Ascertain the incidence and prevalence of diabetes in Montana.-20 minutes pharmacologic interventions for diabetes, explaining the current rationale …
MONTANA GERIATRIC EDUCATION CENTER MODULES
HEALTH PROBLEMS 2 Contact Hours Each
Cardiovascular Disorders, Larry A Dent, Pharm D, BCPS
Department of Pharmacy Practice, The University of Montana
Description: This module presents an overview of the epidemiology,
associated risk factors, and strategies for prevention of cardiovascular
disease The pathophysiology, clinical presentation, and treatment of
hypertension, dyslipidemia, metabolic syndrome, and ischemic heart disease
are discussed
Objectives:
List incidence and prevalence of cardiovascular disease in older
Americans 10 minutes
Identify risk factors associated with the development of
cardiovascular disease 10 minutes
Describe the importance of lifestyle modifications in the prevention
of cardiovascular disease 10 minutes
Describe pathophysiological mechanisms of atherosclerosis,
hypertension, dyslipidemia, metabolic syndrome, and ischemic heart
disease 45 minutes
Identify the clinical presentation of hypertension, dyslipidemia,
metabolic syndrome, and ischemic heart disease 45 minutes
Describe interventions including
prevention, non-pharmacologic
therapy, and pharmacotherapy for cardiovascular disease 45 minutes
Identify potential complications associated with pharmacotherapy of
cardiovascular disease 30 minutes
Describe appropriate care for geriatric patients as a member of an
interdisciplinary team responsible for management of geriatric
patients with cardiovascular disease 45 minutes
Endocrine Disorders, Betty J Mullette, MSN, RN
Description: This module will present common definitions of endocrine
disorders, specifically pertaining to diabetes and thyroid disorders
Common health screens for these disorders, ethnic and cultural influences
pertinent to the disorders, screening and/or assessment tools, and an
overview of prevention strategies will be included
Objectives:
Ascertain the incidence and prevalence of diabetes in Montana-20
minutes
Distinguish differences between Type 1 and Type 2 diabetes,
hypo/hyperthyroidism and other hormonal changes in the aging
population-30 minutes
Describe common assessment criteria used to diagnose diabetes and
hypo/hyperthyroidism-30 minutes
Describe non-pharmacologic
nursing, dietary, rehabilitation,
pharmacy, medicine, psychology, social work interventions for
endocrine disorders-60 minutes
Contrast pharmacologic interventions for diabetes, explaining the
current rationale for their use-40 minutes
Summarize how health care practices for endocrine disorders may be
affected by ethnic or rural issues-30 minutes
Apply these health promotion practices in his/her professional
setting 30 minutes
Mental Health Problems in Aging, Ann Williams, PhD, PT
Adjunct Professor, School of Physical Therapy Rehabilitation Science, The
University of Montana
Description: This four hour module focuses on common mental health problems
in the elderly, including cognitive disorders, mood disorders, sleep
disturbances and substance abuse Written lecture materials, written
assignments, web based resources, reflective and discussion questions guide
the learning process An opportunity to explore personal attitudes toward
mental health problems and the elderly is provided Etiology,
symptoms/characteristics, interventions, treatment and caring strategies
related to mental health problems in the elderly are addressed
Approaches
to alter disruptive behaviors are identified Mental health challenges of
caring for elderly in community settings are discussed Various resources
for information on mental health of the elderly are introduced
Interdisciplinary collaboration is emphasized
Objectives:
Discuss various factors commonly affecting mental health of the
elderly 5 min
Discuss ethical-legal-medical issues involved in care of the elderly
5 min
Examine origins of personal feelings, reactions, attitudes and
stereotypes of mental health in the elderly 10 min
Explore personal and cultural beliefs of aging and mental health 10
min
Discuss social, cultural, emotional and physiological factors that
influence communication with elderly who have mental health problems
10 min
Describe symptoms/characteristics of cognitive, mood, sleep and
substance abuse disorders in the elderly 15 min
Describe risks factors for suicide in the elderly 5 min
Compare and contrast delirium, dementia and depression 1 hour
