N410: Gerontological Nursing (Fall 2014)

TABLE OF CONTENTS: SYLLABUS II (CLINICAL) NURS410: Gerontological Nursing TABLE OF CONTENTS: SYLLABUS II (CLINICAL) .................................................................... 1 CLINICAL OVERVIEW ................................................................................................................. 2 Dress Code in Clinical.................................................................................................................. 2 Clinical Faculty ............................................................................................................................ 3 Clinical Hours Worksheet ............................................................................................................ 3 CLINICAL ACTIVITIES AND REQUIREMENT ......................................................................... 4 Clinical Assignments.................................................................................................................... 4 Clinical Meetings ......................................................................................................................... 4 Interview, Gerontological Assessment, and Nursing Interventions ............................................. 5 Grading Criteria............................................................................................................................ 7 COMMUNITY SERVICE ACTIVITIES ...................................................................................... 10 Palliative and Hospice Care Facilities ........................................................................................ 10 Dementia Care Facilities ............................................................................................................ 10 Gary and Mary West Senior Wellness Centers of San Diego .................................................... 11 Advance Health Directive .......................................................................................................... 13 Community Health Fair and Research ....................................................................................... 12 Mass Transit Excursion .............................................................................................................. 13 Aging Council Meetings in Our Community ............................................................................. 13 Clinical Journal Guidelines ................................................................................................................ 14 GRADING CRITERIA FOR CLINICAL ACTIVITY ...................................................................... 15 CLINICAL OUTCOMES/EVALUATION ....................................................................................... 16 Clinical Hours Log ............................................................................................................................. 18 Interview Agreement .......................................................................................................................... 19 COURSE FIELD TRIPS .................................................................................................................... 20

N410: Gerontological Nursing (Fall 2014)

2 CLINICAL OVERVIEW

The purpose of the clinical sessions in this course is to provide you with an opportunity to work with older adults who are not acutely ill. You will conduct a thorough interview with an adult 70 years of age or older to assess for needs that may impact the persons health, provide interventions that would promote keeping him/her at home and healthy, implement the interventions, then evaluate for effectiveness. You will observe how people cope with their physical problems of aging, how they modify their environments, and how families and older adults deal with psychological and cognition difficulties. During your interview they may describe their life and how they deal with the aging process, steering you into wonderful laughter and joy as well as tearful moments as you feel their sorrows. After interviewing older adults, you will appreciate their uniqueness and contributions, and how each is unique in their ability to adapt to the changes that accompany aging. All of your experiences, interview summary, and your interventions will be shared with your client. Clinical policies: Attendance at clinical lab meeting is required to pass N410: You must get a satisfactory grade and fulfill all outcomes in clinical to pass the course. Absence of clinical meeting should be informed to the clinical instructor in advance and should be covered by the guidance of the instructor. If you must miss a clinical session, you will be assigned a topic for a five-page minimum professional paper that will be due two weeks from the missed session. Unsatisfactory clinical performance or absence of clinical conference more than once will result in a failing grade for the entire N410 course. Your clinical faculty member has total authority and responsibility to remove you from clinical practice if your behavior is deemed unsafe or unprofessional. All Clinical Outcomes must be COMPLETED to PASS the Course. Clinical Meeting Times and Places: Follow the schedule of each clinical session. Liability, Vaccinations, CPR Certification, Course Field Trip Students must submit a copy of proof of compliance to their clinical instructor and submit the Course Field Trip form on the first clinical meeting. Dress Code in Clinical 1. Picture ID badge must be visible 2. Professional dress for clinical requires street clothes unless the clinical site specifies. 3. Follow Dress Code, Clinical Attire and Hygiene Guidelines on the Undergraduate Student Handbook at http://nursing.sdsu.edu/miscfiles/undergradhandbook.pdf. Under no circumstances are jeans, t-shirts, visible midriffs, flip-flops, and high heels acceptable. Any student considered unprofessional in appearance will be asked to leave the clinical setting. This will result in an unexcused absence and will affect the students clinical evaluation.

