Week 1: Reading: Complete
Dunphy, L.M., Winland-Brown, J. E., Porter, B.O. & Thomas, D.J. (2019). Primary Care-The art and
science of Advanced Practice Nursing-An interprofessional approach. (5th ed.) Philadelphia: F.A
...
Week 1: Reading: Complete
Dunphy, L.M., Winland-Brown, J. E., Porter, B.O. & Thomas, D.J. (2019). Primary Care-The art and
science of Advanced Practice Nursing-An interprofessional approach. (5th ed.) Philadelphia: F.A.
Davis Company.
Ch.77 Primary Care of Older Adults p. 1281-1292; (WO 1.1-1.3)
Ch.77: Medications in the Elderly p.1292-1293; (WO 1.5)
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
Chapter 1: Changes with Aging (p.2-4); (WO 1.1-1.3)
Chapter 2: Health Promotion (p.6-18); (WO 1.2)
Chapter 3: Exercise in Older Adults (p.19-22); (WO 1.1-1.3)
Chapter 4: Comprehensive Geriatric Assessment (p.26-33); (WO 1.4)
Chapter 17: Polypharmacy (p.470-473); (WO2.3)
Lessons: Complete
Videos: Complete
DE: Complete (if applicable)
Week 2: Readings: Complete
Dunphy, L.M., Winland-Brown, J. E., Porter, B.O. & Thomas, D.J. (2019). Primary Care-The art and
science of Advanced Practice Nursing-An interprofessional approach. (5th ed.) Philadelphia: F.A.
Davis Company.
Chapter 28: Common Respiratory Complaints (p.357-361); (WO2.1-2.3)
Chapter 29: Sleep apnea (p. 363-370); (WO2.4)
Chapter 30: Pneumonia (p.375-384); (WO2.1)
Chapter 31:(397-423); (WO 2.1-2.4)
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
Chapter 8: Chest Disorders; (WO2.1)
Assessment of the respiratory system (p.154); (WO 2.1)
Chronic obstructive pulmonary disease (p.164-170); (WO2.1-2.2)
Pneumonia (p.191-196); (WO2.1-2.2)
Lessons: Complete
Videos: Complete
DE: Complete (if applicable)
2
Week 3: Readings: Complete
Dunphy, L.M., Winland-Brown, J. E., Porter, B.O. & Thomas, D.J. (2019). Primary Care-The art and
science of Advanced Practice Nursing-An interprofessional approach. (5th ed.) Philadelphia: F.A.
Davis Company.
Chapter 70: Sleep Wake Disorders: Insomnia (p.1167-1173) (WO3.3)
Chapter 64: Overview, Stress & Anxiety and Depressed Mood (p. 1055-1058) (WO3.1, 3.2)
Chapter 67: Major Depressive disorder (p.1100-1110) (WO3.1, 3.2)
Chapter 68: Generalized anxiety disorder (p. 1129-1135) (WO3.1-3.2)
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
Anxiety (p.434-436) (WO3.1-3.2)
Bipolar disorder (p.436-438) (WO3.1-3.2)
Depression (p.451-456) (WO3.1-3.2)
Insomnia (p.461-462) (WO3.3)
Grief and Bereavement (p.459-460) (WO3.5)
Prescription drug misuse (p.436-465) (WO3.4)
Lessons: Complete
Videos: Complete
Week 4: Readings: Complete
DE: Complete (if applicable)
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
Osteoarthritis and Osteoporosis (p.851-870); (WO 4.1-4.3)
Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019). Advanced practice nursing in the care of older
adults (2nd ed.). Philadelphia: F.A. Davis Company.
Osteoarthritis (p.315-319); (WO 4.1-4.2)
Rheumatoid arthritis (p.322-325); (WO4.2)
Lessons: Complete
Videos: Complete
DE: Complete (if applicable)
Week Topics
1 Developmental changes
3
Review Kennedy and Dunphy readings for age related changes
Replicative senescence is theory states that cells can replicate or divide a specific number of times.
This ability tends to decrease with age.
Oxidative damage is the cumulative result of the aerobic metabolism, which generates chemicals
called free radicals. Free radicals may interact with other chemicals in the body and cause damage to
cells.
Telomere shortening is a theory that links aging to a reduction in cell division.
Weakening of the immune response leaves older adults more vulnerable to infection and
debilitating diseases.
Physiological
Age related Change Functional Change Implications
Integumentary System
Loss of dermal and
epidermal thickness
Loss of subcutaneous tissue
and thin epidermis.
Prone to skin breakdown and
injury
Decreased vascularity • Atrophy of sweat glands
resulting in decreased sweat
production
• Decreased body odor
• Decreased heat loss
• Dryness
• Alteration in thermoregulatory
response
• Fluid requirements may
change seasonally
• Loss of skin water
• Increased risk of heat stroke
Respiratory System
Decreased lung tissue
elasticity
Decreased vital capacity Reduced overall efficiency of
ventilatory exchange
Cilia atrophy Change in mucociliary
transport
Increased susceptibility to
infection
Decreased respiratory
muscle strength
• Reduced ability to handle
secretions and reduced
effectiveness against noxious
foreign particles
• Partial inflation of lungs at
rest
Increased risk of atelectasis
4
Cardiovascular System
Heart valves thicken and
become fibrotic
Reduced stroke volume,
cardiac output; may be
altered
Decreased responsiveness to
stress
Fibroelastic thickening of
the sinoatrial node;
decreased number of
pacemaker cells
Slower heart rate Increased prevalence of
arrhythmias
Decreased baroreceptor
sensitivity (stretch
receptors)
Decreased sensitivity to
changes in blood pressure
Prone to loss of balance, which
increases the risk for falls
GI
Liver becomes smaller Decreased storage capacity
Decreased muscle tone Altered motility Increases risk of constipation,
functional bowel syndrome,
esophageal spasm, diverticular
disease
Decreased basal metabolic
rate (rate at which fuel is
converted into energy)
May need fewer calories
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