Application of Curriculum Mapping Concepts to Integrate Multidisciplinary Competencies in the Care of Older Adults in Graduate Nurse Practitioner Curricula

2019 ◽  
Vol 35 (3) ◽  
pp. 228-239 ◽  
Author(s):  
Melanie Michael ◽  
Cheryl Wilson ◽  
Dylan J. Jester ◽  
Ross Andel ◽  
Rita D'Aoust ◽  
...  
2019 ◽  
Vol 31 (11) ◽  
pp. 648-656
Author(s):  
Barbara A. Todd ◽  
Heather Brom ◽  
Elizabeth Blunt ◽  
Patricia Dillon ◽  
Caroline Doherty ◽  
...  

2009 ◽  
Vol 65 (10) ◽  
pp. 2077-2087 ◽  
Author(s):  
Andrea L. Murphy ◽  
Ruth Martin-Misener ◽  
Charmaine Cooke ◽  
Ingrid Sketris

2018 ◽  
Vol 36 (15_suppl) ◽  
pp. e18514-e18514
Author(s):  
Lorinda Adaire Coombs ◽  
Caroline Stephens ◽  
Tatjana Kolevska ◽  
Wendy Max

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 825-826
Author(s):  
David Picella ◽  
Diana Woods

Abstract Team-based care is necessary to provide better healthcare outcomes for the complex needs of older adults. Shared clinical learning experiences prepare practitioners to work in collaborative partnership to achieve optimal outcomes. To promote collaborative partnership, we established interprofessional community based clinical experiences with older adults at home, in assisted living and in skilled nursing facilities. One nurse practitioner faculty member was paired with 2 students for each clinical experience day. Initially these were face-to-face encounters, however, with the onset of COVID-19, all high-risk encounters were converted to a virtual modality. The clinical encounters focused on the Age Friendly Model (4M). Post clinical discussions and recommendations focused on interprofessional treatment plans. A REDCap(TM) survey was completed by all student participants for program evaluation. Of the 14 surveys sent, 11 were completed; 10 (77%) females; 3 (23%) males; 7 (50%) family practitioner students; 7 (50%) adult-gerontology nurse practitioner students. Four had previous home health experience (14%), and 10 had none (86%). 4M Likert scale (1-5) means were “what matters” = 4.27, medications = 4.18, mentation = 4.09, and mobility = 4.09. Students found the overall experience valuable (mean = 4.27). Of 11 students, 3 (27%) were involved telehealth experiences. Students found real community based clinical experiences to be very enlightening, offering a different perspective, and altering their appreciation for the everyday life of the older adult. Future plans include adding social work and physical therapy students to these clinical experiences to enhance interprofessional education.


2016 ◽  
Vol 32 (3) ◽  
pp. 522-527 ◽  
Author(s):  
Rosemary L. Hoffmann ◽  
Sara Jo Klein ◽  
Margaret Q. Rosenzweig

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 209-210
Author(s):  
Jennifer Kim ◽  
Kanah Lewallen ◽  
Taylor Boll

Abstract Polypharmacy (typically defined as the concomitant use of 5 or more medications) affects 40-50% of older adults in the U.S., and is associated with geriatric syndromes, a higher risk of medication non-adherence, and adverse drug events. Medication non-adherence is a common frustrating clinical issue for clinicians who provide care for older adult patients. Simultaneously, patients often find medication regimens to be complicated and confusing. This may contribute to medication non-adherence, which may further lead to adverse drug events and/or negative health outcomes. The more medications a patient is taking, the higher the risk for non-adherence. Thirty-eight students enrolled in an adult-gerontology primary care nurse practitioner program were given a bag of five mock medications that are commonly prescribed for older adults. Students were instructed to follow the directions on each of the bottles for approximately one month. A private messaging system was available for students if refills were needed or if they had questions about their medications. A debriefing session for this month-long, ungraded simulation was held, at which time students returned medication bottles. Pill counts were not analyzed, but all returned bottles contained mock medications. Approximately 52.6% of students estimated adhering to the medication regimen 0-24% of the time, whereas 26.3% reported an adherence rate of 25-50%. The most commonly cited barrier to adherence (55.3%) was “forgetfulness”. Nearly all students (89.5%) reported that the exercise “very much” increased their awareness of challenges patients face when managing medications, and 97% cited an increased awareness of ways to improve medication adherence.


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