Gerontological Care, Theory & Practice I

Masters in Nursing Science Degree

NRS 527

Breyer State University
Instructor: Dominick L. Flarey, Ph.D, DCH, MBA, RN,CS, CNAA, FACHE

SYLLABUS

COURSE OVERVIEW: This course focuses on the major theories and practice component for the care of geriatric patients. The course is comprehensive and provides in-depth study of major issues related to the care of geriatric patients. Included are specific assessment parameters, pathophysiology, presenting signs/symptoms, and treatment plans for geriatric patients. You will study the physiology and psychosocial dimensions of the aging process.

TIME FRAME: This course is self-paced, with one-to-one faculty mentoring. You have 10 weeks to complete this course. Extension of time may be granted according to university policy and faculty approval. This course is formatted for 6 semester hours of credit. This course also provides an excellent means to obtain an education credential in legal nurse consulting and meet continuing education requirements for re-certification as a legal nurse consultant.

All assignments for this course on provided inside of the online classroom.

TEXTBOOK: There is one textbook required:

Book 1: Handbook of Geriatric Nursing Care. Springhouse PA; Springhouse Corporation: 1998. ISBN # 158255143x.

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INSTRUCTOR CONTACT: You have many avenues of access to me. You may contact me anytime you have questions, would like clarification, etc. Your interaction with me is one-on-one and this is highly beneficial as you proceed through the course. You may contact me anytime you need to. Full instructor contact information is provided inside of the online classroom for this course.

ABOUT THE INSTRUCTOR: Dominick L. Flarey, Ph.D., MBA, RN,CS, CNAA, FACHE - is President of Dominick L. Flarey & Associates, a health care consulting firm, and The Center for Medical-Legal Consulting. He has held positions as a certified nurse practitioner, associate administrator of patient care, chief operating office and administrator in acute care hospitals. He is a faculty member for Learning Tree University. He was an executive consultant to a national "big 6" accounting firm's health care practice and was a service line administrator and consultant for case management for another national consulting firm. He holds a BSN, an MBA, and Doctorates in nursing administration and management.

Dr. Flarey is certified in nursing administration advanced and as an adult nurse practitioner by the American Nurses Association Credentialing Center. He is a board certified health care executive by the American College of Healthcare Executives, and is a Fellow in the college. He also holds national certification in managed care from the Professional Education Institute. He is a Certified Medical-Legal Consultant.

He is the past editor-in-chief of JONA's (Journal of Nursing Administration) Healthcare Law, Ethics, and Regulation. He is a member of the editorial boards of the Journal of Nursing Administration, Seminars for Nurse Managers, Case Management: Managing the Process of Patient Care, and Nursing Outcomes. He has authored over 50 published articles in peer-reviewed journals.

Dr. Flarey is editor/author of the book, "Redesigning Nursing Care Delivery: Transforming Our Future," published by Lippincott/Raven publishers. He is also co-editor/author of the following books by Aspen Publishers: "Reengineering Nursing and Health Care: The Handbook for Organizational Transformation," winner of a 1995 AJN book of the year award, "The Handbook of Nursing Case Management: Health Care Delivery in a World of Managed Care," "Case Studies in Case Management," "Health Care Outcomes: Collaborative, Path-Based Approaches," and "Cardiovascular Outcomes: Collaborative, Path-Based Approaches," and "Process-Centered Healthcare Organizations."

He lectures nationally on the topics of Case Management, Critical Pathways, Reengineering, Redesign, Organizational Transformation, Managed Care, and Legal Issues in Health Care. He is owner and president of his own consulting firm located in northeastern Ohio . He currently practices as a medical-legal nurse consultant. He has consulted for numerous attorneys across the country on medical and nursing malpractice cases, personal injury cases, product liability cases, workers compensation cases, and has served as an expert witness in nursing malpractice cases.

EXAMINATIONS: There is one examination for this course. The final examination is the development of a comprehensive Learning Portfolio. Full instructions, including all reading assignments and portfolio development are provided inside of the online classroom. The grade scale for the final examination is:

GRADING:

90-100%    = A
80-89%      = B
70-79%      = C
Below 70% = Fail

You must score at minimum of 70% on all examinations in order to pass this course and receive credit.

COURSE OBJECTIVES: Upon completion of this course, you will be able to:

1). Understand the aging process from a physiological and anatomical perspective.
2). Conduct comprehensive assessments on the geriatric population.
3). Understand pathophysiology as it relates to aging.
4). Discuss the effects of illness/disease on the aging.
5). Identify differences in the process of care for geriatric clients vs. others.
6). Discuss various treatment modalities and their administration for geriatric clients.
7). Discuss issues of mental illness in the geriatric population.
8). Define and discuss specific treatment measures for all of the pathophysiology and disease states covered in the text.
9). Implement nursing care of the geriatric client using theories and modalities specific to this population.
10). Develop a practice specialty in Gerontological nursing.

COURSE CONTENT:

1). Abdominal Aortic Aneurysm.
2). Abuse and Neglect.
3). Acute Renal Failure.
4). Adult Respiratory Distress Syndrome.
5). Age Discrimination.
6). Alcohol Abuse.
7). Alzheimer's Disease.
8). Amputation.
9). Aortic Stenosis.
10). Aspiration Pneumonia.
11). Arterial Occlusion.
12). Physical Assessment.
13). Assistive Devices.
14). Benign Prostatic Hyperplasia.
15). Blood Transfusion.
16). Bowel Resection.
17). Breast Cancer.
18). Cardiovascular Care.
19). Cerebrovascular Accident.
20). Chronic Renal Failure.
21). Diabetes.
22). Drug Abuse.
23). Depression.
24). Endoscopy.
25). Nutrition.
26). Anesthesia.
27). Esophageal Cancer.
28). Exercise.
29). Ocular Disease.
30). Falls and Prevention.
31). Fecal Incontinence.
32). Gastric Cancer.
33). Gastric Surgery.
34). Glucose Monitoring.
35). Heart Failure.
36). Cardiac Surgery.

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