Lunsford Beverly, Posey Laurie
a Center for Aging, Health and Humanities , George Washington University School of Nursing , Washington , DC , USA.
b George Washington University School of Nursing , Washington , DC , USA.
Gerontol Geriatr Educ. 2018 Apr-Jun;39(2):183-192. doi: 10.1080/02701960.2017.1285293. Epub 2017 Feb 17.
The dramatic growth of persons older than age 65 and the increased incidence of multiple, chronic illness has resulted in the need for more comprehensive health care. Geriatrics and palliative care are medical specialties pertinent to individuals who are elderly, yet neither completely addresses the needs of older adults with chronic illness. Interprofessional faculty developed Geriatric Education Utilizing a Palliative Care Framework (GEPaC) to teach an integrated approach to care. Interactive online modules use a variety of instructional methods, including case-based interactive questions, audio-visual presentations, reflective questions, and scenario-based tests. Modules are designed for online education and/or traditional classroom and have been approved for Continuing Medical Education. Pre- and posttest scores showed significant improvements in knowledge, attitudes, and skills. Participants were highly satisfied with the coursework's relevance and usefulness for their practice and believed that GEPaC prepared them to address the needs of older adults for disease and symptom management, communicating goals of care, and supportive/compassionate care.
65岁以上人群的急剧增长以及多种慢性疾病发病率的上升，导致了对更全面医疗保健的需求。老年医学和姑息治疗是与老年人相关的医学专业，但两者都不能完全满足患有慢性疾病的老年人的需求。跨专业教师开发了“利用姑息治疗框架的老年医学教育”（GEPaC），以教授综合护理方法。交互式在线模块使用多种教学方法，包括基于案例的交互式问题、视听演示、反思性问题和基于情景的测试。这些模块专为在线教育和/或传统课堂设计，并已获得继续医学教育的批准。前后测试成绩显示，在知识、态度和技能方面有显著提高。参与者对课程与他们实践的相关性和实用性非常满意，并认为GEPaC使他们有能力满足老年人在疾病和症状管理、沟通护理目标以及提供支持性/富有同情心的护理方面的需求。
