NURS 3540 Gerontological Nursing Module 1 Active Learning Guide PDF

NURS 3540 – Gerontological Nursing Module 1 Active Learning Guide Module 1 Active Learning Guide Chapters 1 & 2 Purpose/Overview Active learning guides help students focus their study time using knowledge-level information, then concentrate on applying and analyzing knowledge to provide a context co...

NURS 3540 – Gerontological Nursing Module 1 Active Learning Guide Module 1 Active Learning Guide Chapters 1 & 2 Purpose/Overview Active learning guides help students focus their study time using knowledge-level information, then concentrate on applying and analyzing knowledge to provide a context concerning the course and career skills. Students should review the active learning guide before engaging with the module content, then work to complete the guide both during and after engaging with the content. An active learning guide is not the same as a study guide or a test blueprint. It serves as a guide to help the student navigate the course and content. The active learning guide is not a complete composite of the information needed for the exam but a guide to navigating the content delivery. Instructions Review the active learning guide before you begin reading and engaging with other content in the module. Looking at the questions beforehand will preview the information you will be learning, including the key concepts and takeaways. As you work through the module content, complete the active learning guide. Some questions may be reflective and require that you finish all content before responding. Students will turn in the completed learning guide on Saturday of the module week at 1159pm. Faculty will review, award points, and return them to students to review prior to the exam. There are a possible 5 earned points for this learning guide. Reading Focus Areas In the text, you will see essential boxes, such as Safety Alerts, which discuss issues related to the care of older adults. Research Highlights contain a summary of pertinent current research related to chapter topics. Resources for Best Practice provide suggestions for further information for chapter topics and tools for practice. Healthy People boxes refer to goals cited in Healthy People 2023. Clinical judgment and next generation NCLEX examination style questions are located at the end of every chapter. Please review these questions as they are good practice for the NCLEX exam. 1. Health Perspectives: Answer the following questions. a. What is Health? A continuous condition without disease or the appearance of a chronic condition that are maintained to the place where the damage from it is limited (Blood Sugar/Blood Pressure are maintained between unremarkable limits. Homeostasis is maintained. Otherwise reported as optimal function of an organism. Anything outside of the unremarkable normal lab values is considered outside of a healthy organism. b. Do I define health according to illness? Homeostasis is the continuous and steady physical, chemical, internal and social condition that is continued by a living organism. 2. Define these terms:  Super-Centenarians: Long lived humans that have lived up to or passed 110 years of age. This is achieved by one in 1,000 centenarians. These individuals experience a life that is free of serious age associated disease prior to the maximum age limit is achieved. NURS 3540 – Gerontological Nursing Module 1 Active Learning Guide    Centenarians: A human that has achieved the age of 100 years. Estimated to be a total of 316,600 worldwide. Those In-Between: Individuals born from 1915 to 1945. Actually between baby boomers and centenarians. The “Baby Boomers”: Individuals born from 1946 to 1964, post World War 2. Born to the silent generation and parents of Generation X. 3. What are two focus goals regarding the elderly from Health People 2030?  Achieve a healthy, prosperous life, that does not have a disability, preventable disease or early death.  Remove health discrepancies, accomplish health equity, and accomplish health literacy to better the health and well being for everyone.  Push healthy growth, healthy conduct and well being throughout the lifespan.  Contract with leadership, important constituents, and the public stakeholders across numerous sectors to engage and create policies to better the health and well being of all.  Produce social, economic and physical settings that push for achieving total potential for health and well-being for all. 4. Wellness Based Model: The assessment, development, planning, implementation and evaluation of nursing interventions to push and improve the health of those later in life. Identify the components of the Wellness Model and describe each level. Think of the elderly you know in your personal life. Are these individuals aging well? Components of Wellness Social Biological Functional Environmental Psychological Descriptions Promoting activities with others that continues interactions that improve cognition, mood and memory. These social interactions identify a persons humanity, regardless of age or abilities. Pushing frequent occurrences of physical activity like pickle ball, bowling (in or out of wheelchair) and sitting upright at different intervals during the day. The physical setting pushes healing and urges the person to stay active at the maximum or highest degree possible. Improving surrounding settings by creating or improving access to things that improve quality of life. Reducing pollution, improving resources, public transportation, parks and public gardens are often achieved through political activism. Identifying inputs that threaten mood or cognition and originate and establish solutions to improve outcomes. Recognizing someones NURS 3540 – Gerontological Nursing Module 1 Active Learning Guide Spiritual Culture humanity no matter their health status. Understanding that life has meaning. Can be established through many different types of relationships. These relationships can be with God, Allah, other members of the community. Being open to how others express this. Promotes wellness from another’s point of view or perspective. Including indigenous or familiar healer to the healthcare team. Including cultural food and or customs are included. 