Holistic Approach to Promotion of Successful Aging and Risk Reduction
College of Veterinary Medicine, Nursing, & Allied Health
School of Nursing and Allied Health
Tuskegee University

Tuskegee University's principal investigator Kate Jackson, MSN, recruited Dr. Martha Crowther, clinical psychologist from the University of Alabama's School of Public Health, Department of Health Behavior, to teach this course. First offered in the fall of 2004 as a pass/fail elective, it aimed to attract and introduce to gerontology nursing, as many junior and senior baccalaureate students as possible. Dr. Crowther, an under-40 African-American female, bonded quickly and easily with her 21 student all African-American female class, given her own youth, shared gender and ethnic background, affiliation with a profession separate from nursing, and her unique psychological, ethno-geriatric perspective.

At the course's beginning, Dr. Crowther used the Palmore's Facts on Aging Quiz to track her students' knowledge level regarding older adults, and to in turn, motivate discussion. She learned that in their short lives to that point, they simply had not given much thought at all to senior citizens; they had no idea for instance, that their own parents and grand-parents were members of the fastest growing segment of our nation's aging population, ethnic minorities. Throughout, she made the topics relevant to her students. When discussing use of the Mini-Mental Exam, she had her students take the exam themselves, inspiring conversation regarding the use of cognitive function evaluations on the elderly. She used the 2004 presidential election to liven up classroom discussions, as she related politics and health care issues to elders.

Although curriculum development pre-dated her recruitment, she modified the coursework to include gerontology-psychology. She integrated material from Gwynn Yeo's Curriculum in Ethno-Geriatrics, an excellent resource. For instance, when discussing elders' declining physical health, she alerted her students to learn and recognize the often accompanying early signs of depression. She brought in timely discussion topics from her favorite National Public Radio, and used case examples to demonstrate issues. For instance, to begin discussion about the infusion of the role of religion/spirituality in health care, she discussed her colleague's interview with an older African American gentleman, who refused medication for his hypertension because, "God will fix it." Lively discussion ensued regarding the nurse role when patient belief systems sabotage recovery.

Each student located an older adult in her community to interview. She related the interview to a topic of her choice that had been covered in class (i.e. the Depression, World War II, 9/11's impact, child rearing, etc.). Dr. Crowther reports that these interviews significantly increased student awareness of the many struggles and triumphs experienced by our nation's elderly, whose lives have endured through so many decades. (Student interviews)

Given that gerontology/psychology is rarely taught at the undergraduate level, Tuskegee was lucky to find Dr. Martha Crowther to offer such a course. Not only did she enhance the curriculum with a unique ethno/psych geriatric perspective, but she also brought experience and passion to the classroom that ignited student interest and ensured the course's continued popularity.

Palmore's Facts on Aging Quiz

Mini-Mental Status Exam

Curriculum in Ethno-Geriatrics

Instructor Evaluation Summary

Syllabus

Student Interviews with Elders

Lessons Learned

Principal Investigator Contact Information

Katie L. Jackson, MSN
Assistant Professor
Tuskegee University
College of Veterinary Medicine, Nursing and Allied Health
209 Basil O'Connor Hall
Tuskegee, Alabama 36088
334-727-8188
kljackson@tuskegee.edu

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