Geriatric Emergency Nursing Education Course (GENE)

Elderly patients often present a unique set of challenges for emergency professionals, and this extensive course gives nurses the tools to assess special needs in older adults, to recognize atypical presentations, and to coordinate care that will help improve patient outcomes​ and provide the best evidence-based care for older adults. The Geriatric Emergency Nursing Education Course (GENE) provides evidence-based geriatric practices from triage to discharge as well as patient and family education. Special features include:

  • Live links to additional resources
  • eLearning modules to test your knowledge
  • Course narrative notes for ​greater retention
  • Seventeen interactive modules
  • Geriatric evidence-based research

While the course is written primarily for emergency nurses, the material can be applied to all healthcare professionals who work with older adults. Hospitals, EMT and paramedic units, elder-care facilities, nursing schools, and others are encouraged to make this course available to all staff.

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GENE

 

Frequently asked questions

15.21 contact hours

$200 member/$250 non-member

Group pricing (for more information please contact: gene@ena.org​ or 847.460.2631):

 2-9: $250 each

10-24: $225 each

25-50: $212.50 each

51+: $200 each

Course Modules and Learning Objectives

Older Adults in the Emergency Department

Part 1: Older Adults in the Emergency Department: The Context of Care
Learning Objectives

  1. Describe the implications of an aging society upon emergency department (ED) utilization.
  2. Define ageism.
  3. State two examples of ageism.
  4. Identify challenges to caring for the older adult in the ED environment.
  5. Describe two initiatives that support best practices in the ED.

Part 2: Assessment and Triage of the Older Adult in the Emergency Department
Learning Objectives

  1. Describe age-related sensory changes and alterations in the neurological, cardiovascular, pulmonary, renal/genitourinary, gastrointestinal, and musculoskeletal systems of the older adult and nursing implications.
  2. Identify the clinical significance of age-related changes with regard to atypical disease presentation and health.
  3. Discuss assessment of cognition and physical function.
  4. Describe two risk assessment tools.
Changes in Medical Care and Medical Ethics

Learning Objectives

  1. Describe the medical-ethical issues that affect the older adult.
  2. Explain the concept of hospice and hospice components.
  3. Explain the concept of advocacy needs of the older population.
Environmental and Toxicological Emergencies

Learning Objectives

  1. Describe three age-related changes that impact the ability of the older adult to respond to environmental and toxicological illnesses and injuries.
  2. Outline special considerations for physical assessment and history taking of older adults presenting with complaints related to the environment and toxic substances.
  3. Describe the nursing care of older patients with environmental and toxicological injuries and illnesses.
Infectious Diseases

Learning Objectives

  1. Describe how infection may present differently in older adults than in younger individuals.
  2. List three reasons why older adults are more at risk for infectious diseases.
  3. Describe the role of the emergency nurse in the management of older adult patients with common infectious diseases.
  4. Discuss the transmission of common infectious diseases seen in older adults.
The Musculoskeletal System

Learning Objectives

  1. Describe changes to the musculoskeletal system associated with aging.
  2. List three factors that increase risk of musculoskeletal injury in older adults.
  3. Outline physical assessment of older adults with musculoskeletal emergencies.
  4. Describe the emergency management of the most prevalent fractures in older adults.
The Integumentary System

Learning Objectives

  1. Describe five age-related changes to the skin and their corresponding clinical significance.
  2. Identify five key elements of emergency skin assessment for older adult patients.
  3. Describe best evidence strategies for cleansing, debridement, closure, and dressing choices for wounds presenting to the emergency department.
  4. Recognize four key signs and symptoms of focal and spreading wound infection.
  5. Describe the current emergency management of rhabdomyolysis in the older adult.
  6. Describe five strategies that can be used to prevent skin breakdown of older patients in emergency care settings.
The Cardiovascular System

Learning Objectives

  1. List three cardiovascular changes that occur in the older adult.
  2. Describe how age affects the patient with heart failure.
  3. Describe treatment outcomes for the older adult with an acute myocardial infarction.
  4. Discuss the assessment of pacemakers and implantable cardioverter-defibrillators in the geriatric population presenting to the emergency department.
  5. Recall how to complete a vascular assessment on the older adult patient.
Fluids and Electrolytes

Learning Objectives

  1. List some of the normal physiological changes that impact the older adult's fluid and electrolyte status.
  2. Recognize the signs and symptoms of imbalances in the electrolytes, potassium, magnesium, calcium, and sodium.
  3. Identify the appropriate treatments for fluid and electrolyte imbalances based on symptoms and severity.
  4. Identify the causes and symptoms of malnutrition.
  5. Compare the differences between chronic and acute renal failure and the interventions needed for each one.
Eyes, Ears, Nose, Throat, and Respiratory Systems

