• Eisenhower Auxiliary’s...
    Eisenhower Medical Center Auxiliary’s annual fund-raising dinner dance is scheduled for Saturday, December 7 at 6 p.m. at the Westin Mission Hills Golf Resort & Spa in Rancho Mirage.

    Meet the residents and celebrate Eisenhower’s commitment to elevating medical diagnostics to the digital era. Proceeds will be directed to the acquisition of state-of-the-art hand-held ultrasound devices and other diagnostic equipment for Eisenhower’s inaugural class of residents and faculty in the School of Graduate Medical Education. click for more

  • Oak Glen Ripe for the ...
    Sometimes it seems like summer never wants to leave the desert. On those dog days of fall, while heat still clings to the Coachella Valley, the mile-high climate of Oak Glen provides the perfect backdrop for autumn family fun.

    An easy, hour-long drive from Palm Springs, Oak Glen is a 15 square-mile hamlet of soft hills, orchards and farms. Because Oak Glen is 10 to 15 degrees cooler than the desert, the air is as crisp and cool as a green apple, often laced with the scent of a cozy fire. This is where trees try on the new fall fashions, displaying brilliant leaves of blazing orange, crimson and gold. click for more

  • 5 THINGS
    1 . Get a Massage - Treat your body to a relaxing or therapeutic massage. Invite your spouse or a friend to join you at the spa.

    2 . Read a New Author - Peruse The New York Times Book Review and find some authors you’ve never read.

    3. Skip Dessert All Week - Muster your willpower and ignore your sweet tooth until Sunday — then savor every bite of a special dessert.

    4. Watch a Documentary - Scan your movie provider and choose an interesting documentary. You might learn something new!

    5. Write a Sweet Note - Write a short, kind note and leave it for a loved one to find. You’ll probably “make their day.”

  • Eisenhower Named Most ...
    For the second consecutive year, Eisenhower Medical Center has been recognized as one of the nation’s “Most Wired” health care facilities, according to the results of the 2013 Most Wired Survey released in the July issue of Hospitals & Health Networks magazine. Eisenhower is the first and only hospital in the Coachella Valley to receive the recognition. click for more
  • Eisenhower Named Leade...
    Eisenhower Medical Center has been recognized as a Leader in LGBT Healthcare Equality in the Healthcare Equality Index 2013, an annual survey conducted by the Human Rights Campaign (HRC) Foundation,... click for more
  • Eisenhower Joins Ameri...
    Eisenhower Medical Center is joining the American Cancer Society for their landmark Cancer Prevention Study-3. The Cancer Prevention Study-3 (CPS-3) is a grassroots effort where local communities can... click for more
  • Figue - Savoring Medit...
    New Mediterranean eatery Figue (rhymes with league), located in La Quinta, is the vision of a passionate owner and an equally enthralled chef who was completely taken by the enthusiasm of his future employer. “The mission statement Lee Morcus posted when advertising for a chef was unlike any mission statement I’d ever read,” says Executive Chef Francois de Mélogue. “I was like the secretary in the Tom Cruise movie Jerry McGuire, who grabbed the goldfish and went with him. I was responding to what his energy was, and I knew what my experience could bring to the table.” click for more

Post-Operative Delirium Prevention Presentation in South Korea

Dr. Sheda Heidarian Invited to Share Eisenhower Findings

Dr. Heidarian [4]
Dr. Heidarian
In July, Eisenhower Medical Center Primary Care Physician Sheda Heidarian, MD, Board Certified in Internal Medicine and Geriatrics, presented at the 20th International Association of Gerontology and Geriatrics World Congress of Gerontology and Geriatrics in Seoul, South Korea. Held every four years, the meeting attracts leading geriatrics scholars, gerontologists, policy decision makers and researchers to share recent discoveries and study results.

Dr. Heidarian was invited to present her findings from a quality improvement project entitled Post-Operative Delirium Prevention in the Elderly Population with Hip Fracture, which she completed with colleagues at Eisenhower Medical Center, most notably Sue Effinger, RN, MSN/ MHA, Director, Neurological Care Unit.

Post-operative delirium is very common in elderly patients, especially in hip fracture patients. Once it develops, morbidity and mortality increase.

“As a geriatrician, I am very aware of delirium and its impact on patient outcomes. Often, delirium is either misdiagnosed or completely undiagnosed. I wanted to establish protocols to raise awareness and to help us prevent post-operative delirium in our patients,” says Dr. Heidarian. “Once diagnosed, delirium is associated with increased risk for death, postoperative complications, longer hospital stays and functional decline. Prevention is key.”

A team was created at Eisenhower to identify patients who might develop post-operative delirium. Led by Dr. Heidarian, the multidisciplinary team included orthopedics, anesthesiology, pharmacy and several nursing directors. The group developed a series of alerts and created a protocol to identify at-risk patients with the ultimate goal of prevention.

Also vital to the team’s efforts was Eric Peterson, EdM, Vice President, Grant Development and Educational Strategy, Annenberg Center for Health Sciences at Eisenhower, who secured a grant to help fund the project and was supportive throughout the team’s development.

““Once diagnosed, delirium is associated with increased risk for death, postoperative complications, longer hospital stays and functional decline. Prevention is key.””
—Dr. Heidarian

Sue Effinger, RN, MSN/MHA [2048]
Sue Effinger, RN, MSN/MHA
Effinger was part of the project from the early stages. “Our goal was to develop a best practice for a community such as ours that has a significant elderly population,” explains Effinger. “It was a complicated process. We educated the nurses on normal aging — what is expected and what is abnormal, as well as the complications of delirium. We then began collecting data. Ultimately, we found that simple interventions make a big difference. Also, the patient’s care must be a team approach involving the patient, family, physicians, nurses, pharmacy and social services.”

The newly developed Care Alert/Criteria System notified all members of the team if a patient met the criteria for certain indicators for potential delirium. Basic criteria included: being 70 years of age or older, malnutrition and/or dehydration, baseline cognitive impairment and the use of certain medications.

“Once a patient at risk was identified, a care plan was implemented incorporating strategies for prevention and detection of early symptoms,” adds Dr. Heidarian. “Our project showed that through identification and intervention the incidence of post-operative delirium was reduced by half.”

This fall, the team plans to take the project into a second phase which will include general surgery patients. The eventual goal is to have every geriatric patient assessed for delirium risk regardless of their diagnosis or reason for admission.

“The project illustrates that through education, teamwork, an awareness of delirium and early intervention, we can prevent post-operative delirium, thereby decreasing mortality and morbidity,” says Dr. Heidarian.