Teaching method: Lectures, and discussion.

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Date: January 11, 2006 (1.00-3.00 pm)

Topic: Common chronic health problems among the elderly: Osteoarthritis,

osteoporosis

Objective : Upon completion of this session, the students will be able to: 1. Verbalize changes of bone and joint in older persons.

2. Define osteoporosis and osteoarthritis.

3. List potential causes of osteoporosis and osteoarthritis in the older adult. 4. Discuss treatment modalities for osteoporosis and osteoarthritis.

5. Identify through nursing process, nursing interventions appropriate for treating osteoporosis and osteoarthritis in the older adult

Content

Osteoarthritis

- Definition, classification - Risk factors of osteoporosis - Symptoms

- Investigation

- Medicine Treatment, nursing care Osteoarthritis

- Definition, pathophysiology - Symptoms

- Investigation

- Treatment, nursing care

Teaching method:

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Course materials: 1. Handout Audiovisual aides: 1. Power point Assignment: No Evaluation method: 1. discussion 2. Participation attendance 3. Exam References

Luggen, A. S. & Hill, C. (2004). Mobility. In P. Ebersole, P. Hess, & A.S. Luggen.

Toward

healthy aging : Human needs and nursing response. (6th ed., pp. 378-413). St.Louis : Mosby.

Lamb, K.V.D. (2001). Musculoskeletal function. In A.G. Lueckenotte. Gerontologic

Nursing. (2 nd ed.). (pp.721-756). St. Louis: Moby. Evaluation after session completion:

Students made fine responses on answering questions

Revise teaching plan:

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Date: December 14, 2006 (1.00-3.00 pm)

Topic: Health risk and risk reduction on the elderly: Falls, depression, elder abuse Objective : Upon completion of this session, the students will be able to:

6. Explain the definition, and incident of falls, depression, and abuse in older persons 7. Explain the risk factors of falls, depression, and abuse in older persons

8. Assess the risk condition of falls , depression, and abuse in older persons 9. Management of falls , depression, and abuse in older persons

Content

Falls: - Definition, incident of falls

- Risk factors of falls - Assessment of falls - Prevention of falls Depression - Definition, causes - Pathology of depression - Assessment of depression - Symptoms

- Nursing care for depressive persons

Abuse

- Definition, type of abuse

- Risk factors for abuse/neglect older persons - Management for abuse

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Lectures, and discussion.

Course materials: 1. Handout Audiovisual aides: 1. Power point Assignment: No Evaluation method: 1. discussion 2. Participation attendance 3. Exam References

Ebersole, P. (2004). Frailty, vulnerability, neglect, and abuse. In P. Ebersole, P. Hess,

&

A.S. Luggen. Toward healthy aging : Human needs and nursing response. (6th ed., pp. 450-465). St.Louis : Mosby.

Elder abuse. Rethrived April 25, 2006. from www.geocities.com/~elderly-place/abuse.html.

Major types of elder abuse. Rethrived April 25, 2006. from www.elderabusecenter. org/default.cfm?p=basic.cfm.

Pijpers, D.E. & Winner, S. Seminar notes : Falls in the elderly. Rethrived April 17, 2006

from www.jr2.ox.ac.uk/geratol/docfalls.htm

Roach, S. S. (2001). Introductory gerontological nursing. Philadelphia : Lippincott.

Evaluation after session completion:

Students had good participation on discussion and answering questions.

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Date: December 28, 2006 (1.00-3.00 pm) Topic: Geriatric health assessment

Objective : Upon completion of this session, the students will be able to: 1. Identify the process of assessment for older people.

2. Explain the interrelationship between the physical and psychological aspects of ageing that effect the assessment.

3. Describe how the illness and environment effect on older persons’health. 4. Explain the principle strategies and techniques on health assessment.

Content

1. Health assessment on older person

2. The important thing of environment during assessment 3. Guidelines for using assessment tool

1) Health history 2) Physical assessment 3) Functional assessment 4) Psychological Assessment 5) Social Support 6) Culural Assessment 7) Environment Teaching method:

Course materials:

1. Handout

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Audiovisual aides: 1. Power point Assignment: No Evaluation method: 1. discussion 2. Participation attendance 3. Exam References

Hess, P. (2004). Age-related changes. In P. Ebersole, P. Hess, & A.S. Luggen.

Toward

healthy aging : Human needs and nursing response. (6th ed., pp. 79-108). St.Louis : Mosby.

Lueckenotte, A. G. (2001). Gerontologic assessment. In A.G. Lueckenotte.

Gerontologic

Nursing. (2 nd ed.). (pp.63-95). St. Louis: Moby. Evaluation after session completion:

Students made fine responses on answering questions

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Date: January 18, 2006 (1.00-3.00 pm)

Topic: Common chronic health problems among the elderly: Urinary incontinence,

benign prostatic hyperplasia

Objective : Upon completion of this session, the students will be able to: 1. Identify the definition, causes and types of urinary incontinence. 2. Assess the urinary incontinence in older adult.

