Acumentra Health: Safety & quality initiatives
Acumentra Health assists health care providers and clinicians in a wide range of initiatives to improve patient safety, effectiveness of care delivery, and quality of care including nursing home safety and quality initiatives. The Medicare projects include pressure ulcer prevention and reduction of restraint use. Other initiatives include "Advancing excellence in America's Nursing Homes and Pain Management Resources. Comprehensive resources for restraint use reduction: patient safety/resident safety culture surveys; tools and resources; falls investigation guide toolkit (coming, not posted as of 11/30/11); links to other useful tools from other organizations such as:
- Hand hygiene video training (somewhat dry) and self-assessment tool
- STAR (Setting Targets Achieving Results)
Suggestions for use:
Faculty can have student access site to learn more about patient safety, restraint use and pain management. Comprehensive resource for restraints.
Alzheimer's Disease Association Videos/Interactive materialhttp://www.alz.org
The mission of the Alzheimer's Disease Association is to "eliminate Alzheimer's Disease through the advancement of research, provide and enhance care and support for all affected, and reduce the risk of dementia through the promotion of brain health."This site is a goldmine of resources targeted to the public, family caregivers, health care providers, and researchers. Materials include interactive presentations, video clips, fact sheets, stories by families, quizzes and assessment tools, and text-based information. Has a lending library of text and media resources. Provides links to local chapters and other key resources for people affected by Alzheimer's Disease (patients, families, providers, researchers).
Content includes information on brain health, pathology associated with A.D., clinical manifestations and treatment, suggestions for caregivers, financial information for families, legal and policy implications of the disease, and resources for researchers.
Suggestions for use:
There is content for every student level here (chronic, acute, leadership, population health, integrated practicum). This site includes scholarly papers, practical pointers, visuals, fact sheets, links to numerous articles, etc.
Aging in the Know: Health in Aging
Created by the American Geriatrics Society Foundation for Health in Aging (FHA), Aging in the Know offers up-to-date information geared towards Older Adult consumers on health and aging.Geared towards Older Adults, there is an active mailing list to receive the latest news, research updates page, glossary of terms. Information on common diseases and disorders that affect older adults. The "What to Ask" Series provides older adults with practical questions and tips to help them work with their provider on developing the best plan of care for the older adult. Also useful for family caregivers of older adults.
Suggestions for use:
Faculty can have students in the community (population) course, leadership course, and chronic I and II access site to learn more about the aging process, health care decisions and trends in the elderly population. The site also provides specific information about community-based care, hospital-based care, and nursing home care. This website is geared towards educating older adults and family caregivers.
Bandwidth: The Online Communications Resource for Grantees of the John A. Hartford Foundation
Bandwidth is the John A. Hartford Foundation's one-stop, online source for communications tools and information. The site is designed to help grantees and other professionals enhance, strengthen, and add visual impact to a variety of publications, presentations, and communications about aging and health.
Suggestions for use: Students could use this in developing presentations, using the quotes add images, ideas for disseminating research data sharing etc.
Best Practices for Elder Care
The Best Practices for Elder Care course focuses on critical care nursing with older adults. The four modules are titled 1) Considerations for care 2) Physiologic changes of aging 3) Healthy care framework 4) Other frameworks for care. Once the modules are complete then you have the option of exploring four case studies. The course can be slow to load at times. The self-paced program consists of four units of instructional content, four units of interactive case studies, and one 17-question self-assessment unit. Completion of the course is worth 4.0 hours of continuing nurse education (CNE) credit. AACN offers this CNE credit at no charge to AACN members. Nonmembers shall remit a reduced fee of $12 to receive their CNE certificate.
Suggestions for use: Have students work through module case studies and have them explain usefulness. Preparation for a critical care clinical experience/rotation.
Better resources for better care: A new look at the old Lippincott's Learning Center.com
This site provides information about the care of those over 65, derived from cutting-edge research and best practices, is now available to nurses and other providers in either print format or streaming video, at any time and at no cost, through this series called "A New Look at the Old". The print series began in the August 2004 issue of AJN, and continued until December 2006. You can read or download the articles. The broadcast series is based on the content of the articles found in AJN, but includes additional content. Those interested in viewing the 60-minute or 30-minute programs which began in January 2005, can click on the titles under the broadcast heading. These programs are archived for viewing at any time.
Suggestions for use: Students interacting with people with older adults. Many of the resources address concepts that are applicable across care settings and with diverse older populations. These resources might be tapped for acute or chronic illness courses as well as leadership, population health and integrative practicum.
Campaign for Better Care
A website for the Campaign for Better Care a broad-based coalition group that has an agenda to improve the health care delivery system for all people, including older adults. Website describes the campaign and issues regarding our current health care delivery system, stories from people in communities, and how to help the group. It contains information about the Affordable Care Act (ACA) including a time line for implementation of specific features of the Health Care Reform Act and their impact on older adults, recent press releases and articles from organizations as well as stories and photos about people dealing with the current health care system and upcoming legislation. Provides 'fact sheets' on chronic illness including demographics, socio-economic implications and policy implications.
Suggestions for use: Review the website's fact sheets on chronic illness and the time line and activities behind the Affordable Care Act (ACA), could be used in Chronic Illness, Leadership and Community (Population) Health courses.
Center for Personal Assistive Services
The CPAS website has a wealth of information regarding personal assistance services, including research, training, dissemination and technical assistance. Personal assistance includes paid assistive personnel, family caregivers, and devices that promote independence . A very large website that covers a broad range of information, research, and issues around assistive services. Includes webcasts, journal articles, links, presentations, webcasts, policies, guide for caregivers and workers, guides for workplaces, legislation and state-by-state resources.
