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 Getting Older   (hide descriptions)

Authors: Sharon Fish, RN, MSN and Shelda Shank, RN, BSN, PHN
Alzheimer's disease is a complex, progressive, degenerative and irreversible brain disorder for which there isn't a definable cause or treatment. Caring for a client with Alzheimer's disease (AD) is a complex task influenced by numerous factors.
This course will help you gain an understanding of a disease that is the most prevalent form of dementia. It robs the mind and engulfs the lives of many special people. This is a course on caring for the person with Alzheimer's.
Course objectives include:
• Select the difference between reversible and irreversible dementias and list examples of both types.
• List some practical procedures for caring for someone who is dying.
• List various procedures for differential diagnosis of dementias and the importance of early symptom recognition and assessment.

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Author: Joan Ratchford, RN, BSN, MSN
Although common, acute confusion isn't well understood and may be difficult to manage. Clients with this complicated acute confusion present challenges to nurses because of their increased care needs and risk for injury. This course will examine:
• causes of confusion
• accurate assessment
• documentation process
• interventions (including how to communicate with the confused patient)
Course objectives include:
• Define confusion.
• List nursing interventions for confusion.
• Name ways to communicate with the confused patient.

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Author: Judith Killman, BSN, MA, MS, LCDR
This course addresses issues of the elderly through the developmental process; explores personal values, attitudes and feelings about aging and maturity. Physical and emotional changes that occur with aging are discussed, as well as the meaning of death and attitudes toward dying.
Course objectives include:
• List some physical changes that are normally present in later life.
• Identify characteristics of the helping relationship and list behaviors that indicate them to the client.
• Identify later maturity, rather than "old age," as the last developmental stage.
*Not available to California nurses and psych techs.

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Author: Abraham Lieberman, MD
Parkinson's Disease ­ images that come to mind are the hand that can't stop shaking, the leg that simply won't take another step, a face that can no longer break into a smile. These are results of uncooperative, unresponsive muscles that are some of the disease's most troublesome symptoms. This course takes into consideration every aspect of living with a chronic degenerative illness.
Course objectives include:
• List the primary and secondary symptoms of PD.
• Select the causes and progression of PD.
• Identify some diseases that resemble PD.

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Author: Shelda L. Shank, RN, BSN, PHN
Urinary incontinence (UI) has long been a problem for many adults, but they are just beginning to overcome the stigma and come forward to seek treatment. Medical practitioners are also at times reluctant to discuss UI with their clients. This course reviews the latest in behavioral, pharmacological, and surgical approaches to incontinence management, so you can address the problem proactively during routine care and help your patients to choose the treatment that is right for them.
Course objectives include:
• Outline the physiology of the voiding process.
• List the tests and supplemental assessments necessary to evaluate the client for UI.
• Recognize effective strategies to reduce patients' emotional barriers to UI treatment.

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