N410: Gerontological Nursing (Fall 2014)

Clinical Faculty Carmen Galang, DNSc, RN, OHN Office # HT 7 Tel: (619) 594-5385 (O) Office hour: Tuesday 2-4pm (at HT-07), or by e-mail at cgalangdr@sbcglobal.net Malinda K. Fox, MSN, RN Tel: (619) 889-2832 (C) Office hour: by e-mail malinda.fox@med.navy.mil Kim Moreno PhD, RN Tel: (619) 316-8940 (C) E-mail: KMoreno731@gmail.com Clinical Hours Worksheet Students are required to complete 45 clinical hours as follows: 36 hours: Interview (10 hours) Debrief meeting for interview (9 hours) Hospice (8 hours) Dementia facilities (8 hours): day care and residential care Caring at the end of life (Required for all) 9 hours: Students may choose from the following clinical activities to complete their hours. (See the details on page 10) Maximum

Community health service (Health Fair) Mass transit excursion Meal service at the Gary and Mary West Senior Wellness Center (once) 2 hrs Work with a Geriatric RN 3 hrs Create educational material Advance health care directives for yourself Aging council meetings in our community Research presentation (poster or podium) at an academic conference Attend at a regional or national gerontology meeting Senior Olympics in San Diego (pending)

4 hrs 3 hrs

2 hrs 1 hr 2 hrs 4 hrs 2 hrs 4 hrs

Each student has a responsibility to manage the clinical work on his/her own time schedule. Some clinical experiences (i.e. hospice, dementia care facility, and community service) and all individual activities must be accounted for in your journals. See the clinical journal guidelines. You may not miss classes or clinical in other courses to fulfill N410 course requirements. Clinical instructors have authority to determine what activities count as clinical hours (see below for alternative clinical sites). All Clinical Outcomes must be completed by the clinical due date.

N410: Gerontological Nursing (Fall 2014)

CLINICAL ACTIVITIES AND REQUIREMENT Clinical Assignments Interview an older adult for geriatric assessment o Identify nursing diagnoses and provide interventions Summarize the interview and nursing care Complete clinical activities in hospice, dementia care facility, and other clinical settings and submit a journal describing your clinical experiences Complete and submit the Clinical Outcome/Evaluation form Clinical Meetings Debrief meeting schedule and location of each group are announced by your clinical instructor. Meeting 1 (2 hr): Orientation for clinical work.

Submit a copy of compliance and show an original one. Submit Course Field Trip form Bring clinical syllabus and hard copy of Interviews Part I, II, & III. 2 copies of agreement of interview process form. Submit 1) Interview part I 2) Signed Agreement of Interview Process 3) Medication analysis table 4) 24 hour diet recall 5) Report of FORE 10 year Fracture Risk Calculation 6) (Option) Teaching/educational materials for your client

Meeting 2 (2 hr): Present your case with anticipated nursing problems

Note: All teaching materials to be given to client should be written in double space, at least 14 font size (Times New Roman) or equivalent to the size. Meeting 3 (2hr): Present your case with anticipated nursing problems Submit 1) Interview part II 2) Nursing diagnoses, objective information, goals, and expected health outcome (1 page). Do not include nursing intervention. 3) Clients daily To-Do-List for your client (1 page) 4) Teaching materials if you have not submitted Meeting 4 (2hr): Present your case with interview III

Discuss the video, Caring at the end of life posted on Blackboard. Submit Interview part III

Meeting 5 (1hr): Present your case with anticipated client behavioral changes.

Submit two copies of the interview summary (5 pages). Submit Clinical Outcome/Evaluation form. All clinical alternative experiences should be completed by this date.

N410: Gerontological Nursing (Fall 2014)