Examine interventions and treatment approaches to responding to common
mental health problems in the elderly
1 hour
Describe challenges of meeting mental health need of elderly in the
community 15 min
Explore interdisciplinary approaches to care and treatment of the
mental health needs of the elderly 15 min
Use web-based resources to access information about mental health
research/programs/services for the elderly 30 min
Musculoskeletal Health Problems, Celeste Peterson, MD
Description: This module will aid the student in understanding three of the
most common musculoskeletal problems facing the geriatric population
These 3 are osteoporosis, osteoarthritis and falls in the elderly After
completing each section, the student should understand the pathophysiology
of the disease, risk factors associated with it, how to prevent and
diagnose the illness, and be comfortable with the treatment options
available
Objectives:
Understand the pathogenesis of osteoporosis and explain the causes of
osteoporosis 10 minutes
Differentiate risk factors for osteoporosis and osteoporotic
fractures 5 minutes
Be able to list at least 5 diseases which cause secondary
osteoporosis 5 min
List 3 ways to prevent osteoporosis 5 min
Know the general screening guidelines and Medicares criteria for
reimbursement 10 min
List 4 modes of diagnosis Know which mode is preferred and why 10
min
List the 4 most common medications for osteoporosis treatment List
the pros and cons for using each medication 10 min
Understand the complications of vertebral and hip fractures 10 min
List 2 ways to monitor osteoporosis and which is preferred 5 min
Know the special considerations for glucocorticoid-induced
osteoporosis and osteoporosis in nursing homes 5 min
Understand the pathogenesis of osteoarthritis and how it differs from
simply aging 10 min
Understand the components of cartilage 5 min
List 4 hallmarks for osteoarthritic disease 5 min
List 5 risk factors for osteoarthritis and which joints are affected
5 min
List 5 clinical features of osteoarthritis 10 min
Identify 2 measures which can slow down the progression of
osteoarthritis 5 min
Understand the types of educational programs which improve pain and
reduce costs associated with osteoarthritis 10 min
Identify the components of an exercise
program for osteoarthritis 10
min
List 5 oral medications for the treatment of osteoarthritis and
determine which group of patients should not use each type 10 min
List 4 adjuvant therapies and discuss their effectiveness 10 min
Discuss which patients should undergo joint replacement and the
statistics associated with the elderly 5 min
List 6 general risk factors for falling 5 min
Discuss the screening process for elderly patients at risk for
falling 15 min
Discuss the 3 successful single-interventions and how they may apply
to the learners profession 10 min
List 7 multifactorial assessment/interventions and consider how each
may apply to the learners profession 15 min
List 3 general areas which can cause gait disturbances 5 min
Identify helpful educational recommendations for a patient at risk for
falling 10 min
Discuss how the psychological aspects of falling affect patients 10
min
Central Nervous System and Sensory Dysfunction in Older Persons, Chad
OLynn, PhD, RN, CNRN
Description: This module will present normal changes in the central
nervous system associated with
aging, as well as common changes in vision
and hearing Pathological disorders will be presented in an overview
fashion, with a focus on recognition of typical signs and symptoms,
interventions and treatment, neurological rehabilitation, promotion of
optimal independence and safety, prophylaxis, and interdisciplinary case
management When appropriate, cultural considerations will be addressed
Specific prototype illnesses will be presented to provide a foundation for
nervous system dysfunction in the elderly These illnesses include:
Presbycusis
Glaucoma
Stroke
Objectives:
summarize normal changes associated with aging of the central
nervous system, and with vision and hearing; 40 minutes
summarize pathophysiological mechanisms of neurological
disorderscommonly seen in older persons; 20 minutes
identify acute neurological signs and symptoms which may need acute
intervention; 20 minutes
describe pharmacological strategies for treatment and prophylaxis of
neurological and sensory dysfunction; 40 minutes
analyze potential complications in optimal functional status when
