President's Message:Joanne Alderman, June 2016

By Joanne Alderman, MSN,RN,BC,APRN, FNGNA

NGNA Members…

Hopefully Spring storms have folded back into the clouds for everyone,

Last month, I had a second opportunity to join with a NGNA colleague and Past President of the National Association of Orthopaedic Nurses, Anita Meehan, MSN, RN-BC, ONC, FNGNA at the National Association of Orthopaedic Nurses 36th Congress in Orlando.  We presented a four hour pre-conference workshop focused on nursing care needs of the older orthopaedic patient. Our audience was represented heavily with Orthopaedic Staff Nurses from a variety of practice settings from across the country. We addressed six objectives, here are three:
  • “Describe how normal changes of aging impact nursing care of the older patients-with orthopaedic conditions
  • Discuss evidence based care strategies to improve outcomes for older patients with orthopaedic injury
  • Distinguish critical thinking processes related to medication management, especially pain, for the older orthopaedic patient” 
The remaining objectives concentrated on psychosocial changes with EBP interventions and Anita presented a case study for review. I continued our discussion of Age Related Changes and the effects of these changes on the older adult. Every system was reviewed.
Then, Anita began her discussion of Fragility Hip Fractures that included:
  • The global implication of osteoporotic fractures
  • A review of evidence based care strategies including:
    • Liberalizing pre operative fasting restrictions
    • Preoperative regional pain blocks reduce incident delirium
    • Early assessment and intervention for nutritional deficiencies
    • Secondary Fracture Prevention
  • International Collaboration of Orthopaedic Nurses (ICON)
    • Orthopaedic Nursing Organizations from 12 countries and 4 continents collaborating to actively advance evidence based care.
    • Development and beta testing of a clinical audit process to evaluate fragility hip fracture care.
The tremendous need for Gerontological/Geriatric education for our healthcare providers is profoundly evident in the Center for Disease Control’s (CDC) data that states “In 2030, when the last baby boomer turns 65, the demographic landscape of our nation will have changed significantly. One of every five Americans-about 72 million people-will be an older adult” (2013 The State of Aging and Health in America).
NGNA’s Sharon Wexler, PhD, RN, FNGNA, Director-At-Large on the NGNA Board of Directors, is currently heading a National Campaign Promoting Gerontological Nursing Certification and preparing our Workforce.
We look forward to our 2016 NGNA Annual Gerontological Nursing Conference with registration topping 500 members. In order to accomplish our Mission and goals, please speak with your hospitals, Nursing Homes, Assisted Living Centers, CCRC’s, and bring them the Institutional Membership information you can download from our NGNA site.
Also, all present members signing up 4 new members (do the math)…Applications are on our Web site or you can call the National Office for assistance. Remember, Nursing Students at schools in your State can be contacted. NGNA is open to the Interprofessional Team becoming members, as well.
In closing, in our own private way, let us send prayers for all families, friends and the community affected by the event in Orlando.
Best Regards,
Next month: Bringing Gerontological Nursing education to the CCRC, Nursing Home and Assisted Living Center. A State CMP Grant.