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GEC Mini-fellowship Unit 27:
RESPIRATORY DISORDERS
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Course Description
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The Nebraska Geriatric Education Center interdisciplinary online modules are driven by the need to train health care professionals to serve rural and minority elders. In 2006, those over the age of 65 represented 13% of Nebraska's population, compared to 12% nationally.1
It is projected that by 2020, 17% of Nebraskans will be over the age of 65 and by 2030 just over one in five persons in Nebraska will be over the age of 65.2
Caring for the elderly is especially challenging in rural areas because of:
1. Fewer health care providers
2. A shrinking rural economic base
3. Smaller size and number of health care institutions and services
4. Reduced access to education for rural providers and the difficulty of arranging coverage while attending programs
5. Greater health problems in the rural elderly compared to their urban peers. Minority elders share similar problems.3, 4, 5, 6
Many diseases in the elderly population are preventable or their sequelae can be reduced through health promotion and preventive care, timely care when illness does occur, and sensitivity to race, ethnicity and language needs of patients.
References:
1. www.census.gov
2. U.S. Census Bureau, Population Division, Interim State Population Projections, 2005; Internet Release Date: April 21, 2005.
3. Centers for Disease Control and Prevention, National Center for Health Statistics. (August 2001). Health, United States, 2001: Urban and Rural Health Chartbook.
4. CDC Health Data for all ages. U.S. Dept of Health and Human Services, http://www.cdc.gov/nchs/datawh/statab/about_hdaa.htm.
5. Probst J, Samuels M, Moore C, Gdovin J. (October 2002). Access to Care Among Rural Minorities: Older Adults. (Grant No. 6 U1C RH 00045-01 with the Federal Office of Rural Health Policy, Health Resources and Services Administration). Retrieved July 31.
6. CDC Health Data, Trends in Health and Aging. U.S. Dept of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
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To Receive A Certificate
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Review the material in the Course Presentations section.
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Complete the CME Posttest with a score of 3 out of 3 questions correct.
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You will then be asked to register and complete a brief course evaluation.
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A certificate will be automatically generated for you online.
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Course Objectives
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Upon completion of this set of three modules on respiratory disorders, the learner will be able to:
1. Describe the common causes of rhinitis, dyspnea and cough
2. Review the evaluation and treatment of these common respiratory symptoms and complaints
3. Explain the diagnostic features and staging of COPD
4. Summarize non-pharmacologic and the ‘stepped' pharmacologic therapy for COPD
5. List Medicare criteria for chronic O2 therapy
6. Identify steps for assisting patients with smoking cessation
7. Illustrate the definition and diagnostic features for asthma and how this disorder differs in later life.
8. Explore how the stage of severity of asthma directs treatment
9. Outline the approach to evaluation of suspected pulmonary emboli and treatment of this process when that diagnosis is confirmed
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Target Audience
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Physicians, nurse practitioners, physician assistants, nurses, social workers, psychologists, counselors, and anyone interested in geriatrics.
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Method of Participation
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• Review the content of the presentation.
• Successfully complete the post-test with 70% accuracy.
• Register by logging in to myCCE@unmc.
• Complete the evaluation instrument.
• Complete HRSA form if prompted.
• Print your certificate on-line.
There is no fee to receive continuing education credit.
The estimated time to complete this activity is one hour.
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Accreditation
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The University of Nebraska Medical Center, Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The University of Nebraska Medical Center, Center for Continuing Education designates this educational activity for a maximum of 1.2 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
The University of Nebraska Medical Center College of Nursing Continuing Nursing Education is accredited as
a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on
Accreditation.
This activity is provided for 1.2 contact hours under ANCC criteria. Provided for 1.4 contact hours under Iowa
Provider #78. Provider approved by the California Board of Registered Nursing, Provider #13699 for 1.4
contact hours.
This program meets the criteria of an approved continuing education program for social work.
This program meets the criteria of an approved program for licensed mental health providers.
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Sponsorship
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This activity is sponsored by the University of Nebraska Medical Center, Center for Continuing Education, the University of Nebraska Medical Center, College of Nursing Continuing Nursing Education, and the Nebraska Geriatric Education Center.