Suggestion for use: Have students watch the video, "A day in the Life" that follows a man born without legs or arms, who lives alone, holds down a full time job, and receives minimal assistance. The video is 11:22 minutes long and addresses numerous issues r/t functional health and safety as well as quality of life. https://www.dor.ca.gov/Media/rd-video.html
CHAMP Advancing Home Care Excellence
A large diverse website that has e-learning courses, resources, expert advice, best practice documentation and recommendations available to the community. Much of the content comes from links to other sites (e.g., ConsultGeriRN; PHI). However, this site is very comprehensive and home-care/community-based nurses will find the resources appropriate and very helpful.
Online education modules for RNs, Certified Clinical Case Managers, Frontline Nurse Managers and more (course costs range $50-$150). Resource section has Tools (assessment/management tools listed by topic), evidenced based guidelines, journal articles, and meta-analyses available to download. Links section of website has links back to other organizations interested in health care quality, older adults and team-building.
Suggestions for use: Students will find resources for planning in-service projects for ancillary staff as well as basic content about community-based care for older adults (e.g., culture change, coaching-supervision of staff, practice protocols for pressure ulcer prevention). The resources section is probably the most helpful section.
Consult Geri RN
"ConsultGeriRN.org is the evidence-based geriatric clinical nursing website of The Hartford Institute for Geriatric Nursing, at New York University's College of Nursing." ConsultGeriRN.org is part of the "practice" portion of the Hartford Institute of Geriatric Nursing. "ConsultGeriRN.org addresses the need that many nurses face to improve older adult patient outcomes through better staff education and access to evidence-based knowledge."
On ConsultGeriRN.org you will find evidence-based Geriatric protocols for managing common geriatric syndromes and conditions; portals to specialty nursing associations’ geriatric care knowledge bases and national geriatric web sites; the Try This Assessment tools series with over 30 nationally recommended instruments for use with older adults; Hospital competencies for older adults for use in nurse orientation and evaluation and much more.
Suggestions for use: This is an excellent resource for nurses at all levels. Students will see modeling of nurse-patient interaction, assessment techniques, and more. Instructors can use portions of videos in class and refer students to videos for independent study. The tools are useful in all care settings: Acute care, Population/community based nursing, Long-term care.
Delirium in the Older Person
A web page developed by the Vancouver Island Health Authority Mental Health and Addiction Services Agency. This is a very specific resource for distinguishing delirium it is geared towards families and health professionals.
They have developed many PDF downloads that are available for free in the subject areas of About Delirium, Quick Reference Tools, Prevention, Recognition, Assessment, Intervention, Quizzes to practice your delirium knowledge and Professional Practice Resources as well as book recommendations on the subject. There is also an engaging video called Delirium in the Older Person Family Guide with three different parts.
Suggestions for use: Have students watch the videos, download the PDFs and take the quizzes about delirium.
Western Australian Center for Health Aging online aging resource. Developed after focus groups with audiences to determine their needs. 10 modules each with an interactive case study to deepen the learning. Each module has objectives, pre-module test, and resources with power point downloads. Also within each objective is a case study which includes images, history of complaint, medical history, medication history, social history and assessments and an interactive interview where you click on the question to get the answer from the client. Final state of the interview includes a physical examination where you can hover your mouse over different parts of the body to get different results. Then you get to see results of various tests and select the diagnosis you think most appropriate, feedback is given on all options.
Suggestions for use: Have students complete a case study based on the topics they are currently covering. Module topics are delirium, continence, dementia, falls, depression, geriatric asssessment and planing, stroke, rehabilitiation, healthy aging and residential care.
Geriatric Medication Managment Course
CHAMP's Geriatric Medication Management course has been approved by the Commission for Case Manager Certification (CCMC) as a continuing education activity for certified clinical case managers.Content Fee: $149, there are four units 1) Current Medication Managment Practices 2)Medication Reconciliation 3) Communicating Effectivly with Physicians 4) Measuring Improvmeent.
Suggestions for use: Possible leadership course or nursing student discussion (eg. brown bag medication review with clients). Designed for frontline nurse managers, clinical directors, QI/QA officers, and clinical case managers. 10 CE hours for registered nurses and certified clinical case managers. Tuition $149 per participant for lessons.
This web resource (GeriatricPain.org) is to identify and share best practice tools and resources that support recommendations for good pain assessment and management in older adults. The web site is organized into categories of emphasis with tools selected to assist nurses with responsibility for pain care in the nursing home. Free evidence-based tools and best practices for nurses who work in nursing homes.
Suggestions for use: Faculty can provide students with these easy to use resources on pain and addiction terminology as well interventions such as the WHO Ladder, side effects management, non-drug management, brief introduction to Serial Trial Intervention. Faculty can review the communication tools with students when studying pain management. Review list of myths about pain with "reality" explanation including table listing assessment and intervention approaches for specific older adults and family barriers to pain management
Geriatrics and Palliative Care Blog
Forum for discourse, recent news and research, and freethinking commentary. Won the Best Clinical Weblog of 2010.Content Brief review of palliative care and geriatrics for faculty/students - information is based on expert opinion.
Suggestions for use: Faculty and students can access site for review on palliative care, end of life care and geriatrics. Faculty can have students explore current concerns and perspectives of a wide range of health care providers.