The peer reviewed Gerontological resources were developed as an easy-to-use reference for faculty wanting to infuse Gerontological content in to nursing courses. Web resources were primarily identified from published articles, existing websites, the Google online search engine, or faculty recommendations.
Sites were specifically selected for their applicability for student learning at the pre-RN licensure level.
All sites underwent primary review by one of the site-list authors, who also developed the descriptive information. Sites were reviewed for their application to student learning and their evidence base. All sites and annotated descriptions were reviewed by all four authors. This information was accurate and linkages were active on March 23, 2018.
The Peer Reviewed Gerontological Web Resources authors are: Tiffany L. Allen, RN, MS, PCCN, CWHC; Juliana Cartwright, PhD, RN; Layla Garrigues, PhD, RN; Michelle Hall, DNP, RN
These resources were developed with financial support from the Northwest Health Foundation and Department of Health & Human Services (Health Resources Service Award # CGEP D62HP06855: Rural Replication of an Academic Clinical Partnership to Enrich Nursing Student Learning in Long-Term Care Settings, J. Cartwright, PI).
The websites are listed alphabetically, please use the below links to get information.
Alzheimer's Disease Association Videos/Interactive material
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.
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
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 30nationally 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 assessment and planning, stroke, rehabilitation, healthy aging and residential care.
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.
Hospital Elder Life Program (HELP)
This Website provides information about recognizing delirium(new mental confusion). It also describes a program that prevents delirium in hospitalized older people, the Hospital Elder Life Program (HELP).
Suggestions for use: Students can review delirium, safety in transitioning from hospital to home, and how to avoid confusion in the hospital.
Improving Nursing Home Compare: Five star quality rating system
Center for Medicaid and Medicare developed an online PowerPoint Presentation to inform consumers on changes to how they are improve their website Nursing Home Compare An in depth power point explaining their 5star rating system and how the system is applied to individual nursing homes. Background information about as well as screen shots of their new web interface are shared.
Suggestions for use: Review for deeper understanding of how CMS regulates nursing homes and provides this knowledge to the public.
Making Oregon Vital for Elders (MOVE)
This is a national grassroots organization committed to changing the culture of aging in America. Oregonians, from a variety of organization, developed a statewide coalition in which ideas and actions come together to support culture change. "Culture change has been defined by the Pioneer Network as "a transformation anchored in values and beliefs that return control to elders and those who work closest with them. Its ultimate vision is to create a culture of aging that is 'life-affirming,satisfying, humane, and meaningful.' Culture change can transform a 'facility into a 'home,' a 'resident' into a 'person,' and a 'schedule' into a 'choice'.
Suggestions for use: Faculty and students can use this website to connect with other organizations in Oregon and access resources dedicated towards empowering elders and learning more about culture change.This site has tools for measuring readiness for culture change and artifacts for culture change
Medicare: Health and drug plans
Medicare.gov is a consumer beneficiary Website that provides access to information about Medicare, Medicare health plans, contact incormation and publications, as well as information about health care fraud and abuse and nursing homes. Content Tools with "personalized search (eg. entering zip code) may provide you with more accurate cost estimates and coverage information." Provides basic knowledge on Medicare benefits Parts A, B, C, and D.
Suggestions for use: Faculty and students can use this site for Medicare information and complexities of Medicare. Useful for chronic illness, population-based nursing, and leadership courses to understand federal health care benefits for people over 65 years old.
National Database of Nursing Quality Indicators (NDNQI)
The National Database of Nursing Quality Indicators,established in 1998, is a proprietary database of the American Nurses Association. The database collects and evaluates unit-specific nurse-sensitive data from hospitals in the U.S. Participating facilities receive unit-level comparative data reports to use for quality improvement purposes. Site includes a pressure ulcer training program and data collection training for the pain care quality survey.
Suggestions for use: Increase knowledge about hospital quality improvement and the role of the American Nurses Association. Pressure ulcer identification training program has excellent photos and clear descriptions of different stages of pressure ulcers and other tissue damage. Could be used as a self-paced, independent learning activity related to pressure ulcer identification. The Pain Care Quality Survey takes the participant through the detailed process of data collection in research. Content includes information on the challenges of reliably collecting study data. This training program also illustrates the need for translational nursing research that could stimulate discussion about the importance of research for practice and ways to participate in nursing research.
Nursing Home Compare
A step by step Medicare guide on comparing nursing homes. Find Nursing Homes in your area. Search by name, city, county, state, or ZIP code. Compare the quality of the nursing Homes you're considering using the Five-Star Quality Ratings, health inspection results, nursing home staff data, quality measures, and fire safety inspection results.
Suggestions for use: Students can learn about evaluating and comparing nursing homes, filing complaints, and nursing home client rights. Useful for chronic illness, population-based nursing, and leadership courses.
Older Adult Focus
This is an excellent resource full of useful information and tools: Use the subject index to find resources on a specific topic, such as driving, polypharmacy, or dementia. Use the teaching tool index to find videos, audio clinical stories, puzzles, evidence-based assessment tools, and other materials ready for you to use in teaching and learning. Nine competencies have been developed to assist and structure your learning. Three of them focus on individual older adults, three on older adults and caregiver issues, the last three focus on older adults and system issues.
