Geriatric Research Education and Clinical Center (GRECC)

• Mechanisms of recovery and the development of novel treatment strategies for stroke, vascular dementia, Alzheimer’s disease and the chronic effects of TBI
• Pharmacoepidemiology, drug safety and clinical and translational informatics to improve medication and patient safety in the long-term care setting
• Novel rehabilitation paradigms for stroke, aphasia, frailty and cardiac disorders
• Developing novel clinical care systems that address pain and long term care in elderly Veterans

• Role of tau protein and drug discovery for Alzheimer’s Disease and chronic traumatic encephalopathy
• Mechanisms of white matter injury and recovery in stroke, vascular dementia and TBI
• Novel clinical pathways for elderly Veterans with chronic low back syndrome
• Prehab and modified cardiac rehabilitation for older adults
• Novel rehabilitation strategies for motor and language
• Identifying risk factors for elder abuse in older Veterans

• Interactive interprofessional education activities during which students teach each other
• Training of primary care-based practitioners in evidence-based interdisciplinary chronic pain management
• Advanced training in geriatrics scholarship following completion of clinical training

• Improved access of rural Veterans with cognitive decline to interdisciplinary telehealth team
• Collaboration regarding telehealth care to rural Veterans w/other GRECC clinical teams throughout the nation in the Virtual Geriatrics group (previously GRECC Connect)
• Implemented e-consults to reconcile medications and deprescribe inappropriate medications in older Veterans
• Ongoing intensive therapy program to improve aphasia (Program of Intensive Residential Aphasia Treatment and Education - PIRATE) and successful implementation to other sites
• Virtual caregiver support program for caregivers of Veterans with dementia
• Innovative cardiac rehab program that manages cardiovascular disease in older adults and addresses the context of multimorbidity, frailty, cognitive impairment, disability and polypharmacy

Robot-Assisted Arm Training in Chronic Stroke: Addition of Transition-to-Task Practice Neurorehabil Neural Repair https://pubmed.ncbi.nlm.nih.gov/31328671/

Aging Back Clinics-a Geriatric Syndrome Approach to Treating Chronic Low Back Pain in Older Adults: Results of a Preliminary Randomized Controlled Trial Pain Med https://pubmed.ncbi.nlm.nih.gov/31503275/

Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents J Am Geriatr Soc https://pubmed.ncbi.nlm.nih.gov/30306541/

Frailty Among Older Adults With Acute Myocardial Infarction and Outcomes From Percutaneous Coronary Interventions J Am Heart Assoc https://pubmed.ncbi.nlm.nih.gov/31475601/

Role of UCHL1 in axonal injury and functional recovery after cerebral ischemia Proceedings of the National Academy of Sciences https://www.researchgate.net/publication/331095767_Role_of_UCHL1_
in_axonal_injury_and_functional_recovery_after_cerebral_ischemia