Nursing Home Care

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• Part 1 Introduction to Nursing Home Life & AlternativesMy Experience of Nursing Homes: Voice of the ResidentOur Experience of Nursing Homes: Voices of Family and FriendsWorking in a Nursing HomeCareer choices and ambitionPreparation to practice in a nursing homeCreating a place called homeRules and regulationsDiversity of Nursing Homes and long term care around the WorldNursing home practitioners-contributing disciplines, essential knowledge, skills and caring attributesInternational NH Development & Research Agenda IAGG-WHOCulture and Quality of CareNursing Home DesignAging in Place: Other Approaches to Long Term CarePart 2 Fundamentals of Nursing Home PracticeHistory of Nursing Homes Around the WorldPrinciples of Nursing Home CareFundamental Rights & Ethical ConsiderationsTruth telling and information disclosure-dilemmas and solutionsFrom admission to end of life careShared decision makingRisks and safety-including medication administration and review (polypharmacy)Restraint Free EnvironmentsCore valuesProtecting the vulnerable –elder abuse and unintentional neglectAccidents happen-and what to do when they occurModels of Care Patient centered careTransitionsSubacute careImproving functionEnd of life/hospice careEden AlternativeTechnology and careMulti-Professional Teams: Working TogetherAn integrated model: a blend of clinical, nursing and social careInter professional communication Valuing nursing home practitioners, assistant practitioners Building a strong team based on reciprocityFamily involvementKeeping the records in orderNursing Home LeadershipRole of the administratorRole of doctors and the medical directorRole of nurses and the nursing directorThe wider multiprofessional teamQuality ImprovementRole of regulators and accreditation agenciesGovernance and national standardsPreparing for the inspectorRole of Lay Assessors & Resident AdvocatesManaging budgets and balancing the booksKeeping up to date with evidence Part 3 Admission to a Nursing HomePreparing for admission.-what individuals and families need to knowTypes of admission & admission criteria.Knowing the person and biographical historiesMinimum Data SetsAssessment of clinical need & medications.Assessment of frailty status and functional abilities.Assessment of communication needs-enabling communicationUnderstanding preferences and personal prioritiesCare Paradigms-enabling/rehabilitation/maintenance/palliative/end of lifePart 4 Managing Age Related Syndromes and ChangesAches and PainsPain and functionAssessing painPain managementToolkits for Practice –what you will see, what you should say-what you should doToolkits for Practice- knowing when specialist referral is indicatedLow Mood, Anxiety and DepressionAdjustment to a nursing homeDysphoriaDepressionAnxietyPsychotic disordersToolkits for Practice –what you will see, what you should say-what you should doToolkits for Practice- knowing when specialist referral is indicatedConfusion, Agitation and Other Behavioral DisturbanceDeliriumDementia - CausesDementia - ManagementWanderingScreamingSundowners- twilight agitationBehavioral DisturbancesToolkits for Practice –what you will see, what you should say-what you should doToolkits for Practice- knowing when specialist referral is indicatedEating and Drinking Nutritional screening and assessmentManaging weight lossTherapeutic dietsVitamin D and other vitamins and mineralsChoosing suitable food and drinkMeal times and snack provisionSpecial considerations for frail older peopleToolkits for Practice –what you will see, what you should say-what you should doUrinary ContinenceManaging Transient Functional IncontinencePreventing urinary tract infections and catheter associated infectionsStress and Urge IncontinenceOverflow IncontinenceLower Urinary Tract InfectionAchieving Continence and Social Continence- the does and don’ts of catheterization, pads and cleansersToolkits for Practice –what you will see, what you should say-what you should doToolkits for Practice-knowing when specialist referral is indicatedBowel ChangesManaging constipationUnderstanding and Managing fecal incontinenceDiarrheaHemorrhoidsToolkits for Practice –what you will see, what you should say-what you should doToolkits for Practice- knowing when specialist referral is indicatedMobility and Falls PreventionWalking, health and survivalGait disturbancesFalls – CausesFalls – PreventionHip fracturesSleep DisturbanceInsomniaNocturiaSleep apneaRestless legsNightmaresUlcers and Common Skin DisordersPressure UlcersVascular ulcersSkin disordersStomal careOral HealthCare of mouth and teeth/denturesXerostomia-Dry Mouth-Causes and InterventionsCommon fungal infections-Causes and PreventionOther problems related to oral mucosa-cancerSwallowing difficultiesToolkits for Practice –what you will see, what you should say-what you should doToolkits for practice-knowing when specialist referral is indicatedVision and HearingAge related hearing lossSimple tests for hearing and audiometryHearing AidsEar Care & WaxTinnitusAge related vision lossSimple tests of visual acuity Dry EyeCommon diseases of the ageing eyeToolkits for Practice –what you will see, what you should say-what you should doToolkits for practice-knowing when specialist referral is indicatedPart 5 Disease ManagementHypertension, Hypotension and Heart FailureNeurological Disorders--Stroke, Parkinson’s disease, Multiple Sclerosis, Locked-in SyndromeMusculoskeletal Disorders--Arthritis, Osteoarthritis, ContracturesInfections and Their ControlAnemiaEndocrine DisordersGastrointestinal DisordersPulmonary DisordersCancer