3. Explain the pathophysiologic changes of benign prostatic hyperplasia in older adult.

4. Assess the symptoms and problems of benign prostatic hyperplasia 5. Identify through nursing interventions appropriate for treating urinary

incontinence and benign prostatic hyperplasia.

Content

1. Physiology of micturition

2. Causes and types of incontinence 3. Assessment of urinary incontinence 4. Management of incontinence 5. Benign prostatic hyperplasia

6. Assessment of benign prostatic hyperplasia

7. Management of benign prostatic hyperplasia and urinary incontinence

1. Handout

Audiovisual aides:

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Assignment: No Evaluation method: 1. discussion 2. Participation attendance 3. Exam References

Incontinence in the elderly: what a caregiver should know. Rethrived April 26, 2006 from,

www.oabrelief.com/oab/elderly- incontinence.asp

Kegel exercise. Rethrived April, 23, 2006, from http://obgyn.uihc.uiowa.edu/Patinfo/ urogyn/ kegel.htm

Specht, J.P., & Maas, M.L. (2001). Urinary incontinence: Functional, iatrogenic, overflow,

reflex, stress, total, and urge. In M.L.Maas, &et al. Nursing care of older

adults: Diagnoses, outcomes, interventions. (pp.252-275). St.Louis: Mosby.

Hill, C. & Luggen, A. S. (2004). Common chronic problems. In P. Ebersole, P. Hess, & A.S.

Luggen. Toward healthy aging : Human needs and nursing response. (6th ed., pp. 205-278). St.Louis : Mosby.

Students had good responses on answering questions

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Date: February 8, 2006 (1.00-3.00 pm) Topic: Sexual health problem

Objective : Upon completion of this session, the students will be able to: 1. Verbalize changes that affect sexuality in older persons. 2. Define sexual dysfunction.

3. List potential causes of sexual dysfunction in the older adult.

4. Discuss treatment modalities for sexual dysfunction. 5. Identify through nursing process, nursing interventions

appropriate for treating sexual dysfunction in the older adult.

Content:

1. Physical changes affecting sexuality - Older female

- Older male 2. Sexual dysfunction

3..Drugs that may affect sexual function 4. Management for sexual problems on elderly

Lecture, case discussion

1. Handout 2. Case example

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Audiovisual aides: Power point Evaluation method: 1. Discussion 2. Participation attendance References

Ebersole, P. (2004). Intimacy, sexuality and aging. In P. Ebersole, P. Hess, &

A.S. Luggen. Toward healthy aging : Human needs and nursing response. (6th ed., pp. 469-489). St.Louis : Mosby.

Pena, C. (1996). Sexuality and the older adult. In A.S. Luggen. Core curriculum

for

gerontological nursing. (pp. 667-686). St.Louis : Mosby.

Students had good response on discussion

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Date: February 1, 2006 (1.00-3.00 pm) Topic: Vision and hearing loss

Objective : Upon completion of this session, the students will be able to: 1. Verbalize changes of vision and hearing function in older

persons.

2. Assess the common impairement of vision and hearing in older adult.

3. Identify through nursing process, nursing interventions appropriate for treating vision and hearing impairement in the older adult.

Content

1. Changes of eyes related to aging process 2. Assessment of vision

3. Common problems of eye

- Presbyopia or far sightedness

- Cataract

- Glaucoma

- Senile macular degeneration 4. Hearing loss

5. Changes of ears related to aging process 6. Risk factors of hearing loss

7. Impacts of hearing loss 8. Management of hearing loss

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Course materials: 1. Handout 2. Power point Audiovisual aides: Power point Assignment: No Evaluation method: 1. discussion 2. Participation attendance 3. Exam References

Hensel, S.L. (2000). Sensory function. In A. G. Lueckenotte. Gerontologic nursing. (2nd

ed.). (pp.695-720). St. Louis : Mosby.

Luggen, A.S. (2004). Sensory function. In P. Ebersole, P. Hess, & A. S. Luggen.

Towards healthy aging: Human needs and nursing response. (6 th ed.).

(pp.347-377). St. Louis : Mosby.

Smeltzer, S. C. & Bare, B. G. (2000). Textbook of medical-surgical nursing. (9th ed.). Philadelphia: Lippincott.

Smith, S. C. & Wilbur, M. E. (2004). Nursing assessment visual and auditory systems. In S.M. Lewis ; M.M. Heitkemper, & S.R. Dirksen, Medical –

surgical nursing. (6th ed.). (pp. 416-429). St. Louis : Mosby.

Students had fine responses on participation.

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Contents:

1.

Definition of aging, active aging and frail elderly. 2. Theory of aging:

2.1 Biologic theory:

Cross linkage theory

Free radical theory

Wear and tear theory

Accumulative theory

Genetic program and error theory 2.2 Psychosocial theory: Disengagement theory Activity theory Continuity theory Learning activities: 1. Lecture 2. Discussion 3. Self-directed learning Learning material: 1. Text book 2. Power point 3. CD

Assignments: Answer the questions and prepare for discussion in the class.

