Instructional Resources

ECLEPs Developed Materials

Module 1 Demographics and Definitions Adobe Voice over powerpoint version Download Short Version Download Full Version
Module 2 The Oregon System Adobe Voice over powerpoint version Download Short Version Download Full Version
Module 3 Finance Adobe Voice over powerpoint version Download
Module 4 Culture Change Adobe Voice over powerpoint version Download Short Version Download Full Version
Module 5 The Emerging Role of the Nurse in LTC Adobe Voice over powerpoint version

Individual Slides with Video Links
Instructions: To view videos,download, then right click on name of interviewee (in yellow) and select open hyperlink, or you can click view slideshow then select the yellow hyperlink.

Slide 1 Watch and listen to nurses share their thoughts on working with an older population, describe how they got started working in long term care, and why they do it.
Slide 2 Nurses share their experiences of a typical day in long term care.
Slide 3 A long term care nurse describes the challenges of supporting the needs of Medicaid patients.
Slide 4a Nurses who are working in long term care share their thoughts about the rewards and challenges of this role.
Slide 4b Nurses who are working in long term care share their advice for nursing students

Age Related Changes Flyer
Download double sided flyer
A visual overview of age related changes by organ system includes consequences of functional and phsiologic changes. Please download and share.Color coated, laminated copies are available by request for ECLEPs Partners.

PHI Cheat Sheet
Developed by ECLEPs Team. For easy reference and use on a clipboard, or other handy place!
The cheat sheet bullets the Primary Coaching Skills including key descriptors of each skill, and provides a step approach to Presenting the Problem.
Download 3x5 PDF
Download 5x7 PDF
Download 8.5x11 PDF

Gerontology Enduring Understanding Ideas
This document was developed in June 2010 OCNE faculty from Rogue Community College and Oregon Health & Science School of Nursing Ashland/Klamath Falls faculty. The purpose of this document is to list of essential concepts related to geronotologic nursing that fit within the chronic illness courses.
Download

Peer Networking Materials

ECLEPs faculty and CELs report that the opportunity for peer networking during the initial training was one of the most beneficial aspects of the initiative. They valued learning from and about each other and expressed curiosity about the experiences of other schools and organizations as students began clinical experiences across the state. As a result, ECLEPs has sponsored a series of peer networking events which are conducted by telephone or Adobe Connect. We have highlighted student learning activities, partnership development, professional development, and new resources. Below are the topics presented to date.

Engaging Students in Long-Term Care, Linda Brown, faculty (OHSU-Ashland); Tammi Kellington & Aaron Williams, CELs (Rogue Valley Manor). April 27, 2011.
These partners described the development of their partnership and how they worked together to help Chronic Illness 1 students begin to “feel like a nurse” and value long-term care nursing. Keys to success included clear expectations for faculty, CELs, and students; schedules of varied clinical activities for each student; and the flexibility to take advantage of emerging opportunities (e.g., advanced wound dressing with the hospice nurse).
Download Mp3

Culture Change Projects, Anna Lewis, faculty (Rogue Community College with Royale Gardens Rehabilitation & Care Center). April 27, 2011.
Students in the Chronic Illness 2 course paired up to create 5-day, multi-faceted, and low or no budget activity programs designed around the preferences and interests of residents they had spent time with during the clinical. These activity programs are ready for implementation by the activity director or others (e.g., complete contact information for local entertainers who volunteer their time). These person-centered activity programs are posted on the ECLEPs web site.
Download Mp3

Growing the Partnership, Tracey Finn, CEL (Fairlawn Care Center), April 27, 2011.
The ECLEPs partnership began with students in Chronic Illness 2 at Fairlawn Care Center, a nursing facility. Tracey described her experience with Chronic Illness 2 students and how she facilitated the development of an additional clinical experience for students. Ruth Tadesse, OHSU-Portland faculty for Chronic Illness 2, now has students in population nursing doing clinicals at Fairlawn’s retirement housing and home care program.
Download Mp3

