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ACE Nursing Education

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MODULE: INTRODUCTION TO GERIATRICS

The population of the United States will be changing drastically over the next few years. This article reviews aging in American, and the implications for nurses. Click on the following link to go to the website, print and read the article. Then, print, answer and submit the following test to your manager or educator.

Lippincott's Nursing Center.com – resources for better care

The Challenge to Come: The Care of Older Adults
Nancy A. Stotts EdD, RN, FAAN
Carol E. Deitrich MS, GNP, RN
ANJ, August 2004, Vol 104, (8):40-47

Post Test

T/F 1. Life expectancy has increased by 30 years since 1900

T/F 2. The population age 65 and older will double in by 2030

T/F 3. The most frequently occurring condition in adults 65 and older is heart disease

T/F 4. The fastest growing segment of the population is people over 100 years of age

T/F 5. About 35% of older adults live in nursing homes

T/F 6. Older adults have the lowest suicide rate in the country

T/F 7. By the age of 80, 75% of older adults

  1. develop a terminal illness
  2. have at least one disabling condition
  3. use an average of 3 prescription drugs
  4. have at least 4 chronic conditions
T/F 8. The symptom profiles of older adults often differ from those of younger ones. For example, they are more likely to develop sepsis without
  1. tachypnea
  2. fever
  3. tachycardia
  4. weakness
T/F 9. In the United States, older adults have the highest rate of
  1. Motor vehicle accidents
  2. Suicide
  3. Bipolar disorder
  4. alcoholism

The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Orderset
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medicaitons
  • Parenteral Opioids
  • Sepsis, Adult ICU
  • 111 - Stroke Alert
  • 112 - Stroke Activation
  • 300086 - Stroke Floor Admission
  • 3000000001 -  Stroke Critical care without tPA
  • 300088 Stroke - Transfer from Critical care to floor
  • 3004002 - Stroke Discharge

All protocols can be found in the EPIC order set section.

» For more information

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The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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