1. What is aging? What is active aging?

2. Explain the concept of each theory as follows: (What does each theory state

about? What is the difference between each theory?)

Evaluation:

- Examination

Evaluation after the class:

- Discussion

References:

Eliopoulos, C. (2005). Gerontological nursing (6th Ed.). Philadelphia: Lippincott Williams & Wilkins.

Miller, C. A. (2004). Nursing Car of Older Adults: Theory and practice (4th ed.). Philadelphia: Lippincott Williums & Wilkins.

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Websites:

http://websites.afar.org/site/PageServer?pagename=IA_b_the3_what http://www.antiaging-systems.com/agetheory.htm

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Contents:

1. Age-related changes to the body systems.

2. Psychological and social changes experienced with age.

3. Risk factors and functional consequences of age-related change. 4. Nursing interventions associated with age-related changes.

Learning activities:

1. Lecture

2. Student presentation and discussion 3. Self-directed learning

Learning material:

1. Text book 2. Power point 3. CD

Assignments: Each student was assigned to prepare for presentation and discussion in

the class in difference item including:

i. Neurological and reproductive system. ii. Psychological change.

iii. Cardiovascular and gastrointestinal system. iv. Musculoskeletal and integument system.

Evaluation:

- Presentation and report

- Discussion

References:

Eliopoulos, C. (2005). Gerontological nursing (6th Ed.). Philadelphia: Lippincott Williams & Wilkins.

Miller, C. A. (2004). Nursing Car of Older Adults: Theory and practice (4th ed.). Philadelphia: Lippincott Williums & Wilkins.

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NGM 311 (553311): Gerontological Nursing

The B.N.S. International program, 3rd year students, Semester 2/2006 Topic: Medication for the elderly

Lecturer: Inst. Dr. Totsaporn Khampolsiri

December 28, 2006 (1 hour)

Objective:

1. Describe pharmacodynamic and pharmacokinetic in the elderly. 2. Describe common medication interaction in the elderly.

3. Explain the special differences when administering medications to the elderly. 4. Analyze the problems associated with medications commonly used by elderly. 5. Identify nursing intervention associated with medications commonly used by

elderly.

Contents:

1. Pharmacodynamic and pharmacokinetic in the elderly. 2. Common medication interaction in the elderly.

3. The problems associated with medications commonly used by elderly. 4. The nursing intervention associated with medications commonly used

by elderly. Learning activities: 1. Lecture 2. Discussion Learning material: 1. Text book 2. Power point Assignments: - none - Evaluation: - Examination

- Discussion

Reference

Elipoulos, C. (2005). Gerontological nursing. (5

th

_{ed.). Philadelphia: Lippincott.}

Luggen, A. S. (1997). Polypharmacy. In A. S. Luggen (Ed.), Core curriculum for

gerontological nursing. (pp. 639- 646). St. Loius: Mosby.

Miller, C. A. (2004). Nursing for wellness in older adults: Theory and practice (4

th

_ed.).

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3. Describe factors related to aging that cause dementia and delirium. 4. Discuss nursing assessment for the demented and delirium elderly. 5. Describe nursing intervention for the demented and delirium elderly.

Contents:

1. Pathophysiological changes of dementia and delirium in elderly.

2. Characteristic of clinical manifestation between dementia and delirium. 3. Factors related to aging that cause dementia and delirium.

4. Nursing assessment for the demented and delirium elderly. 5. Nursing intervention for the demented and delirium elderly.

Learning activities: 1. Lecture 2. Discussion Learning material: 1. Text book 2. Power point Assignments: - none - Evaluation: - Examination

- Discussion

Reference

Eliopoulos, C. (2005). Gerontological nursing (6

th

_{Ed.). Philadelphia: Lippincott Williams &}

Wilkins.

Miller, C. A. (2004). Nursing for wellness in older adults: Theory and practice (4

th

_ed.).

Philadelphia: Lippincott Williams & Wilkins.

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NGM 311 (553311): Gerontological Nursing

The B.N.S. International program, 3rd year students, Semester 2/2006 Topic: Parkinsonism in elderly

Lecturer: Inst. Dr. Totsaporn Khampolsiri

February 8, 2006 (1 hours)

Objectives:

1. Explain pathophysiolog changes of Parkinson’s disease in the elderly. 2. Discuss nursing assessment for the elderly with Parkinson’s disease. 3. Describe nursing intervention for the elderly with Parkinson’s disease.

Contents:

1. Pathophysiological changes of Parkinson’s disease in elderly. 2. Nursing assessment for the elderly with Parkinson’s disease. 3. Nursing intervention for the elderly with Parkinson’s disease.

Learning activities: 3. Lecture 4. Discussion Learning material: 1. Text book 2. Power point Assignments: - none - Evaluation: - Examination

- Discussion

Reference

Eliopoulos, C. (2005). Gerontological nursing (6

th

_{Ed.). Philadelphia: Lippincott Williams &}

Wilkins.

Miller, C. A. (2004). Nursing for wellness in older adults: Theory and practice (4

th