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Digital Seminar

Geriatric Assessment Strategies: Atypical Symptoms & Complex Diagnoses


Faculty:
Susann Varano, MD
Duration:
1 Hour 03 Minutes
Format:
Audio and Video
Copyright:
Oct 27, 2021
Product Code:
POS078345
Media Type:
Digital Seminar


Description

Geriatric patients are a vulnerable population and health care providers may be the hope that these patients need. Atypical presentation of symptoms adds a layer of complexity to accurately diagnose and treat. Both rapid and detailed assessments tools will gather key patient data to make informed decisions. Susann Varano, MD, will share her best practice tips for falls, elder mistreatment, cognitive function, depression, and general physical examination. 

Credits


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Handouts/Brochure

Faculty

Susann Varano, MD's Profile

Susann Varano, MD Related seminars and products


Susann Varano, MD, is a Yale University trained physician who is double-board certified in internal medicine and geriatric medicine. Her expertise is sought currently as a geriatric consultant for medically complex residents/patients and as an adjunct professor teaching geriatric course work to physician assistant students. Additionally, Dr. Varano is the principal investigator at Clinical Research Consulting. As such, she has completed over 150 clinical trials, has presented findings at numerous national/international conferences and her written articles have been featured in US News and World Report.

Dr. Varano has served as geriatrics course director and lecturer for the Yale University School of Medicine Physician Associate Program. Additionally, she was selected to work in the Yale University Hospital Affiliated Program, a position where she would give the prestigious Medical Grand Round Lectures to Medical Staff as well as Community Physicians.

 

Speaker Disclosures:
Financial: Dr. Susann Varano has employment relationships with Clinical Research Consulting and Maplewood Senior Living. She is an adjunct faculty member at Sacred Heart University and a lecturer at University of Bridgeport. Dr. Varano receives a speaking fee from Urovant and receives a speaking honorarium from PESI, Inc.
Non-financial: Dr. Susann Varano has no relevant non-financial relationship to disclose.


Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


Objectives

  1. Assess the functional ability of the older adult. 
  2. Diagnose depression in the complex older adult using validated assessment tools. 
  3. Determine if elder abuse is present in your patient population. 
  4. Apply fall assessment knowledge to improve quality of life for your patients. 

Outline

Physical Assessment 
  • Functional status 
  • Nutrition 
  • Vision 
  • Hearing 
Assessment of Falls 
  • History and context of a fall event 
  • Timed Get Up And Go Test 
  • Chair Stand Test 
  • Gait and Balance Testing 
    • Tinetti Gait and Balance Scale 
    • Observational 
  • Orthostatic vital signs 
  • Medication review 
  • Vision check 
Assessing for Elder Mistreatment 
  • History 
    • Interview patient and caregiver separately 
    • Begin with broad based questions 
    • Be nonjudgmental with caregivers 
  • Physical 
    • Poor hygiene 
    • Dirty/torn/inappropriate clothing 
    • Neglected hair/nails 
  • Injuries 
    • Bruises to upper torso 
    • Scratches/skin findings where patient cannot reach 
    • Scalp injuries 
  • Behavior 
    • Expressions of fear, avoidance of caregiver 
    • Lack of eye contact with caregiver 
    • Caregiver insisting on being present for all interactions 
    • Serial switching of healthcare providers 
    • Inconsistent history 
Rapid Screen for Cognitive Function 
  • 3 item recall 
Depression Assessment Tools 
  • The Geriatric Depression Scale 
  • Patient Health Questionnaire-9 (PHQ-9) 
  • Patient Health Questionnaire-2 (PHQ-2) 
    • Have you been troubled by feeling down, depressed, or hopeless? 
    • Have you expressed little interest or pleasure in doing things? 
  • Cornell Scale for Depression in Dementia

Target Audience

  • Nurses
  • Nurse Practitioners
  • Clinical Nurse Specialists
  • Physician Assistants
  • Physicians
  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Speech Language Pathologists
  • Social Workers
  • Nursing Home Administrators

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