University of Akron - College of Nursing
Cynthia Flynn Capers, PhD, Dean; Elaine Nichols, EdD, Associate Dean; Katherine Kolcaba, PhD (Faculty contact)

Abstract

The baccalaureate curriculum in the College of Nursing includes two courses with specific gerontological nursing content. The focal point is a gerontological course found in the junior year that helps students understand and integrate the paradigm shift from dependence and disability in older adults to a model of prevention and successful aging (Rowe & Cohen, 1998). Students are taught to use a holistic and eclectic approach by applying a nursing theory (Kolcaba's Comfort theory). During the progression of the course, students are encouraged to appreciate the positive aspects of aging and learn to value an interdisciplinary perspective in multiple clinical settings. A key component is the use of the nationally known "ACE" (Acute Care for Elders) model as implemented at Summa Health System. The second acute care unit of its kind in the nation, the ACE program has statistically demonstrated a decrease in functional decline in hospitalized elders. While all students cannot practice on the ACE unit, all students are taught the ACE principles and encouraged to apply them throughout their clinical experiences.

An important support course, in the sophomore year, is an integrated course with major gerontological content stressing the strengths of disabled older adults. Content focuses on geriatric nursing problems within major physiological systems. Student activities include a discharge planning paper, including a home visit, and daily journalizing. In the clinical component of the course, students complete an extensive assessment. An in-depth client-specific care plan is developed. Interventions have included student-made picture boards for stroke victims and music therapy for agitated clients. The students learn of specific variations needed to administer medications to the older adult and they begin attending interdisciplinary conferences.