Pre-habilitation: Planning for Best Outcomes After Surgery
|
|
- Meredith Dixon
- 5 years ago
- Views:
Transcription
1 Optimizing Aging Collaborative Pre-habilitation: Planning for Best Outcomes After Surgery Kaitlin Willham, MD San Francisco VA Medical Center Division of Geriatrics, UCSF The Optimizing Aging Collaborative at UCSF is supported by the UCSF Geriatrics Workforce Enhancement Program: Health Resources and Services Administration (HRSA) Grant Number U1QHP28727.
2 What are your goals for surgery? Take care of a problem before it becomes a bigger problem Improve symptoms Speed recovery
3 Recovery of Func6on A8er Surgery Surgery Baseline Func;on Time
4 Before Surgery Surgery Baseline Func;on Time
5 Pre- habilita6on Concept: enhancing func;onal capacity before surgery to improve a person s ability to withstand an upcoming stressor An emerging area of research Pre- habilita;on includes a comprehensive assessment and crea;on of a tailored plan for older adults before surgery
6 Tradi6onal Timeline Surgery Surgical Evalua;on Anesthesiologist/PCP 30 days Short- term
7 Basic Considera6ons Before Surgery Diseases Medica;ons Risk of heart and lung disease Blood pressure control Blood sugar control Smoking
8 Importance of a Comprehensive Assessment in Older Adults Iden;fy strengths and poten;al weaknesses Predict impact of surgery Create a care plan
9 Pre- habilita6on Timeline Surgery Surgical Evalua;on Comprehensive Assessment 4-8 weeks Short Medium Long Term
10 Func;on Diseases Nutri;on Medi- ca;ons Mind
11 What is a func6on? A person s ability to maintain independence Physical abili;es Cogni;ve abili;es
12 Basic Ac6vi6es of Daily Living (ADL) Func;on Ea;ng Using the bathroom GeQng dressed GeQng out of bed or a chair Taking a bath or shower
13 Instrumental Ac6vi6es of Daily Living (IADLS) Func;on Transporta;on Managing finances Cooking Shopping Managing medica;ons Laundry Housekeeping Using the telephone
14 Mobility Func;on Falls Any falls in the past year? Walking speed Do you use any equipment for mobility?
15 A Tailored Care Plan May Include Physical and/or occupa;onal therapy assessment Exercises Adap;ve strategies Plans for leaving the hospital axer surgery
16 Exercise Walk every day before surgery Stay as ac;ve as you are able now
17 Func;on Diseases Nutri;on Medi- ca;ons Mind
18 Surgery and Nutri6on Nutri;on Good nutri;on is important to reduce risk of complica;ons and aid healing Mul;ple ways to assess for nourishment Have you had significant weight loss in the past 6 months?
19 Nourishment Nutri;on If you are at risk of undernourishment, ask to see a nutri;onist before surgery In general, ea;ng at least 3 meals a day made up of protein rich foods, whole grains, fruits, vegetables and dairy can help recovery
20 Func;on Diseases Nutri;on Medi- ca;ons Mind
21 Delirium Mind Delirium means sudden confusion Affects 5-60% of adults axer surgery Delirium is associated with worse outcomes 30-40% of delirium is PREVENTABLE!
22 Evalua6ng for the Risk of Delirium Mind Cogni;ve impairment Alcohol intake Vision or hearing problems History of delirium Medica;ons
23 Plan to Reduce Risk of Delirium Bring assis;ve devices to the hospital (hearing aids, glasses, dentures) Ask if you would benefit from a specific plan in the hospital to reduce delirium Does the hospital have an Acute Care for Elders (ACE) unit or a geriatrics consultant?
24 Mental Health Mind Depression Anxiety and coping Deep breathing
25 Be Informed and Prepare Know what to expect How will this surgery benefit me? What will recovery look like for me? What will my func;on and independence be in 6 months, 12 months? Make arrangements for help and support axer surgery
26 Inform Your Team Discuss your health goals and priori;es Update or complete your Advance Direc;ve
27 Professional Resources Primary medical and surgical team Physical therapist Occupa;onal therapist Nutri;onist Geriatrician Social worker
28 Comprehensive Pre- opera6ve Clinics Surgery Wellness Clinic at UCSF Veterans Integra;ve Periopera;ve (VIP) Clinic at the San Francisco VA
29 Planning for the best outcomes, star6ng now Work with your doctor to manage health condi;ons Stop smoking and keep alcohol intake at healthy levels Be as physically and mentally ac;ve as your abili;es and condi;ons allow!
