New Directions | November 2021
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A Message From the Executive Director
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We are so excited and energized after our Leadership Conference last week. We started on Tuesday October 26 with our annual business meeting. President Alyce Ashcraft’s opening remarks highlighted some important accomplishments of 2021. The results of the election were reported. Treasurer Janine Overcash provided a Finance report.
Charlene Harrington provided the Day 1 keynote address and left us with a call to action regarding improving care in long term care and other settings for older adults. She shared a plethora of literature to support change in this arena. Attendees will be able to easily access these resources to support their work within the meeting platform. She helped us understand more about how long-term care companies invest and hide their assets.
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Coronavirus and Older Adults
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COVID-19 Deaths Among Older Adults During the Delta Surge Were Higher in States with Lower Vaccination Rates
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8 Things to Know About COVID-19 Booster Shots
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Tens of millions of Americans who have been vaccinated against COVID-19 are now eligible for a booster shot, which is meant to wake up the immune system so it stays sharp if confronted with the coronavirus.
Boosters from Pfizer-BioNTech, Moderna and Johnson & Johnson (J&J) are now available in pharmacies, health clinics and doctor’s offices across the country. Here’s what you need to know about these additional doses as the shots roll out:
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Safely treat your patients with award winning resourcing designed specifically for Gerontological Nurses! Save 25% + free shipping with code CONFERENCE21.
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Distinguished Educator Spotlight
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Identifying Tipping Points in Older Adults
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Cheryl Lacasse, PhD, RN, AOCNS
Clinical Professor
University of Arizona
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Janice D. Crist, PhD, RN, FWAN, FAAN
Associate Professor
University of Arizona
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Joy (pseudonym) is 89 years old, lives alone, and values her independence and ability to drive. Her daughter has noticed that she is becoming increasingly more forgetful and is concerned about her mother’s safety. Two days later, Joy is found by her daughter sitting in her living room at 4pm in her pajamas confused about the time of day. Joy had no memory of eating any meals but her daughter found a burner on with a skillet of burnt eggs. Has this older adult experienced a tipping point in life?
The term “tipping point” was made popular in 2000 by Malcolm Gladwell’s book The Tipping Point: How Little Things Can Make a Big Difference (Gladwell, 2000). Over the past 20 years, the term tipping point has been widely used to describe critical changes in complex systems. A caregiving tipping point has been described as “a seemingly abrupt, severe, and absolute change event involving either the older adult, or caregiver(s), or both that indicates a breakdown in the status quo of the caregiving system” (Crist et al. 2019, p. 585). The three attributes of a tipping point can be defined as being abrupt (a critical occurrence that is recognized, in retrospect, as a result of a gradual but significant change), severe (triggering a major change), and absolute (a permanent change in condition). Each attribute carries a set of individual and family decision making to honor autonomy, respect, and safety of an older adult.
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Why Sleep Matters for Older Adults with HIV?
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Shameka L. Cody, PhD, AGNP-C
Assistant Professor
Capstone College of Nursing, The University of Alabama
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Antiretroviral therapy (ART) has transformed HIV into a chronic disease, and many people with HIV are living as long as their HIV-negative counterparts (Deeks et al., 2013). Insomnia is difficulty falling asleep, staying sleep, and frequent awakenings, which can result in daytime sleepiness and impairments in daily functioning. In the US, insomnia is reported in 70% of people with HIV compared to less than 35% of the general population (Rubinstein & Selwyn, 1998; Taibi, 2013). Older adults with HIV may be more susceptible to poor sleep because of additive HIV and age-related changes in sleep patterns, inflammatory processes and immune function, and the presence of comorbidities (Gabuzda et al., 2020; Leone et al., 2021). The antiretroviral drug, Efavirenz, has been linked to sleep disorders and cognitive impairment (Shikuma et al., 2018). Poor sleep quality is a significant contributor to poor cognitive health (Mahmood et al., 2018), exacerbations in physical and mental illness (Cody et al., 2021), and poor quality of life (Rogers et al., 2020) in the aging HIV population.
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Check Out This Great Read!
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The desperate and frantic pace of hospital work in 2020 in New York, the epicenter of the U.S. pandemic at the time, was more chaotic than anything intensive care nurse Matthew Crecelius had ever seen. "It was like watching a bomb go off in slow motion," he says.
