GERIATRIC VIDEO

Risk management, Sleep disorder, Physical therapy, Chronic pain, Problem bahviours, Alzheimer's disease, Wound care, Falls, Nurse aides, Advanced directives, Aging, Confidentiaity, Patient safety, Workplace violence,Quality of life, Programs for family of Elders

Advanced Directives

Understanding Advanced Directives 
An introductory program which explores in simple terms the advanced directive options available to patients. Directed to patients and residents it discusses Living Wills, Durable Power of Attorney for Health Care, the types of treatments which can be accepted or rejected via an Advanced Directive. Directly guides patients and families in formulation of an Advanced Directive.  Length: 8 min.  

In Your Hands 
Helen Hayes describes in clear, easy to understand terms the frequently misunderstood instruments of Durable Power of Attorney, Medical Power of Attorney, Living Wills and Trusts. She blends personal anecdotes with those of a group of everyday people to show how to preserve personal autonomy as we age. Directed toward patients and families yet instructive to any health care worker. Includes written guide and shorter viewers guide.  Length: 19 min. 

Aging

Making the Right Choice

This practical program will help families in their decision about when it is time to seek help outside the home or move their loved one from home to another level of care. Offers specific information on the differences between services provided in retirement communities, assisted living, intermediate and skilled nursing facilities. It also directly guides families on how to choose a facility. Length: 50 min.

Staying Involved

This Program directly guides family in how to ease the transition to another care level/facility and maintain their loved ones emotional and physical health after the move. Educates family on the care planning process and how family can be partners with the new caregivers. Length: 31 min.

Grief, Loss and Older Adults
Discusses the impact of loss of personal possessions, health and sensory systems (hearing / vision) on older adults. The importance of career, life long interests, relationships with family / friends / pets and the effects of cumulative losses in their relation to the grief process is discussed. Helps health care workers develop sensitivity to these issues as they relate to the elderly in their daily care. Length: 20 min.

Alzheimer's Disease Training Videos

Solving Bathing Problems in Persons with Alzheimer's Disease 
Bathing a person with Alzheimer's Disease can involve some problems. This newly released video will help sensitize and train your staff to deal productively with those problems. 22 minutes. This video will teach them how to:  

• Individualize the bathing approach 
• Focus on the person 
• Enlist cooperation 
• Give the patient choices, reducing the threat of the bathing situation 
• Use distractions 
  Solving Bathing Problems will help reduce the "bathing battles" at your institution and make life a little bit better for both your patients and your staff. 

Communication Strategies for Alzheimers' Patients 
This very practical program discusses the behavioral changes which occur in Alzheimer’s and other cognitively impaired patients. Using actual patient interaction scenes, this video directly guides your staff in making communications more fluent and effective with these challenging patients in any geriatric care setting.  30 minutes.

This program:  

• Describes revitalization techniques to improve the effectiveness of communication as well as ways to maintain the patient’s dignity and self-respect. 
• Explains the difficulty these patients have with receiving, storing and retrieving information. 

Dress Him While He Walks: 
Behavior Management in Caring for Patients with Alzheimer's 
  This program:  

• Demonstrates practical ways of dealing with difficult behaviors such as wandering, angry outbursts, and delusions. 
• Shows how the nursing staff successfully adapts to each specific behavior pattern, often in a light-hearted manner. 
• Effectively illustrates that staff acceptance and understanding of behaviors in this disease can be part of the answer in successfully managing these patients. 
• Focuses on behavior management rather than modification. 
  Length: 20 mins.

Dealing With Alzheimer's Disease: 
A Common Sense Approach to Communication 
  With short vignettes, this program:  

• Teaches how to communicate with our Alzheimer patients in any patient care setting. 
• Explains the disease, the importance of non-verbal communication(body language). 
• Teaches communication techniques such as, breaking down complex tasks into steps, using yes or no questions, and using written communication to help manage these patients. 
• Teaches techniques to help deal with difficult behaviors. 
  Length: 20 mins.  