30 Optimizing Aging Collaborative at UCSF For more information, visit us online at OptimizingAging.org or us at The Optimizing Aging Collaborative at UCSF is supported by the UCSF Geriatrics Workforce Enhancement Program: Health Resources and Services Administration (HRSA) Grant Number U1QHP28727.
31 Ques6ons?
Frailty in Geriatric Trauma Pa1ents
Division of Trauma, Burn, Surgical Critical Care, & Emergency General Surgery Frailty in Geriatric Trauma Pa1ents Zara Cooper, MD, MSc, FACS Elizabeth Bryant, MPH Disclosures NIA R01AG044518 NCI R35CA197730
More informationMyths of Aging: What s Real?
Optimizing Aging Collaborative Myths of Aging: What s Real? Anna H. Chodos, MD Assistant Professor, Division of Geriatrics, UCSF Lynda Mackin, PhD, AG PCNP-BC, CCNS Health Science Clinical Professor, School
More informationFACTSHEET F18 COPING WITH TIREDNESS
COPING WITH TIREDNESS Many people with chest, heart and stroke conditions experience tiredness or fatigue. This factsheet explains some of the reasons why you might feel so tired. It also offers advice
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 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 informationVanessa Kumpf, PharmD, BCNSP Clinical Pharmacist Center for Human Nutri;on
Vanessa Kumpf, PharmD, BCNSP Clinical Pharmacist Center for Human Nutri;on Learn what you can do to: Maximize TPN benefits Minimize TPN-related problems Learn how to monitor your therapy Learn how to read
More informationIntegrated Mindfulness Interven1on
Integrated Mindfulness Interven1on Elizabeth Berlasso, NSRCT, Psychotherapist Rob Dickson, Clinical Team Leader Tara Sampalli, PhD, Manager Minakshi Dhir, Research Associate Integrated Chronic Care Service,
More informationNeurocogni*ve Deficits in Older Cancer Pa*ents. Beatrice J. Edwards, MD, MPH Central Texas Veterans Healthcare System
Neurocogni*ve Deficits in Older Cancer Pa*ents Beatrice J. Edwards, MD, MPH Central Texas Veterans Healthcare System Conflicts of Interest None Background By 2030 close to 70% of cancer pa5ents will be
More informationPatient Questionnaire
Name: DOB: Date of Visit: Patient Questionnaire Social History Yes No Do you eat a healthy balanced diet with minimal salt and bad fats? For Example: Balanced Diet = Combination of fruits, vegetables,
More informationUCLA Alzheimer s and Dementia Care Program. 200 UCLA Medical Plaza, Suite 365A Los Angeles, CA
UNIVERSITY OF CALIFORNIA, LOS ANGELES UCLA BERKELEY DAVIS IRVINE LOS ANGELES MERCED RIVERSIDE SAN DIEGO SAN FRANCISCO SANTA BARBARA SANTA CRUZ Alzheimer s and Dementia Care Program 200 UCLA Medical Plaza,
More information4/26/2012. 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 informationMobility & Wound Healing a2er Trauma6c Amputa6on. David Jones PT, CWS Duke University Medical Center Department of Physical and Occupa6onal Therapy
Mobility & Wound Healing a2er Trauma6c Amputa6on David Jones PT, CWS Duke University Medical Center Department of Physical and Occupa6onal Therapy Objec6ves Discuss the physical therapist s role during
More informationIdentifying Engineering, Clinical and Patient's Metrics for Evaluating and Quantifying Performance of Brain- Machine Interface Systems
Identifying Engineering, Clinical and Patient's Metrics for Evaluating and Quantifying Performance of Brain- Machine Interface Systems Jose Pepe L. Contreras-Vidal, Ph.D. Department of Electrical & Computer
More informationPatient Name/DOB DATE OF VISIT LVFPA MEDICARE WELLNESS QUESTIONNAIRE
