Electives are full-day workshops that explore in a comprehensive manner an important subject in the field of aging. These workshops will provide the participant with subject matter content information, demographic data, institutional and community care best practices, and resources. The electives are interactive so that learners can exchange ideas with faculty members.
Credit Designation
The Mount Sinai School of Medicine designates each elective for a maximum of 8.0 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
While each elective may be selected as part of the Geriatric Scholar Certificate, you may also take them as a stand alone activity.Please note: All electives run from 8:00am-5:00pm (unless otherwise noted).
Faculty: TBA
*please note: this does not count towards the Geriatric Scholar Certificate*
Veterans Affairs Medical Centers Participating Locations
(Note: you do not need to be a VA employee to attend—everyone is welcome)
NY: Albany, Batavia, Bath, Bronx, Brooklyn, Buffalo, Canandaigua, Castle Point, Manhattan, Montrose,Northport, St. Albans, Rochester and Syracuse
NJ:East Orange and Lyons Campuses
This conference is from 8:45am to 1:00pm.
All healthcare professionals and administrators are welcome!
For more information, please contact Valerie Menocal at valerie.menocal@va.gov or 718-584-9000 x3809.
Co-sponsored by the VA VISN 3 GRECC and the Finger Lakes GEC.
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Faculty:
Rima Sehl, MD
Miriam Robbins, MD
additional faculty
LOCATION:
NYU College of Nursing
726 Broadway, 10th Floor
New York, NY 10003
http://www.nyu.edu/nursing/
Phone: 212-998-5300
LEARNING OBJECTIVES:
1. Identify the central issues associated with oral health of older adults
2. Identify oral body health connections
3. Identify elements of an assessment of oral health of older adults
4. Identify maintenance best practices concerning oral health care of older adults particularly for frail elders
5. Identify opportunities for nurse dentist collaboration
6. Identify opportunities for care in a variety of settings.
Faculty:
Annemarie Dowling, Ph.Dc, RN, MA-GNP
Sharon Wexler, PhD, RN
LOCATION:
NYU College of Nursing
726 Broadway, 10th Floor
New York, NY 10003
http://www.nyu.edu/nursing/
This course is applicable to all health care providers who provide care to older adults. The course provides an overview of a geriatric assessment and presents several valid and reliable assessment tools that may be used in clinical practice for screening of cognition, nutrition, urinary incontinence, depression and others. The course is presented in a lecture/seminar format that allows participants to discuss actual cases.
LEARNING OBJECTIVES:
1.Discuss three components of a comprehensive geriatric assessment
2.Demonstrate knowledge of The Beers Criteria for Inappropriate Medication use in the Elderly
3.Name a few functional assessment tools
4.List contributing factors for transient urinary incontinence
5.Discuss important aspects of nutritional assessment for older adults
6.Describe two aspects of pain management in older adults
7.Describe three differences in the following instruments: Min-Cog, GDS, and CAM
8.Demonstrate knowledge of 5 aspects of how dementia impacts upon the older adult in terms of executive function, impaired communication, difficulty in assessing for pain, wandering of the hospitalized older patient and delirium
9.Identify risks for and alternatives to restraint usage
10.Identify strategies to integrate "Try This" Assessment tolls into nursing practice
Faculty:
Anne Sansevero, RN, MA, GNP
Maureen Fitzpatrick, Sm OTR
Samantha Fast
Lisa Dellaro
Ginger Oates, RN, BSN, MPS/GSA, C, CMC
LOCATION:
James J. Peters VAMC
130 W. Kingsbridge Rd., Room 3D-22 Back
Bronx, NY 10468
http://www.bronx.va.gov/
Phone: 718-584-9000
Geriatric Care Management is a valuable option that assesses an older individuals medical and social service needs and then coordinates those needs with family, caregivers, institutions and the care-receiver.
