Curricula Descriptions
Long Term Care Curriculum
Care of the Nursing Home Patient
| Goals: |
- Effectively interact with Long Term Care (LTC) patients, caregivers, and social systems; assure and manage health care of LTC residents.
- Recognize and facilitate treatment of LTC patients requiring specialty intervention
|
| Objectives: |
- Know and be able to facilitate routine care of residents in a LTC facility (pharmacotherapy, nutrition, mental health, physical therapy)
- Recognize and facilitate LTC patient social support systems (family, caregivers, spiritual).
- Recognize and facilitate a quality environment for patients in a LTC facility.
- Recognize the progression of chronic illness, know, apply, monitor treatment options and be able to facilitate appropriate referrals.
- Access and apply current information, community resources and specialty resources for LTC patients.
- Recognize and facilitate the team approach to patients in LTC facilities.
- Facilitate knowledge of administrative aspects of LTC facilities.
|
| Teaching Strategies—rotations, tactics, resources |
| Noon Lectures |
| Nursing Home Multidisciplinary Team Role |
| Advanced Directives/Ethical and Legal Issues |
| Urinary Incontinence/UTI |
| Nutrition/Weight Problems |
| Falls- Prevention and Rehabilitation |
| Osteoporosis |
|
| Continuity of Care Clinic |
- Ambulatory LTC patients: Pain management, preventative health, vision and hearing assessment, and chronic disease management.
|
| Emergency Room |
- Acute illness of LTC patients, trauma
|
| Surgery Subspecialty |
- Perioperative and preoperative care
|
| Long Term care Facility |
- Panel of LTC patients- Geriatric, disabled, chronic illness (Incontinence, polypharmacy, pain management, pressure ulcers, osteoporosis, dental and vision assessment, nutrition, musculoskeletal disorders)
|
| Behavioral Science Curriculum |
- Treatment of Dementia, Depression, Abuse, Alzheimer's Disease, Delusion, Psych Disorders, Alcohol and Tobacco Abuse
|
| Community Medicine |
- Exposure to community resources
|
| In-Patient |
- Panel of Patients: Infections, Dehydration, Malnutrition, Hematology/Oncology, Pneumonia, Respiratory Distress, Falls/Orthopedics
|
| Pharmacotherapy |
- Panel of Patients: Polypharmacy, Alternative Medications, Falls Prevention Medication Safety, Anticoagulation, Aggravating Factors
|
| Video taping |
- Continuity of Care Clinic: Interviewing skills, assessment and exam
|
| Rotation Mechanics |
- Each Resident will be assigned approximately
8-12 Nursing Home patients to follow through PGY-2 and PGY-3 years.
Beth Koehler will do the assignments. Let
Beth know if patients are no longer at the Facility (transfer, expire, discharged to home).
- Nursing Home rounds occur on a scheduled basis with Faculty Supervision.
(See Schedule)
- Nursing Home
notes are done on the computer
and faxed back to the Nursing
home
- Notes must
be done and faxed within 24
hours
- If you check
out a modem, this must be
returned to Beth or Yvonne
within 24 hours. You
are repsonsible for this
modem. If it is lost
or broken, a replacement
will need to come from your
ed allowance.
- Please see
the
how to video on doing
notes at the nursing home
|
| Resources |
|
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QFMR Contact: Ra Nae Stanton, M.D.
Last
Revision: 9/28/2011
back to Longitudinal Curricula
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