Research and Career Paths with Geriatric Emphasis - PowerPoint Presentation

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. Slide12
Slide13

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”Slide23
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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

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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