New Pressure Injury Presentation Added to Gero Nurse Prep

Gero Nurse Prep is pleased to announce that we have added material to our Module 7 section on Integument. Gero Nurse Prep faculty and internationally recognized wound specialist and researcher Dr. Joyce Black, was a key author of the updated 2016 National Pressure Ulcer Advisory Council Pressure Injury Guidelines. Dr. Black has put together a presentation for you based on the official NPUAC resources that provides an overview of these new guidelines, to include definitions, staging, and documentation of pressure injury. Check it out today in Module 7!

#pressureulcers  #pressureinjuries #NPUAP

National Recognition to GeroNursePrep Contributing Faculty

Dr. Joyce Black, Associate Professor at the UNMC College of Nursing, and faculty contributor to Gero Nurse Prep, was recently recognized for both clinical and advocacy expertise.

Joyce Black, Ph.D - GeroNursePrep faculty

Dr. Black was awarded the Thomas Stewart Founder’s Award at the National Pressure Ulcer Advisory Panel Biennial Conference in recognition of her significant contributions in furthering pressure ulcer public policy. Dr. Black can be heard in the Module 7 presentation on Integument. Way to go, Dr. Black!

The issue of sexual orientation is of growing concern

Care practices will have to be reevaluated based on the increasing number of openly homosexual adults, particularly as they age.

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Image source: www.newsdiscovery.com

Gay marriage has been legalized by thirty two states and District of Columbia. President Obama, once a adversary of same-sex marriage now believe that “The Constitution’s equal protection clause should protect all marriages, gay or straight”.

DuVall says “He is glad to see so many advocates take on the problem of anti-gay discrimination head on”.

Read more here- http://www.providermagazine.com/news/Pages/1014/Aging-Gay-Population-Worries-That-Move-To-Homes-Means-Move-Back-Into-Closet.aspx

Rating the Ratings

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 Medicare has revised the 5 start rating system which is used to evaluate nursing home performance. The reason for revising rating system is that the system does not do anything fruitful. An Investigation piece in the New York Times shed some light on the difference between reality and rating. Ratings were positioned on the basis of annual health inspections and on 2 measures reported by the nursing home itself. The revised rating system will introduce external audits of nursing home quality and electronically submitted staffing data, as well as by incorporating some new measures such as the proportion of residents taking antipsychotic medications, hopes to overcome the shortcomings of the existing rating approach.

There are now so many rating agencies, using very different rating scales. The key point is that single grade cannot grasp all features of medical facility’s performance that are suitable to all the group, individual and organization whom the ratings are designed.

So will the revised ratings of nursing homes (coming in January, 2015) make grades meaningful?

Read more: http://blog.drmurielgillick.com/2014/10/rating-ratings.html

Modernizing Medicare

The Medicare Modernization Act of 2004 didn’t really modernize Medicare.It is really important to have coverage for prescribed drugs, which is a huge support for older individuals. Medicare was pretty much complete apart from this one change, albeit most important one.The problem with the approach which turns 40 this year is that most of the illness are critical requires hospitalization.
Today, most illness is long-lasting illness costliest patients typically have multiple chronic conditions.The good news is that JAMA this week entitled “Optimizing health for persons with multiple chronic conditions,” is that Medicare has made a number of changes that move the program into the modern world.
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Read more: http://blog.drmurielgillick.com/2014/08/modernizing-medicare.html

Penny Wise, Pound Foolish

Problem about practicing medicine in nursing home is many medical problems which includes cognitive impairment.
The major challenge about nursing home is Medicare billing. The problematic was that in the nursing home environment, many of patients were demented and couldn’t possibly give a coherent history.

No wonder physicians often respond to a call from the nursing home about a sick patient with an order to send the patient to the hospital for assessment. Send a weak nursing home patient to the emergency room and he has so about a 90% chance of being admitted. So instead of paying a physician an appropriate amount for making a visit to the nursing home.

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Image source: Nurse Practitioner | Family Practice | Gallup, NM

Read more: http://blog.drmurielgillick.com/2014/09/penny-wise-pound-foolish.html

Must have a Plan

Planning Ahead

A discussion of topical issues for anyone concerned with the final phase of life by Muriel R. Gillick, MD 

 

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Image source : http://www.benefitspro.com

April 16 – It was officially the day Americans were made-up to remember to complete an advance directive.

