Our Lady of Fatima University

College of Nursing

NELEC 1: Geriatric Nursing

Course Outline 2nd Semester, 2010 2011

TOPICS FOUNDATION OF NURSING PRACTICE

A. B. C. D.

CHALLENGES OF AGING & THE CORNERSTONES OF EXCELLENCE IN NURSING CARE

E. F. G.

PHARMACOLOGY & OLDER ADULTS

A. B. C. D. E. F. G. A. B. C.

SLEEP AND THE OLDER ADULT

SUB-TOPICS Introduction to Gerontology Demographics of Aging Perceptions of Aging Theories of Aging a. Sociological Theories b. Psychological Theories c. Biological Theories d. Nursing Theories Communication Ethico-Legal Issues End-of-Life Issues Nutrition and Aging a. Normal Aging and Nutrition b. Nutritional Requirements and Aging c. Nutritional Assessment d. Common Nutritional Concerns in the Older Person Cultural Diversity & Medication Safety Pharmacokinetics: Alteration in the Older Persons Polypharmacy Alteration and Complementary Medicine Promoting Adherence & Compliance Assessing Older Patients Appropriate Use of Medication Medication Management Sleep Architecture Normal Sleep and Aging Health Problems and Sleep Disruption a. Dementia

PAIN MANAGEMENT

PHYSIOLOGICAL BASIS OF PRACTICE

b. Snoring c. Urinary Problems d. Alcohol & Caffeine e. Sleeping Medication f. Nursing Intervention A. Pathophysiology B. Pain Relief a. Pharmacologic b. Non-pharmacologic C. Care of the Dying a. Palliative Care b. Hospice Care c. Alternative Care d. Nurses Role PRELIM EXAMINATION A. Sensory a. Vision b. Hearing c. Taste d. Smell e. Physical Sensation f. Critical Care & Emergency Nursing: Integumentary System g. Burns h. Skin Breakdown i. Necrotizing Fasciitis B. Cardiovascular a. Normal Changes of Aging b. Common Illness with older persons 1. HPN, Hypotension 2. Hyperlipedemia 3. Chest Pain, Angina, MI 4. Valvular Heart Disease 5. CHF 6. Arrythmia & Conduction Disorder 7. PVD c. Critical Care & Emergency Nursing 1. Angina 2. Acute MI 3. Heart Failure C. Respiratory a. Respiratory Diseases Common in Older People 1. COPD 2. TB 3. Lung CA 4. Pneumonia

D.

E.

F.

G.

5. Acute Bronchitis 6. Pulmonary embolism b. Critical Care & Emergency Nursing 1. Mechanical Ventilation 2. Pulmonary Embolism 3. Acute Respiratory Distress Genitourinary & Renal System a. Normal Changes of Aging b. Common Genitourinary Concerns 1. Acute and Chronic Renal Failure 2. UTI 3. Urinary Incontinence 4. BPH 5. Menopause Related Concerns 6. Genitourinary Malignancies 7. Gynecological Malignancies c. Sex and the Senior Citizen Musculoskeletal System a. Normal musculoskeletal Changes of Aging b. Common Musculoskeletal Changes of Older Persons 1. Osteoporosis 2. Osteomalacia 3. Pagets Disease 4. Joint Disease - Gout c. Falls & the Older Persons * Hip Fracture Endocrine System a. DM b. Hyperosmolar Non-ketotic Coma c. SAIDH d. Diabetes Insipidus Gastrointestinal Tract a. Normal Changes of Aging b. Common Disorders of Aging 1. Esophageal Disorder 2. Dysphagia 3. GERD 4. Gastritis 5. Peptic & Duodenal Ulcer 6. Diverticular Disease 7. Inflammatory Bowel Disease 8. Diarrhea & Constipation 9. Fecal Incontinence and Rectal Bleeding 10. Liver and Biliary Disorders 11. Gallstones

12. Pancreatitis c. Critical Care & Emergency Nursing 1. GI Bleeding 2. Bowel Obstruction 3. Pancreatitis 4. Liver Failure H. Neurologic System a. Normal Changes of Aging b. Neurologic Disorders 1. Dementia 2. Alzheimers Disease 3. Parkinsons Disease 4. Stroke 5. Seizures c. Critical Care & Emergency Nursing 1. Seizure 2. Status Epilepticus 3. Meningitis 4. SCI MIDTERM EXAMINATIONS CRITICAL CARE AND EMERGENCY NURSING A. Review of Hemodynamics B. Shock a. Cardiogenic b. Hypovolemic c. Distributive C. Trauma & Emergency Care a. ICP b. TBI c. Brain Attack d. Acute Hemorrhage Related to GSW e. Spinal Cord Compression f. Hypothermia g. Near Drowning h. Overdose FINAL EXAMINATION