Gerontol Geriatr Educ
August 2024
Over the last two decades, the rate of fatal overdoses among adults 65 years and older has risen exponentially. Older adults are more vulnerable to opioids yet are less likely to have their opioid use disorder (OUD) recognized and treated. The prevalence of geriatric syndromes is higher among older adults with OUD, yet there is limited attention on how improving current OUD treatment for older adults can address their complex care needs.
View Article and Find Full Text PDFIntroduction: There are many myths regarding Alzheimer's disease (AD) that have been circulated on the internet, each exhibiting varying degrees of accuracy, inaccuracy, and misinformation. Large language models, such as ChatGPT, may be a valuable tool to help assess these myths for veracity and inaccuracy; however, they can induce misinformation as well.
Objective: This study assesses ChatGPT's ability to identify and address AD myths with reliable information.
Objectives: Patients with substance use disorder (SUD) may face many challenges when being cared for in skilled nursing facilities (SNFs), such as stigma and inadequate access to treatment. This study aims to learn from the perspectives of SNF residents with SUD.
Methods: Nineteen semistructured interviews were conducted at 5 SNFs in the Chicago Metropolitan Area.
Background: There are many myths regarding Alzheimer's disease (AD) that have been circulated on the Internet, each exhibiting varying degrees of accuracy, inaccuracy, and misinformation. Large language models such as ChatGPT, may be a useful tool to help assess these myths for veracity and inaccuracy. However, they can induce misinformation as well.
View Article and Find Full Text PDFBackground: Geriatrics Fellows Learning Online And Together (Geri-a-FLOAT) is a virtual curriculum designed to convene fellows nationwide for learning and peer support. This paper presents the expansion and evaluation of the program from the "Wave 1" pilot to the "Wave 2" year-long curriculum.
Methods: Kern's six-step approach to curriculum development was used to develop the Wave 2 curriculum.
Objectives: Over the past decade, the numbers of older adults with opioid and substance use disorders (OUD/SUD) have increased. As this population enters nursing homes (NHs) in increasing numbers, it is crucial to consider their capacity to manage issues related to OUD/SUD. This study aimed to examine current NH protocols for care coordination of residents with OUD/SUD as well as facility-related barriers to providing care to this vulnerable population within the NH.
View Article and Find Full Text PDFBackground/objectives: Few studies present clinical management approaches and outcomes of coronavirus disease 2019 (COVID-19) outbreaks in skilled nursing facilities (SNFs). We describe outcomes of a clinical management pathway for a large COVID-19 outbreak in an urban SNF with predominantly racial minority (>90% black), medically complex, older residents.
Design: Single-center, retrospective, and observational cohort study (March 1, 2020-May 31, 2020).
An outbreak of SARS-CoV-2 in a skilled nursing facility (SNF) can be devastating for residents and staff. Difficulty identifying asymptomatic and presymptomatic cases and lack of vaccination or treatment options make management challenging. We created, implemented, and now present a guide to rapidly deploy point-prevalence testing and 3-tiered cohorting in an SNF to mitigate an outbreak.
View Article and Find Full Text PDFBackground: Few patient-centered interventions exist to improve year-end residency clinic handoffs.
Aim: Our purpose was to assess the impact of a patient-centered transition packet and comic on clinic handoff outcomes.
Setting: The study was conducted at an academic medicine residency clinic.
Purpose: Although internal medicine resident clinic handoffs present risks for patients, few interventions exist. The authors evaluated an enhanced handoff.
Method: In 2011, the authors formalized a handoff protocol including a standardized sign-out process, resident education, improved scheduling, and time to establish care through telephone visits.
Background: Although Internal Medicine year-end resident clinic handoffs affect numerous patients, little research has described patients' perspectives of the experience.
Objective: To describe patients' perceptions of positive and negative experiences pertaining to the year-end clinic handoff; to rate patient satisfaction with aspects of the clinic handoff and identify whether or not patients could name their new physicians.
Design: Qualitative study design using semi-structured interviews.