple co-morbidities
8 Shared Risk factors Older age (Define old) Functional Impairment Cognitive Impairment Impaired mobility (Inouye et al 2007) Poor Nutritional status Female gender Depressive symptoms (Chen et al. 2010)
9 Frailty: The Dwindles Meet 3 of 5 symptoms: Decreased walking speed Decreased grip strength Decreased physical activity Exhaustion Weight loss (Fried et al. 2001)
10 What s needed Prevention: Mobility issues and malnutrition Minimize complications Early recognition and treatment Basic set of geriatrics knowledge and skills to address the key geriatric syndromes and issues that can limit functional independence and complicate medical management
11 Improving health outcomes through research and education Solutions: Educating clinicians, educators and students Identifying Evidence-based data found in Hartford Institute for Geriatric Nursing
12 HIGN Hartford Institute for Geriatric Nursing Mission Shape the quality of health care of older adults through excellence in nursing practice Started in 1996 Geriatric arm of the NYU College of Nursing Addresses 4 vital areas for change PRACTICE RESEARCH EDUCATION ADVOCACY POLICY Hartford Institute Home Page
13 EDUCATION
14 GNEC Geriatric Nursing Education Consortium National initiative to enhance geriatric content in senior-level undergraduate courses Administered by AACN in collaboration with Hartford Institute Power Point presentations on-line Cultural Competence and Chronic Disease Management of Older Adults Spirituality and Aging Sexuality in Older Adults Spirituality in Aging
15 Geropsych Competency Geropsychiatric Nursing Collaborative that is identifying and evaluating the quality and suitability of curricular and training materials Portal of Geriatric Online Education-rate the materials you peruse Log in to view articles, videos Log in to view modules that develop knowledge of gero psych topics Portal of Geriatric Online Education
16 Consult GeriRN.org Protocols and topics Evidence-based protocols for managing common geriatric syndromes and conditions From Advance Directives to Urinary Incontinence ConsultGeriRN
17 Consult Geri-RN Try This Assessment Tool Series with over 30 nationally recommended instruments for use with older adults Tabs want to know more topic resources Try This Assessment Tool Series
18 HIGN e-learning Center Continuing Education Portal with free and paid courses Sign in to courses Gerontological Certification Review Course offered by ANCC fundamental knowledge about care of the older adult elearning/
19 HIGN e-learning Center Clinical Teaching Modules assist nursing faculty to integrate care of older adults when teaching students in hospitals Clinical Teaching Module
20 HIGN e-learning Nursing Home Modules Assist nursing faculty teaching in nursing homes Help faculty select and use nursing homes for clinical placement Focus on nursing homes involved in residentdirected care and culture change Nursing Modules
21 Elder Mistreatment elearning course developed Concepts Research Legal Care continuum Theories Clinical Documentation Impact Elder Mistreatment
22 HIGN e-learning Web Based geriatric case studies that assist faculty to introduce geriatric concepts into the curriculum Advance Practice Case Studies
23 PRACTICE
24 NICHE Practice supportive Nurses Improving Care for Health System Elders GITT Geriatric Interdisciplinary Team Training Training resources in a GITT Kit to help health professionals develop interdisciplinary teams GITT
25 Practice Support Consult Geri RN and Try This Series Tab Need help stat Need help stat HI Hospital Competencies Competency: Care of Adult 65 years + Hospital Competencies
26 IV - HIGN Forum Web based board for reading and posting messages about geriatric topics. HIGN Forum
27 USING TRY THS - Medications
28 Drugs and Older Adults Medication (prescription, over-the-counter and herbal preparations) are widely used by older adults At least one RX med used b 81% of community dwelling adults Five or more Rx medications used by: 29% of overall survey population 65 and older 36% of people aged year olds 46% of RX users took at least one OTC medication (Qato et al, 2008)
29 Medication 20% of of community dwelling older adults in the US are using one or more meds on the Beer s list of drugs that should be avoided (Zhan et al, 2001) All adults over 65 y.o. (12% of population) 79% take some type of medication Consume 30 40% of all prescribed drugs Purchase 40% of all OTC drugs 12% of elderly on 10 or more meds 23%take 5 or more medications
30 Adverse Drug Reactions(ADR) # of drugs prescribed and prior history of an ADR strongest predictors for subsequent ADR Risk doubled for those prescribed 5-7 medications Fourfold for those receiving 8 or more medications (Onder et al, 2010)
31 Post hospital medication problems One or more medication discrepancies were experienced in 14.1% of patients post hospitalization Medication discrepancies were associated with total number of meds taken and presence of CHF 14.3% of patients with discrepancies rehospitalized in 30 days compared with 6.1% without discrepancies (Coleman et al, 2005)
32 Try This Series
33 Try This Series Want To Know More Assessment /Screening Tools Beers Part I criteria Beers Part II criteria Article in AJN Video on Beers Criteria
