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Geriatrics
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For Curriculum
:Welcome to the Geriatric Rotation at AMH!! The members of the Geriatric
Medicine "Section" of the Department of Internal Medicine want to make
this a truly enjoyable and educational experience for you.
* Please call Mary Hofmann, MD, Beeper #12222, on the day before you
start your rotation to discuss where you should report.
The rotation covers many different aspects of inpatient/outpatient long term
(nursing home) care and you will be in many different places. Please take
advantage of the variety. We realize however with your outpatient
responsibilities we may all need to be flexible and we can work with this.
Regardless of what you plan to do after your residency, primary care or
subspecialty practice, the vast majority of your patients will be elderly and we
feel this is among the most important electives you will have.
If you need to prioritize due to scheduling, we feel the most important
experiences are:
- care of nursing home patient Artman with Mary Hofmann, MD
Willow Ridge with Rita Reichard, MD
- Geriatric Assessment with Dr. Reichard and Trish Bankes, CRNP
- home visits – part of Geriatric Assessment
- hospital consults with Donna Graham, CRNP and Grace Wert, RN, MSN
- wound care rounds
- care of patients with incontinence
- geriatric psychiatry
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| Accident risk |
| Falls |
| Gait disorders |
| Poor safety awareness |
| Cardiovascular |
| Angina/Myocardial infarction |
| Atrial fibrillation |
| Congestive heart failure |
| Hypertension |
| Lower-extremity edema |
| Orthostatic hypotension |
| Peripheral vascular disease |
| Death and dying |
| Elder Abuse |
| End of life care |
| Bereavement |
| Bowel obstruction |
| Dyspnea |
| Pain management |
| Endocrine/metabolic |
| Dehydration |
| Diabetes, type 2 |
| Disorders of temperature regulation |
| Thyroid disorder |
| Hyperthyroid |
| Hypothyroid |
| Maltinodular goiter |
| Sick euthyroid |
| Ethical issues (advance directives, health care proxy, unrealistic
expectations of family and patient) |
| Failure to thrive |
| Gastroenterology |
| Colon cancer |
| Constipation, obstipation |
| Diverticular disease |
| Fecal incontinence |
| GERD |
| Ischemic bowel |
| Swallowing disorders |
| Health care financing/delivery system |
| Community-based services |
| Managed Medicare |
| Medicaid |
| Medicare |
| Hematology |
| Anemia of chronic disease |
| Iron deficiency anemia |
| Leukemias and lymphproliferative disorders |
| Multiple myeloma |
| Hospital discharge planning |
| Iatrogenic disease |
| Adverse drug reactions |
| Nosocomial complications |
| Polypharmacy, drug interactions |
| Procedure complications |
| Neurologic |
| Carotid artery disease |
| Normal pressure hyprocephalus |
| Parkinson’s disease |
| Spinal stenosis |
| Stroke |
| Transient ischemic attack |
| Nutrition |
| Aspiration |
| Aspiration pneumonia |
| Feeding disorders |
| Malnutrition, under nutrition |
| Oral health problems |
| Pain control |
| Pneumonia |
| Psychiatric |
| Alcoholism, drug abuse |
| Delirium |
| Dementia |
| Depression |
| Late-onset psychotic disorders |
| Neurobehavioral disorders |
| Social Isolation |
| Renal/Urologic |
| Age related changes in renal function |
| Prostate disease |
| Sexual dysfunction |
| Urinary incontinence |
| Urinary retention |
| Urinary tract infection |
| Rheumatologic/Musculoskeletal |
| Contractures |
| Crystal diseases (gout, pseudogout) |
| Deconditioning |
| Degenerative joint disease |
| Fractures |
| Hip |
| Vertebral compression fracture |
| Wrist |
| Giant cell arteritis |
| Immobility |
| Low back pain |
| Osteoporosis |
| Polymyalgia rheumatica |
| Pressure ulcers |
| Spinal stenosis |
| Subacromial bursitis |
| Trochanteric bursitis |
| Sensory impairment |
| Hearing |
| Cerumen impaction |
| Presbycusis |
| Peripheral neuropathy |
| Vestibular disorders |
| Vision |
| Cataracts |
| Glaucoma |
| Macular degeneration |
| Skin |
| Cancers |
| Pruritis |
| Seborrheic keratosis |
| Xerosis |
| Sleep disorders |
| Syncope |
| Tuberculosis |
Please note you must spend at least some time on each of these rotations and
have your preceptor sign to pass the rotation (form included)
If you are having any problems meeting your educational objectives or
scheduling problems, please call Dr. Hofmann (ext. 4350, beeper #12222)
immediately to help. Please do not wait until the end of the rotation.
Thank you and looking forward to learning with you, from you.
Mary Hofmann, MD, ext. 4350 beeper #12222
Rita Reichard, MD, ext 4404 beeper #12728
Grace Wert, RN, MSN, ext. 2152 beeper #13024 |
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