Geriatrics on the Go!
By IU School of Medicine - Indiana GETC
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!
Geriatrics on the Go! Mar 28, 2024
Caregiver Stress for the Direct Care Worker with Cassie Hixson
In this episode, we interview Cassie Hixson, Care Coordinator at Sandra Eskenazi Center for Brain Care Innovation. Cassie explains the impact of caregiver stress, warning signs to look out for, and provides some helpful tips that caregivers can do to avoid burnout.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Swallowing Disorders in Older Adults with Brittany Zarse
In this episode, we interview Brittany Zarse, M.S., CCC-SLP, a Certified Speech-Language Pathologist and founder and owner of Dignity Speech and Rehab Inc. We talk with Brittany about dysphagia, some early signs to look out for, and ways to reduce pneumonia risks.
Please visit, dignityspeechrehab.com for more information!
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Dental Care for Older Adults with Dr. Anubhuti Shukla
In this episode, we interview Dr. Anubhuti Shukla from the IU School of Dentistry. We talk with Dr. Shukla about the importance of dental care and she shares some suggestions on how to work with the family and friends who are helping to care for these older adults.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Aggression and Agitation with Persons Living with Dementia with Cassie Hixson
In this episode, we interview Cassie Hixson, Care Coordinator at Sandra Eskenazi Center for Brain Care Innovation. Cassie explains what agitation and aggression mean, what might be triggering these behaviors and how caregivers can help prevent or resolve any behaviors.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Empathic Listening with Susan Glassburn
In this episode, we interview Susan Glassburn, Ph.D., MSW, LCSW and Associate Professor at the IU School of Social Work. Susan talks about what empathic listening is, why it is so important and some helpful tips on how we can be better connect with older adults.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
How to Enhance Communication with People Living with Dementia with Cassie Hixson
In this episode, we interview Cassie Hixson, Care Coordinator at Sandra Eskenazi Center for Brain Care Innovation. Cassie talks about the different stages of dementia, some helpful tips for communicating and ways caregivers can practice self-care.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Alzheimer's Disease with Patty Willaert
In this episode, we interview Patty Willaert, Program Director at Alzheimer's Association. We talk with Patty about Alzheimer's Dementia, symptoms to look out for, and resources for both individuals living with the disease and their caregivers.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
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.
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.
Depression in Older Adults with Dr. Glenda Westmoreland
In this episode, we interview Dr. Glenda Westmoreland, Director of Geriatrics Education at the IU School of Medicine. We talk with Dr. Westmoreland about the prevalence of depression in older adults, risks to look out for, and ways in which direct care workers can help the clients they serve with getting support.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Caring for the Caregiver with Schonda Davis
In this episode, we interview Schonda Davis, MSW, LSW with the Center for Senior Health at Eskenazi Health. We talk with Schonda about the importance of caring for the caregiver, some signs of burnout to look out for, and resources to help get caregivers connected to additional support and education.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Social Determinants of Health with Emily Cook
In this episode, we interview Emily Cook, the Health Program Development Manager with the Division of Aging. We talk with Emily about the Social Factors and how they impact health, the 5 domains on health, and ways we can help older adults who are struggling with any of these areas.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Older Adults and Anxiety with Kelsey Huling
In this episode, we interview Kelsey Huling, PsyD, HSPP about anxiety in older adults related to lifting pandemic restrictions. We talk with Kelsey about the importance of decreasing anxiety in older adults, ways we can assess for anxiety and also some suggestions to help older adults who may be experiencing some anxiety.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Elder Abuse with Patti Ballard
In this episode, we interview Patti Ballard, a retired Adult Protective Services (APS) Director and Investigator. We talk with Patti about the different types of abuse, some warning signs to look out for and some helpful tips for caregivers if they are suspecting abuse.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Medications in Older Adults with Dr. Kamal Wagle
In this episode, we interview Dr. Kamal Wagle, a geriatrician who practices at IU Health and faculty at the IU School of Medicine. We talk with Dr. Wagle about the M, Medication and discuss how aging impacts medications, the effects of taking multiple medications, as well as some ways caregivers can assist with medication management.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Changes in Function with Tori Brown
In this episode, we interview Tori Brown, Doctor of Occupational Therapy at Indiana University. We talk with Tori about the M, Mobility and discuss some physical and cognitive changes that caregivers can be on the lookout for, as well as other common conditions and the importance of home safety.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org
Age-Friendly Care with Dr. Glenda Westmoreland
In this first episode, we interview Dr. Glenda Westmoreland, Director of Geriatrics Education at the IU School of Medicine. We ask Dr. Westmoreland ways in which direct care workers can use the 4M Framework to help the clients and their families they serve.
If you have any questions or comments on this episode, feel free to reach out to Ally Worden at alworden@regenstrief.org