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Week 8 - Geriatric Syndromes (Alena Schoeller)

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Week 8 - Geriatric Syndromes (Alena Schoeller)

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Inouye (2007): "Geriatric Syndromes"
1. How does having a geriatric syndrome impact overall health/well-being of a person as well as access to proper treatment of symptoms?

2. In what ways could we make early identification of geriatric syndromes easier?

Quinones (2011): "How Does Trajectory Vary Across Cultures"
3. What factors and changes are most important in evaluating why chronic illnesses vary across different ethnicities?

Arcury, Grzywacz et. al (2012): "Older Adult’s Self-Management of Daily Symptoms"
4. Why is there a decline in use of complementary therapies in older adults compared to younger people?

"Normal Aging Changes"
5.  What are some of the most significant age-related changes that occur to the human body as we get older?

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Alisha Nolden and Abby Henke

-"LGBT Older Adults in Long-Term Care Facilities": What are the possible issues affecting LGBT Older Adults that were reported during the survey? How will these statistics affect you in your future career? (Alisha)

-"Aging and Place in Long-Term Care Settings: Influences on Social Relationships": Many of us work at hospitals or long-term care facilities as CNAs and know how important relationships with friends and family are. What actions can you take to help residents build or maintain relationships? (Alisha)

-"Growing Old Behind Bars: Health Profiles of Older Male Inmate Population in the United States": Do you believe inmates are given different health treatment and care like we talked about with older adults? (Alisha)

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Kate Palmer - What are some stereotypes concerning ageism you have heard from someone or said yourself? What can you personally do to stop the spread of these stereotypes to help advocate for this aging population?

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"The Baby Boomers'   Intergenerational Relationships"

- What can we do as healthcare providers (physically/emotionally) for baby boomers who lack filial support, considering they themselves likely cared for their own parents as they grew older?

"Custodial Grandparents                   Raising Grandchildren"

- Many custodial grandparents face numerous barriers that hinder them from obtaining guardianship or legal custody of their grandchildren.  What are your perceptions surrounding custodial grandparents?  Do you believe they should have the same access to services as parents?

"Stress among Caregivers of Chronically Ill Older Adults"

- What stress relief methods would you offer to a caregiver caring for a chronically ill older adult?  How would these methods benefit them in the long run?

"Health Impacts of Caregiving for Older Adults With Functional Limitations: Results From the Singapore Survey on Informal Caregiving"

- The article explains health impacts correlated with caring for older adults that require human assistance of at least one ADL. Considering all of us are CNAs, what health impacts have you experienced when taking care of one or more individuals who need assistance with ADLs?

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Greenlee (2012): "Take a Stand"

1.What are possible ways to prevent elder abuse? Are there any changes that can help reduce the number of incidences?
2. What are risk factors in older adults that make them potential targets of abuse?

NYC Elder Abuse Center (2014): "Intimate Partner Violence"

1. How does gender roles relate to intimate partner violence? Are men or women more likely to be abused?
2. How does intimate partner violence differ from elder abuse? Is the difference significant?

Dong (2012): "Policy Implications for Elder Abuse."
1. Why do you think there is a lack of understanding and research with elder abuse?
2. How is the Elder Justice Act significant to the research of elder abuse?

DeLiema (2012): Latino Elder Abuse
1. What factors contribute to a lack of research in Latino elder abuse?
2. As a nurse, how would you assess for abuse in a Latino client?

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Johnson Article Questions (Rachel):

What may put an older adult at a higher risk for a sexually transmitted infection?

As a nurse, how can you promote sexual health in the older adult population?

Are there any resources you can offer an older adult related to this are of health?

Taylor Article Questions (Rachel):

Do you think ageism and stereotyping play a role in health care providers not discussing STIs or HIV with the older adult population?

What can cause a decrease in sexual interest and function in older adults?

Joblonski et. al. Article Questions (Justin):

- How does HIV affect “successful aging?”

-What factors contribute to adults ages 50-64 disclosing their sexual orientation compared to adults 65 or older?

-What is cART? What type of metabolic issues can cART cause?

Steinke Article Questions (Justin):

-How does chronic illness affect sexuality in the older adult?

-What techniques can nurses use to discuss the effect chronic illness has on sexuality?

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Asians and Dementia (2012)
1. Since there are differences in beliefs about dementia between Asians and the Western culture, how can nurses implement teaching about dementia to this population if they are not coming to healthcare facilities in the first place?

Hispanics and Dementia (2012)
1. Since mostly females are the caregivers for Hispanic family members and part of the culture is not admitting the family member is causing you stress, what are cares that can be done to help the caregivers in order to reduce caregiver stress?

African Americans and Dementia (2012)
1. As our population becomes predominately African American,  do you think that there should be more education in health care facilities on decreasing discrimination and ensuring that there is fair treatment for all races?

