About this Webinar
Join us for a discussion about geriatric ED education and how to educate your workforce to improve the care of older adults.
Download Slides | Download Chat Notes
Webinar Details
Expert Panel
Don Melady, MD, MSc(Ed)
Emergency Physician,
Mount Sinai Hospital
Pamela Martin, APRN
Geriatric Emergency Medicine
Yale New Haven Health
Department of Geriatrics
Maura Kennedy, MD
Director Geriatric Emergency Medicine
Massachusetts General Hospital
Tony Rosen, MD
Department of Emergency Medicine,
Division of Geriatric Emergency Medicine
New York-Presbyterian Hospital
Weill Cornell Medicine
And a SPECIAL thanks to our video panelists:
Colleen McQuown, Suzie Ryer, Marge McGillivray and Paige Guinn!
Moderated By
Goals
- To enhance skills in educating an ED workforce.
- To explore resources to support education of ED clinicians about care of older people — The Geri ED Skills Fair; www.geri-EM.com; the Elder Abuse Toolkit; the ED Delirium Toolkit; GEMCast podcasts.
- To hear examples from around the world of successful “outside the box” ED education projects.
- To inspire ED staff about opportunities to learn more about older person care.
Supporting Materials
TOOLKIT | February 21, 2022
Elder Mistreatment Emergency Department Toolkit
Easy-to-use resources to help Emergency Department staff identify and address mistreatment in older adults. Developed by the National Collaboratory to Address Elder Mistreatment.
TOOLKIT | April 28, 2021
Delirium in the Older Emergency Department Patient (ED-DEL)
This Change Package and Toolkit is designed to provide a structured approach, change strategies, resources, and a step-by-step guide to help you set up a Delirium Program in your ED.
ONLINE LEARNING | Mobility Risks and Falls
Skills Fair
Five short modules cover topics relevant to the management of mobility risks and falls.
ONLINE LEARNING
Geri-EM Online
Eight peer-reviewed modules with videos of simulated patient encounters, interactive multi-modal learning, recommended readings, and resources for use in the ED.
Main Learning Points
- Adult learners are self-directed
- Adult learners build on previous experience
- Adult learners are task-oriented.
- Adult learners are problem-solvers.
- Adult learners are internally motivated.
References:
Knowles, M. (1984). The Adult Learner: A Neglected Species (3rd Ed.). Houston, TX: Gulf Publishing.
Knowles, M. (1984). Andragogy in Action. San Francisco: Jossey-Bass.
Thinking about “what we don’t know we don’t know” from the delirium perspective:
One thing to consider is the disconnect between clinician recognition of delirium and their perception of their recognition. We emergency clinicians miss two-thirds of all delirium. Yet, in surveys of emergency nurse via the ENA and physicians via ACEP
- 77% of emergency nurses self report having an intermediate or advanced
knowledge of delirium detection - 93% of emergency physicians self reported intermediated or advanced
knowledge of delirium detection
If you are thinking about implementing a program related to delirium detection, you need to realize that there is a mis-match between your staff members knowledge around delirium and their beliefs about their knowledge!
Address that as part of the education; why they are missing the diagnosis?
It is also critical to educate your workforce about why this matters –from the perspective of patients and themselves.
Providing the rationale for why this practice change is occurring is crucial for
buy-in from your workforce and/or administration. A “because I said so” approach may be effective in action, but it’s usually with reluctance and resentment!
It is also important to think about who is delivering the education.
Learners may be more receptive to education from one of their peers – likewise their peers may be better suited to tailor the education to them.
Finally – think about how the education is delivered.
Learners may be more receptive to education from one of their peers – likewise their peers may be better suited to tailor the education to them.
- Certainly, there is a role for lectures (or recorded lectures) and powerpoint slides
- But try multiple approaches to provide education
- M&M or other case-based learning opportunities
- Simulation
- Fast-facts and infographics
- Think about ways to make it memorable and/or interactive
- World delirium awareness day
- Fortune cookies!
- And if you are trying to get your educators, other role groups, or other institutions on board, think about how you can make it easy for them.