Interview, Gerontological Assessment, and Nursing Interventions 1. Each student will interview one older adult over the semester and assess the health conditions of the person. In each interview, students apply different functional assessments to the person and provide feedback and nursing interventions. 2. The purposes of this assignment are for students to 1) improve their communication skills with older adults, 2) gain empirical experience to assess normal age-related changes and their effects on the functional ability of older adults residing in the community, and 3) develop interventions/teaching plan based on the empirical findings and theoretical foundations. 3. Selection Criteria: Adults who (1) are age of 70 years or over, (2) have at least two medication prescriptions (excluding PRN medications), (3) are able to communicate clearly, (4) are available to meet the student in person at least four times by appointment, and (5) agree to answer and ask questions regarding his or her health and life for the benefit of the students learning. 4. Exclusion Criteria: You will exclude older adults who (1) suffer moderate/severe dementia, (2) are undergoing acute care, (3) are admitted to acute/skilled nursing care facilities, and (4) live in outside San Diego County. 5. Guideline of Interview Interviews are allowed only in person and not by phone, video recording, or any other on-line device. Please do KEEP the participant while the clinical course is underway. If you must change the participant, you should repeat the interview process with the new participant up to the time of the replacement. Before using the assessment questions or tools, please READ carefully and understand the meaning of the questions, tools and the related passages in the textbook. If you cannot understand the content, please feel free to ask your clinical instructor. You will assess the older adults health based on the participants subjective reports and your objective observations including nursing knowledge. While you are assessing your participants health, you need to consider the participants tiredness. You may postpone completion of the questionnaire until a later time. You may participate in your client's usual activities during the interview hours. All the information obtained from your interviewee will be kept CONFIDENTIAL. Do not include clients names on submitted work! If you do not know anyone for interview, go to Tierrasanta Village of San Diego. Talk to Mr. John Batchelder @ 858-254-9011 or jbatch2010@live.com. Instruction for Interview For the first meeting Find one older person that meets the inclusion criteria from your family, neighbors, senior center, senior apartment, etc. Older adults at an assisted living facility may not be qualified for this course work. Introduce yourself and invite the older person to participate in the interview. Fill out the Interview Agreement including both parties phone numbers: Leave one copy for your client and submit the other copy to your instructor. Set a meeting place, date and time for the next meeting (Interview part I).

N410: Gerontological Nursing (Fall 2014)

Request that your client bring the medication information (name, dosage, frequency, etc.) to the next meeting for Interview part I

Client Interview Part I Interview your client using the form, Interview Part I, within the allowed time (2 hours). It is very important to obtain an accurate medication history and 24 hour diet recall found in the Part I Interview. After your client interview, analyze the data collected, identify all nursing diagnoses, and develop your teaching materials. Submit this information at the second clinical conference meeting with your instructor. Client Interview Part II Provide the results of 1) the analysis of medications, 2) 24 hour diet analysis, and 3) 10 year fracture risk calculation to your client and explain the result and interventions. Interview your client using the form, Interview Part II. Discuss the possible nursing diagnoses with your client and select the best available one upon the clients agreement/willingness. Client Interview Part III Interview your client using Interview Part III Implement your planned nursing interventions and observe your clients response After interview III, contact your client and ask about your clients response to the interventions. At the last meeting Provide your client with the summary report and explain the content. Conclude your meeting with your client. Interview Topics:

Interview Part I, Functional Assessment 1. Background information 2. Perceived Health Status 3. Nutritional Assessment 4. 10-Year Fracture Risk Calculation Interview Part II, Functional Assessment 5. Mini Mental Status Examination (MMSE) 6. Balance and Gait Evaluation 7. Pittsburgh Sleep Quality Index 8. Instrumental Activities of Daily Living (IADL) Scale Interview Part III, Functional Assessment 9. Self-Administered Assessment for Hearing Impairment 10. Geriatric Depression Scale-Short (GDS) 11. Exercise and Physical Activity 12. Worthwhile/meaningful Events

N410: Gerontological Nursing (Fall 2014)

Grading Criteria Interview and Intervention Credit: 60 points The quality of the functional/health assessment obtained by interview will be evaluated by the instructor based on the accuracy and completeness of the data, the feedback to your client, and intervention related to the nursing diagnosis. Accuracy: When you interview older adults, several points are helpful for getting valuable and objective information: (1) obtain direct information as expressed by the older adult, (2) do NOT force your opinion on the participants answers, and (3) add your objective information in a comment section. Completeness: Answer all questions including comments and feedback of each assessment. Feedback to your client: When you get information from your client, give feedback to her/him about the normal range of the assessment, what it means regarding the clients health status, and how the situation can be improved. Write what you provided to your client in the comment section at the end of each instrument. Teaching and interventions: From the findings you obtained from the interview tools, you may need more detailed information than that obtained from the tools. For example, if a person has a chronic pain, ask about the condition in detail such as severity, frequency, duration of pain, influencing life style (activity, sleep, etc.), how the participant manages it, medications to relieve the symptoms, and whether the management was effective. With this information, you can set a few realistic interventions to improve the condition. Provide references regarding your information (nursing diagnosis, intervention, and educational materials). Credit: Refer to Grading Criteria for Clinical Activity on p. 14 Medication and Nutritional Analysis: 1. Submit his/her BMI, two types of nutritional analysis. 2. Medication analysis: Make a table with at least 14 fonts or higher. This table is for your client, so explain in laymans terms. Make it simple and efficient in space using. Example: Medication analysis table
Medication Client dose/frequency {do not use Ac, qc, bid, etc.} Desired Main Effect

