Geriatric Opioid Harm Reduction: Interprofessional Student Learning Outcomes
Objective: Opioid harm reduction is increasingly important in the care of the older adults, who are at higher risk for negative opioid-related outcomes due to high prevalence of pain, multimorbidity, polypharmacy, and age-changes in metabolism. Our project aims to develop, implement, and evaluate an...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-04-01
|
| Series: | Gerontology and Geriatric Medicine |
| Online Access: | https://doi.org/10.1177/2333721420908985 |
| _version_ | 1819265700526555136 |
|---|---|
| author | Faika Zanjani PhD Marshall Brooks PhD Leland Waters PhD Pamela Parsons PhD Patricia Slattum PhD |
| author_facet | Faika Zanjani PhD Marshall Brooks PhD Leland Waters PhD Pamela Parsons PhD Patricia Slattum PhD |
| author_sort | Faika Zanjani PhD |
| collection | DOAJ |
| description | Objective: Opioid harm reduction is increasingly important in the care of the older adults, who are at higher risk for negative opioid-related outcomes due to high prevalence of pain, multimorbidity, polypharmacy, and age-changes in metabolism. Our project aims to develop, implement, and evaluate an interprofessional opioid harm reduction service training. Method: This evaluation occurs in context of the Richmond Health and Wellness Program (RHWP), a community-based interprofessional wellness care coordination equity initiative, within buildings designated for low-income and disabled older adults. The geriatric opioid harm reduction training was delivered online and inperson, and followed up with case-discussions and practice. Findings: Pre ( n = 69)/post ( n = 62) student assessments indicated that after the training, there was an increase in knowledge. At follow-up, 60% recognized tramadol as an opioid, 50% at baseline. About 97% correctly indicated that MME represents morphine milligram equivalent, 80% at baseline. About 93% indicated that 50 MME level greatly increases opioid overdose risk, 62% at baseline. Only 20%, change from 60% at baseline, reported not being able to calculate MME at post assessment. Conclusion: Findings indicate that geriatric opioid harm reduction training within community-based wellness care coordination is feasible. Future works need to explore the impact on student practice in clinical settings and resident health. |
| first_indexed | 2024-12-23T20:49:33Z |
| format | Article |
| id | doaj.art-1d23f8ae1a4e48baa1fc7c91b93b8349 |
| institution | Directory Open Access Journal |
| issn | 2333-7214 |
| language | English |
| last_indexed | 2024-12-23T20:49:33Z |
| publishDate | 2020-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Gerontology and Geriatric Medicine |
| spelling | doaj.art-1d23f8ae1a4e48baa1fc7c91b93b83492022-12-21T17:31:42ZengSAGE PublishingGerontology and Geriatric Medicine2333-72142020-04-01610.1177/2333721420908985Geriatric Opioid Harm Reduction: Interprofessional Student Learning OutcomesFaika Zanjani PhD0Marshall Brooks PhD1Leland Waters PhD2Pamela Parsons PhD3Patricia Slattum PhD4Virginia Commonwealth University, Richmond, USAVirginia Commonwealth University, Richmond, USAVirginia Commonwealth University, Richmond, USAVirginia Commonwealth University, Richmond, USAVirginia Commonwealth University, Richmond, USAObjective: Opioid harm reduction is increasingly important in the care of the older adults, who are at higher risk for negative opioid-related outcomes due to high prevalence of pain, multimorbidity, polypharmacy, and age-changes in metabolism. Our project aims to develop, implement, and evaluate an interprofessional opioid harm reduction service training. Method: This evaluation occurs in context of the Richmond Health and Wellness Program (RHWP), a community-based interprofessional wellness care coordination equity initiative, within buildings designated for low-income and disabled older adults. The geriatric opioid harm reduction training was delivered online and inperson, and followed up with case-discussions and practice. Findings: Pre ( n = 69)/post ( n = 62) student assessments indicated that after the training, there was an increase in knowledge. At follow-up, 60% recognized tramadol as an opioid, 50% at baseline. About 97% correctly indicated that MME represents morphine milligram equivalent, 80% at baseline. About 93% indicated that 50 MME level greatly increases opioid overdose risk, 62% at baseline. Only 20%, change from 60% at baseline, reported not being able to calculate MME at post assessment. Conclusion: Findings indicate that geriatric opioid harm reduction training within community-based wellness care coordination is feasible. Future works need to explore the impact on student practice in clinical settings and resident health.https://doi.org/10.1177/2333721420908985 |
| spellingShingle | Faika Zanjani PhD Marshall Brooks PhD Leland Waters PhD Pamela Parsons PhD Patricia Slattum PhD Geriatric Opioid Harm Reduction: Interprofessional Student Learning Outcomes Gerontology and Geriatric Medicine |
| title | Geriatric Opioid Harm Reduction: Interprofessional Student Learning Outcomes |
| title_full | Geriatric Opioid Harm Reduction: Interprofessional Student Learning Outcomes |
| title_fullStr | Geriatric Opioid Harm Reduction: Interprofessional Student Learning Outcomes |
| title_full_unstemmed | Geriatric Opioid Harm Reduction: Interprofessional Student Learning Outcomes |
| title_short | Geriatric Opioid Harm Reduction: Interprofessional Student Learning Outcomes |
| title_sort | geriatric opioid harm reduction interprofessional student learning outcomes |
| url | https://doi.org/10.1177/2333721420908985 |
| work_keys_str_mv | AT faikazanjaniphd geriatricopioidharmreductioninterprofessionalstudentlearningoutcomes AT marshallbrooksphd geriatricopioidharmreductioninterprofessionalstudentlearningoutcomes AT lelandwatersphd geriatricopioidharmreductioninterprofessionalstudentlearningoutcomes AT pamelaparsonsphd geriatricopioidharmreductioninterprofessionalstudentlearningoutcomes AT patriciaslattumphd geriatricopioidharmreductioninterprofessionalstudentlearningoutcomes |