34 Using Beers I Criteria see handout Part I Have student review patient RX and OTC meds to identify inappropriate medications Great exercise for beginning clinical students Example for action on a drug by students OTC Benadryl (diphenhydramine) May cause confusion and sedation Should not be used as a hypnotic e.g. Tylenol PM!! Emergency allergic reaction use smallest dose (25 mg), 1 2x
35 Using Beers II Criteria see handout Part II Have student review patient meds to identify inappropriate medications by patient diagnos(es)/condition(s) Good exercise for higher level students Use disease or condition to identify inappropriate medications by name or by drug class Have students group patient s present list of medications both RX and OTC by diagnoses/conditions
36 Delirium: Most frequent complication of hospitalized elderly Yet nurses fail to recognize it more than 30-50% of the time In one study, nurses failed to recognize delirium in 75% of cases (Rice et al., 2011) The fluctuating mental status is important to identify because it often signals a need for additional treatment
37 Improving Recognition through Education that: Differentiates between the 3 D s Delirium, Dementia, Depression Improves knowledge about atypical presentations of delirium in the elderly Provides competency in mental status assessment: the Mini-cog Recognizes acute confusion as a serious condition
38 Try This Series: Delirium Overview of the problem Articles Strategies Assessment/Screening Tools Assessment tools Videos
39 CAM (Confusion Assessment Method) CAM standardized assessment tool (Long & Short Versions) CAM ICU non-verbal, ventilated Patient Plus: Assessing and managing delirium superimposed on dementia Assessment of Executive Functioning
40 Try This Series: (CAM) Identifies 4 features of the disorder that distinguish it from other forms of cognitive impairment. 1. status altered from baseline (acute onset or fluctuating) 2. inattention 3. disorganized thinking 4. altered level of consciousness Takes 5 minutes and is easily incorporated
41 Back to Rice s Study
42 Thank You and Healthy Aging
43 References Coleman, E. A., Smith, J. D., Raha, D., Min, S. J. (2005). Posthospital medication discrepancies: prevalence and contributing factors. Arch Intern Med 165:1842. Fried, L. P., Fernucci, L., Darer, J., Williamson, J. D., Anderson, G. (2004). Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. Journal of Gerontology: Medical Sciences 59(3) Inouye, S. K., Studenski, S., Tinetti, M. E., Kuchel, G. A. (2007) Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept. Journal of the American Geriatric Society 55: Knight, E. L., Avorn, J. (2001). Quality indicators for appropriate medication use in vulnerable elders. Ann Intern Med 135:703.
44 References Onder, G., Petrovoc, M., Tanglisura, B., et al. (2010). Development and validation of a score to assess risk of adverse drug reactions among in-hospital patients 65 years or older: the GerontoNet ADR risk score. Arch Intern Med 170:1142 Qato, D. M., Alexander, G. C., Conti, R. M. et al. (2008). Use of prescription and over-the-counter medications and dietary supplements among older adults in the United States. JAMA 300:2867. Rice, K. L., Bennett, M., Gomez, M., Theall, K. P., Knight, M., Foreman, M. D. (2011). Nurses' recognition of delirium in the hospitalized older adult. Clinical Nurse Specialist 25(6),
45 Russo, A. L., Eaton, C. B., Wallace, R., Gold R., Curb, J. D., Stefanick, F. L., Okene, J. K., Michael, Y. L. (2011). Combined impact of geriatric syndromes and cardiometabolic diseases on measures of function. J Gerontol A Biol Med Sci. 66A(3): Saka, B., Kaya, O., Ozturk, G. B., Erten, N., Karan, M. A. (2010). Malnutrition in the elderly and its relationship with other geriatric syndromes. Clinical Nutrition 29(6): Zhan, C., Sangl, J., Bierman, AS, et al. (2001). Potentially inappropriate medication use in the community-dwelling elderly: findings from the 1996 Medical Expenditure Panel Survey. JAMA 286:282.3.
4/26/2012. Laura Grooms, MD Assistant Professor Geriatric Medicine Department of Family and Geriatric Medicine University of Louisville April 20, 2012
Laura Grooms, MD Assistant Professor Geriatric Medicine Department of Family and Geriatric Medicine University of Louisville April 20, 2012 Laura Grooms, MD Assistant Professor Geriatric Medicine Department
More informationRecommended Geropsychiatric Competency Enhancements for Gerontological Nurse Practitioners
Recommended Geropsychiatric Competency Enhancements for Gerontological Nurse Practitioners These recommended competency enhancement statements draw attention to the special needs of older adults with mental
More informationThe environment of care is a standing item
s Environment of Care (EC)....................................1 Human (HR).....................................2 Information Management (IM)...............................2 Leadership (LD)...........................................3
More informationGeriatrics and Cancer Care
Geriatrics and Cancer Care Roger Wong, BMSc, MD, FRCPC, FACP Postgraduate Dean of Medical Education Clinical Professor, Division of Geriatric Medicine UBC Faculty of Medicine Disclosure No competing interests
More informationThis transition guide serves to outline the updates and new content found in Gerontological Nursing: Competencies for Care, Third Edition.