Learning Objectives

  1. Describe five age-related changes to the eyes, ears, nose, and throat (EENT) and their corresponding clinical significance.
  2. Identify five key elements of emergency EENT assessment for older adult patients.
  3. Apply a focused respiratory assessment to older adults using both objective and subjective data.
  4. Describe the key emergency department management strategies for older adults with specific EENT and respiratory conditions.
Mental Health, Elder Maltreatment

Part 1: Mental Health
Learning Objectives

  1. Describe the impact of psychiatric conditions on the older adult population.
  2. Identify behaviors and risk factors associated with psychiatric conditions in the older adult.
  3. Describe the impact of cultural disparities and their effect on the identification of psychiatric conditions.
  4. Identify necessary precautions needed when administering medication to the older adult.
  5. Describe characteristics of common mental health conditions.
  6. List barriers to caring for the older adult with a psychiatric condition.

Part 2: Elder Maltreatment
Learning Objectives

  1. Describe the different categories of maltreatment that can affect the older adult.
  2. Explain the different types of maltreatment that can affect the older adult.
  3. Identify signs and symptoms of maltreatment in the older adult.
  4. Explain risk factors for maltreatment in the older adult population.
  5. Describe nursing considerations for the older adult patient with suspected history of maltreatment.
Medications and Pain, Pain in Older Adults

Part 1: Medications and Pain
Learning Objectives

  1. Identify pharmacodynamic changes associated with aging.
  2. Describe four assessment findings in the older adult that could be related to medication therapy.
  3. Name three medication classifications that pose a high risk for adverse reactions in older adults.
  4. List three reasons why the older adult may not be taking medications correctly
  5. Identify resources that can be accessed for additional information related to medications and the older adult.

Part 2: Pain in Older Adults
Learning Objectives

  1. Identify physiological changes in pain perception that occur with aging.
  2. Describe key aspects of pain assessment in older adults.
  3. Select factors included in a nonverbal pain assessment as appropriate to older adults with dementia or delirium.
  4. Explain treatment of pain in older adults using a systematic approach to management.
  5. Name three medications commonly used for pain management that should be avoided in treating pain in older adults.
Trauma and Falls

Learning Objectives

  1. Identify prevention techniques for minimizing the occurrence and severity of trauma in older adults.
  2. Describe incidents of trauma, associated risk factors for trauma, and common mechanisms of injury in older adults.
  3. Describe the unique triage needs for older adults with trauma as compared to younger trauma patients.
  4. List the principles and considerations of trauma assessment in the older adult patient, including commonly presenting comorbidities.
  5. Describe the management techniques for traumatic brain injury, concussions, and spinal injury in the older adult.
The Endocrine System

Learning Objectives

  1. State four endocrine glands affected by the aging process.
  2. List four symptoms exhibited by the older adult that are potentially caused by an aging or damaged endocrine system.
  3. Describe three implications of the aging liver upon the older adult’s health.
  4. Identify two common life-threatening situations that the older adult with diabetes may experience.
Gastrointestinal & Genitourinary Conditions

Learning Objectives

  1. Identify GI and GU clinical presentations in older adults and age-related considerations.
  2. Describe how assessment and management strategies for GI and GU clinical conditions may differ in older adults.
  3. Identify the importance of considering function, social status, and cognitive status in the management of and discharge planning related to GI and GU conditions in the older adult.
The Nervous System

Learning Objectives

  1. Describe age-related changes and alterations in the neurological system.
  2. Identify common sensory disorders that impact older adults.
  3. Discuss how Parkinson's disease can impact the health and functionality of older adults.
  4. Identify signs and symptoms of stroke and the patient outcomes with each.
  5. Identify signs and symptoms of Bell’s palsy in the older adult.  
  6. Describe the range of confusional states and assessment strategies for discriminating these states from other cognitive impairment syndromes.
  7. Identify changes in the aging neurological system that can lead to neuropathy.
Autoimmune and Hematological Diseases; Hematological Diseases

Part 1: Autoimmune and Hematological Diseases
Learning Objectives 

  1. Describe the physiology of autoimmune disease processes in the older adult.
  2. Identify key components of the assessment for various autoimmune issues in older adults.
  3. Explain the management and treatment of various autoimmune issues in older adults.

Part 2: Hematological Diseases
Learning Objectives

  1. Describe the physiology of hematological disease processes in the older adult.
  2. Identify key components of the assessment for various hematological issues in older adults.
  3. Explain the management and treatment of various hematological issues in older adults.
  4. Describe the differences between various blood product deficiencies in the patient and considerations in replacing specific blood products.
Discharge Planning for the Older Adult from the ED

Learning Objectives

  1. Identify three different learning styles.
  2. Describe the teach-back method.
  3. Identify the necessary components of provider handoffs.
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The Emergency Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
The Emergency Nurses Association is approved by the California Board of Registered Nursing, Provider #2322.

Working to promote safe practice and safe care.