Concept Based Learning in Dementia Care, Terry Ross (OHSU-Klamath Falls with Pelican Pointe Memory Care Unit). September 23, 2011.
Students in Chronic Illness 2 did an independent learning activity in a dementia unit, observing and interacting with a resident at different times of the day, such as during morning and evening care, medication passes, and meal times. Students exceeded requirements and wanted more. Students overcame discomfort in and embraced working with people with dementia. The CBLA is posted on the ECLEPs website.
Download Mp3

Adapting and Implementing LEAP Training at Mary’s Woods, Lynn Szender, Health Center administrator. September 23, 2011.
Part of ECLEPs partnership development included LEAP training, a train-the-trainer program to enhance nurse leadership and gerontological nursing practice, strengthen support for direct care workers, and promote person-centered care. Mary’s Woods adapted and implemented LEAP, which resulted in greater team cohesiveness, reduced staff turnover, and (on the Memory Care Unit) reduced behavioral symptoms and use of prn psychotropic medications by residents. The training program has been institutionalized and is offered annually.
Download Mp3

Facilitating Student Understanding of Living with Chronic Illness in Assisted Living, Joanne Noone, faculty (OHSU-Ashland). March 20, 2012.
Over a 5-week period, Chronic Illness 1 students do an independent concept-based learning activity in an assisted living (AL) facility. This CBLA involves students conducting multiple evidence-based assessments, from the AL environmental assessment to assessments with residents. Students gain understanding about living with a chronic illness in old age. This activity is posted on the ECLEPs website.
Download Mp3

Balancing lessons: Students from Two Different Courses in One Clinical Setting at the Same Time, Jane Hagan, faculty (OHSU-Portland with Mary’s Woods). March 20, 2012.
Jane Hagan taught both Chronic Illness 1 and Chronic Illness 2 at Mary’s Woods during the same time term. Students were in the setting on different days and were on different units. A strong faculty team that helped fill-in as needed, a graduate teaching assistant, and the strong partnership with Mary’s Woods made it possible. Teaching both courses helps to thread content through the courses and, in Chronic Illness 2, build on prior learning.
Download Mp3

Peer Reviewed Web Resource, Tiffany Allen, Layla Garrigues, and Michelle Hall, ECLEPs Project. Adobe Connect Presentation, April 30, 2012.
Tiffany Allen, ECLEPs Project Manager, and Layla Garrigues and Michelle Hall, Graduate Assistants, reported on their work to peer review gerontologicial nursing resources. The reviews are targeted for faculty, students, and practicing nurses. Each website is described briefly and reviewed in terms of original content, navigation ease, whether materials have costs or are free, whether materials are evidence based, contain links to other sites, offer CEUs, and more. This resource is now highlighted on the ECLEPs website banner.

Learning Activities Developed by ECLEPs Faculty

Assessment of Older Adults in Assisted Living Facilities
Developed by Dr. Joanne Noone of Oregon Health and Science University, hosted on the OCNE LARGO Website and available for download here.
Download Assisted Living Assessment Forms
Download Description of Learning Activity

Concept Based Dementia Activity
Developed by Terry Ross of Oregon Health and Science University
The purpose of this learning activity is to provide the student with an opportunity to experience a therapeutic relationship with a resident who has dementia.
Download Dementia Activity
Download Seminar Instructions
Download Grading Guidelines
Download Assessment Tools

Culture Change Project
Developed by Anna Lewis MSN, RN of Rogue Community College.
This assignment reflects a four day rotation for 2nd year nursing students in long term care. It is a culture change journey to enhance students' perception of older adults and the transition to alternative living situations. This rotation is also designed to increase awareness and desirability of working with residents in alternate health care settings.
Download Activity
Download Student Examples

Environmental Assessment of Older Adults Learning Activity.
Students identify and assess ways in which the environment impacts function.
Download Overview of Activity
Download Full Activity