LVFPA MEDICARE WELLNESS QUESTIONNAIRE Welcome to Medicare Visit/IPPE Annual Wellness Visit LIST OF PROVIDERS: Please provide a list of any other physicians or providers you see VACCINATIONS: Please list
More informationThank you for choosing Saint Joseph s Hospital Health Center for your spine surgery. Updated Jan 2017
Thank you for choosing Saint Joseph s Hospital Health Center for your spine surgery Updated Jan 2017 This class is designed to give you some basic, important information about spine surgery We will cover
More informationGeriatric Restorative Care VMB 3 East
Patient & Family Guide 2016 Geriatric Restorative Care VMB 3 East www.nshealth.ca Geriatric Restorative Care Veterans Memorial Building (VMB) 3 East What is Geriatric Restorative Care? The goal of the
More informationCREATING YOUR DAILY ROADMAP Creating Your Daily Roadmap
CREATING YOUR DAILY ROADMAP Creating Your Daily Roadmap If you've been diagnosed with idiopathic pulmonary fibrosis (IPF), then you're sure to have a lot of questions. People with IPF can experience a
More informationDATA COLLECTION SHEET CRF 3M FOLLOW UP AT 3 MONTHS (+/- 2 weeks)
DATA COLLECTION SHEET CRF 3M FOLLOW UP AT 3 MONTHS (+/- 2 weeks) Center ID: Patient code: Date of evaluation (dd/mm/yyyy): / / 90 day mortality No Yes Date of death (dd/mm/yyyy): / / (If Yes specify cause
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 informationChemo Brain and Fa.gue Chemotherapy Related Cogni:ve Impairment Chemotherapy Related Fa:gue. Alok Pant, MD Northwestern Medicine
Chemo Brain and Fa.gue Chemotherapy Related Cogni:ve Impairment Chemotherapy Related Fa:gue Alok Pant, MD Northwestern Medicine Chemotherapy Related Cogni.ve Changes Agen:on Concentra:on Learning Memory
More informationUpper Extremity Fractures and Secondary Fall Prevention: Opportunities to Improve Management and Outcomes Across Disciplines.
Upper Extremity Fractures and Secondary Fall Prevention: Opportunities to Improve Management and Outcomes Across Disciplines Chris,ne McDonough, PhD, PT, CEEAA Health Outcomes Unit Department of Health
More informationThe COUNTER HF Clinical Study for Heart Failure
The COUNTER HF Clinical Study for Heart Failure CAUTION: C- Pulse is an inves?ga?onal device. It is limited by Federal (or United States) Law to inves?ga?onal use only. It is not available for sale in
More informationClinical Toolbox for Geriatric Care 2004 Society of Hospital Medicine 1 of 7
PHYSICAL SELF-MAINTENANCE SCALE (ACTIVITIES OF DAILY LIVING, OR ADLs) In each category, circle the item that most closely describes the person's highest level of functioning and record the score assigned
More informationSample Health Risk Assessment
Sample Health Risk Assessment The HRA questions outlined below are provided as examples. They represent one HRA model. Use of this model is not a requirement for the Medicare Annual Wellness Visit HRA,
More informationEnhanced Recovery After Surgery (ERAS) Diary
Cardiac Surgery Enhanced Recovery After Surgery (ERAS) Diary Patient s Name: Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please call: 01253
More informationFall & Injury Preven/on: Demen/a + Hospitals = The Perfect Storm
Fall & Injury Preven/on: Demen/a + Hospitals = The Perfect Storm Tiffany E. Shubert, PhD, PT Carolina Geriatric Educa/on Consor/um UNC School of Medicine June 11, 2014 Acknowledgements This work was supported
More informationTobacco Cessation Toolkit
You notice physical s, like moments of dizziness, sweating, hands trembling or a mild headache. When using tobacco, nicotine increases your heart rate (by about 10 20 beats per minute) and blood pressure.