{make it simple}

Most common side effects

Special consideration (e.g. food need to be avoidable or encouraged) {Do not include general instructions for medication administration}

N410: Gerontological Nursing (Fall 2014)

A Summary of Interview and Nursing Care Credit: 30 points Purpose: The results of your interview will be summarized in a final report to give your client. The assessment, findings, nursing diagnosis, interventions and teaching should be reported. The report should be written in lay terms for your client to understand. Introduction (8 pts): Start with narrative description directed to your client that includes the purpose of this paper, place and dates of interview, demographic information (age, gender, race, living status, etc.), health/medical conditions, and number of prescriptions. Briefly describe his/her findings in each instrument (client scores and normal ranges). 1 ~ 2 pages of length Synthesize data: (8 pts): Determine the one or two highest priority nursing diagnoses with rationale. Describe your concerns about your clients health and provide rationale (This is a foundation of nursing diagnosis). Explain why you concern the health issue with all objective and subjective information. o This information can include but is not limited to the clients expression (subjective) and your observation (objective) and nursing/medical knowledge (i.e., medical diagnosis, nutritional or behavioral habits, assessment scores by the instrument, etc.). o Consider that your client is a whole person. You should include all, physical, social, or emotional issues (e.g. habitual behavior, economic status, living condition, etc.) and not just focus on medical problem(s). o You should take the facts from the assessment section and synthesize them into a pattern of what may be causing difficulty for the client, or where his/her knowledge could be improved. You can repeat the information described in the introduction section. Provide what your expected health outcome from your intervention is. You can reflect on what your client wants to improve/learn. 1 ~ 1.5 pages of length Interventions and results (8 pts): Summarize what you provided to your client to improve his/her health status and the result of your intervention. Describe interventions about what you provided or practiced. Be specific about exactly what you provided for your client. Example: Taught to practice strength/chair exercise for 10 minutes daily. Reduce the amount of carbohydrate servings to six per day. o Do not need to provide general/overall information, which may be needed for you but not for your client in this summary paper. Describe what kind of method was used for delivery of your interventions. Describe how much your goal reached. Specify the result of your intervention. o For example, 1) if you provided some intervention to reduce her/his blood pressure (BP), pain, body weight, etc., show the result of BP, pain level, body weight at the beginning and end of the semester. One of inappropriate interventions is Assess the characteristics of ~. 1 ~ 1.5 pages of length

N410: Gerontological Nursing (Fall 2014)

Discussion and Conclusion (3 pts): Describe the clients response, what was his/her preference, choice, or interest. Describe whether your client started the change or followed your advice State what you learned from this experience Express your appreciation of their time and willingness to share information. Describe how you kept confidentiality One to three paragraphs are enough Format (3 pts): This is a report of your interview for your client. Length of report: Maximum 5 pages without a title page Double space, 14 font size (Times New Roman) or equivalent, 1 inch margins, and single side of a paper. Submit two identical copies: one copy for your client including your instructors signatures. Staple the paper. Late submission: 1 point per day will be deducted from the total points. Example of Title page Last page
A Summary of Functional Assessment and Nursing Care Student: XXXXXX School of Nursing San Diego State University Client initial: XXXX Interview Place: Interview dates: Date of report: Student Signature: ___________ Instructor:: Young-Shin Lee, PhD, RN Kim Moreno, PhD, RN, or Malinda Fox, MSN RN Signature: _________Date ____ N410 Gerontological Nursing Clinical Instructor San Diego State University

Nursing professionalism and accountability of nursing care: Credit: 10 points Students professionalism will be graded on his/her participation in clinical and quality of clinical work at the end of the semester by the following criteria but not limited to Attendance of clinical activity or meetings and performing a requirement in a timely manner. Performing a requirement in a timely organized manner Quality of clinical work: o Evidence of interviews and nursing care o Quality of clinical journals and assignment o Each individual activity should be organized and performed with a sufficient time frame weekly over the semester

Fidelity of clinical work, plagiarism, and conduct of code.

