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Empowering Geriatric Care: Comprehensive Practice Scenarios

Enhance your skills in geriatric care through immersive role-playing exercises covering a range of medical scenarios and challenges faced in elderly patient care.

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Empowering Geriatric Care: Comprehensive Practice Scenarios

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  1. You Are The Star • Demonstrate “Get up and Go”

  2. You Are The Star • Speak to any other colleague as you should if they are an older patient with hearing impairment

  3. You Are The Star • Mime the use of an adaptive device for something other than ambulation

  4. You Are The Star • Test a colleague’s shoulder range of motion as you should to assess functional utility in an older patient

  5. You Are The Star • Act like you have dementia

  6. You Are The Star • Act like you have depression

  7. You Are The Star • Act like you have delirium

  8. You Are The Star • Mime each ADL

  9. You Are The Star • Mime each IADL

  10. You Are The Star • Your left knee hurts so you have a cane to help you • Mime how you should use the cane

  11. You Are The Star • Lay down and simulate you having a common sleep disorder

  12. You Are The Star • Demonstrate something that requires 4 METS of effort

  13. ALL PLAY • Create a list of all Basics In Geriatrics “BIG” 10 principles

  14. ALL PLAY • List ALL the components of the Confusion Assessment Method

  15. ALL PLAY • List ALL questions in the Mini-Mental State Exam

  16. ALL PLAY • List 10 potentially inappropriate medications for older patients

  17. ALL PLAY • Design an optimal discharge information form

  18. ALL PLAY • An 83 year old female is being discharged from your hospital service after a 4 day stay for CHF exacerbation • She lives alone • She has Medicare • She is hemodynamically fine and can transfer from bed to chair • She should be discharged to_______________

  19. ALL PLAY • Round Robin: • Name a commonly overlooked/under treated geriatric syndrome • The last person to name one gets 5 tokens

  20. ALL PLAY • List all 15 questions of the Geriatric Depression Scale

  21. ALL PLAY • List 7 possible discharge sites following an acute hospitalization

  22. ALL PLAY • Each ask one question you would like to have answered by the end of this rotation • It must be related to Geriatrics

  23. ALL PLAY • Identify 5 hazards of hospitalization for older patients

  24. ALL PLAY • List the current USPSTF recommendations for screening for colon and breast cancer

  25. ALL PLAY • Round Robin: • Simulate a gait disorder • Last one to do so gets 5 tokens

  26. You Artist You • A women complains of urinary urgency with large amount of incontinence • Draw her expected post-void bladder size

  27. You Artist You • A women complains of urinary problems • She leaks small amounts when she coughs, laughs or sneezes • Draw her expected post-void bladder size

  28. You Artist You • A 74 year old male has new onset of memory loss • ROS: Some episodic incontinence • Exam shows a “magnetic” gait • Draw what his Head CT scan would look like

  29. You Artist You • A women complains of urinary frequency • When she urinates she feels like she needs to go again soon afterwards • She leaks small amounts of urine • Draw her post-void bladder size

  30. You Artist You • You gave a man diphenhydramine last evening to help him sleep • He complains he can’t urinate now • Draw his post-void bladder size

  31. You Artist You • SCULPT an image of the ambulatory assist device that would be most appropriate for you to give to a patient with Parkinson’s disease

  32. You Artist You • SCULPT an image of a Stage I Pressure Ulcer

  33. You Artist You • SCULPT an image of a Stage II Pressure Ulcer

  34. You Artist You • SCULPT an image of a Stage III Pressure Ulcer

  35. You Artist You • SCULPT an image of a Stage IV Pressure Ulcer

  36. You Artist You • SCULPT an image of an unstageable Pressure Ulcer

  37. You Artist You • SCULPT a typical looking heart for a 75 year old male with hypertension

  38. You Artist You • Sketch plans for a Senior Friendly Bedroom

  39. Crazy Skills • Administer a Mini-Cog to one of your colleagues

  40. Crazy Skills • Here is 30mg oral morphine • How many dots represent the therapeutic equivalent amount of oral oxycodone?

  41. Crazy Skills • Calculate your BMI

  42. Crazy Skills • There are 100 older people with MCI. How many do you expect to convert to dementia in the next years?

  43. Crazy Skills • Calculate the expected PaO2 for an average: • 20 year old • 90 year old

  44. Crazy Skills • Estimate the Creatinine clearance of an 80 year old white female with a Creatinine of 1.0 x 0.85 for women

  45. Crazy Skills • An 80 year old man wants to exercise to 80% of his Maximum Heart Rate. About how much is that?

  46. Crazy Skills • Define “Homeostenosis” and give an example of it

  47. Crazy Skills • Describe one achievable intervention that would improve the care your patients receive in your primary care clinic

  48. Crazy Skills • Ms A is a 80-year-old white woman with diabetes, moderate dementia, functional dependency in most activities of daily living • She lives with her daughter • Point to her estimated Life Expectancy 0 3 6 9 12 15 YEARS

  49. Crazy Skills • Describe 4 adverse effects of bisphosphonate use

  50. Crazy Skills 0 3 6 9 12 15 YEARS Ms B is an 80-year-old white woman who is widowed, living with her sister No comorbid conditions, walks 3 miles a day, and cooks and cleans for her older sister Point to her estimated Life Expectancy

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