Recognizing and Responding to Emotion in Persons with Dementia 
 This program provides an added dimension to dementia care. Directly teaches caregivers how to recognize, understand and increase their sensitivity to facial expressions, vocal signs and body language. Focuses on learning to read the signs of anxiety, anger, level of interest, sadness and pleasure in persons who have difficulty in expressing their likes and dislikes. Helpful in determining the unmet needs which can cause various behaviors in dementia. Useful for those taking care of dementia patients in any care setting including family caregivers.  Facilitators Guide. 25 minutes   

Chronic Pain in Geriatrics A Series

  The elderly are an at-risk group for undertreatment of pain. This series, developed in consultation with a nationally recognized pain management teacher and researcher, provides the tools necessary to assess and treat chronic pain effectively in the home, acute and long term care settings. 

Consultant: Lynn Rivera RN, MSN, Pain Research Specialist, Nursing Research and Education, City of Hope National Medical Center.  

Geriatric Pain Factoids:

The trend of increasing medical use of opioid analgesics to treat pain does not appear to contribute to increases in health consequences of opioid analgesic abuse. Souce: JAMA 2000;283:1710-1714

Only 2% of nursing textbooks address end of life care,
 including pain management. Source: Oncology Nursing Forum June 11429 

Chronic Pain in Geriatrics: Assessment
This video: 

• Directly guides you in the assessment process. 
• Discusses the false beliefs and biases of elderly patients, healthcare workers and family members which pose barriers to adequate assessment and management of chronic pain in the elderly in any care setting. 
• Discusses assessing influence of pain on functional status, use of pain rating scales. 
• Describes instructing lay and professional caregivers on assessment techniques. 
• Discusses techniques regarding assessment of the cognitively impaired. 
  Aprox. 25 min. NLN & CMD Credits, Written Guide

Chronic Pain in Geriatrics: Management
This video: 

• Directly guides you in developing a pain management program for the elderly with chronic pain in any care setting. 
• Discusses an approach to specific drug therapy, including opiates. 
• Discusses fears of staff, patients and family caregivers regarding addiction, tolerance, and respiratory depression with opiate use. 
• Discusses the use of specific non-drug therapies to minimize medication use. 

Infection Control
This program covers all aspects of proper handwashing and food storage, to the intricacies of biohazard containment and thorough disinfection. Takes viewers "on-the-job" for a firsthand practical look at the daily situations that demand proper infection control procedures. Great for orientation and review for existing staff. 18min.

COPD: Care in the Geriatric Patient 
Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death in our geriatric patients. Providing excellent nursing and medical care can improve case outcomes, as evidenced by an increase in the patient's quality of life, sense of psychological well being, functional status, and a decrease in illness and acute hospital stays.

Through the use of a case discussion this program:  

• Encourages treatment of this disease and shows that even in patients with severe disease, treatment is not futile. 
• Provides a practical multidisciplinary approach to assessment (including audio of actual lung sounds), diagnosis and treatment. 
• Focuses on both the sometimes unique presentation and treatment of COPD in our geriatric patients. 
• Discusses drug therapy, smoking cessation, immunizations, practical pulmonary rehabilitation techniques, nutrition, and ethical issues in geriatrics and terminal care. 
  Written guide & CE Credits. 25 minutes.  

  "Volume 9, COPD, used as part of an in-service education program was able to significantly increase cognitive knowledge of medication and oxygen regimens commonly used in care for older COPD patients after one viewing."   

Pneumonia in the Long Term Care Setting   

THIRD PRIZE WINNER in the Aging/Long-Term Care category from the American Journal of Nursing Co.  

This award-winning video takes a straightforward approach to one of the most common problems in the institutionalized elderly. The video program:  

• Discusses the predisposing factors in the development of pneumonia and steps in preventing it in health care facilities. 
• Focuses on nursing assessment skills including audio of actual lung sounds. 
• Check out an audio sample by clicking on the icon below. 
• Emphasizes the sometimes unique presentations of pneumonia in the geriatric patient. 
• Reinforces ongoing nursing care skills. 
• Discusses drug treatment on specific pneumonias. 

  An excellent educational tool for those caring for the elderly in any geriatric care setting.  
  NLN- and CMD-approved credits. Written guide & CE credits. 28 minutes.  

Urinary Tract Infections in the Geriatric Patient 
  This video program:  

• Discusses the causes and diagnosis of this common infection. 
• Distinguishes between the catheterized and non-catheterized patient in terms of diagnosis, prevention and treatment. 
• Addresses the clinical significance of asymptomatic bacteriuria in both catheterized and non-catheterized patients. 
• Discusses drug therapy. 

