Nursing Older Adults in Acute Care
- : Melbourne
Most nursing care provided in acute hospitals is for people older than 65 years. There are many subtle and not-so-subtle differences in nursing these older adults versus a younger age group, which can significantly influence outcomes. This timely conference looks at some of these points and examines how nurses make a difference when using a gerontic approach to acute care. Includes:
- What are the major nursing factors affecting adults versus older people in acute care?
- What are the big risks for older adults in acute care?
- How does nursing care improve acute care outcomes?
- What makes people bounce back to hospital?
- How does acute nursing care embrace the special needs of the very old?
Don’t miss out! Book now!Schedule
8:30AM REGISTRATION FOR DAY ONE
Norah BostockPutting the Ageing Process into Assessment
One of the most effective tools for appropriate nursing care is a comprehensive assessment. With hospital admissions for older adults rising rapidly, an assessment that takes into consideration changes as we age is essential. However, assessment of the older adult is not just common sense and can be tricky. In this practical session using case scenarios we will explore:
- What is a normal age-related change?
- What physiological changes related to the ageing process can we expect?
- Why are common clues indicating an underlying problem often missed in the assessment of older adults?
- What is an age-appropriate assessment?
- When short of time, what should you not exclude in your assessment?
Diana ClaytonPerspective is Everything: The Case of the Older Adult
If 90-year-old Catherine Hamlin was admitted to your area in considerable pain with a fractured NoF, and was unable to articulate clearly, how would you approach her as an older woman? Would your approach change if you knew she had just been nominated for the Nobel Peace Prize? One of the key factors that can impact on the treatment people receive in acute care is assumptions about age. In this session, the persistence of negative societal attitudes towards older people will be explored.
- Why is 60 still considered “old” if 80 is the new 60?
- Terminology – the master of perspective?
- Why are some older patients more acceptable in acute hospital settings than others?
- Does the health system contribute to ageism?
10:45 MORNING TEA
Elizabeth MorganThe Delirium Problem: Can it be Prevented?
Delirium is a common syndrome in hospitalised older adults and is associated with increased mortality, hospital costs, and long-term cognitive and functional impairment. With symptoms of delirium are shared by dementia and can easily go unrecognised. In this session, using case scenarios, your ability to identify delirium vulnerability within an acute care setting will be tested. Includes:
- What are the greatest risks for the onset of delirium for older people admitted to hospital?
- Can you differentiate between the signs and symptoms of delirium and dementia?
- Recognition of risk factors and routine screening for delirium: the 6th vital sign
- How can delirium be prevented? The multi-component evidence for nursing management
- The undesired outcomes of delirium
Associate Professor Louis RollerMedicines, Risk and Safety - Long Term Prescribing for Older Adults - Is It Always Necessary?
According to NPS Medicinewise, 1 in 3 of all unplanned hospital admissions relate in some way to medicines. As well, many people are prescribed new medicines whilst they are in hospital which they may stay on when discharged. This session looks at common medicines and the impact they have on people when prescribed for long periods of time. Includes:
- Which medicine types cause particular concerns when administered over a long period of time?
- Why is de-prescribing medicines a rare occurrence and should this be the case?
- Which medicines should never be abruptly ceased e.g. beta blockers?
- When a person is discharged from hospital who should be responsible for monitoring their drugs?
1:00PM LUNCH BREAK
Dr Lisbeth EveredAnaesthetics and Older Adults: What Does this Mean for You?
Research has shown that cognitive problems after surgery are not dementia. While delirium may occur after surgery it tends to present in the immediate post-operative days, while patients are still in hospital. However, post-operative cognitive dysfunction (POCD) may present in weeks to months post-operatively and, rarely, it may last even longer. But what if your patient has dementia? This session looks at:
- How is POCD manifested and does it always occur?
- Why is pre-operative assessment of cognitive function essential?
- For those patients with a diagnosis of dementia, does anaesthesia make it worse?
- Does the type of general anaesthetics used for older patients make a difference to their cognitive recovery?
3:00 AFTERNOON TEA
Fran PearceFalls and Fractures - Easy Done?
A simple thing can change an older person's life. This may be as easy as slipping or tripping over an object. In an older person, the impact of a fall is likely to be devastating and is a major cause of hospitalisation, particularly to acute care settings. The resulting cascade of fracture and subsequent management can be very challenging. This session looks at:
- Latest evidence on falls and fractures
- Managing a fracture event - preventing acute, catastrophic consequence
- Taking the right steps to prevent a fracture - the nursing role
4:15 CLOSE OF DAY ONE OF PROGRAM
9:00AM COMMENCEMENT OF DAY TWO
Stacey PalfreymanCall the Gerontological Nurse Practitioner!
