Associated Resources and Guidelines for Their Use

Transcription

1 Infusing Geropsychiatric Nursing into Curricula: Associated Resources and Guidelines for Their Use Key Concept Product Series Key Concept IVB. Background The National Institute of Mental Health predicts that by 2030, the numbers of older adults (age 65+) with mental illness will likely strain the nation s health care system. In addition to mental disorders, physical illness often precipitates and/or is accompanied by psychiatric symptoms in late life. Nurses care for older adults across the full range of health care settings and will unavoidably encounter such older patients. Thus, it is imperative that nursing education programs prepare nurses to care for older adults with mental health concerns and psychiatric/substance misuse disorders. The Geropsychiatric Nursing Collaborative has developed the following resources to draw attention to the special mental health issues of older adults and assist faculty to address them. Geropsychiatric Nursing Competency Enhancements (Product 20660) Definition of Geropsychiatric Nursing (Product 20660) Video: Discover Mental Health The Forgotten Piece in Elder Care (Product 20893) A series of Key Concept Products* *See Appendix for complete list of Key Concepts 1

2 About the Key Concept Product Series The 27 Key Concepts in the Key Concept Product Series are organized into four domains: I. Assessment, II. Management, III. Approach to Older Adults, and IV. Role. Each of the Key Concept Products provides access to curriculum/teaching resources identified as appropriate to assist faculty to infuse the geropsychiatric nursing competency enhancements into course objectives, teaching strategies, didactic content, and/or clinical experiences in relevant nursing education programs. These include entry level and advanced practice nursing programs in psychiatric-mental health, adult/gerontological, family, women s health and acute care or stand-alone geropsychiatric nursing or continuing education courses. The resources may be adapted by faculty for use with a range of learners, as indicated in each description. About this Key Concept Key Concept Nurses are key in promoting overall health and well being for older adults. In order to provide effective care for this population, nurses must understand the complexity of the interplay between physical and mental health of older adults. Knowledge of late life mental health as well as the common psychiatric problems-- their risk factors, assessment and management-- is imperative to manage plans of care for older adults. Additionally, mental health of caregivers for older adults must also be considered, given the myriad of adverse caregiving outcomes such as depression. This product contains resources that address the following: Dementia Depression Caregivers Alzheimer's disease Frontotemporal dementia Dementia with Lewy Bodies Multi-infarct dementia Binswanger Disease 2

3 Other Key Concepts in the Role Domain A. Promotes Safety and Risk Factor Reduction B. [this product] C. Lifelong learning D. Policy/advocacy E. Research participation/utilization F. Quality improvement initiatives H. Delivery systems I. System barriers Accessing the Resources The GPNC summarized each resource and included information such as estimated time to complete, educational objective[s], learning resource type, and intended audience. Technical requirements for use and suggestions for best use are also included. The resources are organized both in alphabetical order and by learner resource type (e.g., case study). Links in each of these sections provide quick access within this document to the resource. [Note that the link in each resource description brings the user directly to the original material.] Index of Associated Resources (BY LEAER RESOURCE TYPE) LEAER RESOURCE TYPE RESOURCE Didactic Module The Geriatric Mental Health Training Series Lecture/Presentation Psychosis on the Older Patient The Geriatric Mental Health Training Series PowerPoint Mental Health Aspects of Diabetes in Elders from Diverse Ethnic Backgrounds Psychosis in the Older Patient The Geriatric Mental Health Training Series About Alzheimer's Disease and Dementia Alzheimer's Disease/Dementia Tip Sheet-Phases and Stages of Alzheimer's Disease Alzheimer's Disease Information Page Binswanger Disease Information Page Dementia Information Page Dementia with Lewy Bodies Information Page Frontotemporal Dementia Information Page Multi-infarct Dementia Information Page Seniors and Aging 3