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COMMUNITY SERVICE ACTIVITIES

Bring the Clinical Hours Log to get the staff information whenever students visit any facilities. Submit a clinical journal entry within one week after each activity. The following places are recommended to visit and serve. If any students want to visit other than the listed places, approval from the clinical instructor is needed in advance. Provide the characteristics of the institution. Write a Thank-you Note to the staff who was an excellent mentor during your clinical visit.

Palliative and Hospice Care Facilities Each student is required to visit one day (8 hours) at one location. The schedule for hospice (site and day) is posted on Blackboard, Combined CX-BB, at the first week of the semester. Each student has a responsibility to manage the hospice schedule with other course work (i.e., clinical meeting days, individual activities, classes, etc.). Students who visit Sharp Hospice or Kaiser Permanente should meet the requirement from the agency. Refer to Blackboard, Clinical information section. Hospice location and contact information Sharp Hospice Care (Monday and Wednesday sections) Contact: Brian Garner, (619) 667-1900 1) Sharp Hospice Care (Home hospice visit) 8881 Fletcher Parkway, suite 336, La Mesa, CA 91942 Time: 8am-4pm 2) Lakeview Home (La Mesa) 9472 Loren Drive., La Mesa, CA 91942 Tel: (619) 668-6995 Time: 7am-3pm Kaiser Permanente Home Hospice Care (Friday sections) 1) 10992 San Diego Mission Road, 92108, 3rd Floor "Home Health" Time: 9am-5pm Karen Christie <Karen.M.Christie@kp.org> Tel: 619--641-2072 2) If Karen is not available, Gail Sentesy is the next available contact person at Gail.A.sentesy@kp.org. 3) Get the required information from Nursing Consortium Web Page: http://www.sdnsec.org/index.asp and submit it to your instructor Dementia Care Facilities Credit: Mandatory 8 hour activities at two different levels of care (day care and residential care) facilities. Students need to schedule one week prior to the activity. Professional dress with name badge, comfortable shoes unless specified. See the Dress Code in Clinical (Syllabus I, p.8) if not specified. Keep on time on the scheduled date.

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Please reschedule your visit, if you are not feeling well, have a cold, cough or other symptoms. 1) Collwood Terrace (Residential Care) Address: 4518 54th. St., San Diego, CA 92115 Contact: Rachel Robinson, Activity Director, rachelr@collwoodterrace.com. Available on Monday, Tuesday, or Thursday, 9:30am-1:30pm Available street parking in the neighborhood Can call at 619-287-2920 when you cannot make it after seting up a time

2) Sunshine Care (Residential Care) Address: 12695 Monte Vista Road, Poway CA 92064 Contact: Lisa Lipsey, Director of Community Relations lisa@sunshinecare.com Available on Fri or Sat, 10:00am-2:00pm or 2:00-6:00pm Bring a proof of Tuberculosis clearance updated within one year. Dress code: Business attire, closed toed shoes, no scrubs please. 3) Sun and Sea Manor (Residential Care) Contact: Ms. Anne Owens-Stone, Executive Director Address: 740 Seventh St., Imperial Beach, CA 91932 Scrubs with name badge Tel: 619-429-0633

4) Elmcroft of La Mesa (Residential Care) Contact: Rhonda Hernandez <rhernandez@elmcroft.com> (preferred contact (Sep. 2013~) Tel: 619-644-1100 Address: 4960 Mills St, La Mesa, CA 91941 Time: 9am-1pm or 2-6pm 5) George G. Glenner Alzheimer's Family Center (Day Care) Bring a proof of Tuberculosis clearance updated within one year.

Three Locations: 5-1) 280 Saylor Drive, Chula Vista, CA 91910. Tel: 619-420-1703 Contact: Patty Available time: 9:30am-1:30pm or 1:00-5:00pm 5-2) 335 Saxony Road, Encinitas, CA 92024 Tel: 760-635-1895 Contact: Terez, Activity Director E-mail: uterez@glenner.org Available time: 9am-1:00pm or 1:00-5:00pm 5-3) 3686 Fourth Ave., San Diego, CA 92103 Tel: 619-543-4704 Contact: Maria Stefanic, Activity Coordinator. E-mail: mstefanic@glenner.org Required reservation in advance Time: 9am-1:00pm or 1:00 -5:00pm

6) St. Pauls Senior Day Care (Day Care) Contact: Natalee Missouri, Program Supervisor Available time: 9:00am-1:00pm Address: 328 Maple Street, San Diego, CA 92103

Tel: (619) 239-6900

Gary and Mary West Senior Wellness Centers of San Diego Lots of opportunities are waiting for nursing students. Students are required to fill out a volunteer application form at http://www.servingseniors.org/Volunteer.aspx for any activities at the center.

