Topics in Geriatric Medicine

Abstract

OPEN ACCESSOctober 10, 2013Topics in Geriatric Medicine Michael Markus, MD, Catherine Sheffield Michael Markus, MD Wright State University Boonshoft School of Medicine Google Scholar More articles by this author , Catherine Sheffield Wright State University Google Scholar More articles by this author https://doi.org/10.15766/mep_2374-8265.9580 SectionsAbout ToolsDownload Citations ShareFacebookTwitterEmail AbstractThis team-based learning (TBL) module was created to reinforce lessons learned in the basic science years and introduce third-year medical students beginning their clinical rotations to the common and interrelated geriatric syndromes of polypharmacy, delirium, and falls. Despite increasing educational efforts, these three areas are recognized as major causes of hospitalization, morbidity, and mortality among the elderly. It is intended to introduce basic diagnostic tools and sharpen the learner's awareness of commonly ignored risks in the healthcare setting through the use of the TBL format (e.g., advanced preparation reading, individual readiness test, group readiness test, group application exercise). After experiencing this module, learners will understand and apply salient features of the epidemiology, and mechanisms of, as well as interventions for, polypharmacy, delirium, and falls in people aged 65 and older.This module has been used six times in the last 2 years for third-year medical students before entering their clerkships. An assessment for retention of information both 1 and 2 years postexperience is in the planning stages. Student feedback has been positive. Educational Objectives By the end of this session, learners will be able to: Predict the adverse effects of polypharmacy based on the number and physiologic effects of the drugs individually and interactively.Recognize potential adverse effects of the most common drugs contributing to the cumulative anticholinergic load.Adjust medications by identifying duplicates.Identify medications prescribed for the side effects of another drug.Adjust medications by applying specific guidelines, (i.e., the “Beers Criteria”).Establish a diagnosis of delirium versus dementia on the basis of symptom onset, duration, physical findings, as well as exposure to sedatives, opiates, and anticholinergic drugs.Use the confusion assessment method in a clinical setting.Apply pharmacologic and non-pharmacologic interventions to decrease the risk of developing delirium and mitigate its consequences.Describe the epidemiologic impact of falls on the patient, hospital, extended care facility, and community.Assess barriers to safe ambulation based on history, neuromuscular, and cardiovascular examination.Utilize the “get up and go” test.Identify and intervene to minimize risk factors for future falls with emphasis on pharmacologic and environmental factors. Sign up for the latest publications from MedEdPORTAL Add your email below FILES INCLUDEDReferencesRelatedDetails FILES INCLUDED Included in this publication: Topics in Geriatric Medicine Group Application Exercise.pptx Topics in Geriatric Medicine IRAT GRAT.pptx Topics in Geriatric Medicine.docx To view all publication components, extract (i.e., unzip) them from the downloaded .zip file. Download editor’s noteThis publication may contain technology or a display format that is no longer in use. CitationMarkus M, Sheffield C. Topics in Geriatric Medicine. MedEdPORTAL. 2013;9:9580. https://doi.org/10.15766/mep_2374-8265.9580 Copyright & Permissions© 2013 Markus and Sheffield. This is an open-access article distributed under the terms of the Creative Commons Attribution license.KeywordsTeam-Based LearningFallsTBLAccidental FallsPolypharmacyDelirium Disclosures None to report. Funding/Support None to report. Loading ...