Transition Guide This transition guide serves to outline the updates and new content found in Gerontological Nursing: Competencies for Care, Third Summary Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BS,
More informationDelirium in the Elderly
Delirium in the Elderly ELITE 2015 Mamata Yanamadala M.B.B.S, MS Division of Geriatrics Why should we care about delirium? It is: common associated with high mortality associated with increased morbidity
More informationDelirium in the Elderly
Delirium in the Elderly ELITE 2017 Liza Genao, MD Division of Geriatrics Why should we care about delirium? It is: common associated with high mortality associated with increased morbidity Very much under-recognized
More informationDelirium Pilot Project
CCU Nurses: Delirium Pilot Project Our unit has been selected to develop and implement a delirium assessment and intervention program. We are beginning Phase 1 with education and assessing for our baseline
More informationDementia and Primary Care. A Structured Team Approach UNE/MGEC Conference June 2014
Dementia and Primary Care A Structured Team Approach UNE/MGEC Conference June 2014 First Proviso I have no actual or potential conflict of interest in relation to this program or presentation. Second Proviso
More informationDo you know. Assessment of Delirium. What is Delirium? Which syndrome occurs more commonly in elderly populations? a. Delirium b.
Assessment of Delirium Marianne McCarthy, PhD, GNP, PMHNP Arizona State University College of Nursing and Health Innovation What is Delirium? Delirium is a common clinical syndrome characterized by: Inattention
More informationTransitioning to Adult-Gerontology APRN Education: Slide Library
Transitioning to Adult-Gerontology APRN Education: Slide Library APRN Assessment and Management of Older Adults with Delirium Authors: Lois Evans, PhD, RN, FAAN Pamela Z. Cacchione, PhD, APRN, GNP, BC
More informationnicheprogram.org 2016 Annual NICHE Conference Care Across the Continuum 1
NICHE 101: Resources & Tools: The NICHE Knowledge Center Eugenia Bachaleda, MA Assistant Director, Education and Resources Deirdre M. Carolan, PhD, ANP, BC, GNP, BC Nurse Practitioner, Geriatrics, Clinical
More informationPolypharmacy and the Older Adult. Leslie Baker, PharmD, BCGP Umanga Sharma, MD
Polypharmacy and the Older Adult Leslie Baker, PharmD, BCGP Umanga Sharma, MD Objectives Identify what polypharmacy is Identify factors leading to polypharmacy Discuss consequences of polypharmacy Identify
More informationDelirium. Dr. John Puxty
Delirium Dr. John Puxty Learning Objectives By the end of the workshop participants will be able to: Appreciate the main diagnostic criteria for delirium. Describe common risk factors, causes and main
More informationContinence, falls and the frailty syndrome. Anne Foley - BGS Bladders and Bowel Health 2012
Continence, falls and the frailty syndrome Outline Frailty Geriatric syndromes and giants Aetiology What can be done? The future Frailty Frailty Frailty (noun): The state of being weak in health or body
More informationDelirium assessment and management. Dr Kim Jeffs Northern Health
Delirium assessment and management Dr Kim Jeffs Northern Health What do you need to know? Epidemiology How big is the problem? Who is at risk? Assessment Tools for diagnosis Prevention Evidence base Management
More informationComprehensive geriatric assessment (CGA)
Comprehensive geriatric assessment (CGA) Mieke Deschodt, RN, PhD Lucky you, getting older in Europe - Multiplier event IC Dien Oostduinkerke, 5 June 2018 @mieke_deschodt 2 Outline Comprehensive geriatric
More informationAssociated Resources and Guidelines for Their Use
Infusing Geropsychiatric Nursing into Curricula: Associated Resources and Guidelines for Their Use The National Institute of Mental Health predicts that by 2030, the numbers of older adults (age 65+) with
More information9/19/2018. Common Medical Issues and Management in the Geriatric Trauma Patient. Disclosures. Objectives. I have no financial disclosures
Common Medical Issues and Management in the Geriatric Trauma Patient 2018 UW Medicine EMS & Trauma Conference September 17, 2018 Joe C. Huang, M.D. Clinical Instructor Medical Director, Geriatrics-Palliative
More informationLEVELS OF NICHE IMPLEMENTATION. Stage 2: Progressive Implementation
LEVELS OF NICHE IMPLEMENTATION *Required element Stage 1: Early Stage 2: Progressive Stage 3: Senior Friendly Stage 4: Exemplar Dimensions Guiding Principles The institution has a mission statement that
