{"id":6730,"date":"2019-05-16T16:32:42","date_gmt":"2019-05-16T20:32:42","guid":{"rendered":"https:\/\/www.med.unc.edu\/aging\/?p=6730"},"modified":"2019-05-17T09:52:52","modified_gmt":"2019-05-17T13:52:52","slug":"ipe-geriatrics-fellows-lead-the-way-towards-the-ideal-older-adult-outpatient-clinic-visit","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/aging\/ipe-geriatrics-fellows-lead-the-way-towards-the-ideal-older-adult-outpatient-clinic-visit\/","title":{"rendered":"IPE Geriatrics Fellows and &#8220;The Ideal Older Adult Outpatient Clinic Visit&#8221;"},"content":{"rendered":"<p>UNC&#8217;s 4th cohort of Interprofessional Geriatrics Fellows featured a cardiologist, a doctor of nursing practice, a pharmacist and a dental hygienist learning as a team about best practices of person-centered interprofessional geriatric medicine. On May 6, they wrapped up their 2018-2019 fellowship year with an insightful look at what makes a health care provider&#8217;s office &#8220;geriatrics friendly.&#8221;<\/p>\n<figure id=\"attachment_6733\" class=\"thumbnail wp-caption alignleft\" style=\"width: 637px\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-6733\" src=\"https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019Certificates-300x200.jpeg\" alt=\"UNC Geriatrics and the Center for Aging and Health's 2018-2019 IPE Geriatrics Fellows: Heather Johnson, DNP, Rozanne D'souza, RDH, MS, Jessica Robinson, PharmD, and Beth Rosenberg, MD, EdD\" width=\"627\" height=\"417\" srcset=\"https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019Certificates-300x200.jpeg 300w, https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019Certificates-768x512.jpeg 768w, https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019Certificates-1024x683.jpeg 1024w\" sizes=\"auto, (max-width: 627px) 100vw, 627px\" \/><figcaption class=\"caption wp-caption-text\">UNC Geriatrics and the Center for Aging and Health&#8217;s 2018-2019 IPE Geriatrics Fellows: Heather Johnson, DNP, Rozanne D&#8217;souza, RDH, MS, Jessica Robinson, PharmD, and Beth Rosenberg, MD, EdD<\/figcaption><\/figure>\n<p>Roxanne D&#8217;souza, RDH, MS, Heather Johnson, DNP, Jessica Robinson, PharmD, and Beth Rosenberg, MD, EdD, presented the results of a year-long qualitative study to identify the features of clinic visits that best accommodate needs of older adults. They conducted semi-structured interviews and focus groups with patients and clinic staff along with site visits in diverse locations throughout the state.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Challenges to Consistent and Effective Care for Older Adults<\/strong><\/p>\n<p>Among some of the challenges that impact the health and independence of community-dwelling older adults are falls, medication errors and non-adherence to meds, inadequate communication, and inability to access primary care providers.<\/p>\n<p>Having consistent access to safe and comfortable environments for primary care services is key to older adults&#8217; ability to continue to live in their homes and communities. The Fellows found that amidst a bevvy of guidelines covering all aspects of medical care for older adults, few guidelines exist to delineate a clear framework to ensure easy, safe, and effective primary care outpatient visits.<\/p>\n<figure id=\"attachment_6734\" class=\"thumbnail wp-caption alignright\" style=\"width: 462px\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-6734\" src=\"https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019FinalPres_JRwslide-300x122.jpg\" alt=\"IPE Geriatrics' Fellows' Final Presentation on &quot;The Ideal Older Adult Outpatient Clinic Visit&quot;\" width=\"452\" height=\"184\" srcset=\"https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019FinalPres_JRwslide-300x122.jpg 300w, https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019FinalPres_JRwslide-768x312.jpg 768w, https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019FinalPres_JRwslide-1024x416.jpg 1024w\" sizes=\"auto, (max-width: 452px) 100vw, 452px\" \/><figcaption class=\"caption wp-caption-text\">UNC&#8217;s IPE Geriatrics Fellows&#8217; End-of-Year Presentation on &#8220;The Ideal Older Adult Outpatient Clinic Visit&#8221;<\/figcaption><\/figure>\n<p><strong>Recommendations