unit 3 discussion
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Unit3discussion585.docx
MN585_Readings2.docx
Unit3discussion585.docx
Discussion Overview
Topic: Cardiopulmonary Components of the Geriatric Assessment
The geriatric assessment is a multidisciplinary assessment designed to evaluate an older person's functional ability, physical health, cognition and mental health, and socio environmental circumstances. Cardiopulmonary function is an integral component of the Comprehensive Geriatric Assessment.
· Identify the age-related changes that occur in the older adult and discuss how these changes are important in the evaluation of the cardiac and pulmonary systems.
· Specifically discuss the age-related changes that result in heart failure and decreased pulmonary function in the older adult.
· What do these changes mean to the older adult and what can be done to improve function in terms of lifestyle, pharmacologic and non-pharmacologic interventions?
MN585_Readings2.docx
Unit 1
Textbook Reading: In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 63 - Infectious Disease
Web Resources
Centers for Disease Control, “Influenza in the Older Adult” https://www.cdc.gov/flu/resource-center/freeresources/print/print-seniors.htm
Centers for Disease Control, “Pneumococcal Disease” Prevent Pneumococcal Disease in Adults | CDC https://www.cdc.gov/pneumococcal/resources/prevent-pneumococcal-factsheet.html
Centers for Disease Control, “Pneumococcal Disease-Information for Clinicians” https://www.cdc.gov/pneumococcal/clinicians/index.html
Centers for Disease Control, “Pneumococcal Disease” https://www.cdc.gov/features/adult-pneumococcal/index.htmlCenters for Disease Control, “People at Risk - LIsteria in Older Adults” https://www.cdc.gov/listeria/risk-groups/elderly.html
Centers for Disease Control: Antibiotic Resistance-Information for Healthcare Providers: https://www.cdc.gov/drugresistance/protecting_patients.html
CDC Immunization and Vaccine Resources for Healthcare Providers: https://www.cdc.gov/vaccines/schedules/hcp/resources.html
Unit 2
Textbook Reading: In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 51 – Heart Failure
· Chapter 52 – Hypertension
Web Resources:
National Heart Lung and Blood Institute. General Information and Client Education Resources about Heart Failure and Congestive Heart Failure: https://www.nhlbi.nih.gov/health-topics/heart-failure
National Heart Lung and Blood Institute. General Information and Client Education Resources about High Blood Pressure and Hypertension. https://www.nhlbi.nih.gov/health-topics/high-blood-pressure
American College of Cardiology. 2017 Guidelines for the Management of Heart Failure. https://www.jacc.org/doi/10.1016/j.jacc.2017.04.025?_ga=2.254822280.1221603655.1639252112-162406348.1639252112
American College of Cardiology, Guidance on Approaching Hypertension in Patients Over 80 Years of Age. https://www.acc.org/latest-in-cardiology/articles/2021/11/11/13/58/guidance-on-approaching-htn-in-patients-over-80-years-of-age
American Association of Heart Failure Nurses-Advanced Practice Nursing. Guidelines and References for Heart Failure and Sleep Disordered Breathing as a precursor to Heart Failure: https://www.aahfn.org/page/resource_nurspract
American Association of Heart Failure Nurses-Advanced Practice Nursing. Pulmonary Hypertension. https://www.aahfn.org/mpage/pulmonary_hyptension
Qaseem, A., Wilt, T. J., Rich, R., Humphrey, L. L., Frost, J., & Forciea, M. A. (2017). Pharmacological treatment of hypertension in adults aged 60 years and older to higher versus lower blood pressure targets: A clinical practice guideline from the American College of Physicians and the American Academy of Physicians. Annals of Internal Medicine, 166, 430-437.