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Address: 1525 4th Ave. (corner of 4th and Beach Ave.), San Diego, CA 92101 Only street paid parking is available

1) Meal service: Opportunity to serve breakfast or lunchtime meals to seniors. Credit: 2 hrs (limited to one experience). Available time: 6:45~9am, 10:45am~2pm (M~ F); 7:45~9am & 11:15am ~1:15pm (Sat); 10:45~12:45pm (Sun) Required reservation: E-mail to Mr. Tim Ruis at tim.ruis@servingseniors.org with application form and applying date and times. Subject: SDSU nursing student, Content: applying dates and times. No telephone reservation. By Sep 16, 2013: Theresa Duran <Theresa.duran@servingseniors.org>. Breakfast spots are available. 2) Nutritional analysis of senior menu at the center Credit: 2 hours Required above #(1) meal service volunteer at the center Analysis the meals of the day (breakfast and lunch) for 7 days of the week when you participated. The menu list is posted on http://www.servingseniors.org Before you visit the senor center, analysis the menu on the day. When you serve the meal, you can educate seniors how much they are acquiring calories and nutrients. Submit a hard copy of 1) detailed nutritional analysis for lunch on the day you visited as you do in the interview part I and 2) make a summary of the nutrients for 7 days in a table (a sample table is posted on BB). 3) Working with a geriatric nurse at the center Credit: Maximum 3 hrs Contact: Will be announced on Blackboard/Clinical information section. Marissa Mackiewicz <marissa.mackiewicz@servingseniors.org> Christine Holcomb, RN, Nurse Case Manager, <Christine.holcomb@seniorserving.org> Community Health Fair and Research Our community offers diverse health fairs. Please find any health event and have an opportunity to serve for our residents and upgrade your research skills. (a) Health fair occurred in San Diego community Fall Prevention Awareness Event at Gary & Mary West Senior Wellness Center Location: 1525 4th Ave. San Diego, CA 92101 Date: 9/25 (W), 8am-12noon. 6 students Fall Prevention Awareness Event at Chula Vista Elks Lodge Location: 901 Elks Lane, Chula Vista, CA 91910 Date: 9/26 (Th), 8am-12noon. 6 students College Avenue Senior Center Location: College Avenue Center at 4855 College Avenue, San Diego, CA 92115 Date: 1) 9/12 (Th), 10-12noon. 2) 10/25 (F), 9:30am-11:50am 3) 11/14 (Th), 10-12noon

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4 students in each event. Tierra Santa Village of San Diego Location: 5275 Rimpark Lane, San Diego, CA 92124 Date: 1) 9/16 (M), 10am-12noon. 2) 10/14 (M), 10am-12noon 3) 11/14 (M), 10am-12noon 4 students in each event. Note: Preparation for and updated information about the health fair event, please visit Blackboard/Clinical information section and apply at Blackboard/discussion board. (b) Elder data analysis and poster presentation Credit: 4 hrs upon approval of PowerPoint (PPT) slides After the health fair, you have an opportunity to analyze the surveys. With the survey result, you will prepare a poster for a research conference such as SDSU Student Research Symposium (SRS), Western Institute in Nursing (WIN) conference, etc. Make 12-13 PPT slides (background/significance, study purpose, methods, findings, conclusions) for presentation. Your instructor will guide you how to do. Encouraged a group work with 2-4 students. (c) Educational materials Credit: 2 hrs Make a one page flyer for health education related to the health fair topic. Use the validated resources such as CDC, American Heart Association, etc. Recommend group work with 2-3 students. Mass Transit Excursion Credit: Maximum 3 hours Set a purpose and destination of the trip before going-out. Observe the transportation system from the older adults view, while you are using it. Imagine you are an older adult with chronic diseases (e.g. osteoarthritis, back pain, cataract, COPD, hearing problems etc.) and may apply the following when you go out: Role a tape or band-aid on three or all interphalangeal finger joints With an ACE wrap, strap a rolled up newspaper or towel behind your knee or back Carry some weighted plastic bags in both hands (Guess you bought some grocery) On your glasses or sunglasses, smear a portion of the lenses with Vaseline or attached a piece of a paper with a small hole on the glasses. Place cotton in your ears Perform this activity alone or no more than two students together during day time. Attach evidence of experience (i.e. a receipt of bus/trolley ticket) to the clinical hours log. Aging Council Meetings in Our Community Credit: Maximum 2 hrs Attend council meetings for older population in San Diego county See the list of Senior Networking and Action Meetings on CX-BB. Advance Health Directive Credit: Maximum 1 hour Submit a copy of your advance health directive with the clinical hours log A clinical journal should contain your designated persons response about your decision.

