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An age-friendly opioid use disorder (OUD) care workshop: Applying the 5Ms framework
Kimberly J Beiting1, A Justine Landi2, Vassiliki Pravodelov3
1Division of Geriatric Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Gerontology & Geriatrics Education
|August 29, 2024
Summary
Fatal overdoses in older adults are rising. A workshop using the Geriatrics 5 Ms framework improved generalists' ability to treat opioid use disorder (OUD) in this vulnerable population.
Area of Science:
- Geriatric Medicine
- Addiction Medicine
- Medical Education
Background:
- Fatal overdoses among adults 65+ have increased significantly over the past two decades.
- Older adults are particularly vulnerable to opioids and opioid use disorder (OUD), yet OUD is often underdiagnosed and undertreated in this demographic.
- Geriatric syndromes are more prevalent in older adults with OUD, highlighting complex care needs that require specialized attention.
Purpose of the Study:
- To equip generalist physicians with the necessary training, skills, and resources to effectively manage opioid use disorder (OUD) in older adults.
- To introduce and apply the Geriatrics 5 Ms framework as a tool for addressing the complex care needs of aging adults with OUD.
- To evaluate the feasibility and impact of a case-based workshop on improving care for older adults with OUD.
Main Methods:
- A case-based workshop was developed and presented at the 2023 Society of General Internal Medicine Annual Meeting.
- The workshop incorporated an introductory background on OUD in older adults and a 5-part mega-case.
- Participants engaged in case discussions to apply the Geriatrics 5 Ms framework to patient care scenarios.
Main Results:
- Workshop attendees reported high satisfaction with achieved learning objectives, overall quality, and facilitation.
- Participants indicated a strong intention to incorporate the learned knowledge into their professional activities (teaching, research, patient care, administration).
- The interactive, case-based approach was deemed feasible and replicable for training healthcare providers.
Conclusions:
- An interactive, case-based workshop utilizing the Geriatrics 5 Ms framework is an effective method for training generalists in managing OUD in older adults.
- This educational approach is feasible, replicable, and has the potential to promote age-friendly care for geriatric patients with OUD.
- Improving OUD treatment for older adults through specialized training can better address their complex health needs and improve outcomes.
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