scholarly journals Delivering Interprofessional Education to Embed Interdisciplinary Collaboration in Effective Nutritional Care

2021 ◽  
pp. 159-169
Author(s):  
Julie Santy-Tomlinson ◽  
Celia V. Laur ◽  
Sumantra Ray
Keyword(s):  
Older Adults ◽  
Capacity Building ◽  
Interprofessional Education ◽  
Interdisciplinary Collaboration ◽  
Interdisciplinary Team ◽  
Evidence Based ◽  
Nutritional Care ◽  
Nutrition Care ◽  
Interdisciplinary Approaches

AbstractPrevious and forthcoming chapters describe how to improve nutrition care with an emphasis on interdisciplinary approaches. Developing and improving the skills and knowledge of the interdisciplinary team through interprofessional education are essential for embedding evidence-based, collaborative, nutritional care. This capacity building in turn supports delivery of effective nutritional care for older adults.

scholarly journals An Interdisciplinary Collaboration to Improve Hypertension Medication Adherence for Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 229-230
Author(s):  
Jeannie Lee ◽  
Wendy Rogers
Keyword(s):  
Blood Pressure ◽  
Older Adults ◽  
Decision Support ◽  
Medication Adherence ◽  
Cognitive Aging ◽  
Interdisciplinary Collaboration ◽  
Interdisciplinary Team ◽  
Interdisciplinary Teams ◽  
Improve Medication Adherence ◽  
Pressure Feedback

Abstract Hypertension is highly prevalent in older adults (74.5% in ≥60 years) with dire consequences, and adherence to hypertension medications is low (approximately 50%). With increased smartphone use among older adults (81% for 60-69 years, 62% for ≥70 years), technology innovations can improve medication adherence. This symposium highlights the efforts of an innovative interdisciplinary team of experts (clinical, cognitive aging, human factors, health technology) to develop and implement the Medication Education, Decision Support, Reminding, and Monitoring (MEDSReM) system to improve hypertension medication adherence for older adults. MEDSReM is a theory-based, integrated mobile application (app) and companion web portal that educates, supports missed dose decisions, reminds, monitors adherence, and incorporates blood pressure feedback. In this symposium, we describe the interdisciplinary development efforts. Insel et al. will present the theory-based intervention, technology translation, and advancement of the MEDSReM system. Lee et al. will describe the interdisciplinary team and describe the work by the decision support subteam that created the medication formulary and generated an algorithm to guide missed-dose decisions based on pharmacology of aging. Rogers et al. will discuss the education subteam’s development of educational information about hypertension, medications, and adherence for the MEDSReM system. Mitzner et al. will illustrate the instructional support sub-team’s efforts to ensure older adults can interact with both the smartphone app and online portal. Lastly, Hale et al. will describe the user testing subteam’s usability processes including the integration of blood pressure self-monitoring. These efforts will provide insights for other interdisciplinary teams developing technology interventions for older adults.

scholarly journals TEACHING ABOUT GERONTOLOGY AND AGING THROUGH INTERPROFESSIONAL EDUCATION AND COLLABORATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S273-S273
Author(s):  
Elaine T Jurkowski ◽  
Ruth Heitkamp ◽  
Cherie Kelly ◽  
Sharon Smaga
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Work ◽  
Health Outcomes ◽  
Interprofessional Education ◽  
Interdisciplinary Collaboration ◽  
Physician Assistant ◽  
Physician Assistants ◽  
Care Plan ◽  
The Individual

Abstract Repeatedly as multidisciplinary professionals we are concerned about the individual patient we serve. Inter-professional collaboration across disciplines such as primary care medical practice, physician assistants, social workers and psychologists does not occur naturally, since educational programs are often taught independently of each other, but these disciplines are required to work collaboratively with each other. The objective was to promote communication across disciplines (Medicine, Social Work, Physician Assistant and Psychology) and help each discipline understand the roles played in promoting mental health and general health for older adults. An educational seminar was conducted using cases and guide questions focused on identifying strategies for care. The teams consisted of Medical Residents, a Social Work student, a Psychology student and a Physician Assistant student. A series of guide questions were provided, and teams were asked to discuss and identify a care plan. Debriefing followed to discuss the outcomes across all teams. Pre-post test results examined variables related to interdisciplinary collaboration. Findings suggest professionals were surprised at what they learned from the other disciplines they were collaborating with. They also learned about community based resources available as well as strategies to promote health outcomes. All participants felt that the opportunity to collaborate outside of their disciplines would strengthen their impact when working with older adults and their families. In conclusion, a problem based learning approach coupled with the opportunity to collaborate with other disciplines through (IPE) is a venue to improve overall collaboration across professionals and ultimately improve mental health outcomes of consumers.

