A5026105593- Frailty in Older Adults
- Telemedicine and Telehealth Implementation
- Nutrition and Health in Aging
- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Interprofessional Education and Collaboration
- Aging and Gerontology Research
- Balance, Gait, and Falls Prevention
- Chronic Disease Management Strategies
- GDF15 and Related Biomarkers
- PARP inhibition in cancer therapy
- COVID-19 and healthcare impacts
- Mobile Health and mHealth Applications
- Health Systems, Economic Evaluations, Quality of Life
- Technology Use by Older Adults
- Advances in Oncology and Radiotherapy
- Retirement, Disability, and Employment
- Innovations in Medical Education
- Calcium signaling and nucleotide metabolism
- Health and Medical Research Impacts
- Sirtuins and Resveratrol in Medicine
- Food Security and Health in Diverse Populations
- Clinical Reasoning and Diagnostic Skills
- Social Media in Health Education
- Health Literacy and Information Accessibility
The University of Texas Health Science Center at San Antonio
2017-2024
South Texas Veterans Health Care System
2017-2024
Geriatric Research Education and Clinical Center
2017-2024
Murphy Oil Corporation (United States)
2023-2024
The University of Texas Health Science Center at Houston
2024
Mays Cancer Center at UT Health San Antonio
2023
Memorial Hospital
2023
The University of Texas at San Antonio
2020
United States Department of Veterans Affairs
2015
We aimed to determine whether hearing impairment (HI) in older adults is associated with the development of frailty and falls.
The teledementia clinic is a new model of care that expands the reach specialized geriatric and dementia using clinical video telehealth ( CVT ) to rural veterans, who frequently lack access specialty care. Veterans Affairs VA Geriatric Research, Education, Clinical Center demonstration project. It located in Pittsburgh Healthcare System tertiary referral hospital serves veterans affiliated community‐based outpatient clinics CBOC s). Rural primary providers refer patients, or according...
Abstract Background Frailty is a geriatric syndrome that leads to poor health outcomes with aging. Previous studies have demonstrated insulin resistance and inflammation predict frailty onset. Metformin widely used, well-tolerated drug improves sensitivity displays anti-inflammatory properties. It also known prevent diabetes onset in adults prediabetes. We hypothesize metformin older prediabetes will promote healthy aging frailty. Here we describe an ongoing placebo-controlled,...
Aquifer Geriatrics, formerly web‐based Geriatrics Education Modules, was initially developed through Donald W. Reynolds Foundation funding, and is now the national curriculum of American Society Association Directors Geriatric Academic Programs. consists 26 evidence‐based, peer‐reviewed, online case‐based modules based on Medical Colleges/John A. Hartford Minimum Competencies for Students available by subscription at www.aquifer.org/courses . This aims to help address shortage geriatrics...
Coronavirus disease 2019 (COVID-19) has pushed many geriatric healthcare providers to attempt video visits for the first time. Although Veterans Health Administration (VA) is a pioneer in telemedicine, rapid shifts nearly exclusive use of telehealth delivery and changes regarding trainee engagement served as impetus rapidly assessing training needs.National needs assessment (online survey) associated health trainees medical fellows affiliated with Geriatric Research Education Clinical...
Telemedicine has recently become a part of mainstream clinical practice. Many curricula have been developed to teach general and specialty-specific video telemedicine skills; however, lack defined best practices for translating comprehensive interprofessional geriatric care the virtual setting presents unique challenge educators clinicians. This manuscript introduces describes development competencies with older adults all health professionals who treat them.A modified Delphi process was...
Abstract Purpose Medical student education in geriatrics is a critical need for every doctor-in-training as the population ages, with fewer than 7,000 geriatricians, and older patients, who now approach 20% of U.S. population, having unique health care needs. This study presents updated competencies graduating medical students, framed by Geriatrics 5Ms (Mind, Mobility, Medications, Multicomplexity, What Matters Most). Method From 2019-2022, working group American Society (AGS) drafted...
