COURSE TITLE Aging and Health Care Issues

UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS FALL 2011

COURSE NUMBER NGR 6930, Section #06EE

CREDITS 3

PLACEMENT Variable

PRE/COREQUISITE None

FACULTY OFFICE PHONE OFFICE HOURS

Laura Sutton, PhD, ACNS-BC HPNP 3228 352-273-6358 (office) Wed 12:00 – 1:00 pm [email protected] Thur 11:00 am – 12:00 pm & By Appointment

DEPARTMENT CHAIR

Joyce Stechmiller PhD HPNP 352-273-6394 (office) Wed 12:00 – 2:00 ACNP-BC, FAAN 3230 Associate Professor [email protected]

Jacksonville CAMPUS DIRECTOR

Andrea Gregg, DSN, RN Jacksonville (904) 244-5172 By appointment [email protected]

COURSE DESCRIPTION This course provides an overview of health care issues for persons as they age. The focus will be on health promotion as person(s) age with discussion of concepts, research, and health promotion theories related to aging. Common health problems of the aging adult will be identified. Critical analysis of the current health environment will provide a format for discussion of common health problems and identification of strategies for health promotion and disease control in the elderly.

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

1. Analyze health promotion theories, concepts, and models that guide health care for the aging population in the United States.

2. Critique the positive and negative aspects of health care access for the aging population in the United States.

3. Analyze common health care issues in aging and discuss strategies for health promotion and disease control.

NGR 6930 – Aging and Health Care Issues – Fall 2011 – CON Website - FINAL 4. Identify current barriers to long-term care.

5. Compare and contrast the benefits and risks for the caregiver of the frail elder.

COURSE SCHEDULE – Web-Based Course

E-Learning (Sakai) is the course management system that you will use for this course. E-Learning (Sakai) is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to [email protected].

It is important that you regularly and frequently check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.

Course websites are generally made available on the Friday before the first day of classes.

WEB BASED LECTURE, DISCUSSIONS AND ASSIGNMENTS : This course uses web-based, asynchronous lectures and discussions. The Weekly sessions begin on Wednesday at 8am and end on the following Tuesday at 8pm. - Please refer to the Evaluation Rubric for E-Learning Discussions. - Discussion postings made after weekly deadlines will not be considered for evaluation. - Assignments will have deadlines and Students must post completed assignments in the Assignment Drop box by the Assignment due date. Deductions of 5 points a day (beginning the day following the deadline) will occur for ALL late assignments. Please contact Dr. Sutton prior to a due date if there is an emergency that will prevent you from turning in the assignment by the deadline.

ATTENDANCE Students are expected to participate in the activities and discussions as listed in the course syllabus and on the course web-site. Timeframes for the posting and receiving of materials are listed in the course materials on the course web-site.

ACCOMMODATIONS DUE TO DISABILITY Each semester, students are responsible for requesting a memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester.

STUDENT HANDBOOK Students are to refer to the College of Nursing Student Handbook for information about College of Nursing policies, honor code, and professional behavior.

TOPICAL OUTLINE 1. Introduction and overview 2. Concepts related to aging 3. Health promotion theories and aging 4. Access to health care for the aging American

NGR 6930 – Aging and Health Care Issues – Fall 2011 – CON Website - FINAL 2 5. Specific health care issues as persons age A. Aging and sleep B. Aging and exercise C. Aging and nutrition D. Aging and sexuality E. Aging and degenerative muscular-skeletal problems F.Aging and memory G. Aging and hypertension H. Aging and cancer I. Aging and depression J. Aging and HIV/AIDS 6. The changing face of long-term care 7. The pearls and perils of informal care giving

TEACHING METHODS Web-based guided group discussions, electronic resources, and lectures.

LEARNING ACTIVITES Discussion group participation; written scholarly papers; group presentations

EVALUATION METHODS/COURSE GRADE CALCULATION (See E-Learning course website for specific guidelines)

Discussion group participation 25% Geriatric care management paper 25% Aging health care issues paper 25% Group presentation 25%

GRADING SCALE/QUALITY POINTS

Letter Grade Percentage Quality Points A 95-100 4.0 A- 93-94 3.67 B+ 91-92 3.33 B 84-90 3.0 B- 82-83 2.67 C+ 80-81 2.33 C 74-79* 2.0 C- 72-73 1.67 D+ 70-71 1.33 D 64-69 1.0 D- 62-63 0.67 E 61 or below 0.0 *74 is the minimal passing grade

NGR 6930 – Aging and Health Care Issues – Fall 2011 – CON Website - FINAL 3 TEXTBOOKS

Required Texts

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Ham, R. Sloane, P., Warshaw, W., Bernard, M., and Flaherty, E. (2007) Primary care geriatrics: A case- based approach (5th ed). Philadelphia, PA: Mosby-Elsevier.