  An essential tool for teaching about UTI in any geriatric care setting. 
  NLN- and CMD-approved credits. Written guide & CE credits. 20 minutes.  

TB or Not TB: 
Prevention and Treatment  

Given the increased incidence of TB in hospitals, long-term care facilities and HIV-infected patients, this program is particularly relevant and timely. This program:  

• Discusses the resurgence of TB, methods of diagnosis, treatment and necessary precautions for health care workers. 
• Addresses multiple-drug resistant TB (MDR-TB) and its role in increasing fatalities from this disease. 
• Presents practical information on surveillance, respiratory protection programs including NIOSH-approved respirators, and skin care. 

  Up-to-date information essential to patient care in any geriatric care setting. Written guide & AJN & CMD credits. 20 minutes.  

Multiple Drug Resistant Organisms: 
A Growing Concern 

Multiple-drug-resistant organisms such as MRSA (Methicillin resistant staphylococcus aureus) and VRE (Vancomycin resistant enterococcus) spread easily and resist traditional treatments. They are becoming increasingly common in the acute hospital, subacute and long-term care settings. This program:  

• Leads you to understand modes of transmission and apply direct strategies to prevent transmission. 
• Discusses the important clinical distinction between simple colonization and actual infection by these types of organisms. 
• Focuses on prevention, but includes a discussion of treatment of MRSA with Vancomycin. 

  This program is essential viewing for healthcare workers in all healthcare settings.  
  Written guide, AJN & CMD Credits. 20 minutes. 

Invasive Treatments in the Geriatric Patient: 
Considerations for Initiation and Care 
This video gives you guidelines for nursing care and initiation of invasive treatments such as feeding tubes (N/G, Gastrostomy, PEG), intravenous lines and oxygen therapy. This program:  

• Addresses the reasons for possible interference with treatment. 
• Discusses the individualized patient assessment as an important tool in clinical management. 
• Guides you away from physical and chemical restraints. 
• Discusses the ethical issues regarding the benefits and burdens of invasive treatments. 
• Focuses on alternative treatments such as preventative techniques, giving attention to physical and psychosocial comfort as well as the prompt treatment of underlying medical conditions. Written guide & CE credits. 15 minutes. 

Preventing Undernutrition/Dehydration and Invasive Treatments in the Geriatric Patient 
This video guides you in early intervention techniques for geriatric patients. This program:  

• Discusses preventative strategies with patients who begin to show limited fluid or nutritional intake and difficulty swallowing. 
• Discusses risk factors for dehydration and malnutrition in institutionalized and acute hospital patients. 
• Focuses on early detection and ongoing individualized assessment in avoiding use of intravenous fluids, nasogastric or gastrostomy tubes. 
• Guides you away from use of physical and chemical restraints. 

  The strength of this program is its practical, straightforward information..... The Gerontologist  

  A must teaching tool for staff working in any geriatric care setting.  
  Written guide & CE credits. 15 minutes. 

Depression in the Long Term Care Setting 

This video program increases your staff’s ability to spot this under-diagnosed disease in any geriatric care setting. This program:  

• Discusses the nurse's role in assessing the patient for depression as well as their involvement in the overall treatment plan. 
• Focuses on the difficult task of differentiating depression from dementia as well as clarifying the role of medical illness and medication as a cause for depression. 
• Discusses psychological and medical treatments, including medications, their side effects, and the rationale for choosing different agents. 

AIDS: Making it Work 
The Cine-Silver Plaque Award Winner for Human Relations  

This award-winning video features one health care institution’s experience caring for HIV-infected patients.

 This program: 

• Offers management strategies in preparing hospitals or long-term care facilities to deliver care to a special population of people with very special needs. 
• Sensitively illustrates the evolution of staff and patient emotional responses in preparing to care for these patients. 
• Provides an invaluable resource to promote competent and compassionate care for HIV-infected patients in all patient care settings. 

  A must teaching aid for nursing students, nurses and administrators in hospitals or long-term care facilities.  
  30 minutes. 

  ---

A must teaching aid for nursing students, nurses and administrators in hospitals or long-term care facilities.  
30 minutes. 