More informationUNTHSC TCOM Geriatric Competencies Curriculum Mapping Document
INSTRUCTIONS: Place a "B" (Basic), "I" (Intermediate), or "A" (Advanced) in the box next to the Geriatric Competency to indicate the Geraitaric Competency being taught, the corresponding Method of Subject
More informationnicheprogram.org 16th Annual NICHE Conference Forging New Paths and Partnerships 1
Improving Patient Outcomes in Geriatric Post-Operative Orthopedic Patients: Translating Research into Practice Tripping into The CAM Presented by: Diana LaBumbard, RN, MSN, ACNP/GNP-BC, CWOCN Denise Williams,
More informationGeriatric Grand Rounds
Geriatric Grand Rounds Prevalence and Risk Factors of Delirium in Older Patients Admitted to a Community Based Acute Care Hospital Tuesday, October 27, 2009 12:00 noon Dr. Bill Black Auditorium Glenrose
More informationEvaluating Functional Status in Hospitalized Geriatric Patients. UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series
Evaluating Functional Status in Hospitalized Geriatric Patients UCLA-Santa Monica Geriatric Medicine Didactic Lecture Series Case 88 y.o. woman was admitted for a fall onto her hip. She is having trouble
More informationPolymedication in nursing home. Graziano Onder Centro Medicina dell Invecchiamento Università Cattolica del Sacro Cuore Rome - Italy
Polymedication in nursing home Graziano Onder Centro Medicina dell Invecchiamento Università Cattolica del Sacro Cuore Rome - Italy Services and Health for Elderly in Long TERm care (SHELTER) 4156 residents
More informationDelirium in the hospitalized patient
Delirium in the hospitalized patient Jennifer A. Tarin, M.D. Department of Hospital Medicine Geriatric Health Safety Chair Colorado Permanente Medical Group UCLA Reynolds Scholar Delirium Preventing delirium
More informationHow to prevent delirium in nursing home. Dr. Sophie ALLEPAERTS Geriatric department CHU-Liège Belgium
How to prevent delirium in nursing home Dr. Sophie ALLEPAERTS Geriatric department CHU-Liège Belgium 1 CONFLICT OF INTEREST DISCLOSURE I have no potential conflict of interest to report 2 Outline 1. Introduction
More informationThe Industry s Views on Older Old Patients
The Industry s Views on Older Old Patients Susanna Del Signore and Philippe Guillet Global Regulatory Policy and Ageing Therapeutic Strategic Unit SANOFI R&D 1 Outline Introduction EFPIA Survey: Overview
More informationMedication Best Practices in ALFs A four-part webinar series
Medication Best Practices in ALFs A four-part webinar series Developed by Tyler Corson, PhD for the VCU Department of Gerontology & Virginia Department of Social Services, Division of Licensing Programs
More informationMedication Best Practices in ALFs A four part webinar series
Medication Best Practices in ALFs A four part webinar series Developed by Tyler Corson, PhD for the VCU Department of Gerontology & Virginia Department of Social Services, Division of Licensing Programs
More informationQuality Care for the Hospitalized Older Adult
Quality Care for the Hospitalized Older Adult Quality Care for the Hospitalized Older Adult Shelley R McDonald, DO, PhD May 19 th, 2018 Objectives To define why the hospital is a dangerous place for older
More informationDelirium in Older Persons: An Investigative Journey
Delirium in Older Persons: An Investigative Journey Sharon K. Inouye, M.D., M.P.H. Professor of Medicine Beth Israel Deaconess Medical Center Harvard Medical School Milton and Shirley F. Levy Family Chair
More informationMedication Management. Medications: The Right Balance. Who are we talking about? Geriatric Syndromes 9/19/2016. Older adults are a heterogenous group!
Medication Management Who are we talking about? Older adults are a heterogenous group! Patricia W. Slattum, PharmD, PhD Professor of Pharmacotherapy and Outcomes Science Director, Geriatric Pharmacotherapy
More informationUpdate in Geriatrics: Choosing Wisely Primum Non Nocere
Joseph G. Ouslander, M.D. Professor of Clinical Biomedical Science Senior Associate Dean for Geriatric Programs Chair, Department of Integrated Medical Science Charles E. Schmidt College of Medicine Professor
More informationCurriculum Outline for Advanced Level Training for Geriatric Mental Health Certificate
Curriculum Outline for Advanced Level Training for Geriatric Mental Health Certificate The Geriatric Certificate Training Program shall address the following goals: Reduce stigma Increase knowledge about
More informationDelirium Screening: The next nurse sensitive indicator?
