Resource Center

In this Grand Rounds, faculty from the UCSF Division of Geriatrics discusss four groups of elders who experience health disparities and disproportionately include minority elders: older adults in prisons, homeless older veterans, nursing home veterans with mental illness and dementia, and older adults living with HIV. The focus is on what is being done to help these groups and next steps for social justice and equitable systems to improve the lives of older persons in these groups.

This presentation (59:06 minutes) by Dr. Lisa M. Walke discusses the future of geriatrics practice while reviewing practices developed during the COVID-19 pandemic. By the end of this presentation, learners should be able to: (1) detail how the scope of care provided by geriatricians to older adults has expanded since COVID-19; (2) describe efforts to address disparities highlighted by COVID-19 and the ongoing racial justice movement; and (3) focus on ways geriatricians can remain fully engaged beyond 2020.

This presentation (59:00 minutes) by Dr. Kathleen Unroe discusses how nursing home care has evolved during the COVID-19 pandemic and the future movements of this type of care. By the end of this presentation, learners should be able to: (1) review challenges and research opportunities in the nursing home setting - call to action; (2) highlight COVID-19 impacts on nursing home care; and (3) describe the OPTIMISTIC clinical care model.

This presentation (54:08 minutes) by Dr. Dae Hyun Kim discusses frailty-guided clinical management for older adults. By the end of this presentation, learners should be able to: (1) adopt an evidence-based screening test of frailty in your practice; (2) apply frailty information to guide clinical management decisions; and (3) generate evidence to advance frailty-guided clinical care.

This presentation (1:01:36 minutes) starts with Aida Wen discussing the recent facts COVID-19 and what you can do to prevent it. Then guest speaker, Hope Young, discusses advance care planning and POLST. (Presentation starts at 4:00 minutes.)

Source: John A. Burns School of Medicine, 2022, Care Homes ECHO
https://geriatrics.jabsom.hawaii.edu/care-homes-echo/

This presentation (58:43 minutes) by Angela Lo discusses music therapy and older adults with dementia. By the end of the presentation, learners should be able to: (1) describe music therapy and its benefits for older adults; (2) describe different types of music therapy; and (3) describe different uses for music therapy in adults such as aiding in behavioral problems for those with dementia, gait impairment for patients with Parkinson's disease, and providing comfort for those under hospice and palliative care.

This presentation (59:54 minutes) by Amy Kind discusses the social determinants of health with regards to aging neighborhoods. By the end of this presentation, learners should be able to: (1) embrace implementation science principles whenever possible, allowing research to more rapidly translate to broad action; (2) understand socioeconomic factors are complex and should be measured and applied with a clear understanding of health disparities theory; and (3) understand open science, data democratization should be embraced as key steps towards realizing solutions.

This presentation (1:01:03 minutes) by Michael Steinman, MD, takes a deeper look into deprescribing in older adults. Topics discussed include: (1) what is deprescribing (and don't I already do this)?; (2) why don't we do better?; (3) evidence on clinical outcomes of deprescribing; (4) resources to utilize; (5) US Deprescribing Research Network; and (6) ideas and approaches, not just facts (geriatrics!).

This presentation (57:32 minutes) by Nancy Schoenborn discusses the role that language plays in promoting individualized care for older adults. Objectives: (1) briefly review the importance of individualized care in older adults; (2) highlight areas of disconnect between language in guidelines/scientific literature and patient perception that may hinder individualized care; (3) demonstrate the importance of engaging patients as one strategy to bridge the disconnect; and (4) discuss the complexities and challenges when patient preference may be at odds with evidence.

This presentation (1:00:11 minutes) by Ashwin Kotwal discusses the lessons we have learned through the COVID-19 pandemic regarding the specific health effects of loneliness and social isolation on older adults.