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PubMed1998

The impact of Alzheimer disease genetics on expert and advanced gerontological nursing practice.

Alzheimer disease (AD), a progressive neurodegenerative disorder, is the most common cause of dementia in the United States, affecting as many as 4 million people. Extensive research is under way to identify environmental and genetic risk factors for this complex disease. Currently, four genes are associated with an increased risk for AD: the amyloid precursor protein gene on chromosome 21, the Presenilin I gene on chromosome 14, the Presenilin II gene on chromosome 1, and the apolipoprotein E gene on chromosome 19. Expert and advanced practice gerontological nurses are faced with new challenges as a result of these gene discoveries. Gerontological nurses should assess for relevant environmental and genetic risk factors; obtain comprehensive family health histories recorded as pedigrees; integrate genetic information into diagnosis, intervention, and evaluation strategies; initiate and coordinate referrals to genetic specialists; and provide ongoing emotional and decision-making support for patients and families experiencing AD.

Aged↗
PubMed1990

The work of practical nursing educators. A case study report.

In 1987 a study was carried out at two upper secondary schools. The aim was to study the working conditions of teachers in a changing environment by interviewing different professionals in the school as well as students. In the last five years, the average age of students was found to have fallen by two to four years. Another finding was that the entrance requirements had been lowered. In the same five-year period the drop-out rates at one of the two schools had risen from 5/60 to 18/81. At the other school 5/30 dropped out in 1987. Many of the teachers interviewed reported their students to be open-minded and spontaneous but at the same time too immature to work in the medicare sector, especially in the psychiatric field. A tendency appeared for teachers to take on a more curative and supportive role. The teachers maintained certain minimum standards and students who did not pass their examinations were required to withdraw.

Age Factors↗
PubMedDate not supplied

Advanced practice nursing role: nurse practitioner.

Nurse Practitioners are advanced practice nurses (APNs) who provide primary and acute care to individuals in many settings. The NP diagnoses and treats medical and surgical conditions that require acute, short-term management and chronic, long-term treatment. States vary in regulating processes regarding collaborative agreements, prescriptive authority, medical staff privileges, and insurance/third party reimbursement.

Drug Prescriptions↗