Delirium Screening: The next nurse sensitive indicator? Sharon Gunn, MSN, MA, RN, ACNS-BC, CCRN Clinical Nurse Specialist Critical Care Baylor University Medical Center Dallas, TX Objectives Recognize
More informationEmergency Geriatrics. Essentials in Caring for Older Patients CCFP(EM) FCFP
Emergency Geriatrics 101 Essentials in Caring for Older Patients Don Melady BA MD MScCH(c) Don Melady BA MD MScCH(c) CCFP(EM) FCFP Ten Things I know about Old People in the ED Learning Objectives At the
More informationGeriatric Medicine Clerkship Orientation. Aval-Na Ree Green (modified by Huai Cheng)
Geriatric Medicine Clerkship Orientation Aval-Na Ree Green (modified by Huai Cheng) Welcome! Goals The geriatric clerkship is designed to prepare medical students to provide evidence-based, competent,
More informationPerioperative Care of Older Adults
Perioperative Care of Older Adults SARAH A. WINGFIELD, MD AND THOMAS O. DALTON, MD UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER DIVISION OF GERIATRIC MEDICINE We have no disclosures. Objectives -Recognize
More informationPerioperative Care of Older Adults
Perioperative Care of Older Adults SARAH A. WINGFIELD, MD AND THOMAS O. DALTON, MD UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER DIVISION OF GERIATRIC MEDICINE We have no disclosures. Objectives -Recognize
More informationChapter 01 Introduction
Chapter 01 Introduction Defining the Elderly There is no universally accepted age cut-off defining elderly. This reflects the fact that chronological age itself is less important than biological events
More informationDecreasing Delirium Resolution Times for the Elderly: An Interprofessional Approach
Decreasing Delirium Resolution Times for the Elderly: An Interprofessional Approach Featuring: Felice Rogers Evans BSN RN BC Ty Breiter MSN RN CNL Tampa General Hospital NICHE exemplar hospital Three time
More informationAssessment that Counts
Assessment that Counts Suzanne Beyea, RN, PhD, FAAN Justin Montgomery RN-BC Dartmouth-Hitchcock Medical Center & Northern New England Geriatric Education Center Objective Operationalize previously known
More informationA Community-Based Medication Management Intervention
A Community-Based Medication Management Intervention Dennee Frey, PharmD Partners in Care Foundation, San Fernando, CA Kate Wilber, PhD Gretchen Alkema, LCSW, PhD Candidate University of Southern California,
More informationnicheprogram.org 2016 Annual NICHE Conference Care Across the Continuum 1
Meeting the Palliative Care Needs of Older Hospitalized Patients: Nursing is Doing It! Susan M. Lee, PhD, RN, CNP Senior Nurse Scientist, NICHE Coordinator, Brigham and Women s Hospital, Boston, MA, Palliative
More informationMonday, 23 July 2018: 8:30 AM-9:45 AM STTI Australia
Shu-Ming Chen RN, PhD, Assistant Professor, College of Nursing, Fooyin University, Kaohsiung, Taiwan, R. O.C. 29th International Nursing Research Congress Monday, 23 July 2018: 8:30 AM-9:45 AM STTI Australia
More informationDelirium in Hospital Care
Delirium in Hospital Care Dr John Puxty 1 Learning Objectives By the end of the workshop participants will be able to: Appreciate the main diagnostic criteria for delirium. Describe common risk factors,
More informationPreventing Delirium among Older Adults with Dementia
Preventing Delirium among Older Adults with Donna M. Fick, PhD, GCNS-BC, Associate Professor of Nursing, School of Nursing, Pennsylvania State University, University Park, PA, USA. Ann Kolanowski, PhD,
More informationHEALTHSTREAM LIVING LABS IN ACTION
HEALTHSTREAM LIVING LABS IN ACTION A CONVERSATION WITH: Mitchel T. Heflin MD, MHS Associate Professor of Medicine, Duke University School of Medicine Eleanor McConnell PhD, RN, GCNS-BC Associate Professor,
More informationAging Research Day March 8, 2012
Aging Research Day March 8, 2012 Heidi R. Wierman, MD Mane Medical Center Division Director, Geriatrics Assistant Professor, Tufts School of Medicine Overview 1.Brief Delirium Review 2.Describe HELP function
