Are We Prepared Feb 26 Presentation

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    Are we prepared ?

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    Todays Learning Objectives

    1. Understand who might be futurehealthcare consumer

    2. Distinguish between the normal adult

    client/patient and the geriatricclient/patient

    3. Recognize the need for increasinggeriatric education for nurses andother healthcare workers

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    Geriatrics and Nursing

    In 2000 approximately 35 millionAmericans were over 65

    In 2030, with the retirement of most of

    the baby boomers, the governmentestimates that number to grow to 70million

    Currently some estimates see 40% ofacute care hospital admissions are over65

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    Our Future

    Current estimates of 77 million babyboomers in the workplace

    In February 2009 USA Today projects anursing shortage of 500,000 by 2025

    Who will care for the expected 70million clients over 65 in 2025?

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    Shortages?

    Texas Department of Health and HumanServices Survey in April 2008

    Found significant shortages in nursestaffing (40% of all Texas long termcare facilities participating)

    Staffing Ratios

    RNs 3.3%

    LVNs 24.5 % CNAs 72.2%

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    Adult clients vs. Geriatric clients:Is there a difference?

    Geriatric clients have a myriad of issuesthat the normal adult may not face Variable reaction to medications and/or

    anesthesia

    Decreased support system Co-morbidities

    Increased trend of delirium dx whilehospitalized

    Increased chance of falls Increased potential for skin integrity issues

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    Benefits of increased geriatricnursing education

    2001 study by the Journal of EmergencyRoom Nurses showed increased andimproved screening for depression

    Benefit to the entire nursing professionas well as to client/patient care

    Nurse certification has been linked tobetter patient outcomes, according tothe American Association of Critical-Care Nurses (AACN),[2] which found thatcertification is tied to a reduction inmedical errors, among other benefits.

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    Geriatric Nursing

    ANA position on geriatric nursing

    Nurse Competence in Aging (NCA) isan initiative to improve the quality ofhealth care older adults receive byenhancing the geriatric competence the knowledge, skills and attitudes of the 400,000 nurses who areprofessionally identified as members

    of approximately 57 specialty nursingassociations.

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    ANA Commitment

    Enhancing Geriatric Activities ofNational Specialty Nursing Associations

    Promoting Gerontological NursingCertification to encourage specialty nurses to obtain dual

    certification and validate their geriatriccompetence along with their specialtyexpertise

    Providing a Web-based ComprehensiveGeriatric Nursing Resource Center

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    Geriatric Education in Nursing School

    Most programs have a limited number ofcredits allowed by their accreditingbody (NLN or ANCC)

    Students and programs have a limitedtime to get the required course workcompleted.

    In todays economy, most students arehard pressed to take electives notnecessary for graduation.

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    Geronurse

    http://www.geronurseonline.org/

    Official ANA website designed toprovide nurses with resources related to

    the geriatric client. Provides a plethora of resource data toenhance the care of the geriatric client

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    http://www.geronurseonline.org/http://www.geronurseonline.org/
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    Hartford Institute of Geriatric Nursing

    Goal is to improve the quality of nursingcare to elderly clients through thedevelopment of geriatric nursingcompetencies

    Offer resources as well as eductionalopportunities to all nurses

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    Citations

    Bogle, M. J. (2009, January 1). AllBusiness Company.Retrieved February 1 2010, from Preparing for theBaby Boomers:Healthcare:http://www.allbusiness.com/population-demographics/d

    Parker, R. (2009, August 18). The Future of

    Geriatrics. Retrieved February 5, 2010, from TheFuture of Aging:http://futureofaging.aahsa.org/2009/08/18/the-future

    DPHS. (2008, December 11). Texas Department ofHealth and Human Services. Retrieved February 5,

    2010, from Texas Center for Nursing WorkforceStudies:http://www.dshs.state.tx.us/chs/cnws/2008_LTC_highlights.pdf

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    http://www.allbusiness.com/population-demographics/demographic-groups-baby-boomers/11768128-1.htmlhttp://futureofaging.aahsa.org/2009/08/18/the-future-of-geriatrics/http://futureofaging.aahsa.org/2009/08/18/the-future-of-geriatrics/http://www.allbusiness.com/population-demographics/demographic-groups-baby-boomers/11768128-1.html
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    Citations

    Brymer, C. C., Denomy, E., Well, K., & Cook, C. (2001, February).Journal of Emergency Room Nurses. Retrieved February 5,2010, from Science Direct:http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6

    American Association of Critical-Care Nurses. Safeguarding

    the patient and the profession: the value of critical care nursecertification. 2002. Available fromhttp://www.aacn.org/AACN/mrkt.nsf/Files/CertWhitePaper/$file/CertWhitePaper.pdf. Retrieved February 5,2010.

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    http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WJ5-45SJF09-14&_nxudi=B6WJ5-45SJF09-15&_rdoc=7&_srch=doc-info(http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WJ5-45SJF09-14&_nxudi=B6WJ5-45SJF09-15&_rdoc=7&_srch=doc-info(