Download Theme-based Journal - 3.18 MB

Teacher’s
Manual
Theme-Based Journal
Five journal activities
provided by:
TEXAS
Training Excellence in Aging
Studies
Division of Geriatric and Palliative
Medicine
The University of Texas Health
Science Center at Houston
School of Medicine
and funded by:
the Donald W. Reynolds
Foundation
Enter your journal entry below.
Day 1
Many physicians have
pre-conceived ideas
about caring for older
adults. Write a
“surprise” or “a-ha”
moment that you
experienced when
caring for an older
adult.
Enter your journal entry below.
Day 2
Elder abuse, first
described in 1975 as
“granny battering,”
affects 2-10% of the
aging population in the
United States.
According to the best
available estimates,
between one and two
million Americans aged
65 and older have been
injured, exploited or
otherwise mistreated by
someone on whom they
depended on for care
and protection. Health
care professionals in a
variety of settings are
encountering increasing
numbers of older victims
and their perpetrators.
Reports of elder abuse
and mistreatment to
Adult Protective Services
and law enforcement
are rising.
1. In your journal today,
please reflect on elder
abuse and mistreatment
and provide us your
thoughts.
2. It has been
recommended that
management of elder
mistreatment should be
done through an
interprofessional team
approach. How would
you manage an elder
self-neglect patient?
Enter your journal entry below.
Day 3
1. Present a patient who
either was on multiple
medications or identified
as having polypharmacy
issues. What were the
key red flags to make you
suspect polypharmacy?
What is your plan of care
moving forward? Be
specific.
2. The Pharmacist is an
integral part of the
interprofessional team.
As a physician, provide
two specific situations
where the pharmacist
would be instrumental in
assisting with care for
medically complex older
adults in your geriatric
internal medicine or
primary care practice.
Enter your journal entry below.
Day 4
1. Write about a patient
you have seen with
dementia. As a
physician, what will be
your patient care
challenges and how will
you work with the family
caregivers?
2. The Baby Boomer
generation is growing
older. Some call the
aging of America a
"health care tsunami."
As a physician, how will
you manage large
percentages of older
adults in your practice?
Do you have any initial
thoughts or strategies on
how to effectively
manage these complex
medical patients? Will
you use an
interprofessional team?
How could advanced
practice nurses or
physician assistants help
you with the chronic
management of these
patients?
Enter your journal entry below.
Day 5
1. Describe a patient
that you worked
with that you
thought might be
socially isolated.
What risk factors
were present that
made you suspicious
of social isolation?
How was it
addressed, or in
retrospect, how do
you wish you had
addressed it?
2. How would you
describe the
patient’s social
network and social
cohesion? Was
he/she experiencing
social exclusion
and/or social
isolation? Would a
referral to another
member of the
interprofessional
team be
appropriate?
Journal content created by Kathleen Pace Murphy, PhD
Layout designed by Beth Watson in the Multimedia
Scriptorium at The University of Texas Health Science
Center at Houston.
Photo Credit: Photographs used are allowed by the
MorgueFile free photo agreement and the Royalty Free
usage agreement at Stock.xchng. They appear on the first
page in this order:
Wallyir at morguefile.com/archive/display/221205
(also used in additional journal pages)
Mokra at www.sxc.hu/photo/572286
Clarita at morguefile.com/archive/display/33743
The Training Excellence
in Aging Studies
(TEXAS) program
promotes geriatric
training from medical
school through the
practicing physician
level. This project is
funded by the
Donald W. Reynolds
Foundation to the
division of Geriatrics
and Palliative Medicine
within the department
of Internal Medicine at
the University of Texas
Health Science Center
at Houston (UTHealth).