Geriatrics ECHO Clinic AIM Statement : The Geriatrics ECHO clinic - - PowerPoint PPT Presentation

Geriatrics ECHO Clinic

AIM Statement: The Geriatrics ECHO clinic will coach interprofessional teams on the principles

• f person-centered care for older adults with

chronic health conditions.

Disclaimer

Video will be taken at this clinic and potentially used in Project ECHO promotional materials. By attending this clinic, you consent to have your photo taken and allow Project ECHO to use this photo and/or video. If you don’t want your photo taken, please let us know. Thank you!

Please DO NOT disclose any Protected Health Information (PHI)

PHI includes, but is not limited to:

• Patient name
• Date of birth
• Address
• Occupation
• Name of patient’s friends/family
• Other identifiable features, i.e. scars, tattoos,

hair/eye color

Thank you!

• This project is/was supported in part by the Health Resources

and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U1QHP33111, Geriatrics Workforce Enhancement Program for $726,584. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by, HRSA, HHS, or the U.S. Government.

• Special thanks to the EJC Foundation for their support of the

Project ECHO geriatrics clinics and the Sanford Center Geriatric Specialty Clinic.

Announcements

• Clinics are the third Tuesday of each month
• We encourage Case Presentations. See our website for

the case review form

• We are starting a 5-month Patient Engagement Series

November- March

• Next geriatrics clinic: Tuesday, January 21st, 12 to 1 pm
• January topic - Nutrition
• February topic - Transitions in Care
• March topic – Sleep
• Please complete the demographic form at:

https://bit.ly/33GX3uq

Keys to Maintaining Physical Function in Older Adults

Jim Fitzsimmons, VP Student Services, UNR

Conflicts of Interest

• No conflicts of interest related to today’s discussion

Objectives

• Explain the benefits, set-up, execution and points of

performance for the air-squat and deadlift for older adults

• Describe “scaling” of movements and how to apply it to
• lder adults
• Apply the concepts of strength and power to increase

work capacity in their clients

Strength – Basis of Function

• Balance
• Coordination
• Agility
• Proprioception
• Power
• Endurance

are ALL grounded in strength

What are the Performance needs of a Geriatric Patient versus an Olympic Athlete?

None They are simply on a different order of magnitude

The Five ADLs:

• Bathing: personal hygiene and grooming
• Dressing: dressing and undressing
• Transferring: movement and mobility
• Toileting: continence-related tasks including

control and hygiene

• Eating: preparing food and feeding

Common “Senior” Fitness Tests

• Groningen Fitness Test
• Senior Fitness Test (aka Fullerton Functional

Test)

• AAHPERD Functional Fitness Test

Squat (Basic Set-Up and Points of Performance)

• Shoulder width stance
• Weight in heels
• Butt moves back and down
• Maintain lumbar curve
• Knees track parallel to toes
• Seam of hip lower than top of knee (below parallel)
• Return to full extension

Squat Modifications

• Scale the Depth
• Scale the Starting Point
• Provide Balance Points

Squat Training Volume

• Set a goal – example: 20 squats ( that meet the

performance standard) for time

• When goal is achieved reassess and choose

loading or volume or speed increase.

(Top Down) Deadlift Set up and Execution

• Hip width stance
• Weight in heels
• Bar at waist - grip one thumb outside of thigh
• Push hip back slight bend in knee (shin remains

vertical)

• Bar down top of knee
• Bar to mid shin
• Knees behind arms
• Lift chest (name tag)
• Chin neutral
• Load, hip and shoulder rise at same rate!

Deadlift Modifications

• Weight of the load
• Height of the Load

References

Edemekong, P., Bomgaars, D., Shoshana, B. (2019) Stat Pearls, Activities of Daily Living. National Institute of Health Glassman, G. CFL 1 Training Guide (2019) Baechle, E. National Strength and Conditioning Association (2015) –Essentials of Strength Training and Conditioning 4th Edition. Rippentoe, M., Kilgore, L (2007) Starting Strength 2nd Edition. Aasgard Press ChoosingWisely.Org: http://www.choosingwisely.org/wp- content/uploads/2015/02/APTA-Choosing-Wisely-List.pdf

Additional Announcements

Refer your patient for a Comprehensive Geriatrics Assessment at the Sanford Center for Aging or via telemedicine at: med.unr.edu/aging

• r call 775-784-4774

The funding agencies that provide support for the geriatrics ECHO ask us to provide information about the type of attendees who attend our sessions. Please complete the demographic form at: https://bit.ly/33GX3uq