scholarly journals Overview of Nutrition Care in Geriatrics and Orthogeriatrics

2021 ◽  
pp. 3-18
Author(s):  
Ólöf G. Geirsdóttir ◽  
Karen Hertz ◽  
Julie Santy-Tomlinson ◽  
Antony Johansen ◽  
Jack J. Bell
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Primary Prevention ◽  
Secondary Prevention ◽  
Interdisciplinary Team ◽  
Focal Points ◽  
Community Settings ◽  
Team Members ◽  
Nutrition Care ◽  
Care Approach

AbstractEngaging older adults, and all those who care for them, is pivotal to providing high-value nutrition care for older adults. Nurses and other interdisciplinary team members are essential to this process. The aim of this chapter is to provide an overview of the rationale and evidence for interdisciplinary and systematised nutrition care as an effective nutrition care approach for older adults with or at risk of malnutrition. This chapter also serves as a guide to detailed chapters across this book to provide focal points on different aspects of nutrition care that should be considered across primary prevention, acute care, rehabilitation, secondary prevention and community settings (Dreinhöfer et al., Injury 49(8):1393–1397, 2018).

scholarly journals Interdisciplinary network engagement in a non-formal education process to study foodborne Chagas disease puzzle in Brazilian Amazon

2018 ◽  
Vol 11 (2) ◽  
Author(s):  
Tânia Cremonini de Araújo-Jorge ◽  
Cristina Xavier Almeida Borges ◽  
Alciana Araújo ◽  
Soraya Oliveira dos Santos ◽  
Elenild De Góes Costa
Keyword(s):  
Chagas Disease ◽  
Formal Education ◽  
Interdisciplinary Collaboration ◽  
Interdisciplinary Team ◽  
Field Work ◽  
Brazilian Amazon ◽  
Education Environment ◽  
Interdisciplinary Approaches ◽  
Interdisciplinary Network

Interdisciplinary collaboration is essential to overcome complex problems in contemporaneity. Chagas disease challenges in Brazilian Amazon, implicates One Health interdisciplinary approaches and teams to integrate health of humans, animals and the environment, to foster earlier detection of this zoonotic disease and better prevention. We studied the interdisciplinary team, the logistic of its long term field work and the education processes emerging on a non-formal education environment of a Chagas disease Protocol conduced in Pará. An alarming situation: notified acute cases almost doubled in two years. Photographs were presented (iconographic approach) to qualitatively describe the experience of the interdisciplinary team. Five recommendations were proposed at the end of the study. Our observational study with the interdisciplinary team confirmed the conception that “in connecting the purity of science with the pragmatism of policy, the intangibles of trust, rapport, and even friendship can be more potent than logic and more compelling than evidence”.

scholarly journals Barriers to and Facilitators for Optimal Intervention for Apathy in Older Adults With Dementia

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 280-280
Author(s):  
Shannon Freeman ◽  
Aderonke Agboji
Keyword(s):  
Older Adults ◽  
Healthcare Professionals ◽  
Interdisciplinary Team ◽  
Assessment Tools ◽  
Evidence Based ◽  
Brain Disorders ◽  
Persistent Symptom ◽  
Good Communication ◽  
Optimal Intervention ◽  
Raising Awareness

Abstract Apathy is a persistent symptom in brain disorders. It affects 84% of people with brain disorders. Those affected are more than two times likely to die early than those without. Yet it is often ignored and undertreated. An integrative review guided by Whittemore and Knafl's (2005) framework was carried out to identify the factors that inhibit or facilitate the diagnosis and management of apathy among older adults with dementia. The result of the findings revealed five barriers and three facilitators. Barriers included inconsistencies in the definition and diagnostic criteria, lack of awareness, overlap with other neuropsychiatric disorders, a paucity of evidence-based information, and lack of familiarity. Facilitators were standardized definition and assessment tools, good communication among the interdisciplinary team, and adequate training, education, and experience. In conclusion, efforts should be geared towards raising awareness and developing a practice guideline to aid healthcare professionals in detecting and managing apathy optimally.

scholarly journals Interdisciplinary Team for MEDSReM-2 and Decision Support Through Pharmacology of Aging Principles

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 230-230
Author(s):  
Kathie Insel ◽  
J Nicholas ◽  
Amani Albadawi ◽  
Jeannie Lee
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Decision Support ◽  
Cognitive Aging ◽  
Technology Development ◽  
Interdisciplinary Collaboration ◽  
Interdisciplinary Team ◽  
Team Members ◽  
Peer Reviews ◽  
Older Users