More informationLearn about Delirium. Information for patients and families
Learn about Delirium Information for patients and families In this document you will find information about: What is delirium Signs Causes Treatment What you can do What is delirium? Delirium is sudden
More informationMedicare Annual Wellness Visit HEALTH RISK ASSESSMENT
Patient Name: Date of Birth: GENERAL HEALTH 1. How is your overall health? Excellent Good Fair Poor 2. How many different prescriptions are you taking? 0-3 4-6 7-10 10+ 3. Do you take all of your mediations
More informationDischarge advice following surgery
Discharge advice following surgery Information for patients/carers The following is some general advice to help you following your surgery, some will not relate to you and some will require further explanation.
More informationHow to Save Your Energy
How to Save Your Energy Sometimes people have trouble doing the things they want to do because they are too tired or have shortness of breath (SOB). Being over tired and/or having SOB can be caused by
More informationLABs Albumin. (g/dl) Haemoglobin, (g/l) Creatinin, (mg/dl)
DATA COLLECTION SHEET CRF B Baseline evaluation Center ID: Patient code: Date of birth (dd/mm/yyyy): / / Sex: Male Female Living situation: home independent home with family/care giver residential care
More informationDementia and Fall Geriatric Interprofessional Training. Wael Hamade, MD, FAAFP
Dementia and Fall Geriatric Interprofessional Training Wael Hamade, MD, FAAFP Prevalence of Dementia Age range 65-74 5% % affected 75-84 15-25% 85 and older 36-50% 5.4 Million American have AD Dementia
More informationMedicare Annual Wellness Visit Questionnaire
Medicare Annual Wellness Visit Questionnaire Answering these questions will help you and your health care provider develop a personalized prevention plan to help you stay healthy and plan for future health
More information9/8/2017 OBJECTIVES:
OBJECTIVES: To help caregivers indentify geriatric conditions by performing a simplified geriatric assessment to better manage these conditions and prevent or delay their complications. Discuss Geriatric
More informationPromoting Functional Independence and Activity in Older Adults
Promoting Functional Independence and Activity in Older Adults Mobility Activity Function Falls Mobility Individual Anna H. Chodos, MD, MPH Assistant Professor Division of Geriatrics UCSF Function Activity
More informationFunctional Assessment Janice E. Knoefel, MD, MPH Professor of Medicine & Neurology University of New Mexico
Janice E. Knoefel, MD, MPH Professor of Medicine & Neurology University of New Mexico Retired - Geriatrics/Extended Care New Mexico Veterans Affairs Healthcare System Albuquerque, NM Disclosure Statement:
More informationFalls Care Program Pre-Visit Questionnaire
Falls Care Program Pre-Visit Questionnaire To help us get to know you better, please complete this form before your visit and bring it with you to the visit. It will help us to work with you to reduce
More informationHealth & Wellness Assessment. Name Date of Birth. List the names of any doctors, medical providers, nurses, or medical suppliers that you have:
1 Health & Wellness Assessment Name Date of Birth List the names of any doctors, medical providers, nurses, or medical suppliers that you have: Name Phone Services You Receive General Health In general,
More informationCommon Assessment Tool
Client name: Client UR: This tool is designed to be used for clients with chronic conditions. Medical and chronic conditions history Tell me about your health condition/s List all relevant medical conditions.
More informationSTAY NOURISHED. Be happy and healthy as you age
STAY NOURISHED Be happy and healthy as you age As we age physical changes to our bodies occur which can affect the way we think and feel about food. These changes can prevent us from having access to a
More informationSUNDAY MORNING HEALTH CORNER: CHILDHOOD OBESITY
SUNDAY MORNING HEALTH CORNER: CHILDHOOD OBESITY OVERVIEW What s Going On With Childhood Obesity? Healthy Ea7ng Nutri7onal Guidelines, Recommenda7ons, Tips Let s Move Physical Ac7vity recommenda7ons and
More informationRecovering at home. How will I feel when I get home? How should I look after my wound?