Unit 3
Textbook Reading: In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 49 – Pulmonology
· Chapter 50 – Cardiovascular Disease
Web Resources
JACC Atrial Fibrillation Guidelines: See document at this link: https://kapextmediassl-a.akamaihd.net/nursing/MN585/MN585_2002A/JACC_Atrial_Fibrillation_Guidelines.pdf
SAF Scale (Severity of Atrial Fibrillation Scale): https://www.acc.org/~/media/Files/Migration%20Content/Quality%20and%20Clinical%20Trials/AFib%20Toolkit/1%20AF%20TK%20Functional%20Assessment%20Scale%2031412.pdf?la=en
Combo Calculator Here: https://www.chadsvasc.org/
Anticoagulation Calculation App: https://www.acc.org/anticoagevaluator
Qaseem, A., Wilt, T. J., Rich, R., Humphrey, L. L., Frost, J., & Forciea, M. A. (2017). Pharmacological treatment of hypertension in adults aged 60 years and older to higher versus lower blood pressure targets: A clinical practice guideline from the American College of Physicians and the American Academy of Physicians. Annals of Internal Medicine, 166, 430-437.
Clinical Guidelines app from American College of Cardiologists: https://www.acc.org/tools-and-practice-support/mobile-resources/features/guideline-clinical-app
CAD and Coronary Calcium Scores- "Comparing Risk Scores in the Prediction of Coronary and Cardiovascular Deaths
Coronary Artery Calcium Consortium" https://imaging.onlinejacc.org/content/early/2020/01/09/j.jcmg.2019.12.010?_ga=2.90312605.668797815.1598608758-1168239501.1593205363
Medline articles (patient education resource): Aging Changes in the Lungs: https://medlineplus.gov/ency/article/004011.htm
Aging Changes in the Heart and Blood Vessels: ttps://medlineplus.gov/ency/article/004006.htm
Unit 4
Textbook Reading: In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 58 Musculoskeletal Pain
· Chapter 59 Rheumatology
Web Resources:
Nonpharmacologic and Pharmacologic Management of Acute Pain From Non–Low Back, Musculoskeletal Injuries in Adults: A Clinical Guideline From the American College of Physicians and American Academy of Family Physicians https://www.acpjournals.org/doi/pdf/10.7326/M19-3602
AACE Clinical Practice Guidelines for the Diagnosis and Treatment of Postmenopausal Osteoporosis – 2020 Update: https://pro.aace.com/media/postmenopausal-osteoporosis-evaluation-diagnosis-and-treatment-focus-updated-clinical
Unit 5
Textbook Reading: In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 53 Gastroenterology
· Chapter 54 Nephrology
Web Resources:
American College of Gastroenterology. Clinical Guidelines Mobile app. https://gi.org/membership/acg-mobile-app/
National Kidney Foundation. Clinical Practice Guidelines. https://www.kidney.org/professionals/guidelines
American College of Clinical Endocrinology. https://pro.aace.com/about/about-ace-american-college-endocrinology
Unit 6
Textbook Reading: In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 61 - Neurology
· Chapter 62 – Stroke and Cerebrovascular Disease
Web Resources:
Centers for Disease Control. Alzheimer’s Disease and Healthy Aging. https://www.cdc.gov/aging/publications/journal.htm
2021 Guideline for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association: https://www.ahajournals.org/doi/10.1161/STR.0000000000000375
Unit 7
Textbook Reading: In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 47 Dermatology
· Chapter 48 Oral Health
Unit 8
Textbook Reading: In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 55: Gynecology
· Chapter 56: Prostate Disease and Cancer
· Chapter 57 Sexuality
Web Resources:
Society of Urology Nurses and Associates: https://www.suna.org/
American Urology Society UTI Guidelines for Men and Women: https://www.auanet.org/guidelines/archived-documents/urinary-tract-infection-(UTI)-guideline
CDC Guidelines: Lesbian, Gay, and Transgender Health: https://www.cdc.gov/lgbthealth/index.htm
Unit 9
In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 64 – Endocrine
· Chapter 65 – Diabetes Mellitus
Web Resources;
American College of Clinical Endocrinology. https://pro.aace.com/about/about-ace-american-college-endocrinology
Comprehensive Type 2 Diabetes Management Algorithm (2020) - EXECUTIVE SUMMARY. https://pro.aace.com/disease-state-resources/diabetes/clinical-practice-guidelines-treatment-algorithms/comprehensive
Centers for Disease Control. Diabetes Prevention Program and other Client Education information. https://www.cdc.gov/diabetes/prevention/index.html
Unit 10
Textbook Reading
In Geriatric Nursing Review Syllabus, read chapters on the following topics:
· Chapter 66 – Hematology
· Chapter 67 – Oncology and Hematological Malignancies
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