9:45 AM–10:45 AM
CONCURRENT SESSIONS IV
Preventing Readmissions through Safe Transitions
Lisa Johnson, RN, MSN, GCNS-BC
The primary goal of the program is to reduce readmissions to the hospital. In addition to this, another and important benefit is the resulting improvement in the quality of life for the clients. This has been achieved by securing sustainable health insurance, accessing resources both governmental and philanthropic, and providing charity funds for partial payment of durable medical equipment that is needed for the patient at home. These types of services allow community members to continue to live and thrive in their own environment for as long as they are able.
Predictors of Post Operative Delirium (POD) in Geriatric Patients Undergoing Hip Surgery
Helen Miley, RN, CCRN, PhD, ACNP, GNP
When looking at the association between factors and delirium one-by-one, 4 factors stood out as predictors: benzodiazepine, post-op transfusion, hematocrit, and history of depression. From this data, a tool was developed to be completed by the RN at the change of shift the morning after surgery, looking at the factors identified above. POD is an iatrogenic complications seen the hospitalized patients. It is preventable and treatable when recognized early, and proactive measures are instituted.
Geriatrics: The New Face of Oncology Patients
Catherine Klein, RN
As the population continues to age, the number of people with chronic conditions, such as cancer, will increase significantly. Our health care system is currently ill-equipped to provide high quality chronic care and attempts to improve quality and outcomes have reported little benefit. As in other areas of the healthcare system, the oncology setting faces a gap between practice and knowledge base in the treatment of older adults. By incorporating geriatric thinking into the health care of older cancer patients, through customizing care, investigating areas of distress, and implementing innovative strategies we can improve the quality of life for older adults with cancer.
2:15 PM–3:15 PM
CONCURRENT SESSIONS V
Culture Change: It Will Either Happen With You or To You
Edward Latham, RN, FNGNA
Many facilities struggle with culture change and nurses are tasked with driving a culture change movement measured by staff retention, employee satisfaction and resident/family satisfaction. This session will provide participants with an overview of the latest and greatest in culture change as well as proven successes and opportunities.
Function Focused Care
Denise Schwartz, BSN, RN, BC
The hazards of functional decline during hospitalization are well documented in the literature. An evidenced- based care review team at Meridian health, NJ, searched the literature regarding bed rest. As far back as 1993, research showed that there is no therapeutic value of bed rest! Strengthening exercises in bed, and in the chair that are universally appropriate and easily implemented, are provided by all clinical professionals. Initiating a nurse driven policy that promotes function-focused care (FFC) will provide the patient with an optimal outcome by maintaining their baseline functional ability, promoting independence, and helping to avoid further institutionalization.
End of Life Conversations with Older Adults
Gayle Kruse, RN, GCNS, ACHPN
Gerontological nurses have always been committed to helping older adults live well and die well. End of life decisions empower the older adult to die on their terms. As health care professionals we have the privilege to help them on this most important part of their journey. This presentation will better equip the audience to engage in these complex conversations.