This workshop will:
1. Describe the elements or care management
2. Highlight the services provided
3. Discuss costs of services
4. Discuss codes of ethics
Faculty:
John Toner, EdD, PhD
Barry Gurland, MD
Barnett Meyers, MD
Peter Birkett, MD
Mark Nathanson, MD
LOCATION:
Columbia University
1255 Amsterdam Avenue
New York, NY 10027
http://www.columbia.edu/cu/ssw/
LEARNING OBJECTIVES:
1. Develop skills related to recognizing dementia in older persons.
2. Recognize non-medical approaches to managing the behaviors associated with dementia.
3. Identify the prevalence of geriatric depressive disorders and the skills needed to recognize them.
4. Identify the types and prevalence of medical co-morbidity associated with mental health problems.
5. Identify medications used to effectively treat symptoms of dementia and depression.
6. Understand the mental health issues and special needs of elders associated with bereavement and widowhood.
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Faculty:
John Toner, EdD, PhD
Lucia McBee, LCSW, MPH
Richard Mandelbaum, RH (AHG)
Vicki Rizzo, PhD
LOCATION:
Columbia University School of Social Work
1255 Amsterdam Avenue
New York, NY 10027
Telephone: (212) 851-2300
http://www.columbia.edu/cu/ssw/
Faculty:
Andrea Sherman, PhD
Ethel Mitty, EdD, RN
LOCATION:
Jewish Home Lifecare
120 West 106th Street, Freeman Conference Room
New York, NY 10025
http://www.jewishhome.org/our-services/our-campuses/manhattan
Phone: (212) 870-4715
LEARNING OBJECTIVES:
1.Describe the value of care-giving and care-receiving when it is transformed by reframing and ritual.
2.Describe how everyday objects can transform communication into meaningful interaction.
3.Describe three activities to “ritualize” personal care and community.
Faculty:
Gary Kennedy, MD
Fredrick Sherman, MD, MSc
Elizabeth Clark, MD
Elizabeth Lindenberger, MD
**This elective runs 8:30am-5:00pm
CEUs provided by VA EES
Co-sponsored by the VA Primary Care Council
LEARNING OBJECTIVES:
1. Identify sources of caregiver stress
2. Utilize humor as a coping strategy
3. Use recognition of human limitations as a coping strategy
4. Utilize self-care as a coping strategy
5. Identify criterion for dementia (i.e. disturbed executive dysfunction)
6. Describe one brief assessment of executive dysfunction (i.e. The Oral Trail Making Test)
7. Identify FDA approved medications for Alzheimer’s Disease (i.e. Donepezil, Galantamine)
8. Identify the elements of the comprehensive approach to dementia (i.e. accurate and early diagnosis, collaboration with the caregivers)
9. Explore how a combined geriatrics and palliative care approach can improve the care of the patient with dementia with respect to symptom management
10. Explore how a combined geriatrics and palliative care approach can improve the care of the patient with dementia with respect to goals of care
11. Explore how a combined geriatrics and palliative care approach can improve the care of the patient with dementia with respect to quality of life
12. Name the three most important functions needed for driving that should be assessed when there is a concern (i.e. visual function, cognitive function and motor function)
13. List at least 3 questions you can ask your patient or family member when there is a concern about driving (i.e. Have you gotten lost while driving?, Have you had any tickets from the police?, Have you found yourself confused while driving?)
14. Describe the role of the Driver Rehabilitation Specialist in assessing impairment among older drivers
15. Perform the Mini Mental Status Examination (MMSE) on patients with varying degrees of cognitive impairment
16. Score the MMSE correctly
17. Screen for dementia using the Clock Draw Test as part of the Mini Cog Exam
18. List the core components of the decisional capacity assessment (i.e. understanding the relevant information, appreciating the consequences, communicating a choice).
19. Describe the “sliding scale” approach to determining capacity (i.e. case specific risk/benefit analysis, patients’ decision: agreement or refusal).