Safe quality care for older adults in acute care requires nursing practice which integrates speciality knowledge with principles of gerontological nursing. This reduces the potential for harm resulting from the absence of sensitive care and increases optimal outcomes. However, a gerontological nurse is not always at hand to consult. In this session, dialogue with a gerontological nurse practitioner will include:
- The complexities of the care of older adults
- An overview of key evidenced based practice which you can implement
- Patient communication and advocacy
- Factors contributing to hospital admission and how this might be prevented
Norah BostockConstipation: You Get What You Give
While constipation is prevalent in older adults, it is not a side effect of the ageing process. However, hospitalised older adults run a high risk of developing the problem, especially after surgery. Often underdiagnosed and poorly managed, constipation increases the chance of morbidity and longer hospital stays. Not only is it distressing, but it has cost implications. This session looks at:
- What are the risk factors for constipation in older adults in acute care?
- What are the complications of constipation which increase morbidity and poor outcomes?
- The team and holistic approach to managing constipation
10:45 MORNING TEA
Dr Christine AkersAnticoagulant Therapy: A Bleeding Problem
Anticoagulants are one of the most frequently prescribed medications in older adults. As well, the frequency of comorbid conditions and the need for antithrombotic therapy also increase with age. Older adults are at greater risk of anticoagulant-associated bleeding. This session aims to provide an update on questions regarding the appropriate use and safety of these agents. Includes:
- Review of common anticoagulant agents - what do they do?
- Problems pre- and post-surgery
- Problems with just being hospitalised and change in routine
Norah BostockThe Cascade to Unintended Disablement
The treatment that older adults are subjected to when admitted to hospital can contribute to reasonably independent people becoming disabled. Not only is there a danger of being exposed to a range of complications, but they are at risk of losing their level of functioning as a result of non-specific geriatric care. Using a case study, this session will look at:
- The cascade of events in care which can lead to unwanted outcomes and adverse incidents
- What has mobility go to do with it?
- Is routine insertion of a urinary catheter really necessary?
- Is recovery or disablement influenced by length of stay?
- Dehydration and malnutrition
1:00PM LUNCH BREAK
Sally FaulknerRehabilitation in the Older Adult - Latest Information
As older people make up the largest cohort of the population and participating in rehabilitation programs it is important to ensure that program are adequately meeting their needs. In this session:
- What is the definition of rehabilitation?
- What is the latest evidence on health outcomes from rehabilitation?
- The nursing role in ensuring patient outcomes are maximised
3:00 AFTERNOON TEA
Norah BostockTeaching an Older Adult How to Leave Hospital, Stay Home and Live a Long Life
Many older adults are keen to improve their health status and often cry out for correct information on discharge from hospital. Nurses are in the prime position at this stage to impart new knowledge to their patients. However, for a range of reasons this may not always be possible. This final session looks at ways to give new knowledge to older adults that is retained and useful. Includes:
- What is the connection between poor discharge information and bouncing back to hospital?
- What type of information is most likely to help an older adult in regard to illness prevention?
- When is the best time for a person to be given new information?
- Tips on teaching a person over the age of 80 years
4:00 CLOSE OF DAY TWO OF PROGRAM
The Goal Need for Program
The number of adults aged 65 and over who are admitted to hospital has increased significantly over the past five years. The increase in hospitalisation of adults greater than 85 years compared to the population in this age group is of particular concern. The fast paced, high-pressured environment of hospital presents a challenge to nurses to ensure older adults receive safe quality care. While a number of patients of this age are agile and cognitively intact, which may suit acute hospital processes, many vary in their abilities and cognition. To prevent poor outcomes and deconditioning, bridging the gaps between specialist nursing practice in acute care and the special needs of older people is essential.Purpose of Program
The purpose of this conference is to provide nurses who work in acute care settings with evidence-based ways to deliver care to older adults so that desired outcomes are achieved, and unplanned re-hospitalisation is reduced.Your learning outcomes:
Nurse older adults in a positive manner that critically reflects on the negative impact some attitudes and assumptions can have on their health and healing
Older patients in your acute care setting will have a care plan that is based on an appropriate comprehensive assessment which evaluates physical abilities, cognitive function, and social support
Improve the health outcomes of acutely ill older adults as a result of the integration of principles of gerontic nursing care in your practice
Nursing care of an older adult patient with a common chronic condition will be based on best available evidencePresenters
Norah Bostock is a highly qualified nurse working in private practice in South Australia. She is considered an expert in ... Read More
Elizabeth Morgan is a Registered General and Mental Health Nurse, specialising in Health and Aged Care Management Systems. As an ...Read More
Dr Evered is a Research Scholar based at the St. Vincent’s Hospital, Melbourne. ... Read More
Louis joined the Monash University Faculty of Pharmacy and Pharmaceutical Sciences in 1963. He was variously the Associate Dean Teaching ... Read More
Diana Clayton is a Clinical Nurse Consultant who works for Peninsula Health in the Falls Prevention Service. She initially set ... Read More
Fran Pearce is currently employed as an Education Coordinator at Austin Health. She has extensive experience in orthopaedic nursing, including ... Read More
Christine Akers worked in oncology and haematology for 12 years prior to becoming the Transfusion Nurse at Alfred Health in ... Read More
To Be Determined
Stacey Palfreyman is a Nurse Practitioner working at Alfred Health, Victoria, within the Hospital Admission Risk Program. She has ...Read More