A5022277631- Interprofessional Education and Collaboration
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Pharmaceutical Practices and Patient Outcomes
- Chronic Disease Management Strategies
- Simulation-Based Education in Healthcare
- Intensive Care Unit Cognitive Disorders
- Medication Adherence and Compliance
- Frailty in Older Adults
- Healthcare Decision-Making and Restraints
- Surgical Simulation and Training
- Vitamin C and Antioxidants Research
- Antiplatelet Therapy and Cardiovascular Diseases
- Antibiotic Use and Resistance
- Cardiac, Anesthesia and Surgical Outcomes
- Innovations in Medical Education
- Schizophrenia research and treatment
- Telemedicine and Telehealth Implementation
- Heart Failure Treatment and Management
- Psoriasis: Treatment and Pathogenesis
- Meta-analysis and systematic reviews
- Anesthesia and Sedative Agents
- Nursing Diagnosis and Documentation
- Health Sciences Research and Education
Summa Health System
2004-2024
Northeast Ohio Medical University
2008-2022
Summa Akron City Hospital
2019
Ohio University
2011-2018
Increasing numbers of survivors critical illness are at risk for physical, cognitive, and/or mental health impairments that may persist months or years after hospital discharge. The post-intensive care syndrome framework encompassing these multidimensional morbidities was developed the 2010 Society Critical Care Medicine conference on improving long-term outcomes and their families.To report engagement with non-critical providers during 2012 stakeholder conference. Task groups strategies...
One in three people over the age of 65 fall every year, with 1/3 sustaining at least moderate injury. Falls risk reduction requires an interprofessional health team approach. The literature is lacking effective models to teach students how work collaboratively teams for geriatric falls prevention. purpose this paper describe development, administration and outcome measures education programme principles care older adults context prevention.Students from academic institutions representing 12...
The specific aim of the PEACE pilot study was to determine feasibility a fully powered test effectiveness an in-home geriatrics/palliative care interdisciplinary management intervention for improving measures utilization, quality care, and life in enrollees Ohio's community-based long-term Medicaid waiver program, PASSPORT. This randomized (n=40 [IG], n=40 usual care) involving new into PASSPORT who were >60 years old. chronic illness by managers collaborating with hospital-based specialist...
Practice guidelines are available for hospice and palliative medicine specialists geriatricians. However, these do not adequately address the needs of patients who straddle 2 specialties: homebound chronically ill patients. The purpose this article is to describe theoretical basis Promoting Effective Advance Care Elders (PEACE) randomized pilot study. PEACE an ongoing 2-group study (n=80) test in-home interdisciplinary care management intervention that combines approaches symptom management,...
Abstract Purpose An interdisciplinary group developed a care transitions process with prominent pharmacist role. Methods The new was initiated on 32-bed medical/surgical unit. Demographics, reconciliation data, information medication adherence barriers, recommendations, and time spent performing interventions were prospectively collected for 284 consecutive patients over 54 days after the pharmacy participation completely implemented. Outcome including 30-day readmission rates length of...
Interdisciplinary care management is advocated for optimal of patients with many types chronic illnesses; however, few models exist that have been tested using randomized trials. The purpose this report to describe the theoretical basis After Discharge Management Low Income Frail Elderly (AD-LIFE) trial, which an ongoing 2-group trial (total n = 530) test a illness and transitional intervention. intervention based on Wagner's model involves comprehensive posthospitalization nurse-led...
Background. The prevalence of delirium in acute care hospitals ranges from 5–86%. Delirious patients are at greater risk negative health outcomes and their is often more costly. Aim. To determine the feasibility a full‐scale trial to test effectiveness an intervention designed improve prevention, detection hospital. Design. A prevention protocol was by interdisciplinary group clinicians implemented on unit who passed mental status screen, were high for according modified NEECHAM scale, met...
Depression guidelines discourage benzodiazepine monotherapy and limit use to short-term adjunctive therapy with antidepressants; however, patients depression continue receive monotherapy. The prevalence predictors of this prescribing pattern have not been described previously are warranted assist clinicians in identifying at highest risk receiving monotherapy.A national, cross-sectional analysis the National Ambulatory Medical Care Survey from 2012 2015 was performed for adults treated...