Suggestions for use: Nursing faculty can access the multiple learning activities that include assessment tools, audio clinical stories, case studies, fact sheets, handouts, and power point presentations on a wide variety of topics in gerontology. Students can complete various competencies; for instance, increasing an awareness of attitudes, values, and expectations about aging and their impact on care of older adults and their families. These excellent and thorough competencies can be used as self-paced, independent learning activities.
PHI offers both home- and facility-based providers training and organizational development services to manage change and create dynamic relationship-centered organizations that better serve elders, people with disabilities, and their families. Adult Abuse & Neglect Prevention Training :Twelve modules, each 60 minutes long, focus on developing skills to prevent abuse and neglect, as well as other communications and relational skills includes detailed modules with fun activities such as "behavior bingo" with detailed descriptions of how to use curricula.
Suggestion for use: Resource for students to view best practices in long-term care (LTC) & a variety of community based settings. Portions of the curricula could be used regarding falls prevention or Abuse & Neglect Prevention. Courses: Health promotion, chronic & community-based nursing.
Pioneer Network: Changing the Culture of Aging
A collection of culture change tools, resources, & information for providers, consumers, educators, & policy makers. This is a comprehensive site that explains culture change, why it is important, and how to accomplish it. There are tools for consumers, providers, and policy makers. Includes a section on the definition of culture change, patronizing speech or "elderspeak", and how words affect culture and attitudes.
Suggestions for use: Have students observe interactions of staff or students with elders after reading module and identify "elderspeak" issues. Have them practice and give feedback to each other. Have students use the "readiness for culture change assessment" as part of an environmental assessment of a long term care or residential care agency.
Portal of Geriatric Online Education
POGOe is a repository with some original content organized into: Content Library, Product Library, Video Library, Geriatric Competencies, and Forums. ReCAP (Repository of electronic Critically Appraised Papers) is a valuable resource for the latest evidence-based articles. The "Product Library" makes searching for geriatric Educational Materials easy. They are listed by title and resource type. There are many useful resources on this site.
Some videos reviewed by faculty that may be especially useful are listed on this site: http://www.pogoe.org/video-library
Suggestions for use: Many of the videos could be used to enhance case studies or "virtual" client assessments for acute care, chronic care, and community based courses. Portions of videos could be used in class to spark discussions or as preparation for clinical.
Quality Measures: Nursing Home Quality Initiatives
Nursing home quality initiatives including downloadable documents in pdf format. Also links to MDS 3.0 information.
Suggestions for use: Have students research quality measures for nursing homes. Do "mock review" of one measure. Use for health promotion, population, leadership, integrative practicum. Excellent resource for learning how nursing homes are evaluated by Medicare for safety and quality issues.
Resources for Teaching Gerontological Nursing
This website (product of the Northwest Coalition for Geriatric Nursing Education) is designed to provide a variety of teaching resources for nursing faculty who want to include content on older adults in their curricula. Rich website for instructors that deserves a full investigation by anyone who teaches geriatric nursing or wants to teach gerontology. Many links to resources & activities for students. Topics include: environmental assessment, functional assessment, falls prevention, global aging, medications, sensory changes, transitions to different health care settings.
Suggestions for use: Many activities & resources for students with thorough descriptions for suggested use on website.
Retirees and Those near Retirement Have Different Views of Golden Years
Results of a poll from NPR, Robert Wood Johnson Foundation,and Harvard School of Public Health regarding retirement from the view points of pre-retirees and retirees. Results show that pre-retires may underestimate health, financial challenges of retirement. The poll covers the following areas: 1) The retirement experience of retirees and the expectations of pre-retirees; 2) Perspectives on the timing of retirement; 3) Steps taken to stay healthy in retirement; 4) Views on the role of Medicare and Medicaid in retirement; 5) Perceptions of what makes a community a healthy place for retired people; and 6) Concerns about being admitted to a nursing home during retirement.
Suggestions for use: Faculty can use poll results to increase knowledge about the differing views of older adults in retirement or as they near retirement. The slides from the power point can be used in the classroom setting to discuss issues and challenges facing older adults as they retire.
Teepa Snow Dementia Expert
Occupational therapist Teepa Snow is a dementia expert who trains and consults for health care professionals and families privately. Content Videos and links to videos explaining dementia & care techniques for the resident with dementia.
Suggestions for use: Show videos in class with discussion after. Independent study for students about dementia and Alzheimer's disease. Appropriate for community/population-based courses, chronic illness, & health promotion.
United Hospital Fund (UHF) Next Step in Care: Next Step in Care Homepage
Designed to help family caregivers of chronically or seriously ill patients navigate the health care system. Next Step in Care provides easy-to-use guides to help family caregivers and health care providers work closely together to plan and implement safe and smooth transitions for chronically or seriously ill patients. " A campaign of United Hospital Fund. Contains many resources for family caregivers with pages that are easy to read and navigates. Provides a guide: "How to Get the Most from the Next Step in Care Website." Caregiver guides are also provided in Chinese, Spanish, & Russian.
Suggestions for use: Use the "Reducing stress…"guide for students in acute care, as background information or as reflection post-clinical. The "self-assessment" could be used in Leadership or Population-based courses. Independent study: Have students evaluate the site from the family caregiver perspective. Would they refer families to this site?