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Clinical Journal Guidelines

Name: __________________________________What (Type of activity): ___________________________________ Where: __________________________________Date & Time: __________

1. Describe the experience about what you involved.

2. Describe at least one thing you learned from the experience.

3. What could be done to improve the experience or situation (hint: may be personal, institutional, community, etc.)

4.

Describe your opinion about good points or improvements of this assignment.

*NOTE* Activities required clinical journals are hospice visit, dementia clinic, and all individual activities. Activities NOT required clinical journals are seminar meetings. Clinical journal entries are required to submit within one week after the activity. Some activities are required to submit the journal with evidence such as contact person, ticket. Length of the journal is minimum 300 words.

N410: Gerontological Nursing (Fall 2014) SAN DIEGO STATE UNIVERSITY Student Name:___________________________

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GRADING CRITERIA FOR CLINICAL ACTIVITY

INTERVIEWS (60 points) INTERVIEW I: The quality of the functional/health assessment obtained by interview will be evaluated on 1) accuracy, 2) completeness, 3) feedback to client Nutritional analysis: Food Groups and Calories Report & Nutrients Report Medication analysis: Table with a format 10 year fracture risk calculation report Interview II Nursing diagnosis, subj- & obj- data, goals, & expected health outcomes (1p) Clients daily To-Do-list (1 p) Educational material

Points possible 10 5 5 5 10 10 5 5 5

Score

Interview III

SUMMARY OF INTERVIEW AND NURSING CARE (30 points) Write this report in layman's terms since you will be providing the client with a copy of this report. INTRODUCTION (1 ~ 1.5 pages) Meeting place and dates Purpose of the interviews, brief demographic info, medical health info 8 Briefly describe the findings (client scores & normal ranges) for all instruments used. Explain briefly the significance of these findings. SYNTHESIS OF DATA (1 ~ 1.5 pages) 8 One to two nursing diagnoses that you have identified. Reasons: Provide rationale for your nursing diagnoses INTERVENTIONS and RESULT (1 ~ 1.5 pages) What you PROVIDED to your client related to your nursing diagnosis 8 Specify what your client adapted from your interventions with the result of your reassessment. DISCUSSION & CONCLUSION (1-3 paragraphs) Summarize your perception of the client's response to your interventions. Did the intervention meet the goal? 3 Express what you learned from the interaction with the client. State the confidentiality of the information FORMAT Length: 5 pages Title page included (per format in syllabus) 3 Double spaced, 1 inch margins, font size 14 (Times New Roman) 2 copies with signature page included (per format in syllabus) NURSING PROFESSIONALISM & ACCOUNTABILITY (10 points) Quality and quantity of clinical activities or meetings Gradual and balanced performance of work over semester 10 Fidelity of clinical work, plagiarism, and conduct of code Total Points 100

* See the clinical syllabus for further information. Subject to the instructor

N410: Gerontological Nursing (Fall 2014)

16 STUDENT _______________________________ CLINICAL FACILITY _____________________ SEMESTER __Fall 2013____________________

SAN DIEGO STATE UNIVERSITY SCHOOL OF NURSING N410 Final Grade ____________

N410 GERONTOLOGICAL NURSING CLINICAL OUTCOMES/EVALUATION SATISFACTORY: The student who receives a satisfactory clinical performance rating has met the following outcomes and is considered to practice safe nursing care. UNSATISFACTORY: The student who receives an unsatisfactory clinical performance rating has failed to meet all of the following outcomes. The student lacks the minimal basic acceptable performance in a gerontological nursing setting.
Evaluation