Abstract The interdisciplinary team members with distinct and complementary expertise working collaboratively to advance MEDSReM to MEDSReM-2 will be introduced. The decision support functionality in MEDSReM-2 application (app) is to guide older users on making decisions about missed doses. MEDSReM-2 medication formulary was created to include safe hypertension medications for older adults. Pharmacology of aging, including Pharmacokinetic and Pharmacodynamic principles, along with published studies and expert peer reviews, were used to create an algorithm for safe window of time to take the missed medications. We will present the processes for developing the decision support algorithm for the MEDSReM-2 App and how this guide will be communicated to the users to inform their decision making about missed doses. Interdisciplinary collaboration including pharmacy, nursing, cognitive aging, and technology development that was crucial for designing and implementing decision support within the MEDSReM-2 app for older users will be shared.

scholarly journals How to Sustain and Spread Nutritional Care Improvements

2021 ◽  
pp. 147-157
Author(s):  
Celia V. Laur ◽  
Jack J. Bell
Keyword(s):  
Nutritional Care ◽  
Nutrition Care ◽  
Interdisciplinary Approaches

AbstractPrevious chapters have described how to improve nutrition care with an emphasis on interdisciplinary approaches. The focus of this chapter is on keeping these improvements going (sustainability) and how to apply them to a new setting (spread).

scholarly journals Malnutrition Prevention

2021 ◽  
pp. 51-64
Author(s):  
Patrick Roigk ◽  
Fabian Graeb
Keyword(s):  
Older Adults ◽  
Interdisciplinary Team ◽  
Later Life ◽  
Nutritional Intake ◽  
Evidence Based ◽  
Healthcare Settings ◽  
Pressure Injury ◽  
Hospital Stays ◽  
Poor Outcomes

AbstractA healthy nutritional intake is required to prevent malnutrition. Furthermore, nutrition is associated with improved quality of life in older adults. Simultaneously, many factors influence nutritional intake in later life. Onset and progression of acute or chronic diseases and a reduced dietary intake play a crucial role in developing malnutrition. Malnutrition is associated with poor outcomes such as pressure injury, increased length of hospital stays and increased mortality. The aim of the chapter is to increase the nutritional-based knowledge of the interdisciplinary team to prevent malnutrition in all its forms. Therefore, this chapter offers evidence-based information to support interdisciplinary prevention of malnutrition in older adults across diverse healthcare settings.

scholarly journals Supporting Nutrition Care in Older Adults: An Essential Component of ‘Best Practice’ Nursing

2021 ◽  
pp. 79-85
Author(s):  
Lina Spirgienė ◽  
Gytė Damulevičienė ◽  
Gabriele Bales ◽  
Jack J. Bell
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Nursing Care ◽  
Real World ◽  
Best Practice ◽  
Evidence Based ◽  
Essential Component ◽  
Nutrition Care ◽  
Evidence Based Guidelines ◽  
What Matters

AbstractEvidence-based guidelines, recommendations and standards are considered the cornerstone of ‘best practice’ in nursing care. However, what optimal nutrition care of older adults actually looks like in real-world settings is also dependent on age, disease and care contexts and, perhaps most importantly, what matters to the older adult.

The Impact of TimeSlips on Undergraduate Students in Service Learning With Older Adults

2020 ◽  
pp. 1-8
Author(s):  
Sabine Heuer
Keyword(s):  
Older Adults ◽  
Service Learning ◽  
Undergraduate Students ◽  
Attitude Scale ◽  
Evidence Based ◽  
Attitudes Toward Older Adults ◽  
Students Attitudes ◽  
Attitude Shift ◽  
The Impact ◽  
Journal Entries

Purpose Future speech-language pathologists are often unprepared in their academic training to serve the communicative and cognitive needs of older adults with dementia. While negative attitudes toward older adults are prevalent among undergraduate students, service learning has been shown to positively affect students' attitudes toward older adults. TimeSlips is an evidence-based approach that has been shown to improve health care students' attitudes toward older adults. The purpose of this study is to explore the change in attitudes in speech-language pathology students toward older adults using TimeSlips in service learning. Method Fifty-one students participated in TimeSlips service learning with older adults and completed the Dementia Attitude Scale (DAS) before and after service learning. In addition, students completed a reflection journal. The DAS data were analyzed using nonparametric statistics, and journal entries were analyzed using a qualitative analysis approach. Results The service learners exhibited a significant increase in positive attitude as indexed on the DAS. The reflective journal entries supported the positive change in attitudes. Conclusions A noticeable attitude shift was indexed in reflective journals and on the DAS. TimeSlips is an evidence-based, patient-centered approach well suited to address challenges in the preparation of Communication Sciences and Disorders students to work with the growing population of older adults.

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