usingneurological medications; 20 minutes
summarize basic principles of neurological rehabilitation; 20 minutes
describe potential detriments to quality of life associated with
vision or hearing loss; 15 minutes
describe potential cultural differences when working with elders with
neurological and/or sensory dysfunction; 20 minutes
synthesize knowledge of geriatric care and nervous system dysfunction
in planning an interdisciplinary approach to care for older persons
with nervous system dysfunction 40 minutes
Cancer in the Elderly, Jeannine M Brant, RN, MS, AOCN
Oncology Clinical Nurse Specialist and Pain Consultant
Description: This module will present an overview of cancer in the elderly
population including :
cancer screening recommendations,
a description of the types of cancer that are most prevalent in the
elderly,
various treatment modalities for each type of cancer including
chemotherapy, radiation therapy, and biotherapy,
common toxicities that elderly patients encounter,
side effect management recommendations for treatment toxicity
Objectives:
Describe the increasing incidence of cancer in the elderly 15 minutes
List the American
Cancer Society cancer screening and assessment
recommendations for breast, cervical, prostate, and colorectal cancer
30 minutes
Discuss quality of life considerations for elderly patients diagnosed
with cancer 45 minutes
Describe the most prevalent types of cancer in the elderly population,
prevention strategies when implicated, presentation differences in the
elderly, and treatment implications for the following cancers: 1 hour 15
minutes
Cancer of the lung and bronchus
Colorectal cancer
Prostate cancer
Breast cancer
Gynecologic cancers
Non-Hodgkins lymphoma
Leukemia
Synthesize treatment considerations in the elderly pertaining to planned
dose on time therapy 30 minutes
List common complications related to cancer treatment and the disease
itself and strategies to manage these side effects of cancer treatment
including:
Neutropenia, Anemia, Thrombocytopenia
Fatigue
Nausea and vomiting
Mucositis
Diarrhea and constipation
Organ toxicities
Dyspnea
Pain-45 minutes
Skin, Wounds and Aging, Karen Zulkowski, DNS, RN, CWS
Associate Professor, Montana State
University-Bozeman, College of Nursing
Description: This module will present an overview on the structure and
function of aging skin Discussion of problems associated with aging skin
includes:
Classification and identification of wounds
Assessment
Current treatment and therapies
Objectives:
Describe changes associated with aging to the skin - 15 minutes
Describe pathophysiological mechanisms of wounds - 15 minutes
Differentiate between different types of wounds common to the aging
population -15 minutes
Identify risk factors associated with wound development -15 minutes
Identify documentation necessary for wound management - 15 minutes
Describe interventions for prevention, and treatment - 60 minutes
Describe potential cultural differences associated with assessment of
risk and pressure ulcer stage -15 minutes
Apply communication skills necessary for care of geriatric patients
with cardiovascular disorders - 15 minutes
Synthesize knowledge of geriatric care in planning an
interdisciplinary approach to care for geriatric patients with skin or
wound disorders - 15 minutes
Urogenital
Disorders, Janet A Hulme, MA, PT
Description: This module will present age-related changes of the
urogenital system, pathologies common in the aging urogenital system, and
male and female differences in the aging urogenital system It will explore
prevention strategies for common urogenital problems including lifestyle
changes, nutrition, exercise and autonomic nervous system training It will
explore common pathologies of the urogenital system and treatment
strategies including medication and surgery
Objectives:
Describe age related changes of the urogenital system 20 minutes
Describe common pathologies in the aging urogenital system - 45
minutes
Describe male and female differences in the aging urogenital system -
20 minutes
Describe prevention strategies for common urogenital problems
including lifestyle changes, nutrition, exercise and autonomic nervous
system training 90 minutes
Describe treatment strategies for common pathologies of the urogenital
system including medication and surgery 45 minutes
Apply these health promotion practices in his/her professional
setting 20
minutes
Source:hsv.k12.al.us
