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Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

Elderly individuals encompass a diverse population with varying degrees of age-related physiological changes. Defining the elderly presents challenges, as the geriatric population is often arbitrarily categorized as individuals older than 65. However, many individuals in this group lead active and healthy lives, with an increasing number surpassing 85 years and falling into the older elderly category. Physiological changes associated with aging impact performance capacity and homeostatic...
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis01:24

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation01:24

Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation

Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about insulin...
Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption

As individuals age, their body's physiology evolves, affecting drug pharmacokinetics. The most apparent changes occur in the gastrointestinal tract, where an increase in gastric pH, a delay in gastric emptying, and a reduction in gastrointestinal motility are observed. Remarkably, these changes do not substantially modify the absorption of orally administered drugs, particularly those absorbed via passive diffusion.Transdermal drug delivery emerges as a highly viable method for older adults due...

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Updated: May 27, 2026

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills
07:31

A Computerized Functional Skills Assessment and Training Program Targeting Technology Based Everyday Functional Skills

Published on: February 13, 2020

Effective teaching methods for geriatric competencies.

Lisa Strano-Paul1

  • 1Department of Medicine, State University of New York, Stony Brook, New York 11794-8160, USA. lisa.strano-paul@sbumed.org

Gerontology & Geriatrics Education
|November 18, 2011
PubMed
Summary
This summary is machine-generated.

Classroom sessions effectively teach geriatric competencies to medical students. Additional clinical practice did not significantly improve geriatric assessment skills, as measured by Objective Structured Clinical Exam scores.

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Area of Science:

  • Medical Education
  • Geriatric Medicine
  • Clinical Skills Assessment

Background:

  • Geriatric competencies are crucial for medical students.
  • Current medical curricula often integrate geriatric training within clerkships.
  • Variability in clinical preceptor assignments can affect skill reinforcement.

Purpose of the Study:

  • To evaluate the effectiveness of classroom-based geriatric competency training for medical students.
  • To determine if additional clinical practice enhances geriatric assessment skills.
  • To compare the impact of varied clinical exposure on Objective Structured Clinical Exam (OSCE) performance.

Main Methods:

  • Medical students' geriatric competencies were assessed using OSCEs with geriatric patients.
  • Students were divided into groups based on receiving additional clinical practice versus standard curriculum.
  • OSCE scores were compared between the groups to evaluate skill acquisition.

Main Results:

  • No significant difference was observed in OSCE scores between students who received additional clinical practice and those who did not.
  • Classroom-based educational sessions appear to provide a foundational level of geriatric competency.
  • The study highlights the need to investigate factors influencing the translation of didactic learning to clinical performance.

Conclusions:

  • Standard classroom sessions adequately impart geriatric competencies to medical students.
  • Enhanced clinical practice, as implemented in this study, did not yield statistically significant improvements in geriatric assessment skills.
  • Further research is warranted to optimize clinical training strategies for geriatric medicine.