Lesson 1Documentation templates an medico-legal considerations fi outpatient geriatric psychiatryExplore practical documentation structures fi outpatient geriatric psychiatry, emphasizin clarity, risk documentation, capacity notes, informed consent, an medico-legal safeguards fi reduce liability an support high-quality, defensible care.
Structuring the geriatric psychiatry noteDocumenting risk, capacity, and consentHandling late-life safeguarding concernsUse of templates and checklistsCommon medico-legal pitfallsCommunication with primary care and familyLesson 2Standardized screenin tools: selection, administration, an scorinCover choosin appropriate screenin tools, correct administration, scorin, an interpretation, wid attention to cultural, language, an sensory factors, an how fi integrate results inna diagnostic reasonin an ongoing clinical monitorin.
Selecting tools by clinical questionStandardized administration proceduresScoring rules and cutoffsAccounting for education and cultureTracking change over timeCommunicating results to patientsLesson 3Assessin activities a daily livin (ADL) an instrumental ADL (IADL)Outline practical methods fi assess basic an instrumental activities a daily livin, interpret functional decline, an link findins to diagnosis, risk, an care plannin, includin drivin, finances, an medication management.
Core ADL domains and rating scalesKey IADL tasks in late lifeLinking function to cognition and moodAssessing driving and community safetyFinancial and medication managementUsing functional data in care plansLesson 4Interpreting Mini-Cog, Geriatric Depression Scale (GDS-15), an Montreal Cognitive Assessment (MoCA) resultsProvide stepwise guidance pon administerin an interpretin Mini-Cog, GDS-15, an MoCA, recognizin limitations, false positives an negatives, an how fi integrate scores wid clinical judgment an collateral information.
Administering the Mini-Cog correctlyUsing and scoring the GDS-15MoCA domains and scoring nuancesAdjusting for education and languagePatterns suggesting delirium or dementiaExplaining results to patients and familiesLesson 5Identifin atypical presentations: psychomotor slowin, apathy, an masked affectFocus pon recognizin atypical or subtle presentations a psychiatric illness inna older adults, includin psychomotor slowin, apathy, an masked affect, an differentiatin dese from normal agin, depression, dementia, an medication effects.
Clinical features of psychomotor slowingDistinguishing apathy from depressionMasked affect and cultural factorsMedication and neurological mimicsUse of collateral to clarify changesImplications for diagnosis and treatmentLesson 6Comprehensive history takin: psychiatric, medical, social, functional, an medication reviewDetail a structured, efficient approach to history takin inna older adults, integratin psychiatric, medical, social, functional, an medication data, while managin time, cognitive impairment, an multiple informants inna busy clinical setins.
Structuring the initial interviewEliciting psychiatric symptom historyMedical and neurological comorbiditiesSocial, family, and support contextFunctional status and role changesMedication and substance reviewLesson 7Assessment a sleep, appetite, weight change, an sensory deficitsReview systematic assessment a sleep, appetite, weight change, an sensory deficits, highlightin dem diagnostic value, links to mood an cognition, an practical strategies fi history takin, measurement, an initial management plannin.
Characterizing insomnia and hypersomniaAppetite and weight change patternsScreening for malnutrition and frailtyVision and hearing assessment basicsSleep, mood, and cognition linksWhen to refer for further evaluationLesson 8Focused physical an neurological exam elements fi older adultsSummarize focused physical an neurological exam elements most relevant to geriatric psychiatry, includin gait, motor, sensory, an extrapyramidal signs, an how fi document findins an decide when fi seek further medical input.
Vital signs and general inspectionGait, balance, and falls assessmentScreening neurological examinationExtrapyramidal and tremor assessmentSigns of delirium and acute illnessWhen to refer to neurology or geriatricsLesson 9Collateral sources an interviewin caregivers: structured questions fi daughters/partnersExplain how fi obtain an integrate collateral information from caregivers, wid structured question sets fi daughters, partners, an others, while managin confidentiality, conflict, burden, an differin perspectives pon di patient.
When and why collateral is essentialPreparing caregivers for the interviewStructured questions for daughtersStructured questions for partnersReconciling conflicting accountsAddressing caregiver burden and distress