How will I feel when I get home? Following your operation it is normal to have feelings of stress, anxiety or depression. Being affected emotionally is normal. It may help to talk about how you feel with
More informationPT Goals - Certification or Supplemental Orders
General G01 PT Rehab potential excellent for stated goals C General G02 PT Rehab potential good for stated goals C General G03 PT Rehab potential fair for stated goals C General G04 PT Discharge when goals
More informationFunctional Assessment of Work Disability
This questionnaire asks about difficulties due to health conditions. Health conditions include diseases, illnesses, injuries, mental or emotional problems. The ability to remember difficulties is most
More informationDelirium: Information for Patients and Families
health information Delirium: Information for Patients and Families 605837 Alberta Health Services, (2016/11) Resources Delirium in the Older Person Family Guide: search delirium at viha.ca Go to myhealth.alberta.ca
More informationRATIONALE AND INDICATION
OUTPATIENT TOTAL HIP REPLACEMENT JOHN R. MOORE, IV, M.D. Since you have progressed to the point of serious considera4on of total hip replacement, there is a great deal of informa4on that is important for
More informationEMBRACING FAT FOR A HEALTHY HEART IS A NOTION BASED ON FLAWED SCIENCE
EMBRACING FAT FOR A HEALTHY HEART IS A NOTION BASED ON FLAWED SCIENCE By Dean Ornish, MD I have been asked by several people to comment on the recent study from Tulane that was featured prominently in
More informationResident Assessment Best Practices M E G A N M. G R A E S E R, D N P, G N P - BC P H Y S I C I A N H O U S E C A L L S, L L C
Resident Assessment Best Practices M E G A N M. G R A E S E R, D N P, G N P - BC P H Y S I C I A N H O U S E C A L L S, L L C Who are you assessing? Elders that needing to make a transition in their care
More informationCurrent Reality: The San Francisco Experience
Current Reality: The San Francisco Experience October 3, 2017 Meredith Greene, MD, AAHIVS meredith.greene@ucsf.edu @geri4life https://hiv.ucsf.edu/ Disclosures No disclosures to make Grant support from
More informationThe Elusive Frailty Formula: Shining the geriatric light on the 1-5% Dr John Puxty
The Elusive Frailty Formula: Shining the geriatric light on the 1-5% Dr John Puxty puxtyj@providencecare.ca Health Care use is not uniform by Seniors How common is Frailty? Approximately10% of all individuals
More informationYour History: Please check the appropriate box for the conditions as they apply to you:
MEDICARE ANNUAL WELLNESS VISIT QUESTIONNAIRE Patient Name DOB Enrolled in Medicare of last Annual wellness exam Providers and Suppliers of Your Medical Care Please list all providers and suppliers of your
More informationStroke. Objectives: After you take this class, you will be able to:
Stroke Objectives: After you take this class, you will be able to: 1. Describe the signs of a stroke and how a stroke happens. 2. Discuss stroke risk factors. 3. Detail the care and rehabilitation of a
More informationINFORMAL CARE RECEIVED BY PEOPLE WITH DEMENTIA AGED 75 YEARS AND OLDER
INFORMAL CARE RECEIVED BY PEOPLE WITH DEMENTIA AGED 75 YEARS AND OLDER Empirical evidence from the French National Survey on Health and Disability Handicap-Santé Ménages 2008 Alain PARAPONARIS Gwendoline
More informationOther Perceptual Impairment
Other Perceptual Impairment The Senses Tradi&onal Vision Hearing Taste Smell Touch Non-tradi&onal Equilibriocep8on (balance, accelera8on) Temperature Propriocep8on (body part posi8oning) Nocicep8on (Pain)
More informationPsychosocial Impact of Chronic Illness & Fostering Adaptive Coping
Psychosocial Impact of Chronic Illness & Fostering Adaptive Coping Eleanor Mackey, Ph.D. Assistant Professor of Psychology and Behavioral Health Children s Na?onal Health System Objectives Understand the
More informationOutcome Measures for the Clinician