20. Apply the components of decisional capacity assessment to clinical cases of patient’s with dementia.
Faculty:
Elaine Gould, MSW
Ethel Mitty, EdD, RN
additional faculty from NYC DFTA, NYC DOEM and Jewish Home Board of Family and Children's Services
LOCATION:
NYU College of Nursing
726 Broadway, 10th Floor
New York, NY 10003
http://www.nyu.edu/nursing/
LEARNING OBJECTIVES:
1.Identify the various situations that are perceived of as emergencies by older adults and families
2.Identify management strategies for at home emergencies
3.Identify management strategies for evacuation emergencies
4.Identify the issues and management strategies of post traumatic stress
Faculty:
Eileen Callahan, MD
Judy Howe, PhD
Kenneth Boockvar, MD, MS
LOCATION:
Jewish Home Lifecare
120 West 106th Street, Freeman Conference Room
New York, NY 10025
http://www.jewishhome.org/our-services/our-campuses/manhattan
Phone: (212) 870-4715
Effective transitional care ensures that there is coordinated health care when patients or clients transfer between different locations or different levels of care in the same location.
This training day will address methods to ensure smooth transitions and common pitfalls in transitional care.
During this workshop the following will be discussed:
1.Effectively talk with patients and prepare them for their discharge.
2.Understand how multiple disciplines are involved with and can affect the discharge plan.
3.Understand the role of social work in discharge planning.
4.Have a greater understanding of what homecare can provide and what the limitations are.
5.Have a greater understanding of rehab services.
6.Discuss what services patients qualify for under their insurance coverage.
7.Discuss barriers to effective care transitions.
8.Understand the necessary elements for effective care transitions.
9.Recognize the current models.
10.Implement techniques to improve medication management for patients transferred between care settings.
11.Understand research that supports the use of these techniques.
12.Recognize how the challenges of the transitional care period impacts patients and their caregivers.
13.Describe methods to overcome the challenges faced when admitting and discharging an older patient.
14.Define the role of interdisciplinary health care teams in transitions.
15.Describe how teams can improve patient care during the transitional period.
Faculty:
Elizabeth Clark, MD
Elizabeth Lindenberger, MD
additional faculty
**This elective runs 8:30am-5:00pm
LOCATION:
Jewish Home Lifecare
100 W. Kingsbridge Rd.
Bronx, NY 10468
http://www.jewishhome.org/our-services/our-campuses/bronx
Phone: (718) 410-1330
LEARNING OBJECTIVES:
1.Identify an online resource for prognostication (i.e. Seattle Heart Failure Model)
2.Perform the 4 steps of advance care planning (i.e. determining decision-making capacity, identifying healthcare proxy, eliciting goals and vales and documenting)
3.Describe how insurance issues can effect medication compliance among older adults (i.e. a medication is not covered, so the patient takes their medication every other day instead of daily as prescribed)
4.Identify 3 VA resources to help patients manage chronic illness at home (i.e. home-based primary care, respite program, telehealth)
5.Identify 3 community resources to help patients manage chronic illness at home (i.e. home care agencies, home hospice agencies, community case management)
6.Distinguish role of palliative care and hospice for heart
7.Utilize individual medical treatment for CHP failure patients
8.Identify planning options available to the elderly and chronically ill (i.e. financial planning, estate planning, retirement planning)
9.Identify changes in NY Power of Attorney form (i.e. revokes all prior power of attorney)
10.Identify the uses of a Health Care Proxy form (i.e. to appoint a healthcare agent to make all healthcare decisions)
11.Identify the purpose of a Living Will (i.e. directive to follow if the person is unable to make healthcare decisions)
12.Identify the Five Wishes as an alternative to a Health Care Proxy/Living Will (Five Wishes is simplified form, capable of being understood and executed by laypersons without the assistance of an attorney)
13.Identify the purpose of guardianship (i.e. surrogate decision-making and property management, generally under Court supervision)
14.Identify 3 legal issues facing the chronically ill (i.e. long-term care, housing options, abuse and financial exploitation, guardianship, estate planning)
Faculty:
Rabbi Edith Meyerson
additional faculty
LOCATION:
Jewish Home Lifecare
120 West 106th Street, Freeman Conference Room
New York, NY 10025
http://www.jewishhome.org/our-services/our-campuses/manhattan
Phone: (212) 870-4715
Learning Objectives:
1. Tough Discussions with Patients.
2. Psychosocial, Spiritual and Religious Aspects of Palliative Care.
3. Total Pain and Symptom.
4. Ethical and Legal Issues.
5. Team Self-Care.