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Welcome to the Hartford Center of Gerontological Excellence at OHSU

In order to meet the complex health care needs of an aging adult population in Oregon and across the Pacific Northwest, we at the Hartford Center of Gerontological Excellence have over eighteen years of accomplishments toward meeting our goal to increase the geriatric expertise of providers, faculty, and students put forth by the John A. Hartford Foundation.


HARTFORD AWARD FOR RESEARCH AND PRACTICE

Kiyoshi-Teo-Hiroko-web

Congratulations to Hiroko Kiyoshi-Teo on her most recent HARP!

Her study, "Fall Prevention in Community-Based Care Facilities: An academic-community partnership", has aims to: identify characteristics of falls and fall-related Emergency Medical Service (EMS) calls from partner residential care facilities (RCF); reduce falls and non-urgent fall-related EMS calls of older adults in RCFs through stakeholder engagement, staff training, and care management; and evaluate feasibility and acceptability of stakeholder involvement with the study process.  

Hiro's research will address two risk factors associated with falls: the relationship between medications and falls, and the relationship between nutrition and falls. This pilot project's interprofessional approach to falls prevention, built upon existing community-academic partnerships, has potential to strengthen those relationships while addressing two significant falls risk factors: polypharmacy and nutrition.

"Falls are not a normal part of the aging process, and most falls can be prevented. Yet, falls are the leading cause of fatal and non-fatal injuries among older adults, causing hip fractures, head trauma, and death (https://www.giaging.org/issues/evidence-based-health-promotion-and-disease-prevention)."

Allison Lindauer

Interprofessional HARP Awarded to Allison Lindauer

Congratulations to Allison Lindauer, Ph.D., N.P., on her Interprofessional Hartford Award for Research and Practice (HARP). Allison, Principal Investigator on the award, is an Assistant Professor at the School of Nursing and the Layton Aging and Alzheimer's Disease Center, where she is also the Director of Outreach, Recruitment, and Education. 

For this project, Layton Center faculty will team up with co-investigators Deb Messecar, Ph.D., M.P.H.,R.N., from the School of Nursing, and Andrew Natonson, M.D., from the School of Medicine. In conjunction with the Oregon Extension for Community Healthcare Outcomes (ECHO) Network, they will provide technology-based mentoring for primary care providers across Oregon. The overarching goal of this interprofessional improvement project is to reduce barriers to diagnosis and care for patients and families living with Alzheimer's Disease or a related dementia (ADRD), especially those in rural or underserved areas.

Enrollment is open

Titled, "Dementia 360", this 10-session ECHO series will help clinical teams build or improve systems of care to effectively diagnose and treat dementia in the primary care setting. Sessions for this cohort will occur on Wednesdays, noon-1 p.m., from January 16 through March 20, 2019. Click for more info on Dementia 360.

ECHO programs fill quickly. Please register through the website www.oregonechonetwork.org by December19 if you are interested in participating in this program.

Dementia Diagnosis

At least 65,000 Oregonians carry a diagnosis of ADRD, and over 186,000 spouses, children, and kin provide care for them. However, up to 50% of those with dementia do not know it because under-diagnosis of ADRD is common. Few studies address the ramifications of not knowing a diagnosis. Intuitively, those who do not know their diagnosis can't engage in strategies to delay cognitive impairment and sustain their quality of life. Additionally, families who do know of the diagnosis can receive education and support from their providers, nurses, and peers, and thus, may fare better emotionally and physically. 

Dementia is a growing issue and will continue to be so over the coming decades, especially in rural areas where access to care can be a barrier. The ECHO model is an excellent method through which to educate providers in the optimal care of people with dementia. As the interprofessional team works together, this project has the potential to improve health outcomes for Oregonians living with dementia.

HARP

Our Interprofessional HARP is offered annually to all OHSU faculty, including the Schools of Nursing, Dentistry, Public Health, and Medicine, and the College of Pharmacy.

The Hartford Center is honored to steward the HARP program made possible through an endowment by the Frances Price Estate Fund.

Hearst Endowed Scholars Named

Carly Hernandex

Our Hartford Center of Gerontological Excellence is proud to announce two new recipients of The Hearst Foundations' Endowed Scholarship for AY 2018-19. Please join us in congratulating Carly Hernandez Kadell (pictured left), who is in the Psychiatric Mental Health Nurse Practitioner program, and Amanda Staudt, who is in the Adult-Gerontology Acute Care Nurse Practitioner program. Both students graduated in June with a Master of Nursing degree and will continue on in the DNP program in the coming year.

When Carly heard about her award she wrote, "I am truly honored to be the recipient of this scholarship, and couldn't be more excited to embark on the next phase of my education - that of the DNP. Thank you for investing in my future success." She has strategically placed herself in a Medicare-funded, home health clinic, working with a geriatric PMHNP to implement a suicide-screening tool for her DNP project.

Amanda will focus her DNP project on evaluating the occurrence of undertreated pain in older patients who developed delirium during their hospitalization. She came to this work through a rotation with OHSU's inpatient pain service consult team; an exceptional opportunity for a nurse practitioner student. 

As our population ages it becomes vital that nurses, the largest segment of the nation's health care system, be trained and competent in the care of older adults.

The Hearst Endowed Scholarship, awarded for the DNP year, covers the cost of tuition, fees, and stipend up to a maximum of $15,000. The Hartford Center of Gerontological Excellence is honored to steward this vital scholarship. Since 2002, $353,865 has been awarded from this endowment to 58 graduate students preparing to become advanced practice nurses in the field of geriatrics.

Mary Medysky awarded Ph.D. HARP

Medysky

We are pleased to announce Mary Medysky as the 2018 recipient of the Hartford Award for Research and Practice (HARP) for Ph.D. students. This award helps support select students in the final stages of their dissertation and will help Mary complete and disseminate her research.

Mary's dissertation topic, "Feasibility and Preliminary Efficacy of Yoga Therapy to Mitigate Functional Declines in Lung Cancer Survivors", is both innovative and relevant as there is insufficient research on yoga's ability to mitigate functional declines in lung cancer patients.

Michaelson Geriatric Endowed Scholarships Awarded!

Miles, Pusateri, Samuel

Congratulations to Master of Nursing students Allison Miles, Lisa Pusateri, and Nathan Samuel who are the recipients of the Michaelson Geriatric Endowed Scholarship for AY 2018-19. They are all enrolled in the Adult Gerontology Acute Care Nurse Practitioner program.

Allison is dedicated to a nursing career caring for adult oncology patients. She is pursuing an advanced practice nursing degree to care for patients on a "holistic level… addressing patient education and treatment preferences" and to be an advocate for patients with complex care needs.

Lisa also practices nursing in adult oncology and as she continues her education she aspires to lead in the improvement of older adult cancer care. She has an understanding of the complexity of co-morbidities and social determinants of health and how they play a role in patient's goals, education, and home support.

With gratitude for the financial aid, Nathan wrote, "I take this support with the utmost seriousness and want to reemphasize my dedication to following through with the strong commitment to gerontological care..." Nathan recognizes the necessity of care planning and utilizing patient-centered strategies when caring for some of our most vulnerable and unique people. He has aspirations for leadership, research, and quality improvement.

The Phyllis J. Michaelson Scholarship Fund in Gerontological Nursing was established in 1996 by Jerry Michaelson. It was created to support students enrolled in graduate nursing programs of the School of Nursing at Oregon Health Sciences University with a gerontological nursing specialty. The Hartford Center of Gerontological Excellence is honored to steward this endowedscholarship.