RT Book, Section A1 Halter, Jeffrey B. A1 Ouslander, Joseph G. A1 Studenski, Stephanie A1 High, Kevin P. A1 Asthana, Sanjay A1 Supiano, Mark A. A1 Ritchie, Christine SR Print(0) ID 1136433340 T1 Table of Competency Fellowship Curriculum Milestones T2 Hazzard's Geriatric Medicine and Gerontology, 7e YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9780071833455 LK accessmedicine.mhmedical.com/content.aspx?aid=1136433340 RD 2024/03/28 AB Table Graphic Jump Location|Download (.pdf)|PrintTable of Competency Fellowship Curriculum MilestonesCaring for the Elderly PatientChapters in the 7th EditionCaring for the Elderly Patient–Communication7, 9, 27, 28, 30, 55, 58, 601. Practice culturally sensitive shared decision-making with patients and families/caregivers in the context of their health literacy, desired level of participation, preferences and goals of care.14, 15, 21, 262. Work effectively as a member or leader of an interprofessional health care team.38, 39, 66, 743. Use strategies to enhance clinician-patient oral and written communication in patients with hearing, vision, or cognitive impairment.9, 30, 33, 55, 58, 59, 614. Skillfully discuss and document goals of care and advance care planning with elderly individuals and/or their families/caregivers across the spectrum of health and illness.12, 30, 31, 615. Assess patients for capacity to make a specific medical decision and, if lack of capacity is determined, identify strategies and resources for decision-making, including guardianship.7, 96. Provide compassionate care while establishing personal and professional boundaries with patients and families/caregivers.9, 55, 587. Effectively lead a family/caregiver meeting.Caring for the Elderly Patient–Gerontology1, 2, 3, 4, 58. Demonstrate current scientific knowledge of aging and longevity, including theories of aging and epidemiology of aging populations.8, 38, 39, 40, 41, 43, 44, 45, 62, 63, 75, 83, 86, 89, 90, 91, 103, 104, 108, 110, 111, 113, 1159. Describe the primary physiologic changes of aging of each organ system and their clinical implications, including how they may impact lab findings.Caring for the Elderly Patient–Medication Management17, 24, 24, 56, 6410. Demonstrate expertise in medication management by justifying medication regimen and duration based upon:age-related changes in pharmacokinetics and pharmacodynamics.maximizing medication adherence.the common lists of medications that should be avoided or used with caution in older adults.a consideration of the reported benefits and known and unknown risks when prescribing a newly-released medication, realizing that older adults with multimorbidities are often underrepresented in clinical trials.10, 24, 2511. When a patient presents with a new symptom or geriatric syndrome, investigate whether a medication(s) is contributing.25, 55, 56, 122, 12412. Individualize pain control utilizing the most effective pharmacologic and nonpharmacologic strategies based on the etiology and chronicity of the patient's pain.25, 55, 5613. Prescribe pain medications with instructions and methods to prevent common complications including constipation, nausea, fatigue and opioid toxicity (myoclonus and hyperalgesia), using equianalgesic dosing conversion and opioid rotation when needed.Caring for the Elderly Patient–Functional Impairment and Rehabilitation10, 16, 21, 29, 33, 36, 38, 39, 114, 115, 116, 11714. Know the indications and contraindications for referring patients to physical, occupational, speech or other rehabilitativetherapies, and refer if appropriate.29, 11615. Know indications for durable medical equipment, prescribe and evaluate for appropriate use.11, 18, 24, 26, 29, 33, 36, 48, 65, 114, 116, 11916. Recognize and manage the care of patients at high risk for poor outcomes from common conditions such as deconditioning, stroke, hip fracture, and dysphagia.Caring for the Elderly Patient–Diseases in Older AdultsPart V17. Identify and manage medical disorders that occur in older adults.33, 77, 82, 86, 109, 118, 125, 126, 127, 128, 129, 13018. Know the different ...