Skip to main content
Erschienen in: The journal of nutrition, health & aging 9/2019

02.10.2019

Frailty, Falls and Osteoporosis: Learning in Elderly Patients Using a Theatrical Performance in the Classroom

verfasst von: María José Robles, A. Esperanza, I. Arnau-Barrés, M. T. Garrigós, R. Miralles

Erschienen in: The journal of nutrition, health & aging | Ausgabe 9/2019

Einloggen, um Zugang zu erhalten

Abstract

Objective

To ascertain the usefulness of a simulated clinical scene with actors in the classroom (theatrical performance) as a teaching tool for the management of falls and their related injuries.

Design

Experimental design of two related groups.

Setting

Spain.

Participants

A group of 12 students attended a seminar in which the approach to a clinical case was made using a simulated scene with actors in the classroom (scene group); a non-scene group of 34 students attended the seminar, without a theatrical performance (the same clinical case was read and presented in a traditional manner, oral presentation).

Measurements

Before and after the seminar, students answered a questionnaire [five questions on theoretical knowledge of falls and osteoporosis (score 0–10) and two on subjective learning perception (linear scale: 0–10) (score 0–20)]. In the scene group were two further questions included at the end on their opinion of the scene and on the seminar overall.

Results

Both groups significantly improved in all questionnaire scores after the seminar (p=0.001). The scene group had a greater rise in mean points of the questionnaire before and after the seminar than the non-scene group: theoretical knowledge [3.81±1.69 versus 2.75±1.33 (p=0.033)], subjective questions [6.08±4.10 versus 4.97±2.24 (p=0.247)], and the questionnaire overall [9.89±4.98 versus 7.72±2.66 (p=0.060)]. The scene group had a very good opinion of the usefulness of the scene and of the overall opinion of the seminar: 9.08±0.95 and 9.41±0.79.

