Behavioral & Social Sciences including Bioethics
Driving Cessation - #43
Resources available for facilitating driving cessation.
Recognizing and Identifying Elder Abuse & Neglect - #35
Approximately 11.4% of adults over the age of 60 years will experience some form of mistreatment.
Age Friendly Healthcare Delivery: The 4Ms - #93
In 2017, the Institute for Healthcare Improvement (IHI), the John A Hartford Foundation (JAHF), the American Hospital Association (AHA) and the Catholic Health Association (CHA) of the United States attempted to address the development of age-friendly health systems using a clinical framework to improve the complex care of older adults.
These organizations defined and operationalized age-friendly care following the guidelines of beneficence, evidence-based medicine, and patient/family aligned goals and concerns. The 4M Framework was the result: What Matters Most, Mentation, Mobility, and Medication.
Tips for Communicating with Older Patients - #91
Good communication with older adults and their caregivers is important to delivering high quality care. Effective, empathetic communication improves patient and family coping skills and creates a care plan that is consistent with the patient’s goals. It also improves important metrics of health outcomes, patient safety, patient satisfaction, and cost of care.
Low Health Care Literacy and the Older Patient - #90
Health literacy refers to an individual’s ability to understand his or her health and effectively navigate the health care system. An older patient with low health literacy might present with repeated provider visits or phone calls, misunderstanding of, or non-adherence to, their medication plan, or exacerbations of chronic illness.
Guardianship of Adults: Guardian Roles & Responsibilities - #88
Guardianship is the court appointment of legal authority over the person and property of another individual, called the ward. Consultation with an attorney or bioethicist is advised for individual patient cases.
Conversations Surrounding STI Prevention - #84
While sexually transmitted infections (STIs) are on the rise among older adults, medical providers may associate this problem with younger populations, missing prevention and treatment opportunities.
Possible Reasons for the increase of STIs in older adults1:
- Lack of STI screening and treatment
- Physiologic changes (e.g., weakened immune system, thinning mucosal tissue)
- Changing relationships (e.g., widow/widowerhood, divorce)
- Increased availability of medication for intercourse (e.g. sildenafil)
- Misinformation/misunderstanding (e.g., risks of unprotected sex, need for condom use even for postmenopausal women, STI transmission routes)
- Inaccessibility to STI protection in community living environments
Conversations about “safer sex” may be difficult and uncomfortable for providers and patients but are vital to maintain patients’ health. Having open, nonjudgmental discussions about individual risk factors may lead to safer sexual practices.
Assessment of Dementia Patients in the Emergency Department - #72
Assessing delirium in dementia patients in the emergency room
Senior Housing Options - #70
Outlining the different options for senior living and which option is appropriate based on the older adult.
Preoperative Geriatric Assessment - #64
Establish capacity for consent and the patient’s understanding of the need of surgery.
Acute Management of Behavior Changes in Hospitalized Patients with Dementia - #63
Identify the specific difficult behavior and apply best practice management strategies.
Tips for Leading Difficult Family Meetings - #59
Outline standard approaches for planning, leading, and concluding difficult family meetings with strategies for navigating conflict.
Power of Attorney for Health Care - #62
Define, compare, and contrast power of attorney for health care, surrogate decision maker, and guardian.
Advance Directives - #61
Define advance directives and the components that are commonly incorporated.
Medical Decision-making Capacity Assessment - #60
Determine an older adult’s ability to make medical decisions in a hospital or clinic setting.
Assessment of an Older Emergency Department Patient – 10 Key Points - #58
Master geriatric-specific diagnostic considerations in the assessment of an older adult in the emergency department.
Inappropriate Sexual Behavior (ISB) and the Dementia Patient. - #53
Identify and define inappropriate sexual behavior (ISB) in the context of a patient with dementia.
Introduction to Quality Improvement - #50
Understand key concepts in healthcare quality improvement in any setting.
Introduction to Patient Safety - #47
Understand key concepts in patient safety in any care setting.
Driving Evaluation Tools - #42
Learn the basic medical requirements for safe driving and the components of clinical evaluation.
Treating Insomnia - #40
Identify and define treatment strategies for geriatric insomnia patients.