Words Matter-- The Role of Language in Promoting Individualized Care of Older Adults
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.
Geriatrics Cultural Navigator
The key concepts included in the Cultural Navigator include factors that health care providers should reflect upon to provide culturally competent care to their older adult patients. As the population of older adults becomes more diverse, it is important for clinicians to understand the subtle, but very significant, ways in which race, ethnicity, and religious background can influence perceptions of health and illness, as well as impact the development of a provider-patient therapeutic alliance.
The Health Effects of Loneliness and Social Isolation: Lessons Learned from the COVID-19 Pandemic
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.
Through the Lens of a Common Presentation of an Uncommon Disease: The Becoming of a Geriatrician
This presentation (52:24 minutes) by Pei Chen discusses common geriatric syndromes and uncommon diseases you may encounter with these syndromes. Objectives: (1) describe an uncommon disease with common geriatric syndromes; (2) review the current state of geriatric medicine fellowship training with the emphasis on interprofessional collaboration and education; and (3) reflect on one's own experiences to develop strategies for well being.
Source: UCSF Division of Geriatrics, 2022
Advance Care Planning: Preparing for Medical Decision Making
This lecture (1:26:39 minutes) by Sarah Hooper, Sara Huffman, and Rebecca Sudore discusses advance care planning for older adults and how to prepare for difficult and medical decision making. By the end of this lecture, learners should be able to: (1) describe what advance care planning is; (2) understand types of legal forms to document wishes; (3) describe why additional preparation is needed; (4) utilize easy-to-use tools for advance care planning; and (5) understand how to answer question and complete forms. (Presentation begins at 5:00 minutes)
Prognosis Communication
This video series provides a variety of short videos demonstrating how to communicate a prognosis to older adults with varying common conditions.
Source: UCSF Division of Geriatrics, 2018
https://geriatrics.ucsf.edu/innovations/ucsf-geriatrics-workforce-enhancement-program
Prognosis Communication
This video series provides a variety of short videos demonstrating how to communicate a prognosis to older adults with varying common conditions.
Source: UCSF Division of Geriatrics, 2018
https://geriatrics.ucsf.edu/innovations/ucsf-geriatrics-workforce-enhancement-program
The Short Physical Performance Battery: SPPB
This video (8:40 minutes) describes the short physical performance battery (SPPB) test for older adults. The SPPB is a performance-based, three-part assessment to measure functional status and predict future functional decline. The assessment includes gait speed, balance, and lower extremity strength. The SPPB assessment takes approximately 10 minutes to complete.
Source: UCSF Division of Geriatrics, Optimizing Aging Collaborative, 2017
The Whisper Test
This video (2:18 minutes) describes the whisper test for older adults. The whisper test is a simple and accurate screening test to detect hearing impairment. The administration of this test takes one to two minutes. The Whisper Test is also utilized in Medicare AWV+ Visits as a way to identify potential hearing loss or issues and refer patients to audiology services to ensure independence and optimal aging.
Source: UCSF Division of Geriatrics, Optimizing Aging Collaborative, 2017
Dementia and High Risk Surgery
You have a patient with dementia severe enough that she cannot recognize relatives. She falls and breaks her hip. Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? Should she be treated non-operatively, with aggressive symptom management? A huge part of this decision rests on (1) her previously stated wishes, values, and goals (prior to the onset of dementia); and (2) the outcomes of surgery for patients with dementia.