for Creating Ideal Older Adult Outpatient Clinic Visits <\/strong><\/p>\n<p>The study recommends finding ways to increase:<\/p>\n<ul>\n<li>Advocacy for patients lacking caregiver support<\/li>\n<li>Streamlining of services provided during clinic and limiting wait times<\/li>\n<li>Pharmacist-led medication reconciliation and access to social workers<\/li>\n<li>Consistent, effective communication between internal and external providers<\/li>\n<li>Interpersonal communication that allows patients to feel comfortable expressing their concerns<\/li>\n<li>Transportation options that shorten the time spent traveling to appointments<\/li>\n<li>Culturally-competent care (e.g., multi-lingual in-clinic resources)<\/li>\n<\/ul>\n<p>Our IPE Fellows&#8217; work highlighted the need to form strong therapeutic alliances between multiple disciplines, respect possible low health literacy, plan care around the patient&#8217;s goals, and support caregivers as health care navigators and advocates.<\/p>\n<p>The Fellows will prepare their findings for publication and share actionable items with clinics throughout the area.<\/p>\n<p>The Center for Aging and Health is proud of the hard work and achievements of our IPE Geriatrics Fellows. Through their efforts, and through programs such as UNC&#8217;s Interprofessional Geriatrics Fellowship, more older North Carolinians &#8212; including those in underserved or rural areas &#8212; will receive high-quality care that is informed by best practices and recent research in geriatric medicine.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>UNC&#8217;s 4th cohort of Interprofessional Geriatrics Fellows featured a cardiologist, a doctor of nursing practice, a pharmacist and a dental hygienist learning as a team about best practices of person-centered interprofessional geriatric medicine. On May 6, they wrapped up their 2018-2019 fellowship year with an insightful look at what makes a health care provider&#8217;s office &hellip; <a href=\"https:\/\/www.med.unc.edu\/aging\/ipe-geriatrics-fellows-lead-the-way-towards-the-ideal-older-adult-outpatient-clinic-visit\/\" aria-label=\"Read more about IPE Geriatrics Fellows and &#8220;The Ideal Older Adult Outpatient Clinic Visit&#8221;\">Read more<\/a><\/p>\n","protected":false},"author":31116,"featured_media":6733,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[2],"tags":[24,27,40,39,95,96],"class_list":["post-6730","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-geriatric-medicine","tag-geriatrics","tag-interprofessional-education","tag-ipe","tag-ipe-geriatrics-fellows","tag-older-adults-and-health-care","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>IPE Geriatrics Fellows and &quot;The Ideal Older Adult Outpatient Clinic Visit&quot; | Center for Aging and Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/aging\/ipe-geriatrics-fellows-lead-the-way-towards-the-ideal-older-adult-outpatient-clinic-visit\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"IPE Geriatrics Fellows and &quot;The Ideal Older Adult Outpatient Clinic Visit&quot; | Center for Aging and Health\" \/>\n<meta property=\"og:description\" content=\"UNC&#8217;s 4th cohort of Interprofessional Geriatrics Fellows featured a cardiologist, a doctor of nursing practice, a pharmacist and a dental hygienist learning as a team about best practices of person-centered interprofessional geriatric medicine. On May 6, they wrapped up their 2018-2019 fellowship year with an insightful look at what makes a health care provider&#8217;s office &hellip; Read more\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.med.unc.edu\/aging\/ipe-geriatrics-fellows-lead-the-way-towards-the-ideal-older-adult-outpatient-clinic-visit\/\" \/>\n<meta property=\"og:site_name\" content=\"Center for Aging and Health\" \/>\n<meta property=\"article:published_time\" content=\"2019-05-16T20:32:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-05-17T13:52:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.med.unc.edu\/aging\/wp-content\/uploads\/sites\/753\/2019\/05\/IPE_2019Certificates-1024x683.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"683\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta 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