More informationAssociated Resources and Guidelines for Their Use
Infusing Geropsychiatric Nursing into Curricula: Associated Resources and Guidelines for Their Use Background The National Institute of Mental Health predicts that by 2030, the numbers of older adults
More informationCritical themes in Ageing - Delirium
Critical themes in Ageing - Delirium Peteris Darzins BMBS PhD FRACP FRCPC Professor of Geriatric Medicine, Monash University, and Executive Clinical Director of Aged Medicine, Eastern Health Penelope Casey
More informationDrug use in long term care. Graziano Onder Centro Medicina Invecchiamento Università Cattolica Sacro Cuore, Rome
Drug use in long term care Graziano Onder Centro Medicina Invecchiamento Università Cattolica Sacro Cuore, Rome Polypharmacy in nursing home (USA) Concurrent use of 9 medications was reported for 39.7%
More informationWhat is frailty and why it is important
What is frailty and why it is important Tony Moran North West Knowledge and Intelligence Team Cancer Outcomes Conference 2013 Contents Definitions of frail and frailty Prevalence and measurement Use in
More informationAssociated Resources and Guidelines for Their Use
Infusing Geropsychiatric Nursing into Curricula: Associated Resources and Guidelines for Their Use Key Concept Product Series Key Concept IA. Assessment: Normal Aging: Biopsychosocial Theories Background
More informationDelirium Superimposed on Dementia: What Do We Know and What Can We Do? Delirium Superimposed on MY MESSAGES TODAY
Delirium Superimposed on Dementia: What Do We Know and What Can We Do? Donna Fick, RN, PhD, FGSA, FAAN¹, 2 Distinguished Professor Director Hartford Center of Geriatric Nursing Excellence Editor, Journal
More informationDelirium. A Geriatric Syndrome. Jonathan McCaleb, MD, CMD, HMDC UNSOM, Assistant Professor of Medicine Geriatrics / Hospice & Palliative Medicine
Delirium A Geriatric Syndrome Jonathan McCaleb, MD, CMD, HMDC UNSOM, Assistant Professor of Medicine Geriatrics / Hospice & Palliative Medicine Introduction Common Serious Unrecognized: a medical emergency
More informationFrom Uni-professional to Inter-professional
From Uni-professional to Inter-professional Strategies for Remodeling Curricula Elizabeth Kachur Medical Education Development, Global Consulting Lucy Bruell New York University School of Medicine Lisa
More informationFrailty: from Academic Definition to Clinical Applicability
Frailty: from Academic Definition to Clinical Applicability Associate Professor Ruth E. Hubbard October 26 th 2018 Objectives 1. Describe the development of frailty as a concept 2. Provide an overview
More informationPOLYPHARMACY IN OLDER ADULTS AND BEERS CRITERIA UPDATE
POLYPHARMACY IN OLDER ADULTS AND BEERS CRITERIA UPDATE Jeannie Kim Lee, PharmD, BCPS, CGP Clinical Pharmacy Director College of Pharmacy The University of Arizona Learning Objectives: State the risks of
More informationFalls and Mobility. Katherine Berg, PhD, PT and Arielle Berger, MD. Presented by: Ontario s Geriatric Steering Committee
Falls and Mobility Katherine Berg, PhD, PT and Arielle Berger, MD Key Learnings Arielle Berger, MD Key Learnings Learn approaches to falls assessment Understand inter-relationship between promoting safe
More informationAppendix A Gerontology Core Competencies
Appendix A Gerontology Core Competencies These Gerontology competencies are organized using the areas from the original Nursing Core Competencies from the AACN & John A. Hartford Foundation (2000) publication
More informationEffective Interprofessional Leadership: Outcomes of the Geriatric Nursing Leadership Academy
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationBiological theory for the construct of intrinsic capacity to be used in clinical settings Matteo Cesari, MD, PhD
Biological theory for the construct of intrinsic capacity to be used in clinical settings Matteo Cesari, MD, PhD World Health Organization Geneva (Switzerland) December 1, 2016 World Health Organization.