Chinese and Dementia (2012)
1. How would you respond to a patient of Chinese ethnicity if they said that their grandmothers dementia was a result of fate and a part of normal aging?

Views of First Nation Elders on Memory Loss
and Memory Care in Later Life (2010)
1. Do you think that it is right for us to go into Indigenous cultures, learn about dementia, and then teach them about Western medicine and say that many of their cultures traditions or beliefs about dementia are wrong?
2. How do you think their beliefs on preventing dementia or decreasing the loss of intellect compare to our beliefs on prevention?

The Village of Hogewey (2014) and Reflections on a Visit to a Dementia Care Village (2013)
1. Do you think that this type of care facility could help to decrease the progression of depression in Alzheimers patients and their family members?
2. Why do you think the aspect of having the Alzheimers patients live a "normal" life in this village helps with their symptoms and disease progression?
3. Do you think that this is a feasible and type of facility that could be implemented and accepted all across the United States? Why or Why not?

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"Social Justice, Health Disparities, and Culture in the Care of the Elderly"

-How do you think we can provide more adequate health care literacy to people with diverse cultural backgrounds about dementia and Alzehiemers without going against their beliefs? So in a way that everyone can equally understand.

"Disparities in Health and Disability Among Older Adults in Same-Sex Cohabiting Relation Ships"

-This article states that older same-sex couples are at a higher chance of being under physical and psychological stress. How do you think, with the growing population of LBGTQ community, will this effect the number of hypertensive and diabetic patients?

"Racial Differences in Minnesota Nursing Home Resident's Quality of Life: The Impotence of Looking Beyond Individual Predictors"

-If you are a CNA, have you ever had any ethnically diverse residences? If so did you notice any biases for these residents?

"Do Successful Agers Live Longer? The Vitality 90+ Study"

-What specific items do you think are essential for a person to live and age successfully?

"Social determinants of health"

-Describe what you think health disparities means? Now with your description what are 2 things you think you could do to help lessen the gap of these disparities?

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(Kelsey Jenny)

“For the Elderly, Emergency Rooms of Their Own”

Do you think there should be specific emergency rooms to treat the elderly population in cases of medical emergencies?

Do you think some of their health conditions are overlooked due to the other urgent emergencies, trauma, and the variety in the population the doctors are treating in the emergency room?

One advantage I thought was crucial in the article to an elder specific emergency room are the resources available including case managing to set the elderly patient up with follow up care and education which can extremely decrease their risk of further emergency visits.

“Educational Strategies to Promote Professional Nursing in Long-Term Care”

Have you encountered barriers during experiences of working in a long-term care facility?

If so, what barriers have you encountered that have factored into negative connotations in a long-term care facility?

Additionally, what implementations or strategies can be enforced to promote speciality nursing in the geriatric long-term care setting?

“Nursing Student Attitudes Toward and Preferences for Working With Older Adults”

How has your clinical placement affected your ideals or preferences toward certain populations or units?

How has our class “Professional Nursing Older Adult” changed your bias or ideals toward the geriatric nursing?

“Developing Positive Attitudes Toward Geriatric Nursing Among Millennials and Generation Xers”

While in nursing school clinical, how would participating in sensory simulations to replicate the older adult's experience of aging help to change attitudes toward geriatric nursing?

Would nurses’ perceptions of older adults change if nurse educators implemented training for students and staff on the didactic activities?

Additionally, how would incorporating chronic illness management for the elderly promote optimal health versus preventative measures?

“NICHE ACE Model”

Do you think acute care elderly units would prevent functional decline?

What nursing interventions would be in place and specialized for an ACE unit?

“’With a bit of tweaking…we could be great’. An exploratory study of the perceptions of students on working with older people in a preregistration BSc (Hons) Nursing Course”

How has Edgewood’s nursing curriculum influenced your perceptions on working with the older adult?

Additionally, do you believe that your clinical setting has impacted your attitudes toward working with the older adult positively or negatively?

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Week 7: Economic Challenges (Kylie Kubly)

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Week 7: Economic Challenges (Kylie Kubly)

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"Paying for Retirement"
* Before reading "Paying for Retirement," did you already have a preconceived notion or thought on which sex would be more included in an employer-provider retirement plan? If so, were you surprised at the end results of the proportions of men and women with retirement plans?

"Aging and Well-being"
* Besides having an obvious improvement in the use of medicine and technology, what else do you believe has had a significant impact on long life expectancies?

"Disparities in Health Status and Healthcare Access"
* Please share an idea of how health care personnel could gather more AIAN in order to increase the rate of doctor visits and decrease the amount of delayed medical care given.

"Anticipatory Socialization for Retirement"
* Anticipatory socialization is a role theory that consists of planning for retirement.  What factors play a role in having a more successful and beneficial retirement?
* Think about an example of two professions.  One person has worked as a Registered Nurse for 45 years and another person has worked the same amount of years as a Certified Nursing Assistant.  Who would you predict to plan more for their retirement?

