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Gerontological Nursing 2 credit undergraduate course Page 17 of 20

Week 9: Continuum of care: independent, retirement centers, assisted living, skilled home/institutional, adult day centers, hospice

Readings: Required:

Gerontologic Nursing, 2nd edition Chapter 31: Acute Care, pages 757-770 Chapter 32: Home Care & Hospice, pages 771-796 Chapter 33: Long Term Care, pages 797-814

Learning Objectives: Describe acute care hospital use patterns in the older adults population Identify risks associated with hospitalization of older adults Identify and describe the various care settings that comprise the continuum of care and their roles Discuss concept of “aging in place” for older adults Distinguish the categories and types of home care organizations available to elders

Lecture/discussion:

  • 1.

    Acute care

    • a.

      Characteristics of older adults in acute care

    • b.

      Risks of hospitalization

        • i.

          Adverse drug reactions

        • ii.

          Falls

      • iii.

        Infection

      • iv.

        Hazards of immobility

      • v.

        Quality improvement

    • c.

      Nursing in the acute care setting

  • 2.

    Non-institutionalized care needs

    • a.

      Factors affecting the healthcare needs of non-institutionalized older adults

        • i.

          Common diagnoses

        • ii.

          Functional status

      • iii.

        Cognitive function

      • iv.

        Housing options

    • b.

      Informal caregivers

        • i.

          Profile

        • ii.

          Effects of caregiving

      • iii.

        Health of caregivers

      • iv.

        Psychological and emotional strain

      • v.

        Physical strain

      • vi.

        Financial strain

    • c.

      Home health care

    • d.

      Hospice

  • 3.

    Institutional long-term care

    • a.

      Demographics of nursing facilities and residents

    • b.

      Factors associated with institutionalization

    • c.

      Medical and psychosocial models of care Permission is hereby granted to reproduce, post, download, and/or distribute, this material for not-for-profit educational purposes only, provided that Northwest Coalition for Geriatric Nursing Education is cited as the source. This material may be downloaded and/or distributed in electronic format, including PDF format. Available on the internet at www.geronursinged.org E-mail notification of usage to: soncgne@ohsu.edu

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