4 Index of Associated Resources (IN ALPHABETICAL ORDER) About Alzheimer's Disease and Dementia Alzheimer's Disease/Dementia Tip Sheet-Phases and Stages of Alzheimer's Disease Alzheimer's Disease Information Page Binswanger Disease Information Page Dementia Information Page Dementia with Lewy Bodies Information Page Frontotemporal Dementia Information Page Mental Health Aspects of Diabetes in Elders from Diverse Ethnic Backgrounds Multi-infarct Dementia Information Page Psychosis in the Older Patient Seniors and Aging The Geriatric Mental Health Training Series Note: The content contained in each of these resources has been produced by the respective authors, not the Geropsychiatric Nursing Collaborative. Thus, any feedback on specific resources should be provided directly to the original author/website. Note: Website links are current as of Please contact the author of the resource if a link is broken. 4

5 Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use About Alzheimer's Disease and Dementia National Association of Social Workers that details the symptoms, diagnosis and treatment of the patient with Alzheimer s disease. The impact on caregivers is also discussed. Role: Knowledge of Geriatric Mental Health and Illness 5

6 Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use Alzheimer's Disease/Dementia Tip Sheet-Phases and Stages of Alzheimer's Disease National Association of Social Workers that details the common symptoms that occur in each stage of Alzheimer s' disease. Role: Knowledge of Geriatric Mental Health and Illness 6

7 Alzheimer's Disease Information Page National Institute of Neurological Disorders and Stroke Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use Website that provides general information about Alzheimer s disease, treatment, prognosis, research, links to publications & related sites Role: Research Participation/Utilization Web assisted learning 7

8 Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use Binswanger Disease Information Page National Institute of Neurological Disorders and Stroke Website that provides general information about Binswanger disease, treatment, prognosis, research, links to publications & related sites Role: Research Participation/Utilization Web assisted learning 8

9 Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use Dementia Information Page National Institute of Neurological Disorders and Stroke Website that provides general information about dementia treatment, prognosis, research, links to publications & related sites Role: Research Participation/Utilization Web assisted learning 9

10 Title of resource Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use Dementia with Lewy Bodies Information Page National Institute of Neurological Disorders and Stroke Website that provides general information about Dementia with Lewy Bodies treatment, prognosis, research, links to publications & related sites Role: Research Participation/Utilization Web assisted learning 10

11 Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use Frontotemporal Dementia Information Page National Institute of Neurological Disorders and Stroke Website that provides general information about Frontotemporal dementia, treatment, prognosis, research, links to publications & related sites Role: Research Participation/Utilization Web assisted learning 11

12 Summary of resource Educational objective Related Key Concepts Learning resource type Intended audience Suggestions for best use Mental Health Aspects of Diabetes in Elders from Diverse Ethnic Backgrounds Stanford University School of Medicine This curriculum was developed as a resource for teaching culturally appropriate care for depression and cognitive loss for elders at high risk for diabetes. Written by members of the Affiliated Core Faculty of Stanford Geriatric Education Center, Stanford University School of Medicine, the 100-page curriculum includes objectives and comprehensive, evidence-based content on the following topics: -- Overview of depression and cognitive loss/dementia in elders with diabetes -- Risk, culturally appropriate assessment and interventions for diabetes, depression, and cognitive loss. Cross cultural issues related to sensory impairment due to diabetes in emergencies such as bioterrorism. After completion of the curriculum, learners should be able to: 1. Identify the risks of depression and cognitive loss among elders with diabetes; 2. List the ethnic populations of elders among whom the risk of diabetes is higher than among older Americans as a whole; 3. Describe culturally appropriate assessment and screening protocols for cognitive loss and depression among elders with diabetes from at least three high risk populations; 4. Discuss specific nutritional interventions appropriate for elders with diabetes from at least three high risk populations; 5. Identify differences in treatment for diabetes, depression, or cognitive loss that might be appropriate for elders from high risk populations. 6. Discuss at least three risk factors for vulnerability in developing a personalized emergency preparedness plan for sensory impaired ethnic elders with diabetes Approach to Older Adults: Age/Culturally Appropriate Interventions and Communications Role: Promotes Safety and Risk Factor Reduction PowerPoint Classroom/lecture 12

