Geriatric Research Education and Clinical Center (GRECC)

Technology Enhancing Cognition and Health (TECH-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
• Developing novel clinical care systems that address pain and long-term care in elderly Veterans
• Using telehealth to support primary and consultative care, behavioral health, and socialization in the long-term care setting

• 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
• Chronic Pain Management Guide: A Tool for Managing Chronic Non-Cancer Pain
• The TECH-GRECC Age Friendly Workshop enhances the dissemination and implementation of the Geriatric 5Ms for VA health professions trainees

• Improved access of rural Veterans with cognitive decline to interdisciplinary telehealth team (Promising Practice TeleDementia Clinic)
• 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 (Geriatric Polypharmacy e-consults).
• Virtual caregiver support program for caregivers of Veterans with dementia (Promising Practice Teledementia Caregiver Support Group)
• Innovative cardiac rehab program that manages cardiovascular disease in older adults and addresses the context of multimorbidity, frailty, cognitive impairment, disability and polypharmacy(Gero-Fit)
• Improved care of older Veterans with chronic low back pain (Aging Backs Clinic).
• Promote successful transitional care, which translates into improved process measures (e.g., medication reconciliation) and outcomes (e.g., avoidable ED/hospitalization) (COMPASS transitional care program).

• Classification of Geriatric Low Back Pain Based on Hip Characteristics with a 12-Month Longitudinal Exploration of Clinical Outcomes: Findings from Delaware Spine Studies. https://pubmed.ncbi.nlm.nih.gov/34636887/
• Physical Frailty Phenotype and the Development of Geriatric Syndromes in Older Adults with Coronary Heart Disease. https://pubmed.ncbi.nlm.nih.gov/33242482/
• Transforming the Medication Regimen Review Process Using Telemedicine to Prevent Adverse Events. https://pubmed.ncbi.nlm.nih.gov/33233016/
• Association Between Patient Frailty and Postoperative Mortality Across Multiple Noncardiac Surgical Specialties. https://pubmed.ncbi.nlm.nih.gov/33206156/
• Post-mortem analyses of PiB and flutemetamol in diffuse and cored amyloid-β plaques in Alzheimer's disease. https://pubmed.ncbi.nlm.nih.gov/32772265/

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