Conclusions

Theatrical performance in the classroom seems to promote better learning than classic oral presentation, providing qualitative value by adding creativity and different approaches to the teaching of medicine.
Literatur
1.
Zurück zum Zitat Formiga F, Rivera A, Nolla JM, Pujol R. Characteristics of falls producing hip fracture in an elderly population. Gerontology. 2004; 50: 118–9.CrossRef Formiga F, Rivera A, Nolla JM, Pujol R. Characteristics of falls producing hip fracture in an elderly population. Gerontology. 2004; 50: 118–9.CrossRef
2.
Zurück zum Zitat Lázaro del Nogal M, González Ramirez A, Palomo Lloro P. Evaluación del riesgo de caídas. Protocolos de valoración clínica. Rev Esp Geriatr Gerontol. 2005; 40: 54–63.CrossRef Lázaro del Nogal M, González Ramirez A, Palomo Lloro P. Evaluación del riesgo de caídas. Protocolos de valoración clínica. Rev Esp Geriatr Gerontol. 2005; 40: 54–63.CrossRef
3.
Zurück zum Zitat Lázaro del Nogal M. Caídas en el anciano. Med Clin (Barc). 2009;133:147–53.CrossRef Lázaro del Nogal M. Caídas en el anciano. Med Clin (Barc). 2009;133:147–53.CrossRef
4.
Zurück zum Zitat Palmer K, Onder G, Cesari M. The geriatric condition of frailty. Eur J Int Med 2018; 56: 1–2.CrossRef Palmer K, Onder G, Cesari M. The geriatric condition of frailty. Eur J Int Med 2018; 56: 1–2.CrossRef
6.
Zurück zum Zitat Rubenstein LZ, Powers CM, MacLean CH. Quality indicators for the management and prevention of falls and mobility problems in vulnerable elders. Ann Intern Med. 2001;135 (8, pt 2): 686–693.CrossRef Rubenstein LZ, Powers CM, MacLean CH. Quality indicators for the management and prevention of falls and mobility problems in vulnerable elders. Ann Intern Med. 2001;135 (8, pt 2): 686–693.CrossRef
7.
Zurück zum Zitat Wendt K, Heim D, Josten C, Kdolsky R, Oestern HJ, Palm H, Sintenie B, Komadina R, Copuroglu C. Recommendations on hip fractures. Eur J Trauma Emerg Surg 2016; 42: 425–431.CrossRef Wendt K, Heim D, Josten C, Kdolsky R, Oestern HJ, Palm H, Sintenie B, Komadina R, Copuroglu C. Recommendations on hip fractures. Eur J Trauma Emerg Surg 2016; 42: 425–431.CrossRef
8.
Zurück zum Zitat Bateman L, Vuppala S, Porada P, Carter W, Baijnath Ch, Burman K, Lee R, Hargus J. Medical Management in the Acute Hip Fracture Patient: A Comprehensive Review for the Internist. Ochsner J. 2012 Summer; 12(2): 101–110PubMedPubMedCentral Bateman L, Vuppala S, Porada P, Carter W, Baijnath Ch, Burman K, Lee R, Hargus J. Medical Management in the Acute Hip Fracture Patient: A Comprehensive Review for the Internist. Ochsner J. 2012 Summer; 12(2): 101–110PubMedPubMedCentral
9.
Zurück zum Zitat Porcel JM, Casademont J, Conthe P, Pinilla B, Pujol R, García-Alegría J. Core competencies in internal medicine. Eur J Intern Med. 2012 Jun; 23:338–41.CrossRef Porcel JM, Casademont J, Conthe P, Pinilla B, Pujol R, García-Alegría J. Core competencies in internal medicine. Eur J Intern Med. 2012 Jun; 23:338–41.CrossRef
10.
Zurück zum Zitat Cranston M, Slee-Valentijn M, Davidson C, Lindgren S, Semple C, Palsson R; European Board of Internal Medicine Competencies Working Group. Postgraduate education in internal medicine in Europe. Eur J Intern Med. 2013;24:633–8.CrossRef Cranston M, Slee-Valentijn M, Davidson C, Lindgren S, Semple C, Palsson R; European Board of Internal Medicine Competencies Working Group. Postgraduate education in internal medicine in Europe. Eur J Intern Med. 2013;24:633–8.CrossRef
11.
Zurück zum Zitat Elley CR, Clinick T, Wong C, Arroll B, Kennelly J, Doerr H, Moir F, Fishman T, Moyes SA, Kerse N. Effectiveness of simulated clinical teaching in general practice: randomised controlled trial. J Prim Health Care. 2012; 4: 281–287.CrossRef Elley CR, Clinick T, Wong C, Arroll B, Kennelly J, Doerr H, Moir F, Fishman T, Moyes SA, Kerse N. Effectiveness of simulated clinical teaching in general practice: randomised controlled trial. J Prim Health Care. 2012; 4: 281–287.CrossRef
12.
Zurück zum Zitat Roberts D. Vicarious learning: A review of the literature. Nurse Educ Pract 2010:10;13–16.CrossRef Roberts D. Vicarious learning: A review of the literature. Nurse Educ Pract 2010:10;13–16.CrossRef
14.
Zurück zum Zitat Robles MJ, Esperanza A, Pi-Figueras M, Riera M, Miralles R. Simulation of a clinical delirium scenario with actresses in the classroom: a useful method of learning clinical delirium management. Eur Geriatr Med 2017; 8:474–479.CrossRef Robles MJ, Esperanza A, Pi-Figueras M, Riera M, Miralles R. Simulation of a clinical delirium scenario with actresses in the classroom: a useful method of learning clinical delirium management. Eur Geriatr Med 2017; 8:474–479.CrossRef
15.
