Course
Description:
This course provides an in-depth analysis of specific concepts
related to alterations in health of the older adult, especially the frail older
adult. The focus is placed on research-based interventions to guide practice to
assist older adults to cope with chronic alterations in health. Emphasis is to
improving quality of care for the most frail and disable older adults across the
continuum of long term care.Prerequisites: None Course
Objectives:
At the end of the course, the student will
be able to: - develop a knowledge base of specific concepts and
nursing management strategies to promote health of frail older adults.
-
explore innovative nursing interventions for older adults with complex health
problems incorporating formal and informal resources.
- analyze selected
problems to improving patient outcomes across different types of health care settings
across the continuum of care.
- discuss selected Gerontological case studies
utilizing an expanded knowledge base derived from current practice and research
in Gerontological literature.
Course Requirements: - Class
Participation - students are expected to participate in the discussion board area
from the required and assigned readings
- Completion of an evidenced based
management protocol paper. From the literature, the student will develop a management
protocol to predict a successful outcome for a long-term care problem.
- Completion
of two written case presentations. Students will be given case studies reflecting
clinical problems encountered in frail older adults. Strategies for assessment
and management will be discussed.
- A final written exam will be administered.
Method of Evaluation and Grading: Students will be evaluated
by:
| Seminar
Participation | 10% |
| Evidence-Based
Management Protocol Paper | 35% |
| Two Written Case
Studies | 35% |
| Final
Examination | 20% |
| Total
: | 100% |
For
graduate credit, students will design a project to determine the effectiveness
of the intervention chosen in the Management Protocol paper. Students
are also expected to evaluate the course by completing a standardized course evaluation
form (CEQ & FEQ) Required
Text: Stone,
J.T., Wyman, J.F. & Salisbury, S.A. (1999). Clinical Gerontological Nursing:
A Guide to Advanced Practice. (2nd ed.) Philadelphia: W.B. Saunders Company. In
addition, readings will be assigned from a variety of selected periodical literature. (Contact
the UMB Bookstore at 410-328-7788 to purchasing information. Email umb@bkstore.com
for details about the UMB bookstore.) Policy
- Academic Integrity and Conduct:
Students
are referred to the University of Maryland School of Nursing Student Handbook
for all policies regarding academic integrity and conduct. These include the University
of Maryland System Policy on Faculty, Students and Institutional Rights and Responsibilities
for Academic Integrity, the School of Nursing Statement of Student Rights and
Responsibilities, and the University of Maryland Graduate Policies and Procedures
for Academic Misconduct.
Nurs
418: Processes of Aging | CLASS
|
TOPIC
|
READINGS
| |
MODULE
1 The
Long Term Care Continuum
| The
Oldest Old Virtual
Field Trip - Eden Alternative |
Stone,
Wiseman and Salisbury – Chapters 1 & 2 |
|
| Quality
of Care and Quality
of
Life Issues - Political, Social, and Economic
|
| |
| End-of-Life
Care Health
Care Decision Case Study
|
| |
MODULE
2 Comprehensive
Geriatric Assessment
| Interdisciplinary
Care of Older Adults |
Stone,
Wiseman and Salisbury – Chapters
5, 6, 9 Ms.
Evelyn G Multidisciplinary Case Study - http://geri-ed.umaryland.edu/
(AHRQ)"Outpatient
geriatric evaluation and management programs slow functional decline of the elderly."
| |
| Components
of a Comprehensive Geriatric Assessment Functional
Assessment Tools |
http://www.hartfordign.org/resources/education/tryThis.html
| |
MODULE
3 Assessment
of Social Support Issues
| Rehabilitation,
Deconditioning and Restorative Care |
Stone,
Wiseman and Salisbury – Chapters
8, 12 | |
| Structure
of Social Support Systems for the Elderly |
Marge
and Walter Video by Video Press | |
MODULE
4 Quality
Indicators I – Problems
| Falls
in the Elderly |
Stone,
Wiseman and Salisbury – Chapters
10, 13, 15 http://www.hartfordign.org/resources/education/tryThis.html http://www.geronurseonline.org/
| |
| Urinary
Incontinence |
| |
| Pressure
Ulcers |
|
MODULE
5 Quality
Indicators II – Issues
| Nutrition
and Dehydration |
Stone,
Wiseman and Salisbury – Chapters
14, 21, 25, 28 | |
| Pain
in the Elderly |
http://www.americangeriatrics.org/products/chronic_pain.pdf
| |
| Restraint
Use in the Elderly |
http://www.americangeriatrics.org/products/positionpapers/restrain.shtml http://www.geronurseonline.org/ |
MODULE
6 Management
Challenges
| Parkinson’s
Disease Congestive
Heart Failure Alchoholism
| Stone,
Wiseman and Salisbury – Chapters
19, 21, 23 www.parkison.org http://nsweb.nursingspectrum.com/ce/ce101.htm
| Required
Text: Stone,
J.T., Wyman, J.F. & Salisbury, S.A. (1999). Clinical Gerontological Nursing:
A Guide to Advanced Practice. (2nd ed.) Philadelphia: W.B. Saunders Company.
| 
