Dr.Song Lecture Series

overview and discussion on frailty assessment and management. This lecture was given at the Annual meeting of Seoul National University College of Medicine Alumni Association in Washington D.C,

discussion on hospice eligibility and referral process in nursing home setting. Emphasized on social, psychological, spritual aspects of care that the hospice multidisciplinary teams can provide the patients/families with terminal illness.

discussion on unprecedented COVID-19 surge due to Omicron variant and how to fight Omicron. Reviewed the research data from Israeli study regarding natural immunity, immunity from vaccination, and hybrid immunity . Cocluded that currently authorized COVID-19 vaccines are highly effective and safe and recommended staff to get boosted with one of them.

Reviewed updated scientific information about COVID-19 vaccines and discussed misinformation and anti-vaccine movement & vaccine conspiracies. Supported staff to make their vaccination decision.

discussion on the 2nd surge of COVID-19 in US and review on a new m-RNA vaccine and its efficacy and safety. discussed on herd immunity and provided decision making guidance on vaccination and encouraged staff to receive the vaccine as a way to show compassion to others.

reviewed current data regarding COVID-19, background data on Influenza and efficacy of flu vaccine , discussed concern and hope about possible COVID-19 2nd wave this fall/winder. emphasized the importance of flu vaccine and non-pharmacological interventions as solution to both epidemic. encouraged staff to continue infection control measures at nursing home to protect vulnerable residents.

discussion on COVID-19 outbreak in NH, why it happens so widely, COVID-19 fatality rate in NH population, how to control outbreak in terms of infection control as well as medical treatment for individual patient care

overview on noval coronavirus, COVID-19 pandemic, severity and risk factors of COVID-19, symptoms, issues on testing, potential treatment, mitigation strategy, self protection , proper PPE use

discussion on burdens of UTI in NH, recognition of asymptomatic bacteriuria(ASBU), hazards of unnessary antibiotic treamtent of ASBU, developing a care plan for suspected UTI by using SBAR.

overview on delirium : definition, etiologies, risk factors, impact & outcomes, screening tools, treatment and prevention.

discussion on falls in people with dementia, why higher falls with dementia, unsafe behaviors as falls risk in dementic patients, behavioral interventions , redirection techniques, video cases.

discussion on falls in nursing homes, its consequences, fall risk factors, fall prevention interventions, low blood pressure precaution, get up to go test as fall screening tool, overview on FMP (fall management program)

overview on falls in elderly, why it matters, fall prevention strategies, multifactorial risk assessment, reduction of fall risks, Morse fall scale, case study

discussion on definition, key characteristics of delirium, short & long term impact of delirium, risk factors, causes of delirium, delirium screening tools, treatment, introduction of HELP(Hospital Elder Life Program), suggestion of founding BID-Milton hospital delirium task force.

discussion on NH resident rights, F241 tag, challenges in caregiving in NH, video case sutdies

This talk was given to the high school, college students volunteering at BID-Milton hospital. discussed on my life story, my roles as a physician and medical director, challenges of aging population in US, polypharmacy, frailty, who's geriatrician, hope for the future - technology for seniors, remote patient monitoring(RPM), home based primary care, my personal vision.

discussion on how to run polypharmacy review committe, how to process the review : ARMOR (Access, Review, Minimize, Opitmize, Reaccess)

overview on demographics of NH residents, causes and impacts of polypharmacy, pharmacokinetics in geriatric population, recommendations for polypharmacy reduction.

discussion on frailty, why it matters, introduction on frailty index and its clinical use. discussion on use of modern tools in fall prevention and management : smartwatch with sensors.

discussion on definition, characteristics of definition of frailty, its clinical implications & its outcome, frailty management.

discussion on pain assessment and management in SNF/LTC setting, barriers for proper pain management, analgesics review.

discussion on re-hospitalization issue with CHF, COPD patients, nursing interventions to prevent unnecessary hospitalizations in CHF, COPD patients

overview on problems of hospital readmission, HRRP(Hospital Readmissions Reduction Program), high risk patients, better post-discharge care, readmission reduction interventions, lessons from literatures

discussion on the problems of hospital readmissions, proficient & skilled nursing with risk assessment, prediction of poor outcome and preparation of actions, use of SBAR