Transcript You Are The Star

You Are The Star
• Demonstrate “Get up and Go”
You Are The Star
• Speak to any other colleague as you should if
they are an older patient with hearing
impairment
You Are The Star
• Mime the use of an adaptive device for
something other than ambulation
You Are The Star
• Test a colleague’s shoulder range of motion as
you should to assess functional utility in an
older patient
You Are The Star
• Act like you have dementia
You Are The Star
• Act like you have depression
You Are The Star
• Act like you have delirium
You Are The Star
• Mime each ADL
You Are The Star
• Mime each IADL
You Are The Star
• Your left knee hurts so you have a cane to help
you
• Mime how you should use the cane
You Are The Star
• Lay down and simulate you having a common
sleep disorder
You Are The Star
• Demonstrate something that requires 4 METS
of effort
ALL PLAY
• Create a list of all Basics In Geriatrics “BIG” 10
principles
ALL PLAY
• List ALL the components of the Confusion
Assessment Method
ALL PLAY
• List ALL questions in the Mini-Mental State
Exam
ALL PLAY
• List 10 potentially inappropriate medications
for older patients
ALL PLAY
• Design an optimal discharge information form
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_______________
ALL PLAY
• Round Robin:
– Name a commonly overlooked/under treated
geriatric syndrome
– The last person to name one gets 5 tokens
ALL PLAY
• List all 15 questions of the Geriatric
Depression Scale
ALL PLAY
• List 7 possible discharge sites following an
acute hospitalization
ALL PLAY
• Each ask one question you would like to have
answered by the end of this rotation
• It must be related to Geriatrics
ALL PLAY
• Identify 5 hazards of hospitalization for older
patients
ALL PLAY
• List the current USPSTF recommendations for
screening for colon and breast cancer
ALL PLAY
• Round Robin:
– Simulate a gait disorder
– Last one to do so gets 5 tokens
You Artist You
• A women complains of urinary urgency with
large amount of incontinence
• Draw her expected post-void bladder size
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
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
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
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
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
You Artist You
• SCULPT an image of a Stage I Pressure Ulcer
You Artist You
• SCULPT an image of a Stage II Pressure Ulcer
You Artist You
• SCULPT an image of a Stage III Pressure Ulcer
You Artist You
• SCULPT an image of a Stage IV Pressure Ulcer
You Artist You
• SCULPT an image of an unstageable Pressure
Ulcer
You Artist You
• SCULPT a typical looking heart for a 75 year
old male with hypertension
You Artist You
• Sketch plans for a Senior Friendly Bedroom
Crazy Skills
• Administer a Mini-Cog to one of your
colleagues
Crazy Skills
• Here is 30mg oral morphine
• How many dots represent the therapeutic
equivalent amount of oral oxycodone?
Crazy Skills
• Calculate your BMI
Crazy Skills
• There are 100 older people with MCI. How
many do you expect to convert to dementia in
the next years?
Crazy Skills
• Calculate the expected PaO2 for an average:
• 20 year old
• 90 year old
Crazy Skills
• Estimate the Creatinine clearance of
an 80 year old white female with a
Creatinine of 1.0
x 0.85 for women
Crazy Skills
• An 80 year old man wants to exercise to 80%
of his Maximum Heart Rate. About how much
is that?
Crazy Skills
• Define “Homeostenosis” and give an example
of it
Crazy Skills
• Describe one achievable intervention that
would improve the care your patients receive
in your primary care clinic
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
YEARS
12
15
Crazy Skills
• Describe 4 adverse effects of bisphosphonate
use
Crazy Skills
• 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
0
3
6
9
YEARS
12
15