This discussion board begins February 19^th and ends at 11:59pm February 23^rd, 2018. By popular request, I am opening the discussion board February 9th and you can begin your initial post but the ending for the posts are unchanged.

The discussion board grade will be based on attendance and discussions indicative of review of assigned readings and thoughtful analyses of literature in relation to advantages and disadvantages of various course topics.  The class has been assigned to groups alphabetically based on your last name. There are 4 students in your group. Each group has its own conversation. You are assigned to the role of initial poster, 1^st responder, or 2^nd responder for the question number below. Your grade will be based on your overall performance on the assignment.

 Your due time is no later than 11:59pm with initial post due  February 19^th ,1^st  responder by February 21^st, and 2^nd responder by February 23^rd .   It is to your advantage to complete your section sooner if possible so those give their response time to do so.

............ Discussion Questions:

1. How should your admission history change if the patient was 70 years old and frail rather than middle aged and active? Why?
2. Compare delirium, dementia, and cognitive impairment.
3. Mrs Harris is an 80 year-old admitted to the hospital with new onset delirium. It really is delirium rather than other etiology of symptoms. Describe the initial workup, medication considerations, and initial management.
4. Mr James is taking tylenol #3 with has 30 mg of codeine. He is taking 1 tablet every 4 hours for the last 2 days at home for pain, but PRN before. What dose of IV hydromorphone (Dilaudid) should you initially order? What rescue PRN dose? Use the conversion tables in the assigned readings. Show your math calculations. What bowel program should be considered for patients on opioids?
5. Compare advantages of buprenorphine vs methadone treatment for opioid use disorder.
6. List 5 common acute diseases that present differently in the emergency room for patients who are 30 yrs old vs 80 years old. Describe the differences on this table:

7. A mnemonic to remember the treatable causes of urinary incontinence is DIAPPERS. What does each letter mean?
8. Describe sarcopenia and its relevance to care of the elderly.

DIRECTIONS: First click on your group of and then begin your initial post with stating the question, then your post. Start each initial post as a separate question. The responders are to respond to the initial post of the question.