Abstract Antimicrobial stewardship of anti-infectives prescribed upon hospital discharge was implemented to improve the rate appropriate prescribing at discharge. Appropriate significantly improved from 47.5% 85.2% ( P < .001), antimicrobial days therapy decreased, and 30-day readmission rates decreased. Discharge effective in improving anti-infective practices.
The care of the older adult requires an interprofessional approach to solve complex medical and social problems, but this is difficult teach in our educational silos. We developed session response national requests for innovative practice models that use collaborative teams. chose geriatric fall prevention as area focus development coincided with Fall Risk Reduction Clinic. Our aim study was evaluate number type students who attended a pilot 10 subsequent sessions. also documented changes...
Many medications that are safe in most patients pose serious risks older patients, including functional decline, delirium, falls, and poorer outcomes. We describe our institution's program of "academic detailing," designed to reduce the use three high-risk drugs elderly patients.
Abstract Traditional medical care accounts for 10% of health outcomes, while social determinants account over 60%. To address complex interactions between illness, and behavioral issues, medications, effective requires collaboration community-based providers. We have developed a collaborative interprofessional model system the local Area Agency on Aging (AAoA) called Care Management Interdisciplinary Team (CMIT). CMIT managers (social workers nurses) complete evaluations consumers focused...
Abstract Skilled nursing home quality and staffing are positively correlated. Staffing shortages have been a long-standing problem however, COVID-19 exacerbated the issue. Currently, more than one in four US homes report staff shortages, especially those direct care to residents, nurse aides nurses. To encourage workforce growth, 12-module virtual curriculum was developed including Age-Friendly Health Systems care, interprofessional teamwork, other relevant topics. Each module included...
Abstract Skilled nursing home quality and staffing are positively correlated. Staffing shortages have been a long-standing problem however, COVID-19 exacerbated the issue. Currently, more than one in four US homes report staff shortages, especially those direct care to residents, nurse aides nurses. To encourage workforce growth, 12-module virtual curriculum was developed including Age-Friendly Health Systems care, interprofessional teamwork, other relevant topics. Each module included...
At a time when the older adult population is increasing exponentially and health care agencies are fraught with crisis-level short-handedness burnout, addressing Quadruple Aim of enhancing patient experience, improving health, reducing costs, work life providers more crucial than ever. A multi-step education model was designed to advance competencies in geriatrics Interprofessional Collaborative Practice (IPCP) for profession students focused on each element Aim. The goals this were equip...
Abstract To address gaps in the geriatrics-trained workforce, we implemented a Geriatric Resource Certificate (GRC) for interprofessional learners from healthcare and community provider settings. This program combines online self-paced didactics, real-time virtual lectures, real-world team care planning experience. The education incorporates 4Ms of Age Friendly Framework spans geriatric experience healthy aging through end-of-life. It includes Dementia Friends ECHO sessions. goal is to...
Abstract Achieving effective Age-Friendly Health Systems requires teaching the future healthcare workforce how to consistently use 4Ms framework in care of older adults: What Matters, Medication, Mentation, and Mobility. Effective interprofessional teamwork is key operationalizing this model. We describe here a virtual student simulation training that demonstrates importance addressing each concepts and, importantly, inattention one ‘M’ can lead ineffective care. Our prepares learners with...
Abstract The integration of healthcare and community-based providers has been long-recognized as the gold standard in optimal care older adults. Social determinants health account for more than 80% outcomes. Therefore, requires meaningful collaboration between medical providers. We present here a collaborative model integrating community system. This is long-standing approach where our Area Agency on Aging managers their complex cases to team, which includes nursing, social work, geriatric...
Though older adults are more sensitive to the effects of medications than their younger counterparts, they often excluded from manufacturer-based clinical studies. Practice-based research is a practical method identify medication-related in patients. This also highlights role pharmacist improving care this population. A single study rarely has strong enough evidence change geriatric practice, unless it large-scale, multisite, randomized controlled trial that specifically targets adults. It...