Geri-Cards Instructions and Game

Open Geri-Cards
Instructions

 


 

  • Patient Scenario Pictures


 

Instructions^

 

Goal: Residents will gain additional competence in selecting assessment tools and interventions that can be performed and/or recommended in a brief office visit.

    1. Equipment
      1. Geriatric assessment cards – 1 set of cards for each 1 or 2 participants
        1. Cards with black text represent geriatric assessment instruments
        2. Cards with blue text represent other health professionals who can assist with either assessment or an intervention aimed at a functional deficit
      2. Patient scenarios
        1. Present a very brief clinical vignette – read by instructor, embellish as needed
        2. A list of indicated assessments and/or interventions (represented by the black text cards)
        3. A list of who provides the indicated assessments and/or interventions. Each potential person(s) who provides the assessment or intervention is named, followed by the assessments or interventions they could provide (represented by the blue text cards). The assessment and interventions are indicated by the letters corresponding to indicated assessment in b.
        4. Example:

Clinical Vignette

86 y/o woman with recent frequent falls, several contusions. H/o HTN, DJD, cataracts

Indicated assessments and interventions

          1. Gait and mobility
          2. Social
          3. Environment
          4. Vision

Providers of indicated assessments
Clinic staff or Physician (a,b,c)
Home health (b,c)
Physical therapy (a,c)
Clinic staff or referral (d)

    1. “Playing” the game
      1. Pass out a set of cards to each participant, or have learners break up into groups of 2, and pass out a set of cards for each 2 participants.
      2. Instructions for the residents – for each scenario, select 4 cards – 2 “black cards” and then 2 “blue cards.” (No blue card is needed for assessments that the physician will perform.) Be prepared to discuss your rationale for cards you have selected.
      3. The instructor reads a scenario and asks the participants to take several minutes to select their cards.
      4. The instructor asks for each participant or group of participants to put their cards on the table.
      5. The instructor asks for a volunteer, or selects a participant, to read their cards and discuss their reasoning for their selection. The instructor may comment upon this as needed. The instructor then asks for additional volunteers, especially for those who have selected different cards than those who have already discussed their selection. Once all of the different selections have been discussed, take a few minutes to discuss how you, as the experienced clinician, would prioritize selection of assessment and/or interventions for the patient in this scenario.
      6. Move on to the next scenario

TIP: Typically, there will only be a few different cards selected by all of the participants. Instead of going around the group and having each person/group discuss their selection for each card, focus instead on bringing out groups who have made different selections. Keep things moving – try to limit discussion to no more than 10 minutes per scenario.

___________________________________________________________________________________

Open Patient
Scenarios

Patient Scenarios^

 

  1. An 82 y/o woman with moderate Alzheimer’s dementia, hypertension and congestive heart failure, brought in by her daughter. She reports no problems with her breathing. She is in a wheel-chair.
    1. ADL’s
    2. Mobility Assessment
    3. Continence
    4. Caregiver stress

Caregiver (a,c,e) Clinic staff (b)

 

  1. A 80 year old man who fell two years ago and suffered several rib fractures. He has A fib s/p pacemaker implantation, HTN, HLD, hypothyroidism.
    1. Gait and mobility
    2. ?IADL’s
    3. Environment

Clinic staff (a and b)

Self-report (b,c)

Caregiver (b,c)

Home health (c)

 

  1. A 75 year-old-man, previously quite dapper, who now appears somewhat disheveled, and who seems to be having trouble with his medicines.
    1. Cognition
    2. Affect
    3. Social
    4. Nutrition
    5. IADL’s
    6. ADL’s

Clinic staff (a,b,c,d,e,f)

Caregiver (c,d,e,f)

Social worker (c,d,e,f)

Home health agency (c,d,e,f)

 

  1. 72 y/o woman with Alzheimer’s disease, lives with son, multiple admissions for COPD exacerbations.
    1. Cognition
    2. IADL’s
    3. Social
    4. Environment

Clinic staff (a,b,c)

Social worker (b, c)

Home health (c)

 

  1. 86 y/o woman with recent frequent falls, several contusions. H/o HTN, DJD, cataracts
    1. Gait and mobility
    2. Social
    3. Environment

Clinic staff (a,b,c)

Home health (b,c)

Physical therapy (a,c)

 

  1. 84 year-old woman lives alone. Family concerned about weight loss.
    1. Nutrition
    2. Cognition
    3. Affect
    4. IADL’s
    5. Social
    6. Environment

Clinic staff (a-e)

Family (d-f)

Social work (e-f)

Home health (e-f)

___________________________________________________________________________________

Open Geri-Cards

Geri-Cards^