Outcome Measures for the Clinician Timed up and Go (TUG) Special contribu=ons made by: Jason Kahle - Jason Highsmith Brian Kaluf - Tyler Klenow 1 Introduc=on Outcome measures are clinical tests that are
More informationKnowledge is Power. Understand Your Risk Factors and Prevent Stroke
Knowledge is Power Understand Your Risk Factors and Prevent Stroke Na0onal Stroke Associa0on ADVOCATE Influence public policy and legisla=on on stroke survivor issues. EDUCATE Spread the word about stroke
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) Gitlin, L. N., Winter, L., Dennis, M. P., Corcoran, M., Schinfeld, S., & Hauck, W. W. (2006). A randomized trial of a multicomponent home intervention to reduce functional
More informationA Func'onal Approach to Hypothyroidism Part 1 of 3. Jim Paole*, BS Pharmacy, FAARFM, FIACP
A Func'onal Approach to Hypothyroidism Part 1 of 3 Jim Paole*, BS Pharmacy, FAARFM, FIACP Objec&ves Review the produc/on, metabolism, and ac/vi/es of the thyroid gland and thyroid hormones Differen/ate
More informationAging: Tools for Assessment
Aging: Tools for Assessment Eugenia L. Siegler, MD Mason Adams Professor of Geriatric Medicine Weill Cornell Medicine New York, New York San Antonio, Texas: August 21 to 23, 2017 Learning Objectives After
More informationSocial Cogni+ve Theory. Amanda Gerson
Social Cogni+ve Theory Amanda Gerson Purpose of Theory To understand and predict individual and group behavior To identify methods in which behavior can be modified or changed Used in interventions aimed
More informationConcussion & You. A Handbook for Parents and Kids DEVELOPED BY CONCUSSION EXPERTS AT HOLLAND BLOORVIEW KIDS REHABILITATION HOSPITAL
Concussion & You A Handbook for Parents and Kids DEVELOPED BY CONCUSSION EXPERTS AT HOLLAND BLOORVIEW KIDS REHABILITATION HOSPITAL Trusted experts in youth concussion www.hollandbloorview.ca/concussion
More informationFrequently Asked Questions About Dementia
Frequently Asked Questions About Dementia Disclaimer This is general information developed by The Ottawa Hospital. It is not intended to replace the advice of a qualified healthcare provider. Please consult
More informationNutri&on & its Role in Parkinson s Disease. By Mandy Murphy, RD January 10, 2013
Nutri&on & its Role in Parkinson s Disease By Mandy Murphy, RD January 10, 2013 Objec9ves A=er today, you will be able to: Iden9fy components of a plant based diet & understand how they can serve in PD
More informationUW MEDICINE PATIENT EDUCATION. Exercise and activity guidelines DRAFT. What is heart failure? What are the symptoms of heart failure?
UW MEDICINE PATIENT EDUCATION Phase I (Inpatient) Cardiac Rehab: Heart Failure Exercise and activity guidelines This handout explains how to safely resume activity and start an exercise and walking program
More informationPatient Name (Last Name, First Name) & MRN: Mileage: Gender: Agency Name/Branch: DOB: / / BP: (Prior) Position Side Heart Rate: Respirations:
Clinician: Mileage: Gender: Agency Name/Branch: M F Time In: Time Out: DOB: HCPCS Select the home health service type that reflects the primary reason for this visit: (G0152) Services Performed by a qualified
More informationDr. W. Dalziel Professor, Geriatric Medicine Ottawa Hospital. November /20/ Safety: Falls/Cooking/Unsafe Behaviour. 2.
How To Decide if an Elderly Person Can Stay at Home: The Interval of Need Concept Dr. W. Dalziel Professor, Geriatric Medicine Ottawa Hospital November 2013 3 Factors 1. Safety: Falls/Cooking/Unsafe Behaviour
More informationPREVENTING FALLS AT HOME
PREVENTING FALLS AT HOME INFORMATION FOR OLDER ADULTS, FAMILIES, AND CAREGIVERS READ THIS PAMPHLET TO LEARN: The Dangers of Falls. When You Are at Risk for a Fall. How You Can Help Prevent Falls at Home.
More informationMANAGING CONSTIPATION
MANAGING CONSTIPATION INFORMATION FOR OLDER ADULTS, FAMILIES, AND CAREGIVERS READ THIS PAMPHLET TO LEARN: What Constipation is. The Symptoms of Constipation. How to Help Manage Constipation. WHAT IS CONSTIPATION?