5. Healthy Aging begins with Prevention. Define the following terms and provide examples of each. a. Primary: Prohibition of activity or deterioration of a persistent or chronic condition. b. Secondary: Timely detection of fresh or recent complication. c. Tertiary: Therapy, treatment or rehab of urgent or acute and continuous chronic condition or circumstances. 6. Geriatrics a. What is Geriatrics? The type and specialty of care that longer living persons need as compared to expecting mothers or the young. b. How Many nurses are going into the field of Gerontology? There are a total of 2.5 million nurses. Of that total fewer that 15,000 are credentialed and specialize in gerontology. c. How many doctors are going into the field of Gerontology? At present 7000. This number is expected decline dramatically by 2040. Website Focus Areas Please search the following website and answer the questions provided. 1. What are two takeaways from the Health People 2030 website? Two takeaways from the website is that every member of the population is taken into account. Their objectives span over the entirety of the lifespan. a. By 2060 there will be ____94.7 million___________ people over the age of 65. b. List 3 of the most common chronic disease suffered by the elderly. Hypertension, High Cholesterol, Stroke, Diabetes. 2. List 2 prevention objectives. Addressing health disparities and advance health equity. Promote the following; immunizations, Cancer screenings, immunizations, increased physical activity. 3. Search the Gerontological Nursing website to find out more about how to obtain an ANCC Gerontological nursing board certification. NURS 3540 – Gerontological Nursing Module 1 Active Learning Guide a. As a nurse, how do I get a certification in Gerontology: An unencumbered active RN licensure, two years of nursing on the job experience, 2000 hours of clinical gerontological hours and thirty hours of continuing education. 4. Visit www.nicheprogram.org, what info is found here that could be useful for students? Workforce matrix to develop skill sets to work with the geriatric population. How to become a member and the benefits of promoting all age nursing to older and aging adults in the student organization. Several sources that speak to concerns that are particular to geriatric or health related issues. Learning Objects (LOR) Focus Areas Please review the Prevention Levels Matching LOR to develop an understanding of the three components of prevention above. Application Questions or Case Studies The following case studies were retrieved from the textbook: Touhy, T., & Jett, K. (2020). Ebersole and Hess Toward healthy aging human needs & nursing response. (10th ed.) Mosby Elsevier. (HU Direct Access). Case Study #1 You meet a 76-year-old widow in the geriatrician’s office. Her daughter brought her to the geriatrician for a comprehensive geriatric assessment. The widow is a retired school teacher who lived with her husband of 58 years in another state until he passed away 6 months ago. She sold her house and moved in order to be closer to her daughter and two sons. She purchased a condominium in a high-rise luxury building within walking distance of one of her son's homes and approximately a 15-minute car ride from her daughter’s home. She has a history of lung cancer, hypertension, hyperlipidemia, osteoarthritis, and osteoporosis. She is 5 feet tall and weighs 85 lb. She reports a 10-lb weight loss over the past year and attributes it to the illness of her husband. She was an avid walker before her move, walking a minimum of 1 to 2 hours per day. She was also very social and had many friends with whom she socialized. She states that she is sad over the loss of her husband, but very happy to be near her children and grandchildren. She states that she is “not going to let the cancer get the best of me.” She also reports that “minor aches and pains will not stop me.” 1. Rate her self-perception of wellness on the continuum of wellness. The patient is aware and knowledgeable of her current status and is aware and knowledgeable of the condition that took her husband away from her. The patient also has been keeping track of her weight loss. The patient lives in close proximity to her remaining family members and it seems as they all communicate well. 2. How would you rate her level of wellness? Tertiary. Why? Due to the continued monitoring and treatment of her lung cancer and the chronic conditions of osteoarthritis and osteoporosis. 3. List two areas where you would make recommendations on changes in health practices that would maximize the patient’s level of wellness. Recommend an increase in physical activity. Recommend participating in a community of individuals of like age and mind. Recommend a nutrient dense diet to assist in maintaining a proper wieght for her height and age. NURS 3540 – Gerontological Nursing Module 1 Active Learning Guide 4. In light of her medical diagnoses, discuss primary and secondary prevention. Primary prevention would be to avoid tobacco, avoid exposure to cancer causing carcinogens and eat a nutrient dense, healthy diet. Secondary prevention would be timely and regular checkups to increase detection. Early intervention and limited lung resections.