Lesson 1Documentation templates an medico-legal considerations for outpatient geriatric psychiatryLooks at practical documentation setups for outpatient geriatric psychiatry, stressing clarity, risk documentation, capacity notes, informed consent, an medico-legal protections to cut 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 screening tools: selection, administration, an scoringCovers picking right screening tools, correct way to administer dem, scoring, an interpretation, paying mind to cultural, language, an sensory factors, an how to mix results into diagnostic thinking an ongoing clinical monitoring.
Selecting tools by clinical questionStandardized administration proceduresScoring rules and cutoffsAccounting for education and cultureTracking change over timeCommunicating results to patientsLesson 3Assessing activities of daily living (ADL) an instrumental ADL (IADL)Outlines practical ways to check basic an instrumental activities of daily living, interpret functional decline, an link findings to diagnosis, risk, an care planning, including driving, 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) resultsGives step-by-step guidance on administering an interpreting Mini-Cog, GDS-15, an MoCA, recognizing limitations, false positives an negatives, an how to mix 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 5Identifying atypical presentations: psychomotor slowing, apathy, an masked affectFocuses on recognizing atypical or subtle presentations of psychiatric illness in older folks, including psychomotor slowing, apathy, an masked affect, an differentiating dese from normal aging, 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 taking: psychiatric, medical, social, functional, an medication reviewDetails a structured, efficient approach to history taking in older folks, integrating psychiatric, medical, social, functional, an medication data, while managing time, cognitive impairment, an multiple informants in busy clinical settings.
Structuring the initial interviewEliciting psychiatric symptom historyMedical and neurological comorbiditiesSocial, family, and support contextFunctional status and role changesMedication and substance reviewLesson 7Assessment of sleep, appetite, weight change, an sensory deficitsReviews systematic assessment of sleep, appetite, weight change, an sensory deficits, highlighting deir diagnostic value, links to mood an cognition, an practical strategies for history taking, measurement, an initial management planning.
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 for older adultsSummarizes focused physical an neurological exam elements most relevant to geriatric psychiatry, including gait, motor, sensory, an extrapyramidal signs, an how to document findings an decide when to 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 interviewing caregivers: structured questions for daughters/partnersExplains how to obtain an integrate collateral information from caregivers, wid structured question sets for daughters, partners, an others, while managing confidentiality, conflict, burden, an differing perspectives on de patient.
When and why collateral is essentialPreparing caregivers for the interviewStructured questions for daughtersStructured questions for partnersReconciling conflicting accountsAddressing caregiver burden and distress
