scholarly journals Novel Strategies to Reach and Engage Older Veterans During COVID-19

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 205-205
Author(s):  
Amanda Peeples ◽  
Kim Van Orden
Keyword(s):  
Social Isolation ◽  
Exercise Intervention ◽  
Medical Center ◽  
Voluntary Service ◽  
Health And Wellbeing ◽  
Health Measures ◽  
Increased Risk ◽  
Rochester Medical ◽  
Negative Impacts ◽  
The University

Abstract The COVID-19 pandemic and associated public health measures to prevent its spread have important implications for the health and wellbeing of older Veterans. Prior to the pandemic, social isolation was already recognized as a risk for older adults, contributing to increased risk of depression, physical inactivity, and mortality. Stay-at-home orders, social distancing, and transitions to new ways of delivering care have meant that many of the ways in which older Veterans connect with VA and others have changed. Older Veterans and Veterans with serious mental illness (SMI) are especially vulnerable to experience negative impacts from social isolation and loneliness. This symposium will present on four novel and adapted strategies for engaging with older Veterans during the COVID-19 pandemic and beyond: 1) VA Connection Plans, a whole health intervention to promote social connections for older Veterans with and without SMI (Peeples); 2) telehealth adaptations to PEER, an in-person, peer-delivered exercise intervention for older Veterans with SMI (Muralidharan); 3) VA Compassionate Contact Corps, a VA Voluntary Service program to connect older Veterans with friendly volunteers via telephone (Sullivan); and 4) group telehealth interventions to foster social connection among older Veterans and their families (Weiskittle). Kim Van Orden, geropsychologist and director of the Hope Lab (Helping Older People Engage) at the University of Rochester Medical Center, will serve as discussant.

Simulation to Standardize Patient Care and Maintain Procedural Competency

2015 ◽  
Vol 34 (1) ◽  
pp. 18-30 ◽  
Author(s):  
Meggan Butler-O’Hara ◽  
Margaret Marasco ◽  
Rita Dadiz
Keyword(s):  
Patient Care ◽  
Medical Center ◽  
Standardize Patient ◽  
Advanced Practice ◽  
Invasive Procedures ◽  
Simulated Environment ◽  
Simulation Based ◽  
Rochester Medical ◽  
Heath Care ◽  
The University

ABSTRACTSimulation-based training is a means to teach procedural skills and to help advanced practice providers maintain procedural competency and credentialing. There is growing recognition of the importance of requiring providers to demonstrate competency of invasive procedures in a simulated environment prior to performing these high-risk procedures on patients. This article describes the development and implementation of the Simulation Procedural Program at the University of Rochester Medical Center. In addition to contributing to the education of our providers, such a program can lead to improved patient quality, safety, and outcomes through the standardization of patient care. The innovative use of simulation can lead to effective heath care education and improvement in patient safety.

Small Hours in the Meatpacking District

2011 ◽  
Vol 11 (4) ◽  
pp. 23-25
Author(s):  
Barry Goldstein
Keyword(s):  
Medical Humanities ◽  
Medical Center ◽  
Associate Professor ◽  
The Past ◽  
Historical District ◽  
Rochester Medical ◽  
The Hours ◽  
The University ◽  
Photo Essay ◽  
Washington Street

New York's Meatpacking District, on Manhattan's west side south of Fourteenth Street, has gone through several incarnations. In the early twentieth century, it was home to hundreds of butchers and processors. During the past decade, development exploded, and today, only seven meat wholesalers and distributers remain. The area was designated a historical district in 2003, and even this remnant will soon diminish, displaced by a new home for the Whitney Museum. But between the hours of 2:00 and 10:00 a.m., tractor-trailers still idle on Washington Street, whole carcasses are loaded into large refrigerated workrooms, and men who commute from Jersey and outlying boroughs still labor under cold fluorescents over bloodied power saws. A photo essay showing activities in DeBragga and Spitler, Inc. and J.T. Jobbagy, Inc., two of the remaining meat wholesalers and butchers in New York's Meatpacking district. Photographer Barry Goldstein is the author of Gray Land: Soldiers on War (W.W. Norton & Co., 2009). He is Associate Professor of Medical Humanities at the University of Rochester Medical Center, and Visiting Professor of Humanities at Williams College.

scholarly journals Adopting the Quadruple Aim: The University of Rochester Medical Center Experience

2018 ◽  
Vol 131 (8) ◽  
pp. 979-986 ◽  
Author(s):  
Allen P. Anandarajah ◽  
Timothy E. Quill ◽  
Michael R. Privitera
Keyword(s):  
Medical Center ◽  
Quadruple Aim ◽  
Rochester Medical ◽  
The University

scholarly journals No Evidence for Classic Thrombotic Microangiopathy in COVID-19

2021 ◽  
Vol 10 (4) ◽  
pp. 671
Author(s):  
Tanja Falter ◽  
Heidi Rossmann ◽  
Philipp Menge ◽  
Jan Goetje ◽  
Steffen Groenwoldt ◽  
...  
Keyword(s):  
Thrombotic Microangiopathy ◽  
Medical Center ◽  
Laboratory Data ◽  
Systemic Infection ◽  
Study Data ◽  
Risk Of Death ◽  
Increased Risk ◽  
Low Blood Pressure ◽  
Almost All ◽  
The University

Background: Coronavirus disease-2019 (COVID-19) triggers systemic infection with involvement of the respiratory tract. There are some patients developing haemostatic abnormalities during their infection with a considerably increased risk of death. Materials and Methods: Patients (n = 85) with SARS-CoV-2 infection attending the University Medical Center, Mainz, from 3 March to 15 May 2020 were retrospectively included in this study. Data regarding demography, clinical features, treatment and laboratory parameters were analyzed. Twenty patients were excluded for assessment of disseminated intravascular coagulation (DIC) and thrombotic microangiopathy (TMA) due to lack of laboratory data. Results: COVID-19 patients (n = 65) were investigated, 19 with uncomplicated, 29 with complicated, and 17 with critical course; nine (13.8%) died. Seven patients showed overt DIC according to the ISTH criteria. The fibrinogen levels dropped significantly in these patients, although not below 100 mg/dl. Hallmarks of TMA, such as thrombocytopenia and microangiopathic haemolytic anaemia, were not detected in any of our COVID-19 patients. ADAMTS13 activity was mildly to moderately reduced in 4/22 patients, all having strongly elevated procalcitonin levels. Conclusion: DIC occurred in 7/65 COVID-19 patients but fibrinogen and platelet consumption were compensated in almost all. ADAMTS13 assays excluded TTP and hallmarks of classic TMA were absent in all investigated patients. We hypothesize that the lacking erythrocyte fragmentation and only mild platelet consumption in severe COVID-19 are due to a microangiopathy predominantly localized to the alveolar microcirculation with a low blood pressure gradient.

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