More informationResearch & Policy Brief
USM Muskie School of Public Service Maine DHHS Office of Elder Services Research & Policy Brief Caring for People with Alzheimer s Disease or Dementia in Maine A Matter of Public Health Alzheimer s disease
More informationPerfect Endings. Home Alone. Senior Estimate. Staying Alive. Medication Madness
Senior Estimate Home Alone Staying Alive Perfect Endings Medication Madness 10 10 10 10 10 20 20 20 20 20 30 30 30 30 30 40 40 40 40 40 50 50 50 50 50 Senior Estimate - 10 Patients who have multiple interacting
More informationAdjusting Your Activity After Heart Surgery
Adjusting Your Activity After Heart Surgery Information for patients and families Read this booklet to learn: why it s important to adjust your activity when you get home what to watch for when you do
More informationExplaining Epidemiological. Factors of Falls. to Older Adults. After a Fall. Before a Fall. Frequent Falls
Explaining Epidemiological Factors of Falls to Older Adults Before a Fall After a Fall Frequent Falls Epidemiological Factors of Falls Falls are a serious, epidemic problem. In Canada, it is estimated
More informationNutri,on for Children and Adults With Special Needs. Contact Info. Monica Andis, MS, RD, LD May, 2014
Nutri,on for Children and Adults With Special Needs Monica Andis, MS, RD, LD May, 2014 Contact Info Monica Andis, MS, RD, LD WVU- CED Nutri,on Services 959 Hartman Run Road Morgantown, WV 26505 Phone:
More informationRecrea&onal Therapy. Thomas K. Skalko, Ph.D., LRT/CTRS Chair, Commi<ee on Accredita&on of Recrea&onal Therapy Educa&on
Recrea&onal Therapy Thomas K. Skalko, Ph.D., LRT/CTRS Chair, Commi
More informationIntroduction to Screening/Assessment Tools for Mood & Cognition
Introduction to Screening/Assessment Tools for Mood & Cognition Pam Hamilton Psychogeriatric Resource Consultant for KFLA Susanne Murphy Resource Consultant, BCICC-LTC & GiiC Screening/Assessment for Delirium,
More informationUC San Francisco UC San Francisco Previously Published Works
UC San Francisco UC San Francisco Previously Published Works Title The Course of Functional Impairment in Older Homeless Adults: Disabled on the Street. Permalink https://escholarship.org/uc/item/5x84q71q
More informationMouth care in hospital
Mouth care in hospital Nursing and Patients Experience Patient information leaflet This leaflet aims to provide useful information on the importance of mouth care to all patients during their stay in hospital.
More informationEnteric Fistula Principles of Management. Disclosure Slide
Enteric Fistula Principles of Management David J. Dries, MSE, MD Division Medical Director HealthPartners Medical Group Professor of Surgery & Anesthesiology John F. Perry, Jr. Chair of Trauma Surgery
More informationMouth care for people with dementia. Good habits for bedtime. Caring for someone with dementia
Mouth care for people with dementia Good habits for bedtime Caring for someone with dementia 2 Dementia UK Looking after someone with dementia Caring for someone with dementia can be really difficult at
More informationBeyond September: Promo0ng suicide preven0on throughout the year
Beyond September: Promo0ng suicide preven0on throughout the year March 19 th, 2013 1 Welcome! Please mute your line If you have a ques0on, please type it into the Ques0ons box or raise your hand by clicking
More informationThe Aging of the Homeless Population: Emerging Clinical Issues. Margot Kushel MD Professor of Medicine UCSF/San Francisco General Hospital
The Aging of the Homeless Population: Emerging Clinical Issues Margot Kushel MD Professor of Medicine UCSF/San Francisco General Hospital Homeless population is aging In United States, median age of homeless
More informationAssessment of the Elderly Pa2ent. Irwin Foo Western General Hospital Edinburgh
Assessment of the Elderly Pa2ent Irwin Foo Western General Hospital Edinburgh UK Demographics Fastest increase in the oldest old 2009-1.4 million age > 85 years 2034 -?3.5 million Life Expectancy Males
More informationHealthy Steps for Healthy Lives Nutrition and Physical Activity Backgrounder
Backgrounder Nutrition and Physical This backgrounder is intended to provide educators with a review of knowledge necessary to facilitate the instructional activities in the TM program. While this is not
More informationStaff Development Partners Edition Instructor Guide
Module 4. Functional Assessment Sherry Greenberg, MSN, APRN, BC-GNP Editor: Conchita Rader, MA, RN Staff Development Partners Edition Instructor Guide THIS MODULE INCLUDES: 1. Expected Staff Cognitive
More informationDISCLAIMER: ECHO Nevada emphasizes patient privacy and asks participants to not share ANY Protected Health Information during ECHO clinics.