Instructor/student 1. Perform health assessments on a client 70 years or older, using standardized assessment tools or methods. 1.1 Assess IADL 1.2 Assess physical activity and balance. 1.3 Assess nutritional status. 1.4 Assess cognitive, mental, and mood status. 1.5 Evaluate which findings require therapeutic intervention. 1.6 Describe meaningful life events 2. Demonstrate responsibility and accountability for ones own learning and professional behavior. 2.1 Develop own practice schedule and perform it. 2.2 Participate in a variety of activities specific to older adults 2.3 Adhere to professional dress code. 3. Integrates critical thinking, communication, assessment, and technical skills to identify the need for community resources (CR). 3.1 Complete an assessment, synthesis, and evaluation of CR. 3.2 Identify an older clients need for a specific CR and areas for referral to other disciplines. 3.3 Identify variables that require reporting of elder abuse, and mechanisms for doing so. 4. Participate as a team member in providing end-of-life care. 4.1 Complete an Advance Directive for self, client, or family member, and describe your/their reactions. 4.2 Describe the philosophy and ethical principles of hospice, including quality-of-life, caring, and spirituality. 4.3 Define eligibility criteria for hospice care. /

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4.4 Describe nurses work in hospice/palliative care, including referral to, team participation in, and individual nursing functions of the hospice nurse. 5. Implement the Nursing Process for a specific client > 70 yr. 5.1 Perform a drug and nutrition assessment 5.2 Complete a brief psycho-social and health history. 5.3 Analyze the data and formulate nursing diagnosis. 5.4 Plan and implement nursing interventions to assist the client in achieving a safe medication regimen. 5.5 Perform a nutritional evaluation, including deficits, and impact on drug regimen. 5.6 Evaluate the impact of functional ability on drug and nutritional self-care. 5.7 Evaluate the effect of cultural differences on drug and nutritional selfcare. 5.8 Develop and incorporate a teaching plan using older adult learning theory. 5.9 Discuss outcome evaluation. 6. Perform research activities to bridge knowledge and reality. 6.1 Recruit one or two older adults based on inclusion and exclusion criteria. 6.2 Obtain permission for the client to participate in student interviews. 6.3 Collect health and personal background information through interviews.

GENERAL COMMENTS ON CLINICAL PERFORMANCE

Satisfactory

______

Unsatisfactory ______

Instructor: ___________________________________________________Date: _________ Student: _____________________________________________________Date: _________

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Clinical Hours Log

Activity/ Name of Facility Example: xxx Alzheimer center) Interview and Clinical meetings Hospice: ( Dementia: ( Dementia: ( Hrs 3 (19) ) (8) ) (4) ) (4) ( ) ( ( ( ( ) ) ) ) Date 9/23/xx N/A Begins Ends Staff name/signature J*** Smith Not required Not required Telephone (619) xxx-xxxx N/A N/A

10:30am - 13:30pm N/A N/A

Total __________ hours (include the hours participated in seminars)

I affirm that I have spent these hours in clinical activities for NURS410.

Print Name

Student Signature

SDSU N410: Fall 2012

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Interview Agreement Conducting interviews with older adults is a learning experience for nursing students at San Diego State University (SDSU). Interviewing helps them improve their communication skills and to gain knowledge related to normal age-related changes and their effects on functional ability in older adults. _____________________ (students full name), School of Nursing, SDSU, and ____________________________ (client name) will meet several times and discuss the clients health and functional status using diverse assessment tools. The student is required to analyze the findings and to provide beneficial information to improve the clients health status.

At the final meeting on ___________(date), the student will bring a report of the interview progress to the client. If the final meeting is not possible, the student will send the report by mail.

All information will be kept confidential and used only for course work. Students Name: ________________________ ___________________ School of Nursing, SDSU Phone Clients Name:

_________________________

Clients Signature: _________________________ Clients Address: ______________________________________________ Client Phone: Date: _____________________________ _________________________

SDSU N410: Fall 2012

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COURSE FIELD TRIPS

The Gerontological Nursing N410 course requires students to participate in field trips, research or studies that include course work that will be performed off-campus. Participation in such activities may result in accidents or personal injury. Students participating in the event are aware of these risks, and agree to hold harmless San Diego State University, the State of California, the Trustees of the California State University and Colleges and its officers, employees and agents against all claims, demands, suits, judgments, expenses and costs of any kind on account of their participation in the activities. Students using their own vehicles to transport other students to such activities should have current automobile insurance.

Student: Print Name: _____________________________

Signature: ______________________________

Date: ___________

Professor: Signature: _____________________________ Date: ___________