(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.
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.