Nobody put much consideration to National Healthcare Decision Day since it came just after the anniversary of Boston Marathon bombing or possibly Americans were overburdened by holiday work.

A new study published this month in the journal of the American Geriatrics Society the main focus was – how many people have an advance directive and how has this changed over the past 10 years? But this study has some major limitations-

  • Only includes people who died and relies on the testimony of relative or friend.
  • It was restricted to people over age 60.

Author of current study conclude that having an advance directive is correlated to one’s wishes for end-of-life care are followed. It was based on the report which states that the person who died had actually wanted. Also National Healthcare Decisions Day was ignored by media because it was surpassed by the other more exciting events or  because it continues to pay attention on a form, on finalizing a legal document, rather than on addressing head on what is most important to us in the last year or two or five of life, on the decisions that will matter most in life’s last stage, however long that lasts.

Read more about it: http://blog.drmurielgillick.com/2014/04/planning-ahead.html

 

Sedentary Lifestyle Increases Risk for Heart Failure

We are all aware of the risks of heart disease: diet, exercise, smoking, lipid levels, stress, genetics, etc. Now, research is showing us more specifically to what these lifestyle risks relate. A recent study published in the Journal Circulation: Heart Failure, found that a high sedentary lifestyle increased the chance of having heart failure, as much as 1.34 times that of a low sedentary lifestyle.

Heart Failure

Picture Source: USAToday.com

Similarly, the study found that lower levels of physical activity were also related to heart failure, as much as 1.52 times as likely to get heart failure that those with high levels of physical activity. It is crucial to stress the importance of healthy, active lifestyle for all, to the individual’s highest ability, to protect the heart from disease. This evidence can be used as a motivator to discourage sedentary behaviors.

Young DR, Reynolds K, Sidell M, Brar S, Ghai NR, Sternfeld B, et al. Effects of physical activity and sedentary time on the risk of heart failure. Circ Heart Fail. 2014 Jan 1;7(1):21-7.

For more on this study, see: http://www.ncbi.nlm.nih.gov/m/pubmed/24449810/

Best Jobs Of The Future

According to the Business Insider, they compiled a ranking of the best jobs of the future based on how well they pay and how much they are projected to grow in the coming years.

Here is the list based on the total number of new jobs projected by 2022-

 