Abstract Background Nicotinamide adenine dinucleotide (NAD+) is a critical coenzyme in cellular metabolism. NAD(+) levels decrease with aging. Experimentally boosting improves cognitive function and synaptic plasticity Alzheimer's disease mouse models. can be synthesized from dietary intake of its precursors, including nicotinamide riboside (NR), readily available non‐prescription nutritional supplement. Recent studies have demonstrated that NR increases blood healthy older adults. We...
Sedentary lifestyle leads to worse health outcomes with aging, including frailty. Older adults can benefit from regular physical activity, but exercise promotion in the clinical setting is challenging.The objective of this demonstration project was implement a Geriatric Walking Clinic for older and determine whether program lead improvements characteristics frailty.This project/quality improvement project.Outpatient geriatrics clinic at South Texas Veterans Health Care System (STVHCS).Older...
The need to train oncologists address the complexities of aging population has been a focus educational initiatives and strategies since 1980s. However, large gaps in dissemination implementation geriatric oncology curricula are still present. Currently, few resources exist for training programs implement formal curriculum. We aimed create formalized introductory course teach geriatrics trainees principles oncology. Curriculum presentations were delivered both hematology/oncology fellows...
Abstract Background Metformin may reduce frailty through improving insulin resistance and inflammation, aging mechanisms known to increase risk. We describe a randomized clinical trial of metformin for prevention in community-dwelling older adults with pre-diabetes provide baseline characteristics participants. Methods Older (65+ years) are studied this randomized, double-blind, placebo-controlled (max 2,000 mg/day). Pre-diabetes, required inclusion, is assessed by 2-hour oral glucose...
e24010 Background: The geriatric assessment (GA) is a validated, multi-system tool that can detect vulnerabilities often not captured with standard oncology assessments in older adult patients cancer. Geriatric 5Ms novel communication framework used to describe core competencies geriatrics. Prior studies have shown GA integration practice significantly reduce grade 3 or higher chemotherapy-related toxicities, falls, polypharmacy, hospital length of stay (LOS), increase completion advanced...
Abstract Five million Veterans live in rural areas the U.S., and about half of those South. Rural are more likely to be older have a disability compared with non-rural Veterans. In Texas, comprise seven percent adult population median age 50 years, 17% where access care is concern for many their families. Technology-based services could help close this gap. The GRECC Connect program one way reach caregivers. multi-disciplinary virtual geriatrics that provides support providers manage older,...
The San Antonio HEARS Clinic is a clinical demonstration project in the VA’s Dementia Clinic. It adapts dementia version of Baltimore (Hearing Equality through Accessible Research and Solutions) community-based hearing research protocol for patient-care. VA ideal initial translation this as veterans have unrestricted access to audiology aids, but seek treatment at similar rates patients. offers screening clinic patients not wearing who fail are given option an referral or participation...
Abstract Current graduate and postgraduate medical education has minimal geriatric palliative care curricular requirements, leaving Continuing Education (CE) programs poised to fill a critical educational niche. The San Antonio Geriatric Palliative (SAGE) Symposium was 3 day long interprofessional CE conference for providers caring older adults. SAGE addressed knowledge, skill, attitude deficits in practicing by incorporating: 1) community provider based needs assessment, 2) active skills...
Abstract Practicing providers often struggle with the care of older adults due to knowledge, skill, and attitude barriers. In an attempt improve employee engagement in adults, Geri-EMPOWER (Empowering Medical Providers Older With strategies Escape Readmission) program was initiated. this program, case managers visiting VA rural geriatric scholars participated a two days intensive educational sessions including lectures, shadowing inpatient teams clinic providers, dementia simulation learning...
Abstract Telemedicine, the use of electronic information and communication technologies to deliver care, has grown substantially over past few years, potentially benefiting older adults who have difficulty accessing traveling care locations. Given that providers interprofessional staff with training in geriatric medicine often practice urban rather than rural areas, adults’ access quality is limited. Prior experiences telemedicine adoption for team consultation, though limited scope, were...