Chronic Disease Management in the Geriatric Population
Nanette Lavoie-Vaughan, M.S.N., APN
Objectives:
At the completion of this program, the participant will be able to:
  • Identify the clinical presentation of CHF, Stroke and Diabetes.
  • Identify the different types of dementia and the reasons for
    institutionalization.
  • Identify the normal changes in the aging brain.
  • Identify the significant differences in assessing the elderly client.
  • Recognize the key differences in disease presentation in the
    elderly.
  • Complete case studies of abnormal presentations.

I. The Big Three (30 minutes)
  • Powerpoint/Lecture/Discussion

A. CHF
  • Classifications
  • Conditions causing CHF
  • Clinical presentation

B. Stroke
  • Risk factors
  • Clinical presentation
  • Stroke deficit patterns

C. Diabetes
  • Clinical presentation
  • Clinical pearls

II. Dementia
  • Powerpoint/Lecture/Discussion/Case Study

A. Changes in the Neurological system

B. Types of dementia

C. Case study

III. Looking for Zebras (1 hour)
  • Powerpoint/Lecture/Case studies

A. Assessment
  • Dyspnea/Cough
  • Edema
  • Chest pain/Palpitations
  • Dizziness
  • Chewing/Dysphagia
  • Abdominal pain/Change in bowel habits
  • Urinary symptoms
  • Focal pain/Weakness
  • Vision/Hearing
  • Lab values

B. Case Studies
  • The Boot Scoot Boogie
  • Dazed and Confused
  • Riding the Tractor
  • To Seize or Not to Seize
  • I’m Not Hungry and I Can’t Poop
  • Yelling, Screaming and Swearing

C. Ask the NP

D. Questions/Answers