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Drug Dosing: Geriatric Patients

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...

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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 Metabolism

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Geriatric patients show significant variation in how their bodies process medications, which can change how effective and safe treatments are. The liver is the primary organ where drug metabolism occurs, involving two main types of chemical reactions: phase I and II. Phase I metabolism is driven by the cytochrome P450 enzyme system, which includes key types such as CYP3A, CYP2D6, and CYP2C9. Research indicates that while aging doesn't notably alter the levels or activity of these enzymes, it...

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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

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Published on: January 15, 2017

Simulation training for geriatric medicine.

Zehra Mehdi¹, Alastair Ross, Gabriel Reedy

¹Department of Ageing & Health, St Thomas' Hospital, London, UK.

The Clinical Teacher

|July 22, 2014

Summary

This summary is machine-generated.

This study developed a multimodal simulation course for geriatric medicine trainees, enhancing their confidence and skills in managing complex elderly patients. The novel approach proved effective and could be integrated into standard training curricula.

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Exergaming in Older People Living with HIV Improves Balance, Mobility and Ameliorates Some Aspects of Frailty

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Published on: October 6, 2016

Area of Science:

Geriatric Medicine
Medical Education
Simulation-Based Training

Background:

Geriatric medicine presents complex medical, social, and ethical challenges requiring interdisciplinary approaches.
Failures in elderly care necessitate improved training for specialist geriatric medicine trainees.
Current simulation use in geriatric medicine is limited to role-play or basic clinical skills.

Purpose of the Study:

To develop and evaluate a bespoke, multimodal simulation course for specialist trainees in geriatric medicine.
To enhance trainees' skills in managing complex elderly patient populations.
To explore the utility of simulation as a teaching tool in geriatric medicine.

Main Methods:

A 1-day multimodal, interprofessional simulation course was designed for specialist geriatric medicine trainees.
Six curriculum-mapped scenarios centered on the patient perspective were utilized.
Simulation techniques included high-fidelity manikins, patient actors, clinical skills trainers, and role-play, followed by faculty debriefs.

Main Results:

Twenty-six trainees attended four courses, reporting improved self-confidence in managing geriatric scenarios (p < 0.001).
Thematic analysis of feedback indicated simulation is a valuable teaching tool.
Participants reported benefits for both technical and non-technical skills.

Conclusions:

Simulation offers an innovative method for educating specialist geriatric medicine trainees.
This simulation modality shows potential for wider integration into geriatric medicine training curricula.