Recommended Texts None

NGR 6930 – Aging and Health Care Issues – Fall 2011 – CON Website - FINAL 4 WEEKLY CLASS SCHEDULE

DATE TOPIC/EVALUATION ASSIGNMENTS (See Assignment tab in Sakai for instructions)

READINGS (Additional readings are posted under each Week’s module. Text readings are from Ham et al. (2007) Aug 24 Module 1: Introduction to the View Introduction course Discussion (Forum) 1. Who are you? 2. What is your interest in aging? 3. Have you taken a course in aging before? 4. How might you integrate aging in your project and/or residency? Aug 31 Module 2: Overview of Ham et al, Chap. 1-3. Demographic and Socio-Cultural View Presentation. Concepts of Aging. See Module 2 Folder.

Sept 5 Labor Day Holiday

Sept 7 Module 3: Overview of Normal View Presentation. Physiologic and Cognitive Aging. See Module 3 Folder. Discussion (Forum) 1. How does the “normal” process of aging affect quality of life of older adults? 2. Discuss cognitive aging and its’ relationship to common myths of aging.

Sept 14 Module 4: Ageism See Module 4 Folder Discussion (Forum) 1. Think about the common myths of aging discussed last week. How do these contribute to ageism? 2. How does political activism contribute to or detract from ageism?

Sept 21 Module 5: Culturally Competent Ham, Chap 7 Geriatric Care See Module 5 Folder View Presentation. Discussion (Forum) 1. Consider your own ethnicity/culture/religious views related to the older adults; how do they differ from others in your social/work environment? Does it make a difference in advanced practice? 2. There is much international travel and exchange today. Select one country NGR 6930 – Aging and Health Care Issues – Fall 2011 – CON Website - FINAL 5 DATE TOPIC/EVALUATION ASSIGNMENTS (See Assignment tab in Sakai for instructions)

READINGS (Additional readings are posted under each Week’s module. Text readings are from Ham et al. (2007) outside North America and discuss differences in health care for older adults (remembering that they might be much younger than in the US).

Sept 28 Module 6: Health Promotion in See Module 6 Folder. Older Adults View Presentation.

Oct 5 Module 7: Fluid and Nutritional See Module 7 Folder Issues in Older Adults Ham et al, Chap 27, 28 View Presentation. Geriatric Care Management Paper Due Oct 12 Module 8: Aging and Memory Loss See Module 8 Folder View Presentation by Dr. Meredeth Rowe Discussion (Forum) 1. There is much in the news about dementia. This causes much anxiety to aging adults. How does dementia differ from age-related cognitive decline? What cognitive/diagnostic tests can be used to differentiate? 2. Dementia can be the result of other causes than Alzheimer’s. What other disease processes/brain injuries commonly seen in older adults? How do treatments differ? Group Presentations For each of the following five group presentations, there will be a discussion (forum) posted with the following questions: 1. What additional evidence might you contribute to the presentation? 2. If an older adult with this issue came to your practice, what interventions would you implement? Oct 19 Module 9: Living with Chronic See Module 9 Folder. Health Decline Ham et al., Chap 25-26, 35 – 41, 45 - 49 Group Presentation Oct 26 Module 10: Issues of Independence See Module 10 Folder Ham et al., Chap 19-23, 34, 42-44 Group Presentation Nov 2 Module 11: Informal Care Giving See Module 11 Folder Group Presentation

Nov 4 UF Homecoming – No Classes

NGR 6930 – Aging and Health Care Issues – Fall 2011 – CON Website - FINAL 6 DATE TOPIC/EVALUATION ASSIGNMENTS (See Assignment tab in Sakai for instructions)

READINGS (Additional readings are posted under each Week’s module. Text readings are from Ham et al. (2007) Nov 9 Module 12: Elder Abuse and See Module 12 Folder. Neglect Ham et al, Chap 32. Group Presentation Nov 11 Veterans Day – No Classes Nov 16 Module 13: Changing Face of See Module 13 Folder Residential and Long Term Care. Ham et al, Chap 9 - 14 Group Presentation Nov 23 Module 14: Access to Health Care See Module 14 Folder View Presentation Aging Health Care Issues Paper Due

Nov 24-25 Thanksgiving – No Classes

Nov 30 Module 15: Loss and Grief See Module 15 Folder View Presentation. Dec 7 Summary of Class View Presentation

ADDITIONAL COURSE INFORMATION Guidelines and grading rubrics for the discussion board, geriatric care management and health care issues papers, and the group presentation are located in the Course Assignment Information section of the Course Materials of the E-Learning in Sakai, NGR 6930 website.

Approved: Academic Affairs Committee: 04/99 Faculty: 04/99 UF Curriculum: N/A

NGR 6930 – Aging and Health Care Issues – Fall 2011 – CON Website - FINAL 7