More informationStrategies to minimize delirium for hip fracture patients
Strategies to minimize delirium for hip fracture patients Stephen L Kates, M.D. Professor and Chairman Department Date of Orthopaedic Surgery Delirium incidence Up to 61% of hip fracture patients get delirium
More informationMEDICAL PROVIDERS AND COMMUNITY AGENCIES
MEDICAL PROVIDERS AND COMMUNITY AGENCIES A GERIATRICIAN AND A COMMUNITY FAMILY CAREGIVER SPECIALIST MAKE THE CASE FOR CONSISTENT AND COORDINATED DEMENTIA CARE ANN O'SULLIVAN, OTR/L, LSW, FAOTA SOUTHERN
More informationA Study of relationship between frailty and physical performance in elderly women
Original Article Journal of Exercise Rehabilitation 2015;11(4):215-219 A Study of relationship between frailty and physical performance in elderly women Bog Ja Jeoung 1, *, Yang Chool Lee 2 1 Department
More informationCaroline S. Blaum, MD, MS Diane and Arthur Belfer Professor of Geriatrics Director, Division of Geriatric Medicine New York University Langone
Caroline S. Blaum, MD, MS Diane and Arthur Belfer Professor of Geriatrics Director, Division of Geriatric Medicine New York University Langone Medical Center About the AGS Mission To improve the health,
More informationMN/OH Delirium Collaborative. Place picture here
MN/OH Delirium Collaborative Place picture here November 16, 2017 Housekeeping Introductions: MHA- Naira Polonsky OHA- Rosalie Weakland OHA- Jim Guliano In December 2015, the Minnesota and Ohio HENS began
More informationAssociated Resources and Guidelines for Their Use
Infusing Geropsychiatric Nursing into Curricula: Associated Resources and Guidelines for Their Use Key Concept Product Series Key Concept IVB. Background The National Institute of Mental Health predicts
More informationGeriatric Medicine I) OBJECTIVES
Geriatric Medicine I) OBJECTIVES 1 To provide a broad training and in-depth experience at a level sufficient for trainees to acquire competence and professionalism required of a specialist in Geriatric
More informationRational prescribing in the older adult. Assoc Prof Craig Whitehead
Rational prescribing in the older adult Assoc Prof Craig Whitehead Introduction Physioloical ageing and frailty Medication risks in older adults Drug Burden Anticholinergic and sedative drug burden Cascade
More informationTest your Knowledge: Recognizing Delirium
The Ottawa Hospital Name: Unit: Profession: RN RPN PT OT SW Other Note: Each question has only one correct answer. 1. If a patient is identified as being at high risk for developing delirium, his/her mental
More informationDelirium and cognitive impairment in the perioperative
Delirium and cognitive impairment in the perioperative period Richard Sztramko Assistant Professor, McMaster University Divisions of Geriatrics and General Internal Medicine Disclosures Chief Medical Officer
More informationFrailty and Rehabilitation: How We Utilized FIM Data to Develop Risk Models
Frailty and Rehabilitation: How We Utilized FIM Data to Develop Risk Models User Groups 2015 Orlando, Florida March 19, 2015 Las Vegas, Nevada May 7, 2015 Pam Roberts, PhD, OTR/L, SCFES, FAOTA, CPHQ, FNAP
More informationDelirium, Depression and Dementia
Delirium, Depression and Dementia Martha Watson, MS, APRN, GCNS Some material included in this presentation is adapted from: NICHE (2009). Geriatric Resource Nurse Core Curriculum [Power Point presentation].
More informationThe Center on Aging unites aging-related research, education, and clinical programs at the University of Utah to help people lead longer and more
The Center on Aging unites aging-related research, education, and clinical programs at the University of Utah to help people lead longer and more fulfilling lives. By linking its faculty and programs,
More informationActive Learning Strategies for Mastering Geriatric Assessment Tools
Active Learning Strategies for Mastering Geriatric Assessment Tools Sara McCumber, MS, RN, CNP, CNS Family Nurse Practitioner & Adult-Gerontological Primary Care NP The College of St. Scholastica Nursing
More informationStrategies to Recognize & B.E.A.T. Delirium. Amy E. Seitz Cooley, MS, RN, ACNS-BC Clinical Nurse Specialist York College of Pennsylvania DNP Student
Strategies to Recognize & B.E.A.T. Delirium Amy E. Seitz Cooley, MS, RN, ACNS-BC Clinical Nurse Specialist York College of Pennsylvania DNP Student The very first requirement in a hospital is that it should
More informationCognitive Status. Read each question below to the patient. Score one point for each correct response.
Diagnosis of dementia or delirium Cognitive Status Six Item Screener Read to the patient: I have a few questions I would like to ask you. First, I am going to name three objects. After I have said all
More informationTRAUMA AND THE GERIATRIC PATIENT. Janine Clift, RN Geriatric Emergency Nurse University Hospital Emergency Department, LHSC April 28, 2011
TRAUMA AND THE GERIATRIC PATIENT Janine Clift, RN Geriatric Emergency Nurse University Hospital Emergency Department, LHSC April 28, 2011 ELDERLY PATIENT ARE NOT JUST OLDER ADULTS Fraility is like pornography,
More informationGetting Started and Building Capacity for Geriatric Emergency Management:
Getting Started and Building Capacity for Geriatric Emergency Management: Better health outcomes for frail seniors David Patrick Ryan, Ph.D. Director of Education, Regional Geriatric Program of Toronto
