(What) Matters Most
Driving Cessation - #43
Resources available for facilitating driving cessation.
Should your patient have that oncology intervention? - #36
Diagnostic testing and treatment are determined based on ability to improve disease process or quality of life/goals of care.
Peri-operative Management of Do-Not-Resuscitate Orders in the State of Wisconsin - #33
A summary of the risk factors, incidence, and survival associated with intraoperative cardiac arrest.
Anticipatory Guidance for Injury Prevention: Cognitive Disorders - #107
Injury preventive measures and definitions of cognitive disorders.
Injury Prevention & Safety - #106
Injury prevention and safety are critical components of care for older adults.
Suicide Prevention in Older Adults - #105
Health-care providers must understand the prevalence of suicide in the older adult population, reasons behind older adults’ suicide attempts, and strategies for suicide prevention.
The 4Ms of Age Friendly Healthcare Delivery: #1 - What Matters Most - #101
What Matters Most is one of the 4 Ms of an Age-Friendly healtcare system. This “M” aligns care to what the patient feels is most important in their life.
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. A 5th M is often incorporated to include Multi-Morbidity, which calls attention to the multiple, often inter-related, health problems that many older adults face.
Telemedicine and Geriatric Care - #99
Older adults may have fewer options for transportation to medical appointments. Telemedicine (telephone or audio-visual communication) can improve patient health, lower healthcare costs, reduce wait times, reach a broader geographic region, and limit unnecessary exposures of patients to infection.
Loneliness of Older Adults - #98
When there is a discrepancy between one’s desired state of social connection and one’s actual relationships, a complex set of feelings termed loneliness occurs.
Social Isolation of Older Adults - #94
Humans are social beings and connections to others are vital to our health and well-being. Social isolation (i.e., the objective absence or paucity of social interactions with others) is a social determinant of health which is related to, but distinct from, the concept of loneliness (i.e., the subjective distressing feeling of being socially isolated).1,2
Tips for Communicating with Older Patients - #91
Good communication with older adults and their caregivers is important to delivering high quality 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.
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.
Senior Housing Options - #70
Outlining the different options for senior living and which option is appropriate based on the older adult.
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.
Driving Evaluation Tools - #42
Learn the basic medical requirements for safe driving and the components of clinical evaluation.
Home Care Services - #25
Review available home care services and Medicare requirements.
Home Safety Evaluation: Can I send this patient home? - #22
How will a home safety evaluation benefit your geriatric patient?
Initiating Renal Replacement Therapy (RRT) - #6
Consider quality of life assessment in initiating renal replacement therapy.