Ertha Williams- Unfolding Case
This unfolding case centers on Ertha Williams, a 74-year-old female who has been experiencing frequent memory lapses. The three simulation scenarios cover topics such as confusion, sleep disturbances, medication management, grief and loss, and transition to a long-term care facility. The student nurse will be expected to complete a Mini-Cog assessment; review medications, applying the Beers Criteria; administer the geriatric depression scale; use the SPICES tool; and report findings using the SBAR tool.
Judy and Karen Jones- Unfolding Case
This unfolding case centers on Judy Jones, an 85-year-old widow who was diagnosed with mild dementia three years ago. Her daughter Karen moved back home to provide support. Judy is hospitalized with an upper respiratory tract infection, and the three simulation scenarios cover problems that arise in the hospital, such as delirium, wandering the halls, agitation, medication management, and atrial fibrillation.
Patrick and Gloria Lake- Unfolding Case
This unfolding case study centers on Patrick Lake, a 64-year-old client with an above the knee amputation. Throughout all three simulation scenarios, learners are expected to communicate appropriately with a patient who has a disability. Learners are encouraged to review several resources prior to the unfolding case, which are embedded in the web page. There are 12 downloadable files for the case, including audio files, scripts, instructor toolkits, templates, and chart materials.
Source: National League for Nursing, 2017.
Cognitive Impairment Care Planning Toolkit
This toolkit created by the Alzheimer's Association assists clinicians in obtaining required assessments and create a care plan that meets Medicare's comprehensive care planning service code (G0505) for patients with Alzheimer's disease and related dementias. It provides a variety of validated assessment tools and patient and family resources, along with commonly used ICD-10 codes for dementia and mild cognitive impairment. It also highlights which CPT codes that cannot be billed with G0505 on the same day of service.
Source: Alzheimer's Association.
First Responder Dementia Training- Online
This training program is designed for first responders to help them understand what to do when they arrive on scene to care for an individual with dementia. It includes six modules with quizzes embedded in each one. Upon completion of the onling training, the learner may request a Certificate of Completion. (Registration is required for this free online module).
Source: Arkansas Geriatric Education Collaborative, 2019.
https://agec.uams.edu/
Millie Larsen- Unfolding Case
This unfolding case centers on Millie Larsen, who is in the hospital with a diagnosis of urinary tract infection and dehydration. The unfolding case provides three different simulation scenarios, depicting varied situations Millie encounters during her brief hospital stay. The objectives focus on assessment and appropriate use of assessment tools such as the SPICES and Hendrich Fall Risk, and Confusion Assessment Method (CAM); conflict between Millie and her daughter on living arrangements; functional assessment; discharge teaching; and making appropriate referrals.
Henry and Ertha Williams- Unfolding Case
This unfolding case centers on Henry Williams, a 69-year-old man who has been admitted to the hospital after he could not catch his breath. The three simulation scenarios focus on the physical and psychosocial changes that Henry encounters over the next few weeks, including his failing health and his concern for his increasingly forgetful wife.
Julia Morales and Lucy Grey- Unfolding Case
This unfolding case centers on Julia Morales, a 65-year-old with lung cancer, and her partner Lucy Grey. The scenarios begin with the home health nurse evaluating Julia after she has decided to stop treatment for her lung cancer. In the second scenario, the end of Julia's life is near, and she is surrounded by her loved ones and the hospice nurses. Julia dies during this scenario. The final scenario concentrates on Lucy and the difficulties she has adjusting to her life without Julia.
Sherman "Red" Yoder- Unfolding Case
This unfolding case centers on Sherman "Red" Yoder, an 80-year-old farmer with insulin dependent diabetes complicated by an open foot wound. The three scenarios depict a variety of situations including a home visit and trip to the hospital to rule out sepsis, psychosocial issues such as functional decline, alcohol use, and possible elder abuse.
Palliative Care Fast Facts and Concepts
This web page provides links to peer-reviewed fast facts related to end-of-life and palliative care. Fast facts cover topics such as medication use, common complications such as constipation and delirium, care of specific diseases, family meetings and delivering bad news. There is a search bar for searching topics. Each fact page can be downloaded as a PDF.
Source: Palliative Care Network of Wisconsin, 2023.
https://www.mypcnow.org/