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Geriatric Research Education and Clinical Center (GRECC)

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Puget Sound GRECC (Seattle and American Lake Divisions)

 

Puget Sound GRECC


The Puget Sound GRECC was established in 1976.  It is a two-site GRECC with personnel in
Seattle and Tacoma, Washington. Currently serving elderly Veterans in Washington State,
Oregon, Idaho, and Alaska.  This GRECC has established a series of video teleconferences
to provide medical education throughout the geographic region it serves and memory
disorders clinics at both divisions.   Its current research interest include:
biology, genetics, etiology, prevention and treatment of neurodegenerative diseases,
pathophysiology of traumatic brain injury and post-traumatic stress disorder, metabolic and
neuroendocrine aspects of aging and neurodegenerative disease, depression, and bioethical
aspects of medical decision making and palliative care.

 

Research:  Biology, genetics, etiology, prevention and treatment of neurodegenerative diseases,
pathophysiology of traumatic brain injury and post-traumatic stress disorder, metabolic and
neuroendocrine aspects of aging and neurodegenerative disease, depression, and bioethical
aspects of medical decision-making and palliative care.

Education: Established a consortium to provide ongoing forums for health care professionals in 
the VA and the community who work with the elderly and to provide local and regional continuing
education programs. A geriatric medicine fellowship, geriatric psychiatry fellowship and a geriatric
residency program have been established.

 

Clinical: Established four clinical demonstration projects across both divisions including the
following: 1) Evaluation and Management of Osteoporosis in Veterans at High Risk for Fracture. 
The project is designed specifically to assess current practices for and improve the identification,
evaluation and management of osteoporosis in patients at high risk for fractures.  2) Testosterone
in Male Veterans
 .  This project is designed specifically to evaluate and improve the diagnosis
and management of male hypogonadism, 3) Detection and Management of Co-Morbid Cognitive
Impairment, Diabetes, and Hypertension in Older
 Veterans in Non-Specialty Setting. This project
is specifically focused on the identification and management of cognitive impairment in high risk
patients (defined as those with both diabetes and hypertension, with one
or both not meeting guidelines for control) and 4) Long-Term Care (LTC) Decision Making Project.
This quality improvement project aims to develop the decision making component of an educational
intervention (The LTC Guide and LTC-SDM [Shared Decision Making] Guide) and to develop strategies
which demonstrate how the educational intervention could be used.