Zurück zum Zitat Cohen J. Statistical power analysis for the behavioral sciences. Hillsdele NJ. Lawrence Erlbaum Associates. New York NY: Academic Press, 1988. Cohen J. Statistical power analysis for the behavioral sciences. Hillsdele NJ. Lawrence Erlbaum Associates. New York NY: Academic Press, 1988.
16.
Zurück zum Zitat Casado A, Prieto L, Alonso J. El tamaño del efecto de la diferencia entre dos medias: ¿estadísticamente significativo o clínicamente relevante?. Med Clin (Barc). 1999;112:584–588. Casado A, Prieto L, Alonso J. El tamaño del efecto de la diferencia entre dos medias: ¿estadísticamente significativo o clínicamente relevante?. Med Clin (Barc). 1999;112:584–588.
17.
Zurück zum Zitat Fisher JM, Walker RW. A new age approach to an age old problem: using simulation to teach geriatric medicine to medical students. Age Ageing. 2014; 43:424–428.CrossRef Fisher JM, Walker RW. A new age approach to an age old problem: using simulation to teach geriatric medicine to medical students. Age Ageing. 2014; 43:424–428.CrossRef
18.
Zurück zum Zitat Rossiter K, Kontos P, Colantonio A, Gilbert J, Gray J, Keightley M. Staging data: theatre as a tool for analysis and knowledge transfer in health research. Soc Sci Med. 2008; 66:130–46.CrossRef Rossiter K, Kontos P, Colantonio A, Gilbert J, Gray J, Keightley M. Staging data: theatre as a tool for analysis and knowledge transfer in health research. Soc Sci Med. 2008; 66:130–46.CrossRef
19.
Zurück zum Zitat Case GA, Brauner DJ. Perspective: the doctor as performer: a proposal for change based on a performance studies paradigm. Acad Med 2010;85:159e63).CrossRef Case GA, Brauner DJ. Perspective: the doctor as performer: a proposal for change based on a performance studies paradigm. Acad Med 2010;85:159e63).CrossRef
20.
Zurück zum Zitat Shapiro J, Hunt L. All the world’s a stage: the use of theatrical performance in medical education. Med Educ 2003; 37: 922–927.CrossRef Shapiro J, Hunt L. All the world’s a stage: the use of theatrical performance in medical education. Med Educ 2003; 37: 922–927.CrossRef
23.
Zurück zum Zitat Nourhashémi F, Andrieu S, Gillette-Guyonnet S, Vellas B, Albarède JL, Grandjean H. Instrumental activities of daily living as a potential marker of frailty: A study of 7364 community-dwelling elderly women (the EPIDOS Study). J Gerontol 2001; vol 56A: M448–M453.CrossRef Nourhashémi F, Andrieu S, Gillette-Guyonnet S, Vellas B, Albarède JL, Grandjean H. Instrumental activities of daily living as a potential marker of frailty: A study of 7364 community-dwelling elderly women (the EPIDOS Study). J Gerontol 2001; vol 56A: M448–M453.CrossRef
25.
Zurück zum Zitat Raîche M, Hébert R, Dubois MF, and the PRISMA partners. User guide for the PRISMA-7 questionnaire to identify elderly people with severe loss of autonomy. In integrated service delivery to ensure persons’ functional autonomy, ed. R. Hébert, A. Tourigny, and M. Gagnon, 147–65. Quebec: Edisem. Raîche M, Hébert R, Dubois MF, and the PRISMA partners. User guide for the PRISMA-7 questionnaire to identify elderly people with severe loss of autonomy. In integrated service delivery to ensure persons’ functional autonomy, ed. R. Hébert, A. Tourigny, and M. Gagnon, 147–65. Quebec: Edisem.
26.
Zurück zum Zitat Tinetti ME. Preventing falls in elderly persons. N Engl J Med 2003;348:42–49.CrossRef Tinetti ME. Preventing falls in elderly persons. N Engl J Med 2003;348:42–49.CrossRef
27.
Metadaten
Titel
Frailty, Falls and Osteoporosis: Learning in Elderly Patients Using a Theatrical Performance in the Classroom
verfasst von
María José Robles
A. Esperanza
I. Arnau-Barrés
M. T. Garrigós
R. Miralles
Publikationsdatum
02.10.2019
Verlag
Springer Paris
Erschienen in
The journal of nutrition, health & aging / Ausgabe 9/2019
Print ISSN: 1279-7707
Elektronische ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-019-1272-0

Weitere Artikel der Ausgabe 9/2019

The journal of nutrition, health & aging 9/2019 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Echinokokkose medikamentös behandeln oder operieren?

06.05.2024 DCK 2024 Kongressbericht

Die Therapie von Echinokokkosen sollte immer in spezialisierten Zentren erfolgen. Eine symptomlose Echinokokkose kann – egal ob von Hunde- oder Fuchsbandwurm ausgelöst – konservativ erfolgen. Wenn eine Op. nötig ist, kann es sinnvoll sein, vorher Zysten zu leeren und zu desinfizieren. 

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Wo hapert es noch bei der Umsetzung der POMGAT-Leitlinie?

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

Das Risiko für Vorhofflimmern in der Bevölkerung steigt

02.05.2024 Vorhofflimmern Nachrichten

Das Risiko, im Lauf des Lebens an Vorhofflimmern zu erkranken, ist in den vergangenen 20 Jahren gestiegen: Laut dänischen Zahlen wird es drei von zehn Personen treffen. Das hat Folgen weit über die Schlaganfallgefährdung hinaus.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.