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-Keegan Kamps

“Substance Abuse”

1.     It talks about how 70% of older adults are abusing nonprescription drugs, “over the counter”; do you think that there is more that we can do as health care workers to prevent this abuse other than education? Should there be laws and restrictions put on over the counter items?

2.     Tobacco is one of the greatest causes of disease.  Is there anyway that us as nurses can reduce the widespread use to reduce morbidities later in our patients lives.  Again, is education all that we can do?

“The Effects of Loss of Loved Ones on Life Satisfaction Among Residents in a Southwest Retirement Community: The Mediating Roles of Social Connectedness”

1.     When someone looses a spouse, or someone who has a very close relationship with, do you think it is right to push that person to move on, get the person back up and interested in things? Or, Should we let them be alone? Is there a right and a wrong to this?

2.     Do you think that loosing a loved one always leads to life dissatisfaction? How can this be directed to life satisfaction even with the loss of the loved one?

“Metaphors for retirement: Unshackled from schedules”

1.     How many people do you know that are working and are pasted the retirement age? Why are they working? Do you think this has something to do with money, status, living longer, independence, etc.?

“Retirement and subjective well-being”

1.     Do you think involuntary retirement is right? There is data supporting that unemployment is having adverse effects on a person’s well being.

2.     Why do you think that working brings people happiness?

“Male depression suicide”

1.     How do you think that we can change the challenge for men to seek medical expertise and healthcare? How do we make sure that when men do seek help, they are not viewing themselves any different before coming in?

2.     Should diagnosis of depression be reframed? Do you think this would help?

“Multifactorial discrimination as a fundamental cause of mental health inequities”

1.     Do you think there will be a time without discrimination? How can healthcare workers in general provide a safe environment for those who need help?

2.     Are there stereotypes put on healthcare workers that it is not a safe place and judgments will be made?

3.     Are rationalizations being made because of someone’s race, orientation, or beliefs?

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(Savanna)
On the Frontlines of VA Women’s Health

Will they provide special counseling services related specifically to sexual abuse due to the high rates of sexual abuse of women in the military?

Should there also be programs to specially address the needs of transgender and homosexual veterans and what they experienced while deployed?

Would it be helpful to have specific units assigned to gender? For example in the mental health department have one floor be male and one be female?

Aging Veterans: Needs and Provisions

What interventions can be done for older patients with dementia who are relieving their past and going through the stress of their service years?

Are there special substance abuse programs that relate specifically to the older adult veteran?

Should extra funds be allocated specifically for aging veterans, even those whose physical disabilities are not directly related to their service?

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Robinson-Lane, S. G., & Booker, S. Q. (2017)

1. How can we as nurses try to assess and become more aware of our biases towards minorities, in particular African Americans, and in return provide better pain management for them? (Jordan)

Spencer, C. & Burke, P. (2011)

1. How are we able to differentiate between a patient who is not expressing pain because they don't have any or because it's a component of their culture to hide it? (Jordan)

Mossey, J. M. (2011)

1. How can we encourage adequate pain reporting from the patient who is from a culture where pain is not often discussed or admitted? (Jordan)

Frisch, S. (2014)

1. How can we go about as nurses starting conversations with patients from different cultures to assess how they perceive pain? (Jordan)

Kwok, W., & Bhuvanakrishna, T. (2014)

1. Is the reason minority cultures are not getting adequate pain management due to the lack of giving meds from physicians/nurses or because the patients do not express their need for pain meds? (Jordan)

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CULTURAL SENSITIVITY AND ADVANCED DIRECTIVES - Zager et al. (2011)

What are some ways healthcare providers can incorporate cultural awareness into end of life planning and documentation of advance directives?

QUALITY OF LIFE FACTORS - Zhang et al. (2012)

This article talks about commonly reported interventions that improve quality of patient's end of life experience. Think about what would bring you, a family member, or close friend comfort and peace of mind if they received a terminal diagnosis.

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Robinson-Lane, S. G., & Booker, S. Q. (2017)
How can we change the stigma of distrust in the healthcare system and allow African Americans to report pain and receive better pain management?

Spencer, C. & Burke, P. (2011)
How can we  become more aware of cultural differences and their practices related to pain?

Mossey, J. M. (2011)
How can we assess our own biases and eliminate the racial/ethnic disparities in pain management?

Frisch, S. (2014)
How can we assess pain in a patient in which we have a language barrier with and a translator is unavailable?

Kwok, W., & Bhuvanakrishna, T. (2014)
How can we encourage patients of different culture to report pain and how can we decrease the negative stigma related to reporting pain to allow patients to receive better pain management?

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Brittany Hudziak
Converse  (2016)
How can we help family's the emotions of losing someone, are there new services hospitals need to provide?

Connolly, Sampson, Purandare (2012)
What are some methods that nurses can use to mange dementia patients who are at the end of their life and their (family) cultural beliefs?