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Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers
INTRODUCTION: Interprofessional teams can provide better care and management of complex geriatric patients. Unintentional weight loss in older patients can lead to significant morbidity and mortality and functional decline. This simulation curriculum focuses on teaching learners from all health care...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Association of American Medical Colleges
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338256/ https://www.ncbi.nlm.nih.gov/pubmed/30800832 http://dx.doi.org/10.15766/mep_2374-8265.10631 |
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author | Mulligan, Rebekah Gilmer-Scott, Melissa Kouchel, Dana Nickelson, Davia Safavi, Atousa Drickamer, Margaret Roberts, Ellen |
author_facet | Mulligan, Rebekah Gilmer-Scott, Melissa Kouchel, Dana Nickelson, Davia Safavi, Atousa Drickamer, Margaret Roberts, Ellen |
author_sort | Mulligan, Rebekah |
collection | PubMed |
description | INTRODUCTION: Interprofessional teams can provide better care and management of complex geriatric patients. Unintentional weight loss in older patients can lead to significant morbidity and mortality and functional decline. This simulation curriculum focuses on teaching learners from all health care professions how to use the Carolina Geriatrics Workforce Enhancement Program unintentional weight loss tool and flowchart (T&F) to identify, diagnose, and create a plan of care for weight loss in geriatric patients. METHODS: A presentation on use of the T&F and two standardized patient cases utilizing the T&F in an interprofessional team are included. Case 1 presents a 71-year-old male with dementia who has lost 20 pounds, with weight loss secondary to cognitive impairment, denture problems, oral candidiasis, and polypharmacy. Case 2 presents a 67-year-old female with a history of depression and breast cancer who has lost 15 pounds, likely related to alcohol dependence, social isolation, oral cancer, and food insecurity. Pre- and posttests measure knowledge gained through the course. RESULTS: Overall knowledge of unintentional weight loss improved in the 14 learners who participated in two pilot sessions. Test scores improved an average of 1.2 points from pre- to posttest. Participants felt that interprofessional teams increased the quality of care provided to patients and job satisfaction. DISCUSSION: This tool can be utilized by practitioners from multiple disciplines. By completing the curriculum, learners gain knowledge of how to identify geriatric patients with significant weight loss, determine next steps in diagnosis and workup, and work in an interprofessional group. |
format | Online Article Text |
id | pubmed-6338256 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Association of American Medical Colleges |
record_format | MEDLINE/PubMed |
spelling | pubmed-63382562019-02-22 Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers Mulligan, Rebekah Gilmer-Scott, Melissa Kouchel, Dana Nickelson, Davia Safavi, Atousa Drickamer, Margaret Roberts, Ellen MedEdPORTAL Original Publication INTRODUCTION: Interprofessional teams can provide better care and management of complex geriatric patients. Unintentional weight loss in older patients can lead to significant morbidity and mortality and functional decline. This simulation curriculum focuses on teaching learners from all health care professions how to use the Carolina Geriatrics Workforce Enhancement Program unintentional weight loss tool and flowchart (T&F) to identify, diagnose, and create a plan of care for weight loss in geriatric patients. METHODS: A presentation on use of the T&F and two standardized patient cases utilizing the T&F in an interprofessional team are included. Case 1 presents a 71-year-old male with dementia who has lost 20 pounds, with weight loss secondary to cognitive impairment, denture problems, oral candidiasis, and polypharmacy. Case 2 presents a 67-year-old female with a history of depression and breast cancer who has lost 15 pounds, likely related to alcohol dependence, social isolation, oral cancer, and food insecurity. Pre- and posttests measure knowledge gained through the course. RESULTS: Overall knowledge of unintentional weight loss improved in the 14 learners who participated in two pilot sessions. Test scores improved an average of 1.2 points from pre- to posttest. Participants felt that interprofessional teams increased the quality of care provided to patients and job satisfaction. DISCUSSION: This tool can be utilized by practitioners from multiple disciplines. By completing the curriculum, learners gain knowledge of how to identify geriatric patients with significant weight loss, determine next steps in diagnosis and workup, and work in an interprofessional group. Association of American Medical Colleges 2017-09-20 /pmc/articles/PMC6338256/ /pubmed/30800832 http://dx.doi.org/10.15766/mep_2374-8265.10631 Text en Copyright © 2017 Mulligan et al. https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode This is an open-access publication distributed under the terms of the Creative Commons Attribution-NonCommercial-Share Alike (https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode) license. |
spellingShingle | Original Publication Mulligan, Rebekah Gilmer-Scott, Melissa Kouchel, Dana Nickelson, Davia Safavi, Atousa Drickamer, Margaret Roberts, Ellen Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers |
title | Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers |
title_full | Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers |
title_fullStr | Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers |
title_full_unstemmed | Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers |
title_short | Unintentional Weight Loss in Older Adults: A Geriatric Interprofessional Simulation Case Series for Health Care Providers |
title_sort | unintentional weight loss in older adults: a geriatric interprofessional simulation case series for health care providers |
topic | Original Publication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6338256/ https://www.ncbi.nlm.nih.gov/pubmed/30800832 http://dx.doi.org/10.15766/mep_2374-8265.10631 |
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