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Related Concept Videos

Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

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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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Pharmacodynamics in Geriatric Patients: Effects of Age01:27

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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...
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Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

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In geriatric patients, renal physiology undergoes significant changes, including diminished renal blood flow and a lower glomerular filtration rate (GFR), leading to alterations in medication clearance. Drugs such as aminoglycoside antibiotics, lithium, and digoxin, which rely on glomerular filtration for removal from the body, particularly impact pharmacokinetics. These drugs tend to have slower clearance rates in older adults, necessitating careful dosage considerations.Evaluation of renal...
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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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Evaluation of a simulation training programme for geriatric medicine.

Philip Braude1, Gabriel Reedy2, Deblina Dasgupta3

  • 1Department of Ageing and Health, Guy's and St Thomas' Hospital, Westminster Bridge Road, London, UK.

Age and Ageing
|May 9, 2015
PubMed
Summary

This study shows that a standardized, interprofessional simulation training program effectively improved confidence in managing complex geriatric care scenarios. Simulation offers a safe, novel approach for geriatrics education, enhancing both technical and non-technical skills.

Keywords:
continenceeducationelder abuseolder peoplepostgraduate

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Area of Science:

  • Geriatric Medicine
  • Medical Education
  • Simulation-Based Training

Background:

  • Geriatrics presents complex medical, social, and ethical challenges requiring interdisciplinary approaches.
  • Failures in older adult care necessitate improved training for healthcare professionals.
  • Existing evidence on simulation in geriatrics is limited, often focusing on basic skills.

Purpose of the Study:

  • To develop and evaluate a standardized, multimodal, interprofessional simulation training program for geriatrics.
  • To assess the impact of simulation training on trainees' confidence and skills in managing geriatric patients.
  • To centralize the patient perspective within curriculum-mapped simulation scenarios.

Main Methods:

  • A two-center, standardized, multimodal, interprofessional geriatrics simulation training program was implemented.
  • Simulation techniques included high-fidelity manikins, actors, and role-play exercises.
  • A mixed-methods evaluation analyzed participant data pre- and post-training.

Main Results:

  • Eighty-nine participants attended 12 courses over two years.
  • Thematic analysis indicated simulation improved technical and non-technical skills, covering areas like continence and end-of-life care.
  • Self-reported confidence in managing geriatric scenarios significantly improved by 11.5% (P < 0.001).

Conclusions:

  • A standardized geriatrics simulation training program is feasible across multiple sites.
  • Simulation provides safe, situational learning for geriatrics trainees.
  • This novel training method could be integrated into national geriatrics curricula.