Sandhya Lagoo Deenadayalan Research in Geriatrics Determine core outcome domains Core outcome measurement instruments Systematic reviews to inform the process Qualitative research with clinicians and ID: 687368
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Slide1
Research and Career Paths with Geriatric Emphasis
Sandhya Lagoo-
DeenadayalanSlide2
Research in Geriatrics
Determine core
outcome domains
Core
outcome measurement instruments.
Systematic
reviews to inform the
process
Qualitative
research with clinicians and
patients
Basic science research
Structured
surveys
Various
stakeholders
involved
in the process, with particular attention to patients.Slide3
Research in Geriatrics
Areas of Interest:
Resilience
Cognition
Effects of intervention:
Nutrition
Prehabilitation
Risk Stratification
Biomarkers
- frailty
- resilience
- inflammation
Recovery Outcomes
Function
, Nutritional Status
(
pre and post)
Pressure Ulcers
SSI, Sepsis
LOS/Readmissions/Discharge destination
Home Days
Days in Skilled
care
Quality of LifeSlide4
Theme: To Better Understand and Optimize Physical Resilience Slide5
INTRAMURAL
Geriatric Specific:
Pepper Pilot Projects
Bollinger Award
Duke Ahead
DIHI grants
Duke EndowmentSlide6
GEMSTAR AWARD
(NIA – AGS)
Grants for Early Medical/Surgical Subspecialists' Transition to Aging Research (GEMSSTAR) (R03)
R03
Small Grant Program
Goal of GEMSSTAR FOA:
Provide
support for early-stage physician-scientists, trained in medical or surgical specialties, to launch careers as future leaders in research on aging or in geriatrics.
GEMSSTAR
FOA provides small grants to conduct transdisciplinary research on aging or in geriatrics research that will yield pilot data for subsequent aging- or geriatrics-focused research projects.
GEMSSTAR
FOA seeks to encourage the provision of supportive environments for candidates, and NIA will consider the extent to which a supportive environment is available to candidates in selecting GEMSSTAR candidates.Slide7
Veterans Health Administration
Career Development Awards
SCE –COE
Merit AwardsSlide8
Veteran’s Administration
PA-17-110: R
educing Over screening for Breast, Cervical, and Colorectal Cancers among Older Adults (RO1)
PA-17-009: Use of Technology to Enhance Patient outcomes and Prevent Illness (R21)
PAR-16-376Translational Research on Aging: Small Business Innovation Awards (R43-44)
PAR-16-317:
Intervening with Cancer Caregivers to Improve Patient Health Outcomes and Optimize Health Care Utilization (RO1)
PA-15-049: Underactive Bladder in Aging (RO1)
PA-15-042: Family and Interpersonal Relationship in an Aging Context (R01)Slide9
Engagement Award
The
Eugene Washington PCORI Engagement Award program offers two different funding opportunities:
The Engagement
Award: Knowledge, Training & Development, and Dissemination Awards;
Engagement
Award Initiative Notice (EAIN) for Research Meeting and Conference
SupportSlide10
Dissemination and Implementation of PCORI-Funded Patient-Centered Outcomes
PCORI
seeks to support the dissemination and implementation of results from PCORI-funded comparative effectiveness research studies.
PCORI
recognizes that the generation of evidence will be useful only if research results reach those who can use this information in their health decisions
.Slide11
AHRQ
Funding
to conduct exploratory and developmental research grants (R21)
Projects
in the early and conceptual stages of development
Expected to contribute
to the evidence base of how health information technology (IT) improves health care quality and outcomes. Slide12Slide13
Chuck Scales, MD MSHS
Assistant Professor, DCRI and Division of Urology
Research interests:
Urinary Stone Disease
Overactive Bladder
Surgical Outcomes in Older Adults
Funding
NIA GEMSSTAR R03
AGS
Jahnigen
AwardPhilanthropic fundingSlide14
MADCO-PC study:
-140 surgical patients enrolled, 110 completed 6 week follow up.
-Total LPs- 381, Total fMRI scans- 131
-1
st
study to combine fMRI imaging, CSF analysis & cognitive testing to understand mechanisms of postoperative delirium and cognitive dysfunction in older adults.
PI- Miles
Berger, MD
PhD, Assistant Prof, Duke Anesthesiology, Pepper Center Senior Investigator
M
arkers of
A
lzheimer’s
D
isease & neuro-
C
ognitive
O
utcomes after
P
erioperative
C
areSlide15
MADCO-PC
S
tudy Interim Conclusions
:
I. Surgical patient enrollment complete, now enrolling matched non-surgical controls
II. Significant
neuroinflammation
occurs after non-cardiac/non-neurologic surgery.
III. CSF AD biomarkers (tau,
Abeta
) and bioactive lipids, inflammatory marker assays underway- expect data 4/2017. Slide16
The Duke Geriatric Workforce Enhancement Program (GWEP)
Eleanor McConnell PhD, MSN, RN
Mitchell Heflin, MD, MHS
mitchell.heflin@duke.edu
Slide17
GWEP Objectives
Collaborate with
community agencies
to:
Convene a
community-based interagency care team (ICT)
to optimize services for seniors
Create a
Best Practices Compendium
for the care of vulnerable older adults residing in the community
Recruit and train
Geriatric Resource Teams (GRT’s) in primary care practicesEngage and empower seniors and family caregivers in teaching and learning about geriatric care management and resources, communication, and advocacy
Expand expertise in geriatric care management through IP advanced traineeships and applied learning experiences for other learnersSlide18
Who:
interprofessional
teams
What: resource for geriatric expertise
Where: primary care practices within community-based settings
Why: improve quality of care for older adults
How: year long commitment to educational programs and practice setting specific quality improvement activities
Geriatric Resource TeamsSlide19
GRT Educational Program
Improved care
of older adults
GWEP FacultySlide20
Veteran’s Administration CDA
Enhanced Nutrition in the Perioperative PeriodSlide21
DVAMC POSH PROGRAM
Aim 1:
To establish an
interprofessional
(IP), multidisciplinary service that ushers patients from their initial PCP surgical referral to their post-operative follow-up.
Aim 2:
To concurrently provide a point-of-care educational experience that is patient- and family-centered, crosses traditional boundaries of discipline and profession, and establishes communication and continuity across settings and systemsSlide22
Hartford Foundation
"Collaborative
Peri
-operative Care Model."
“An Enhanced Protein Weight Loss Intervention”Slide23Slide24
February 22, 2016
Project CALM
Confusion Avoidance Led by Music
Heidi White, MD, MHS,
MEd
Neema
Sharda, MD
Shelley McDonald, DO, PhD Loretta Matters, MSN, RN
Judy Prewitt (DUHS Operational Leader)Slide25
Project CALM
25
By harnessing the impact of pleasant autobiographical memories, personalized music can mitigate pain & anxiety and reduce delirium in older adults undergoing elective surgical procedures
Headphones
c
reate an insular music experience
Streaming provides an extensive music library easily crafted to individual preferences
Online curriculum and specialized skills for nursing assistants
Limited use of non-pharmacological pain mediation
Limited effective treatment for delirium
Patients & families unaware of the benefits of personalized music
The Project
Unmet Need
Innovative SolutionsSlide26