13 Title of resource Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use Multi-infarct Dementia Information Page National Institute of Neurological Disorders and Stroke Website that provides general information about multi-infarct dementia, treatment, prognosis, research, links to publications & related sites Role: Research Participation/Utilization Web assisted learning 13

14 Summary of resource Educational objective Related Key Concepts Learning resource type Intended audience Suggestions for best use Psychosis in the Older Patient University of Nebraska College of Medicine This unit provides information on etiologies, comorbidities, evaluation and management on this difficult and elusive problem in the elderly. Dr. Magnuson provides very innovative and practical tips for diagnosis and management. This one hour CEU accredited unit is divided into 3 modules of minutes each. Its design allows delivery as either a lecture or voiced for a distance webbased module or self-directed learning. Each module ends with casebased questions and answers. Upon completion the learner will be able to: Module One 1) Define psychosis 2) Delineate common etiologies for psychosis in older patients 3) Describe common treatment modalities for psychosis in geriatric patients Module Two: 1) List the common etiologies for psychosis in the elderly 2) Describe the common presentations of these etiologies Module Three: 1) Describe common treatment modalities for psychosis in geriatric patients Lecture/Presentation PowerPoint Classroom/lecture Web assisted learning 14

15 Summary of resource Related Key Concepts Learning resource type Intended audience Suggestions for best use Seniors and Aging National Association of Social Workers Website that provides detailed information on a range of important topics related to aging, including advance care planning, caregiving, dementia, lifespan planning and long-term care. Approach to Older Adults: Age-Related Adaptations Approach to Older Adults: Sensitivity in End of Life Role: Delivery Systems Web assisted learning 15

16 Summary of resource Estimated time to complete Educational objective Related Key Concepts Learning resource type Intended audience Suggestions for best use The Geriatric Mental Health Training Series University of Iowa College of Nursing Hartford Center of Geriatric Nursing Excellence This website contains six modules, each designed to be taught as a one-hour educational program for care providers in long-term care (LTC) settings. The six core topics address common problems faced in LTC. The care providers' own feelings and behaviors in response to problem behaviors are examined, including the role of values and beliefs, personal needs, and stress in the work place. One hour per module The learner will be able to: 1. Acquire knowledge about the age related changes that may contribute to "problem behaviors" and about techniques to prevent and manage them. Assessment: Normal aging: biopsychosocial theories Assessment: Appropriate instruments/clinical evaluation tools Assessment: Common disorders Assessment: Stressors affecting mental illness Management: Care transitions Management: Behavioral, environmental and pharmacological interventions and communication for behaviors Management: Patient/family/peer education: mental and physical interactions Management: Ethical/legal and socioeconomic factors Approach to Older Adults: Age-related adaptations Approach to Older Adults: Age/culturally appropriate interventions and communications Role: Knowledge of geriatric mental health/illness Lecture/Presentation Didactic Module PowerPoint Classroom/lecture Self study 16

17 APPENDIX This Key Concept in the Context of All Key Concepts I. Assessment A. Normal aging: biopsychosocial theories B. Appropriate instruments/clinical evaluation tools C. Adapting assessment procedures D. Atypical presentations; Co-occurring illness; Psychiatric manifestations: medical conditions E. Common disorders F. Comprehensive G. Stressors affecting mental health II. III. Management A. Care transitions B. Behavioral, environmental and pharmacological interventions and communication for behaviors C. Pharmacotherapeutics D. Referrals E. Influence: Decisional capacity, health literacy F. Patient/family/peer education: Mental and physical health interactions G. Ethical/legal and socioeconomic factors Approach to OA A. Age-related adaptations B. Age/culturally appropriate interventions and communications C. Recognition of personal and societal biases D. Sensitivity in end of life IV. Role A. Promotes safety and risk factor reduction B. Knowledge of geriatric mental health/illness C. Lifelong learning D. Policy/advocacy E. Research participation/utilization F. Quality improvement initiatives G. Interdisciplinarity H. Delivery systems I. Service barriers 17