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Disclaimer
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The opinions or views expressed in this continuing education activity are those of the faculty and do not necessarily reflect the opinions or recommendations of the University of Nebraska Medical Center, Center for Continuing Education, the University of Nebraska Medical Center, College of Nursing Continuing Nursing Education, and the American Nurses Credentialing Center's Commission on Accreditation.
Healthcare professionals and other individuals should review and consider other publications and materials on the subject before relying solely upon the information contained within this educational activity.
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Disclosure
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As a provider accredited by ACCME, the University of Nebraska Medical Center, Center for
Continuing Education, the University of Nebraska Medical Center, College of Nursing Continuing Nursing Education, and the American Nurses Credentialing Center's Commission on Accreditation must ensure balance, objectivity, independence, and scientific rigor in its
educational activities. Faculty are encouraged to provide a balanced view of therapeutic options
by utilizing either generic names or the trade names of several to ensure impartiality.
All faculty and planning committee members participating in a University of Nebraska Medical Center, Center for Continuing Education, University of Nebraska Medical Center, College of Nursing Continuing Nursing Education, and American Nurses Credentialing Center's Commission on Accreditation activity are required to disclose commitments to and/or relationships with pharmaceutical companies, biomedical device manufacturers or distributors, or others whose products or services may be considered to be related to the subject matter of the educational activity. Disclosure of these commitments and/or relationships is included in these course materials so that participants in the activity may formulate their own judgments in interpreting its content and evaluating its recommendations.
This activity includes presentations in which faculty may discuss off-label and/or investigational use of pharmaceuticals or instruments not yet FDA-approved. Participants should note that the use of products outside currently FDA-approved labeling should be considered experimental and are advised to consult current prescribing information for FDA-approved indications.
Please note that while the University of Nebraska Medical Center College of Nursing Continuing Nursing Education is an ANCC accredited organization, this does not imply endorsement by the UNMC or ANCC of any commercial products affiliated with this activity.
The following indicates the faculty and planning committee disclosure declaration information and the nature of those commercial relationships.
All materials are included with the permission of the authors. The opinions expressed are those of the authors and are not to be construed as those of the University of Nebraska Medical Center, Center for Continuing Education, University of Nebraska Medical Center, College of Nursing Continuing Nursing Education, or American Nurses Credentialing Center's Commission on Accreditation.
PLANNING COMMITTEE:
Lisa L. Anzai, RN, MA
Nurse Planner, Continuing Nursing Education
College of Nursing
University of Nebraska Medical Center
No conflict of interest
Catherine A. Bevil, RN, EdD
Director, Continuing Nursing Education
College of Nursing
University of Nebraska Medical Center
No conflict of interest
Lisa A. Bottsford, MPH
Program Coordinator
Geriatric Education Center (GEC)
University of Nebraska Medical Center
No conflict of interest
Joan A. Husted, HRM, CMP
Program Associate
Center for Continuing Education
University of Nebraska Medical Center
No conflict of interest
Katherine J. Jones, PT, PhD
Assistant Professor
Physical Therapy Education
University of Nebraska Medical Center
No conflict of interest
Jane F. Potter, MD
Harris Professor of Geriatric Medicine
Chief, Section of Geriatrics
Department of Internal Medicine
University of Nebraska Medical Center
No conflict of interest
Edward V. Vandenberg, MD, CMD
Assistant Professor
Section of Geriatrics
Department of Internal Medicine
University of Nebraska Medical Center
No conflict of interest
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Support
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This activity is supported by an unrestricted educational grant from Pfizer, Inc.
This project was supported by grant number D31HP08840 from the Health Resources and Services Administration, Bureau of Health Professions.
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Contact
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If you have any questions about the activity, please contact Joan Husted in the Center for Continuing Education at the University of Nebraska Medical Center, 402-559-6235, toll-free 877-832-6924, or via email at jhusted@unmc.edu.
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System Requirements
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This activity requires that your computer be configured to access the Internet. A high-speed Internet connection may be required to view large files.
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