Confidentiality

Respecting Confidentiality
Residents have a legal right to confidentiality concerning their medical, financial and personal matters. Does every member of your staff know where to draw the line between idle conversation and a breach of confidence? Sorts through the issue and gives clear, straightforward guidance, using commonly encountered situations, so your personnel will be able to identify the ways a resident's confidentiality can be compromised. Staff will learn how to handle questions about patients from well-meaning family, residents and non-involved staff without divulging confidential information.
20 min. Facilitators guide

The Interdisciplinary Team 

The Interdisciplinary Team: 
A collaborative Approach 
This program describes the interdisciplinary team process. The video and companion manual are designed to guide you through the multiple challenges encountered by the Inter-disciplinary Team. 

After completing this program, team members and residents should be able to :  

• Differentiate the multidisciplinary planning approach from interdisciplinary team planning 
• Review the goals of the interdisciplinary team process 
• Identify major components of the interdisciplinary team meeting 
• Describe team membership and the roles of various team members 
• Discuss the influence of interpersonal communication and group dynamics on interdisciplinary team process and care planning. 
• Discuss useful problem-solving techniques for resolving team conflict and building team consensus 
  Length: 22 mins.

A Member of the Team 

The video emphasizes the important role that the resident plays in care planning and helps prepare the resident for what will happen at the Interdisciplinary Team Meeting.  
Length: 7 mins.

Nurses Aides

Working it Out: Support Groups for Nurses Aides  

With short vignettes, this program:  

• Is aimed at reducing turnover and stress among nurses aides. 
• Developed though a research program this video and leader’s workbook offer a step-by-step guide to assist in the successful implementation of a support group. 
• Shows the benefits of support groups. 
• Can be used to facilitate discussion in support groups as well. 

  Length: 30 min. 

Nurses Aides: Making a Difference 

In terms that are easy to understand, this program:  

• Provides nursing home nurses aides with the necessary skills for handling difficult behaviors in our patients with Alzheimer’s Disease. 
• Shows how practical techniques such as redirection, praising, and withholding attention can be used with behavior excesses and deficits. 

  Length: 30 min. 

Safety

A Commitment to Safety

This innovative program takes a big-picture approach to safety, an approach that goes beyond the typical list of safety practices. Directly guides staff to recognize safety as an important job requirement, identify safety practices that help to prevent accidents, learn to detect accidents waiting to happen, and how to respond when an accident occurs, discover additional ways to get involved in the safety initiatives at your facility. The perfect introduction to safety during orientation or used as a safety-training refresher.

25min. facilitators guide

Physical Therapy Training Videos

Bed Mobility and Transfers 

This program demonstrates the fundamentals of bed mobility including precautions following total hip replacement surgery, standing-pivot and maximum assistance transfers. By emphasizing correct body mechanics, the patient is moved easily and staff injury is reduced.  
Aprox.40 min. Written Guide

Exercise 

Emphasizing safety precautions this video demonstrates the passive range of motion for all joints; active exercises for trunk and limbs in supine and sitting positions and; progressive resistance exercises. It includes explanation of the principles of excercise progression.  
Aprox.40 min. Written Guide

Hydraulic Lift & Ambulation 

A comprehensive video, it demonstrates the efficient and safe use of hydraulic/Hoyer lift; principles of weight bearing status and guarding; correct use of canes; walkers and crutches and; two-point and three-point gait and ambulation on steps.  
Aprox.40 min. Written Guide

Bathroom & Wheelchair 

This video cover the mechanics of bathroom transfer as well as an explanation of hardware. It demonstrates: tub, shower and toilet transfers using a bath chair; bath transfer bench and guarding for step transfers. Wheelchair function and hardware are also covered.  
Aprox.40 min. Written Guide

Falls

Preventing Falls in the Geriatric Patient 
This video guides you in developing your plan to reduce falls, improve patient outcomes and prevent serious injuries in any geriatric care setting.

This program:  

• Discusses the most common causes of falls in the geriatric patient. 
• Provides an individualized assessment to identify patients at risk. 
• Explores a variety of effective interventions which can be used in caring for high-risk patients. 
• Focuses on alternatives to physical and chemical restraints, including environmental adaptations and reconditioning. 