He was caring for double the usual number of critically ill patients and navigating hospital halls that looked more like construction zones, with giant fans and plastic tubing blowing a deafening level of extra ventilation. He couldn't hear his patients, or see them through the giant wooden doors of the negative pressure chambers.
"You shout out to somebody, 'Hey, can you check on my other people?' " he says. " 'I can't even see a monitor; I don't know how they're doing.' "
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Scholarship Opportunities
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Graduate Gerontology Healthcare Certificate
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Tenured Associate or Full Professor 2021-22
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The School of Nursing at the University of California, Los Angeles (UCLA) seeks applications for full-time, tenured Associate Professor or Full Professor faculty position. An Endowed or Term Chair is available.
We seek a senior nurse scholar/leader, with a funded program of research, focused on clinical or population science (e.g., a program focused on social determinants of health which can contribute to national health policy discussion). Preferred areas of scholarship include palliative care, psych-mental health or aging. Advanced practice preparation is important, but not essential.
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Candidates must meet the academic and scholarly credentials to qualify for a tenured appointment at UCLA at either the Associate or Full Professor rank, including an earned PhD in Nursing Science, a defined program of research, and evidence of teaching and service excellence. Rank and salary will be commensurate with background and experience. The anticipated start date is July 1, 2022
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Endowed Professor of Geriatrics/Gerontology
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We seek a strong research leader with a powerful combination of vision, energy, and leadership who will embrace and model the patient-centric culture within UAMS.
Reporting to the Associate Dean for Research, the Endowed Professor’s primary responsibility includes working with College leadership to develop the Gerontology Research Cluster for the College of Nursing. This will involve building a research portfolio for the cluster, mentoring junior faculty associated with this research focus in the College, and participating in the research vision and strategy building with other research cluster leaders in the CON to meet College and institutional research goals and metrics. The successful candidate will teach a minimum of one course per semester in the PhD program, mentor graduate students, and participate on PhD dissertation committees. Participation on other college and institutional administrative and service duties will also be expected.
For immediate consideration, please inquire with an updated copy of your CV/resume so we can discuss the position by phone. All inquiries should be sent to Eric Dickerson (ericd@kbic.com) and/or Dr. Richard Jordan (rjordan@kbic.com).
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Assistant Dean for the
Gerontology Interdisciplinary Program
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The University of Utah, College of Nursing is seeking a qualified gerontologist for an administrative faculty appointment as an Assistant Dean for the Gerontology Interdisciplinary Program (GIP). This position will combine leadership, teaching, and scholarship in the Gerontology Interdisciplinary Program. The College of Nursing’s GIP includes an interdisciplinary MS program with a baccalaureate minor and graduate and baccalaureate certificate options.
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NHCGNE's Leadership Conference
Post Event Information
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All recordings of the live sessions will be posted the first week of November. All recordings will be posted at once. Credit can be claimed until December 31st, after that time you can still access and print certificates for credit already claimed.
Don't forget we have posters and on demand sessions for viewing! To view the abstract and recording for on demand sessions, you only need to click on the title of a talk you are interested in from the On Demand index. Videos will be embedded in the page for ease of viewing.
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Miss the Conference? Don't Worry! Register Now for the Recordings!
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Thank You To Our Sponsors
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Pennsylvania State University: Gold Sponsor
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University of Texas - Arlington: Gold Sponsor
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Texas Tech University Health Sciences Center:
Gold Sponsor
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Emory University: Silver Sponsor
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Emory University: Silver Sponsor
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UCLA: Mary Starke Harper Interview
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Arizona State University: Happy Hour
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Say it with "Got Content"!
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Next New Directions Content Submission Deadline:
September 2021
Deadline: August 20, 2020 (Publish September 5)
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Newsletter submissions should be sent to NHCGNE Staff at info@nhcgne.org with
NHCGNE New Directions Submission in the subject line.
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Do You Know Someone Who's Not Getting Our Newsletters?
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Let us know of people who are not already receiving the News Digest mailing list for member schools. If you know of faculty or PhD students that are not receiving this - email us at info@nhcgne.org with their name and email address.
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