  • 1. Registered Nurses526,800 predicted job openings by 2022. $65,470 median annual wage in 2012. What They Do: Assess patients' needs and provide care to patients. Typical Educational Requirements: Associate's degree.
  • 2. General and Operations Managers244,100 predicted job openings by 2022. $95,440 median annual wage in 2012. What They Do: Direct and coordinate the operations and staff of organizations. Typical Educational Requirements: Bachelor's degree.
  • 3. Software Applications Developers139,900 predicted job openings by 2022. $90,060 median annual wage in 2012. What They Do: Design and develop software for clients and users. Typical Educational Requirements: Bachelor's degree
  • 4. Specialist Physicians and Surgeons65,300 predicted job openings by 2022. At least $187,200 median annual wage in 2012. What They Do: Provide specialized medical care for patients. Some examples of specialist physicians include allergists, dermatologists, and neurologists. Typical Educational Requirements: Doctoral or professional degree
  • 5. Accountants and Auditors166,700 predicted job openings by 2022. $63,550 median annual wage in 2012. What They Do: Analyze financial records and ensure compliance with financial requirements and standards. Typical Educational Requirements: Bachelor's degree
  • 6. Management Analysts133,800 predicted job openings by 2022. $78,600 median annual wage in 2012. What They Do: Study and evaluate organizations, and develop techniques and plans to improve efficiency. Typical Educational Requirements: Bachelor's degree.
  • 7. Computer Systems Analysts127,700 predicted job openings by 2022. $79,680 median annual wage in 2012. What They Do: Analyze and improve information systems. Typical Educational Requirements: Bachelor's degree
  • 8. Elementary School Teachers167,900 predicted job openings by 2022. $53,400 median annual wage in 2012. What They Do: Teach children foundational skills and concepts. Typical Educational Requirements: Bachelor's degree
  • 9. Carpenters218,200 predicted job openings by 2022. $39,940 median annual wage in 2012. What They Do: Construct houses, other structures, and various frames and fixtures out of wood. Typical Educational Requirements: High school diploma or equivalent
  • 10. Lawyers74,800 predicted job openings by 2022. $113,500 median annual wage in 2012. What They Do: Represent clients in various types of legal proceedings and write legal documents. Typical Educational Requirements: Professional degree.
  • 11. First-Line Supervisors of Office and Administrative Support Workers171,500 predicted job openings by 2022. $49,330 median annual wage in 2012. What They Do: Directly supervise and coordinate the activities of clerical and administrative support workers. Typical Educational Requirements: High school diploma or equivalent
  • 12. Software Systems Developers82,800 predicted job openings by 2022. $99,000 median annual wage in 2012. What They Do: Develop high-level software systems in a variety of industries. Typical Educational Requirements: Bachelor's degree
  • 13. Market Research Analysts and Marketing Specialists131,500 predicted job openings by 2022. $60,300 median annual wage in 2012. What They Do: Research market conditions to help guide sales and marketing decisions. Typical Educational Requirements: Bachelor's degree
  • 14. First-line Supervisors of Construction Trades and Extraction workers128,300 predicted job openings by 2022. $59,700 median annual wage in 2012. What They Do: Directly supervise and coordinate activities of construction or extraction workers. Typical Educational Requirements: High school diploma or equivalent
  • 15. Licensed Practical and Vocational Nurses182,900 predicted job openings by 2022. $41,540 median annual wage in 2012. What They Do: Assist doctors and registered nurses and provide basic medical care to patients. Typical Educational Requirements: Post-secondary non-degree
  • 16. Heavy and Tractor-Trailer Truck Drivers192,600 predicted job openings by 2022. $38,200 median annual wage in 2012. What They Do: Drive the vehicles that carry pretty much everything we consume. Typical Educational Requirements: Post-secondary non-degree.
  • 17. Bookkeeping, Accounting, and Auditing Clerks204,600 predicted job openings by 2022. $35,170 median annual wage in 2012. What They Do: Obtain and use numerical data to complete financial records and maintain accounting records. Typical Educational Requirements: High school diploma or equivalent.
  • 18. Sales Representatives, Wholesale and Manufacturing132,000 predicted job openings by 2022. $54,230 median annual wage in 2012. What They Do: Sell goods for wholesalers or manufacturers to businesses or groups of individuals. Typical Educational Requirements: Bachelor's degree
  • 19. Medical and Health Services Managers73,300 predicted job openings by 2022. $88,580 median annual wage in 2012. What They Do: Plan, direct, or coordinate medical and health services in hospitals, clinics, managed care organizations, public health agencies, or similar organizations. Typical Educational Requirements: Bachelor's degree
  • 20. Construction Managers78,200 predicted job openings by 2022. $82,790 median annual wage in 2012. What they do: Organize, plan, and supervise construction projects. Typical Educational Requirements: Bachelor's degree
1. Registered Nurses1 2. General and Operations Managers2 3. Software Applications Developers3 4. Specialist Physicians and Surgeons4 5. Accountants and Auditors5 6. Management Analysts6 7. Computer Systems Analysts7 8. Elementary School Teachers8 9. Carpenters9 10. Lawyers10 11. First-Line Supervisors of Office and Administrative Support Workers11 12. Software Systems Developers12 13. Market Research Analysts and Marketing Specialists13 14. First-line Supervisors of Construction Trades and Extraction workers14 15. Licensed Practical and Vocational Nurses15 16. Heavy and Tractor-Trailer Truck Drivers16 17. Bookkeeping, Accounting, and Auditing Clerks17 18. Sales Representatives, Wholesale and Manufacturing18 19. Medical and Health Services Managers19 20. Construction Managers20
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And as we can see the job prediction for Registered Nurse will be 526,800 by year 2022, Geronurseprep is dedicated and committed to fulfill this requirement.

Read the complete story here 

Source- The 20 Best Jobs Of The Future, Business Insider