Geriatrics and Pain Module

Introduction: This concentration is adult-gerontology acute care nurse practitioner so there is some basic content about geriatrics this is essential. There will be geriatric content throughout your program but this is concentrated content to get you started. Additionally pain is a major symptom of acute care conditions. With the high prevelance of substance abuse being a comorbidity in the acute care population this content is also provided to get you started in understanding this population.

Read/view

Geriatrics

(*) Papadakis, M.A., McPhee, S. J. (Eds.), , Rabow, M. (Assoc Ed.) (2019). Current Medical Diagnosis and Treatment , 58th ed., McGraw-Hill Education ISBN 978-1-26-011743-1 Chapter 4. Be sure to get the Papadakis version. ( available as e-book in Access Medicine)

https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?bookid=2449&sectionid=194431416

(*) (2017). Hazzard's Geriatric medicine and gerontology, 7th ed., McGraw-Hill Education. ISBN 978-0-07-1883345-5 Chapters 12, 16, 17, 18, 19. (available as e-book in Access Medicine) http://accessmedicine.mhmedical.com.ezproxy.uky.edu/book.aspx?bookid=1923

Pain

(*) Papadakis, M.A., McPhee, S. J. (Eds.), , Rabow, M. (Assoc Ed.) (2019). Current Medical Diagnosis and Treatment , 58th ed., McGraw-Hill Education ISBN 978-1-26-011743-1 Chapter 5 Be sure to get the Papadakis version.) ( available as e-book in Access Medicine )

https://accessmedicine-mhmedical-com.ezproxy.uky.edu/content.aspx?bookid=2449&sectionid=194431700

Sties, Observational pain scales in critically ill adults. Critical Care Nurse2013;33(3)68-79. Pain scales.pdf

New 2018 Pain Guidelines Executive_Summary___Clinical_Practice_Guidelines.21.pdf

Sedation Golden hours of ICU sedation.pdf

Opioid equivalents Switching opioids using equivalence table.pdf

KY NURSE article Opioid Crisis KY Nurse Truth Opioid Crisis.pdf

Also the Opioid module with 8 required subsections and 2 optional. This is an abbreviated version of CDC material. (Click "next" at the bottom of this page to start the Opioid module)

SBIRT (Screening, Brief Intervention, and Referral to Treatment)

Treatment of substance use disorders in older adults: Implications for care delivery. J Am Geriatr Soc 2015:63(11);2317-2323 http://www.medscape.com/viewarticle/854829?nlid=95369_785&src=wnl_edit_medp_nurs&uac=231602CT&spon=24src=wnl_edit_medp_nurs&uac=231602CT&spon=24&impID=944990&faf=1

There is a pocket guide for SBIRT https://www.integration.samhsa.gov/clinical-practice/sbirt/NIAAA_SBIRT_Pocket_Guide_-2-.pdf

Care for hospitalized patients with unhealthy alcohol use: a narrative: Addiction Science & Clinical Practice 2013,8:11. http://hospitalsbirt.webs.com/Makdissi%20&%20Stewart.pdf

CAGE, AUDIT, DAST 12_cage_audit_dast-1.pdf

Exam Template

40 Geriatrics

Physiologic concerns of elders

DIAPPERS (Chapter 4 of CMDT)

Cognitive Screening

Dementia/delirium

Decision making capacity

Behavior problems

Depression and anhedonia

Immobility

Falls

Trauma

Medications and BEERs criteria

Resuscitation

Failure to thrive

Sarcopenia

Fraility

Function

10 Pain/Opioids/Substance use disorder