1. You Are The Star Demonstrate “Get up and Go”

2. You Are The Star Speak to any other colleague as you should if they are an older patient with hearing impairment

3. You Are The Star Mime the use of an adaptive device for something other than ambulation

4. You Are The Star Test a colleague’s shoulder range of motion as you should to assess functional utility in an older patient

5. You Are The Star Act like you have dementia

6. You Are The Star Act like you have depression

7. You Are The Star Act like you have delirium

8. You Are The Star Mime each ADL

9. You Are The Star Mime each IADL

10. You Are The Star Your left knee hurts so you have a cane to help you Mime how you should use the cane

11. You Are The Star Lay down and simulate you having a common sleep disorder

12. You Are The Star Demonstrate something that requires 4 METS of effort

13. ALL PLAY Create a list of all Basics In Geriatrics “BIG” 10 principles

14. ALL PLAY List ALL the components of the Confusion Assessment Method

15. ALL PLAY List ALL questions in the Mini-Mental State Exam

16. ALL PLAY List 10 potentially inappropriate medications for older patients

17. ALL PLAY Design an optimal discharge information form

18. ALL PLAY An 83 year old female is being discharged from your hospital service after a 4 day stay for CHF exacerbation She lives alone She has Medicare She is hemodynamically fine and can transfer from bed to chair She should be discharged to_______________

19. ALL PLAY Round Robin: – Name a commonly overlooked/under treated geriatric syndrome – The last person to name one gets 5 tokens

20. ALL PLAY List all 15 questions of the Geriatric Depression Scale

21. ALL PLAY List 7 possible discharge sites following an acute hospitalization

22. ALL PLAY Each ask one question you would like to have answered by the end of this rotation It must be related to Geriatrics

23. ALL PLAY Identify 5 hazards of hospitalization for older patients

24. ALL PLAY List the current USPSTF recommendations for screening for colon and breast cancer

25. ALL PLAY Round Robin: – Simulate a gait disorder – Last one to do so gets 5 tokens

26. You Artist You A women complains of urinary urgency with large amount of incontinence Draw her expected post-void bladder size

27. You Artist You A women complains of urinary problems She leaks small amounts when she coughs, laughs or sneezes Draw her expected post-void bladder size

28. You Artist You A 74 year old male has new onset of memory loss ROS: Some episodic incontinence Exam shows a “magnetic” gait Draw what his Head CT scan would look like

29. You Artist You A women complains of urinary frequency When she urinates she feels like she needs to go again soon afterwards She leaks small amounts of urine Draw her post-void bladder size

30. You Artist You You gave a man diphenhydramine last evening to help him sleep He complains he can’t urinate now Draw his post-void bladder size

31. You Artist You SCULPT an image of the ambulatory assist device that would be most appropriate for you to give to a patient with Parkinson’s disease

32. You Artist You SCULPT an image of a Stage I Pressure Ulcer

33. You Artist You SCULPT an image of a Stage II Pressure Ulcer

34. You Artist You SCULPT an image of a Stage III Pressure Ulcer

35. You Artist You SCULPT an image of a Stage IV Pressure Ulcer

36. You Artist You SCULPT an image of an unstageable Pressure Ulcer

37. You Artist You SCULPT a typical looking heart for a 75 year old male with hypertension

38. You Artist You Sketch plans for a Senior Friendly Bedroom

39. Crazy Skills Administer a Mini-Cog to one of your colleagues

40. Crazy Skills Here is 30mg oral morphine How many dots represent the therapeutic equivalent amount of oral oxycodone?

41. Crazy Skills Calculate your BMI

42. Crazy Skills There are 100 older people with MCI. How many do you expect to convert to dementia in the next years?

43. Crazy Skills Calculate the expected PaO2 for an average: 20 year old 90 year old

44. Crazy Skills Estimate the Creatinine clearance of an 80 year old white female with a Creatinine of 1.0 x 0.85 for women

45. Crazy Skills An 80 year old man wants to exercise to 80% of his Maximum Heart Rate. About how much is that?

46. Crazy Skills Define “Homeostenosis” and give an example of it

47. Crazy Skills Describe one achievable intervention that would improve the care your patients receive in your primary care clinic

48. Crazy Skills Ms A is a 80-year-old white woman with diabetes, moderate dementia, functional dependency in most activities of daily living She lives with her daughter Point to her estimated Life Expectancy 0 3 6 9 12 15 YEARS

49. Crazy Skills Describe 4 adverse effects of bisphosphonate use

50. Crazy Skills Ms B is an 80-year-old white woman who is widowed, living with her sister No comorbid conditions, walks 3 miles a day, and cooks and cleans for her older sister Point to her estimated Life Expectancy 0 3 6 9 12 15 YEARS