More informationSummary of Delirium Clinical Practice Guideline Recommendations Post Operative
Summary of Delirium Clinical Practice Guideline Recommendations Post Operative Intensive Care Unit Clinical Practice Guideline for Postoperative Clinical Practice Guidelines for the Delirium in Older Adults;
More informationDelirium Prevalence in Acute Care Hospitalized Patients
Delirium Prevalence in Acute Care Hospitalized Patients Linda Cason DNP, CNS, RN-BC, NE-BC, CNRN Brittany Farmer MSN, CNS, ACCNS-AG, CCRN Kim Salee MSN, RN, AGCNS-BC, CWOCN Abby Schmitt MSN, RN-BC Objectives
More informationComprehensive Geriatric Assessment (CGA) Alison A. Moore, MD, MPH UC San Diego Division of Geriatrics and Gerontology
Comprehensive Geriatric Assessment (CGA) Alison A. Moore, MD, MPH UC San Diego Division of Geriatrics and Gerontology What will be covered 5 Ms of Geriatrics Components of CGA Case-based example with screening
More informationUpdate - Delirium in Elders
Update - Delirium in Elders Impact Recognition Prevention, and Management Michael J. Lichtenstein, MD F. Carter Pannill, Jr. Professor of Medicine Chief, Division of Geriatrics, Gerontology and Palliative
More informationInvitational Collaborative Forum Working Together for Seniors Care in Alberta
Invitational Collaborative Forum Working Together for Seniors Care in Alberta Duncan Robertson Senior Medical Director Alberta Seniors Health Strategic Clinical Network Presentation to Alberta College
More informationSupportive Care and Medicine Matters in the older cancer patients: The Asian Perspective
Supportive Care and Medicine Matters in the older cancer patients: The Asian Perspective Alex Chan, Pharm.D., MPH, BCPS, BCOP Assistant Head and Associate Professor National University of Singapore Specialist
More informationMedications are Additive (Anticholinergic) Diane W. Healey, M.D. Center for Healthy Aging March 10, 2017
Medications are Additive (Anticholinergic) Diane W. Healey, M.D. Center for Healthy Aging March 10, 2017 Disclosures This speaker has indicated there are no relevant financial relationships to be disclosed.
More informationIndex. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Acute coronary syndrome (ACS), burden of condition, 83 diagnosis of, 82 83 evaluation of, 83, 87 major complications of, 86 risk for,
More informationArticle begins on next page
Improving the quality of geriatric nursing care: Enduring outcomes from the Geriatric Nursing Education Consortium Rutgers University has made this article freely available. Please share how this access
More informationThere s No Place like Home
THERE S NO PLACE LIKE HOME There s No Place like Home Regional Advisory Committee for Excellence in Care of Older Adults Elements of the Program TAKE AWAY SERVICES R & G PROGRAM CONSULTATION O SERVICES
More informationAtypical Presentation. Atypical Presentation Part II
Atypical Presentation Part II Atypical Presentation in Acutely Ill Older Adults Head to Toe Assessment General Weakness/FTT The Frailty Syndrome/Phenotype Dr. Peter O Connor Geriatrician Feb 2008 Physical
More informationFrailty. Nicholas Butler MD, MBA Department of Family Medicine University of Iowa
Frailty Nicholas Butler MD, MBA Department of Family Medicine University of Iowa Doris 84 yo female who comes into your clinic with her daughter. She complains of feeling increasingly fatigued and just
More informationAPPENDIX 1 Table 2. MEMORY DISABILITY CLINIC CHECKLIST Division of Geriatric Medicine, Dalhousie University. Date: Marital Status:
MEMORY DISABILITY CLINIC CHECKLIST Division of Geriatric Medicine, Dalhousie University Date: APPENDIX 1 Table 2 Education: Marital Status: Occupation: Carer: Description of Problem: Sudden onset Rapid
More informationHospitalization- Associated Disability
Hospitalization- Associated Disability Deborah Villarreal, MD Assistant Professor Geriatric and Palliative Medicine An Unfortunately Common Scenario Mrs.G 70 y/o BF DM type II, HTN, s/p CVA, OA, OP admitted
More informationDavid Bienenfeld, M.D. Wright State University Department of Psychiatry
David Bienenfeld, M.D. Wright State University Department of Psychiatry 1 Describe the epidemiologic patterns of substance abuse over age and time List the metabolic changes that influence the effect of
More informationEMS Subspecialty Certification Review Course. Learning Objectives. Geriatric Patients and EMS Systems
EMS Subspecialty Certification Review Course Challenges in Geriatric Patient Care 1.4.6 Geriatric Issues Version: 2017 Learning Objectives Upon the completion of this program participants will be able
More informationPolypharmacy. Polypharmacy. Suboptimal Prescribing in Older Adults. Kenneth Schmader, MD Professor of Medicine-Geriatrics
Polypharmacy Kenneth Schmader, MD Professor of Medicine-Geriatrics Polypharmacy Definition Causes Consequences Prevention/management Suboptimal Prescribing in Older Adults Overuse Polypharmacy Underuse
More informationFrailty in Older Adults
Frailty in Older Adults John Puxty puxtyj@providencecare Geriatrics 20/20: Bringing Current Issues into Perspective Session Overview Definition of Frailty Strategies for identifying frail older adults
More information