  Written guide & CE credits. 20 minutes.

Problem Behaviors Training Videos

Problem Behaviors in Geriatrics: 
Wandering   

FIRST PRIZE WINNER in the Aging/Long-Term Care category from the American Journal of Nursing Co.  

This award-winning video program is useful for staff working in hospitals, rehabilitation, geriatric day care, long-term care or home care. This video:  

• Discusses problems associated with wandering, types and causes of wandering, as well as nursing interventions in response to wandering. 
• Focuses on nonrestrictive techniques to safely deal with the patient including environmental adaptations and patient interaction techniques. 
• Uses case discussions. 
• NLN- and CMD-approved credits. 
  Written guide & CE credits. 20 minutes.  

Problem Behaviors in Geriatrics: 
Agitation & Restlessness   

FIRST PRIZE WINNER in the Aging/Long-Term Care category from the American Journal of Nursing Co.  

This video gives you the tools you need to handle problem behaviors in elderly patients, while minimizing use of physical and chemical restraints. This award winner:  

• Defines agitated/restless behavior. 
• Addresses the need to rule out reversible medical causes. 
• Discusses strategies to reduce or eliminate these behaviors. 
• Guides you away from use of physical and chemical restraints. 

  A must teaching tool for staff working in any geriatric care setting.  
  LN- and CMD-approved credits. Written guide & CE credits. 20 minutes.  

Sleep Problems in the Elderly  A Series 

Up to two thirds of patients in long term care facilities and one-half of the elderly residing in the community are estimated to have some type of sleep disturbance. The consequences of chronic insomnia include sedative hypnotic agent dependence, inappropriate medications prescribed by providers, self-medication with alcohol, depression, diminished quality of life, and in the community residing elderly with dementia placement in the long-term care setting. These programs will help improve function in the elderly with sleep problems by directly guiding you in assessment and appropriate management. 

Sleep Problems in the Elderly: 
Assessment 
This video:  

• Discusses normal and dementia related changes in sleep 
• Directly guides in assessing common sleep problems in non-demented and demented elderly in long-term, acute, subacute and home care settings.
• Utilizes typical cases in teaching 

  Aprox. 25 min. Nursing, AMA, ACPE & CMD Credits, Written Guide

Sleep Problems in the Elderly: 
Management 
This video:  

• Directly guides you in developing management strategies in any care setting. 
• Discusses non-pharmacologic management including sleep hygiene, stimulus control, sleep restriction, and light therapy strategies. 
• Discusses role of pharmacologic therapy as an adjunct to non-pharmacologic management
• Directly guides you in avoiding inappropriate medications for the elderly in management
• Adresses new federal regulations regarding sedative/hypnotic use in the elderly

  Aprox. 25 min. Nursing, AMA, ACPE & CMD Credits, Written Guid

Wound Care Series

Pressure ulcers and surgical wounds in geriatric patients are common in subacute units, hospitals and long term care facilities. This series directly guides you in preventing these wounds and the art and science of healing them, to improve patient outcomes. A must-view series for any nurse taking care of geriatric patients with these type wounds.  

Assessment of Complex Wounds 
This video guides you in performing a thorough and complete wound assessment. It describes types of wounds, healing phases, and risk factors. A demonstration of assessment includes staging, defining and documenting wound depth, dimensions, tunneling, odor, drainage, margins, and color of actual wounds. Emphasis is placed on the importance of risk assessment in care planning.  written guide & AJN/ CMD credits. 28 minutes.

Management of Complex Wounds 
The focus of this video is aggressive wound management, proper documentation and communication. This program discusses wound cleansing, disinfection, debridement, dressing, and packing, in detail. It directly guides you in choosing the appropriate wound care product for each step of care based on the specific wound. Complications of wound healing are also covered with an emphasis on the most common one, infection.  Written guide & AJN/ CMD Credits. 28 minutes.

Prevention & Treatment of Pressure Ulcers 
This program guides you in performing a thorough and complete wound assessment. It describes types of wounds healing phases, and risk factors. The demonstration of assessment includes staging, defining and documenting wound depth, dimensions, tunneling, odor, drainage, margins, and color of actual wounds. Risk assessment in care planning is emphasized.  Written guide & AJN/ CMD credits. 28 minutes.

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