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Geriatrics on the Go!

Geriatrics on the Go!

By IU School of Medicine - Indiana GETC

Geriatrics on the GO! is a podcast created by the Indiana University School of Medicine, Indiana Geriatrics Education and Training Center. Our host Kathy Frank, and co-host Schonda Davis will invite guests each month to talk about geriatrics care with a few minutes dedicated for self-care with Megan Betz.

We hope this podcast will help busy caregivers learn more about healthy aging and practicing self-care at a time that's convenient for them!
Currently playing episode

Caregiver Stress for the Direct Care Worker with Cassie Hixson

Geriatrics on the Go! Mar 28, 2024

00:00
32:42
Caregiver Stress for the Direct Care Worker with Cassie Hixson
Mar 28, 202432:42
Swallowing Disorders in Older Adults with Brittany Zarse
Nov 09, 202341:24
Dental Care for Older Adults with Dr. Anubhuti Shukla
Oct 11, 202321:42
Aggression and Agitation with Persons Living with Dementia with Cassie Hixson
Sep 07, 202329:42
Empathic Listening with Susan Glassburn
Aug 15, 202321:45
How to Enhance Communication with People Living with Dementia with Cassie Hixson
Jul 07, 202325:52
Alzheimer's Disease with Patty Willaert
Jun 05, 202321:07
Infection in Older Adults with Dr. Olivia Nirmalasari

Infection in Older Adults with Dr. Olivia Nirmalasari

In this episode, we interview Dr. Olivia Nirmalasari, a geriatrician at Eskenazi Health and an assistant professor of clinical medicine at Indiana University. We talk with Dr. Nirmalasari about what infections look like in older adults, what can be done to prevent pneumonia, and vaccines that are recommended for the elderly to get.

If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org

References:

Gomez CR, Boehmer ED, Kovacs EJ. The aging innate immune system. Curr Opin Immunol. 2005 Oct;17(5):457-62. doi: 10.1016/j.coi.2005.07.013. PMID: 16084711. 

Castle SC, Uyemura K, Fulop T, Makinodan T. Host resistance and immune responses in advanced age. Clin Geriatr Med. 2007 Aug;23(3):463-79, v. doi: 10.1016/j.cger.2007.03.005. PMID: 17631228; PMCID: PMC7135540. 

Weiskopf D, Weinberger B, Grubeck-Loebenstein B. The aging of the immune system. Transpl Int. 2009 Nov;22(11):1041-50. doi: 10.1111/j.1432-2277.2009.00927.x. Epub 2009 Jul 16. PMID: 19624493. 

Norman DC, Grahn D, Yoshikawa TT. Fever and aging. J Am Geriatr Soc. 1985 Dec;33(12):859-63. doi: 10.1111/j.1532-5415.1985.tb05441.x. PMID: 3905926. 

GRS teaching slides: Infectious disease 

Jones SR. Machowiak P. Fever in the elderly, Fever: basic mechanisms and management, 1991New YorkRaven Press(pg. 233-41) 

Marco CA, Schoenfeld CN, Hansen KN, Hexter DA, Stearns DA, Kelen GD. Fever in geriatric emergency patients: clinical features associated with serious illness. Ann Emerg Med. 1995 Jul;26(1):18-24. doi: 10.1016/s0196-0644(95)70232-6. PMID: 7793715. 

Montoya A, Mody L. Common infections in nursing homes: a review of current issues and challenges. Aging health. 2011 Dec;7(6):889-899. doi: 10.2217/AHE.11.80. PMID: 23264804; PMCID: PMC3526889. 

https://www.cdc.gov/vaccines/vpd/pneumo/index.html 

El-Solh AA, Sikka P, Ramadan F, Davies J. Etiology of severe pneumonia in the very elderly. Am J Respir Crit Care Med 2001; 163:645. 

Mandell LA, Bartlett JG, Dowell SF, et al. Update of practice guidelines for the management of community-acquired pneumonia in immunocompetent adults. Clin Infect Dis 2003; 37:1405. 

May 04, 202331:26
Approach to Confusion in Older Adults with Dr. Olivia Nirmalasari

Approach to Confusion in Older Adults with Dr. Olivia Nirmalasari

In this episode, we interview Dr. Olivia Nirmalasari, a geriatrician at Eskenazi Health and an assistant professor of clinical medicine at Indiana University. We talk with Dr. Nirmalasari about what Delirium is, who is at risk, and what direct care workers should be looking out for if an older adult has been diagnosed with this.

If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org


References:

Elie M, Cole MG, Primeau FJ, Bellavance F. Delirium risk factors in elderly hospitalized patients. J Gen Intern Med. 1998 Mar;13(3):204-12. doi: 10.1046/j.1525-1497.1998.00047.x. PMID: 9541379; PMCID: PMC1496920. 

Inouye SK. Delirium in older persons. N Engl J Med. 2006 Mar 16;354(11):1157-65. doi: 10.1056/NEJMra052321. Erratum in: N Engl J Med. 2006 Apr 13;354(15):1655. PMID: 16540616. 

Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet. 2014 Mar 8;383(9920):911-22. doi: 10.1016/S0140-6736(13)60688-1. Epub 2013 Aug 28. PMID: 23992774; PMCID: PMC4120864. 

Kishi Y, Kato M, Okuyama T, Hosaka T, Mikami K, Meller W, Thurber S, Kathol R. Delirium: patient characteristics that predict a missed diagnosis at psychiatric consultation. Gen Hosp Psychiatry. 2007 Sep-Oct;29(5):442-5. doi: 10.1016/j.genhosppsych.2007.05.006. PMID: 17888812. 

Farrell KR, Ganzini L. Misdiagnosing delirium as depression in medically ill elderly patients. Arch Intern Med. 1995 Dec 11-25;155(22):2459-64. PMID: 7503605. 

Wada T, Wada M, Wada M, Onishi H. Characteristics, interventions, and outcomes of misdiagnosed delirium in cancer patients. Palliat Support Care. 2010 Jun;8(2):125-31. doi: 10.1017/S1478951509990861. Epub 2010 Mar 23. PMID: 20307362. 

de la Cruz M, Fan J, Yennu S, Tanco K, Shin S, Wu J, Liu D, Bruera E. The frequency of missed delirium in patients referred to palliative care in a comprehensive cancer center. Support Care Cancer. 2015 Aug;23(8):2427-33. doi: 10.1007/s00520-015-2610-3. Epub 2015 Jan 24. PMID: 25617070. 

Swigart SE, Kishi Y, Thurber S, Kathol RG, Meller WH. Misdiagnosed delirium in patient referrals to a university-based hospital psychiatry department. Psychosomatics. 2008 Mar-Apr;49(2):104-8. doi: 10.1176/appi.psy.49.2.104. PMID: 18354062. 

Saxena S, Lawley D. Delirium in the elderly: a clinical review. Postgrad Med J. 2009 Aug;85(1006):405-13. doi: 10.1136/pgmj.2008.072025. PMID: 19633006. 

Nicholas LM, Lindsey BA. Delirium presenting with symptoms of depression. Psychosomatics. 1995 Sep-Oct;36(5):471-9. doi: 10.1016/S0033-3182(95)71628-0. PMID: 7568655. 


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