Functional Assessment of Older Adults Learning Activity.
Prepares students to use the Katz Basic Activities of Daily Living Scale and Instrumental Activities of Daily Living Scale (Lawton & Brody. Students Identify functional abilities and limitations of the older adults and demonstrate competencies in functional assessment of the older adults.
Download Overview of Activity
Download Full Activity

Fall Prevention Project Learning Activity.
Students visit an older adult over one quarter or semester, conduct falls risk assessment and other relevant assessments for older adults, identify risk factors and make nursing recommendations based on research.
Download Overview of Activity
Download Full Activity

Medication Cabinet Audit Learning Activity.
Students work with an older adult and inventory their medicine cabinet, complete a nursing assessment, analyze the information obtained for potential and actual drug interactions, and develop a teaching plan.
Download Overview of Activity
Download Full Activity

OlderAdultFocus.org
The second edition of the Older Adult Focus CD-ROM is now available for FREE. This is a excellent resource developed by ECLEPs Partners to assist nurses, other health professionals, and others who work with older adults to develop and evaluate nine competencies for working with older adults.

Population-based Care Conference
Developed by Cyndee McDaniel, RN, MS, of OHSU School of Nursing.
Population-based Care is intended to prepare registered nurses in the practice of community and public health nursing enabling them to contribute to the overall public health mission of assuring conditions conducive to health.
The 4-credits (120 hours) of clinically-focused activities include 80 hours in a community nursing service project either at an partner agency or guided by course faculty in the community. Assignments are made based on agency availability, student learning, and faculty assessment. Students are expected to spend 8-10 hours a week in the community engaged in this community nursing service project. Students present their project for peer review at a community practice conference during the 10th week of the term.This clinical assignment has been successfully conducted by students in ECLEPS partner settings in skilled nursing and assisted living facilities.
Download PDF to read examples of projects presented at the Summer 2011 conference.

Sensory Changes Learning Activity. Using a self-contained kit of materials student can simulate various sensory changes.
Download Overview of Activity
Download Full Activity

Transitions: Older Adults and Different Health Care Settings Learning Activity. Students work with or observe an older adult and their family member (or caregiver) during a time that they are being discharged from one setting to another. Utilizing a worksheet the student explores all of the issues that should be taken into consideration by nursing to assure a smooth transition, particularly communication between facilities and the older adult’s functional status.
Download Overview of Activity
Download Full Activity

Evidence Based Practice Resources

American Journal of Nursing- Nursing Center

Consult GeriRN
Online resources for care of older adults. Many are evidence based.

E-Ageing, Western Australian Centre for Health Aging
E-Ageing provides education and resources about the aging process and associated diseases, a very interactive and well designed web resource.

Evidence-Based Nursing: Guide and Tools
A list of links to evidence based health care information from McMaster University.

John H Hartford Foundation - Institute for Geriatric Nursing
Joanna Briggs Institute Best Practice in Allied Health
Best Practice: Evidence-based information sheets.

National Guidelines Clearinghouse
A public resource for evidence-based clinical practice guidelines

Nursing Best Practice Guidelines
From the Registered Nurses Association of Ontario, in-depth guidelines for a variety of conditions.

Oncology Nursing Society Evidence-Based Practice Resource Area
Includes guides to identify critically appraise and use evidence to solve clinical problems and in developing evidence-based practice protocols.

RCN Clinical Guidelines
From the Royal College of Nursing

University of Anchorage Alaska Health Sciences Information Services
Resources related to EBP, includes a quantitative and qualitative evidence hierarchy.

Online Tutorials: Finding Evidence Based Literature

Evidence Based Medicine: Finding the Best Clinical Literature
From the University of Illinois at Chicago Health Sciences Library this guide is designed to assist health care professionals and students become effective and efficient users of the medical literature.

Evidence Based Nursing
An overview of EBN from the University of Minnesota

Searching the Medical Literature for the Best Evidence
A tutorial from the University of North Carolina Health Sciences Library designed to teach you how to select and search key resources to locate evidence-based information for clinical decision-making.

Site Updated July 2012