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Related Concept Videos

Drug Dosing: Geriatric Patients01:15

Drug Dosing: Geriatric Patients

274
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...
274
Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

236
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...
236
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution01:00

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution

262
Drug distribution in the human body is influenced by several factors, including plasma protein concentration, body composition, blood flow, tissue-protein concentration, and tissue fluid pH. Among these, changes in plasma protein concentration and body composition due to aging significantly affect how drugs are distributed within the body. Specifically, aging is associated with a decrease in albumin levels by about 10% and an increase in α1-acid glycoprotein levels. These alterations are...
262
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Metabolism

215
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...
215
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion01:18

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion

253
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...
253
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption01:22

Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption

703
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...
703

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An interprofessional team simulation exercise about a complex geriatric patient.

Aida Wen1, Lorrie Wong2, Carolyn Ma3

  • 1a The John A. Hartford Foundation Center of Excellence in Geriatrics, Department of Geriatric Medicine, John A. Burns School of Medicine , University of Hawaii at Manoa , Honolulu , HI , USA.

Gerontology & Geriatrics Education
|December 5, 2018
PubMed
Summary
This summary is machine-generated.

This study shows that an interprofessional teamwork simulation improved core competencies for medical, nursing, pharmacy, and social work students caring for older adults. The exercise enhanced collaboration skills through practical application and feedback.

Keywords:
Interprofessionalevaluationinterdisciplinary teamworksimulation exercise

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Area of Science:

  • Healthcare Education
  • Interprofessional Practice
  • Geriatric Care

Background:

  • Optimizing care for older adults with complex needs requires effective interprofessional collaboration.
  • Developing teamwork skills among healthcare professionals is crucial for patient outcomes.

Purpose of the Study:

  • To develop and evaluate an interprofessional teamwork simulation exercise for medical, nursing, pharmacy, and social work students.
  • To assess the impact of the simulation on interprofessional practice core competencies.

Main Methods:

  • A simulation exercise involving medical, nursing, pharmacy (via video conferencing), and social work students.
  • Pre-simulation preparation included a teamwork video and case review.
  • Post-simulation debriefing facilitated by interdisciplinary faculty focused on teamwork strategies.
  • Retrospective pre/post surveys assessed self-rated core competencies using paired t-tests.
  • Qualitative analysis examined distance technology use and learner satisfaction.

Main Results:

  • Significant improvements were observed in all core competency categories across all participating disciplines.
  • Students reported a positive impact on their learning of interprofessional core competencies.
  • Qualitative data indicated successful integration of distance technology.

Conclusions:

  • The interprofessional teamwork simulation is an effective educational tool for enhancing core competencies in future healthcare professionals.
  • Simulation-based learning, even with remote participation, can significantly improve interprofessional collaboration skills.
  • This approach provides a valuable model for training students in geriatric care and teamwork.