DISCLAIMER: Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this
More informationFacts that you need to know
NUTRITION This article explores the basic concepts of nutrition and provides useful tips on healthy diet My neighbor walks up to me asking whether I am aware of the nutritional value of a new food product
More informationStaying Hydrated in the Summer Heat. An Optimum Life Health Talk
Staying Hydrated in the Summer Heat An Optimum Life Health Talk As Summer Temperatures Rise Stay Hydrated! The Importance of Water Other than oxygen, water is the most needed nutrient for life A person
More informationThe Science of Addiction in Older Adults
The Science of Addiction in Older Adults Byron Bair,M.D. Professor Geriatric Internal Medicine & Geriatric Psychiatry University of Utah School of Medicine SAMHSA National Older Adult Mental Health Awareness
More informationDelirium A guide for caregivers
Delirium A guide for caregivers Disclaimer This is general information developed by The Ottawa Hospital. It is not intended to replace the advice of a qualified health-care provider. Please consult your
More information2013 WEBINAR SERIES STATE OF THE SCIENCE: DEMENTIA EVALUATION AND MANAGEMENT FAMILIES AMONG DIVERSE OLDER ADULTS AND THEIR
2013 WEBINAR SERIES STATE OF THE SCIENCE: DEMENTIA EVALUATION AND MANAGEMENT AMONG DIVERSE OLDER ADULTS AND THEIR FAMILIES Please visit our website for more informa2on - h5p://sgec.stanford.edu/ 2013 WEBINAR
More informationInterprofessional Care for Elders through 48/5
Interprofessional Care for Elders through 48/5 Janet E. McElhaney, MD, FRCPC, FACP HSN Volunteer Association Chair in Geriatric Research Professor of Medicine, Northern Ontario School of Medicine Health
More informationMANAGING SLEEP IN OLDER ADULTS
MANAGING SLEEP IN OLDER ADULTS INFORMATION FOR OLDER ADULTS, FAMILIES, AND CAREGIVERS READ THIS PAMPHLET TO LEARN: What Causes Sleeping Problems in Older Adults. About Types of Sleeping Problems and Disorders.
More informationFamily Medicine for English language students of Medical University of Lodz. Seminar 12. Elderly care. Przemysław Kardas MD PhD
Family Medicine for English language students of Medical University of Lodz Seminar 12 Elderly care Przemysław Kardas MD PhD Europe is facing demographic challenge 2014 2080 2 3 Old vs young: major differences
More informationMedicare Wellness Visit
of Birth: Today s : Medicare Wellness Visit Dear Patient, Your Medicare benefits include an Annual Wellness Visit to assist in preventing illness or detect illness at an early stage. Your Annual Wellness
More informationPERSONAL HEALTH UNIT 2: NUTRITION & FITNESS LESSON 2.3
PERSONAL HEALTH UNIT 2: NUTRITION & FITNESS LESSON 2.3 Food Labels PH2.3: Analyze a food label to evaluate nutrition information DO NOW GUESS THE CALORIES: Answer each of the ques0ons below with your best
More informationAssessment of locomo,on ability
Université catholique de Louvain Cliniques universitaires St-Luc Département de Médicine Physique et de Réadapta,on Introduc,on Assessment of locomo,on ability Development of ABILOCO - ABILOCO-Kids Caty
More informationAnalyses of extended set questions using the U.S. National Health Interview Survey
Analyses of extended set questions using the U.S. National Health Interview Survey Mitchell Loeb / Jennifer Madans (with Julie Weeks, Laurie Pratt & Nazik Elgaddal) National Center for Health Statistics/
More informationDisclosures. Care of the Aging Pa/ent: Driving, Falls, Pain, & Cons1pa1on. Objectives 10/31/12. My funding
Disclosures Care of the Aging Pa/ent: Driving, Falls, Pain, & Cons1pa1on Anna Chang, M.D. Associate Professor of Medicine Division of Geriatrics, Department of Medicine University of California, San Francisco
More information