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Caring for the Oldest Old at Home Part 1: Profiles and Practical Issues

presented by Tina Marrelli, MSN, MA, RN, FAAN and Nathalie Rennell, MSN, RN, CNE

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Disclosure Statement:

Financial: Tina Marrelli is an employee and share holder of Marrelli and Assoc. Inc, with book sales. Tina Marrelli is  a share holder with book sales of Innovative Caregiving Solutions LLC. Tina Marrelli is an author who receives book royalties from Sigma Theta Tau International Publishing. Tina Marrelli receives compensation from MedBridge for this course. Nonfinancial— No relevant nonfinancial relationship exists.
Financial— Nathalie Rennell receives compensation from MedBridge for the production of this course. There are no other relevant financial relationships. Nonfinancial— No relevant nonfinancial relationship exists.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 37 Minutes; Learning Assessment Time: 7 Minutes

This is Part One of a two-part series about Caring for the Oldest Old. Given demographics, the increasing complexity and chronicity of care, and a number of other factors, the oldest old are increasing in numbers. The demographic changes can create unique challenges for home care and hospice personnel. This course is specifically designed for giving a background of who the oldest old are (including patient exemplars and shared experiences of the oldest old) and practical issues impacting the oldest old. It will dive into findings and changes that are associated with the oldest old.

Meet Your Instructors

Tina Marrelli, MSN, MA, RN, FAAN

Tina Marrelli is the president of Marrelli and Associates, Inc., a publishing and consulting firm working in home care for more than 30 years. Tina is the author of 13 books, including the Handbook of Home Health Standards: Quality, Documentation, and Reimbursement (6th edition, 2018). Other books include A Guide for Caregiving: What's Next? Planning…

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Nathalie Rennell, MSN, RN, CNE

Nathalie Rennell currently cares for her medically fragile grandson. Prior to making this transition, she was an instructor in the RN-BSN/CEP programs and on the honors faculty with the Edson College of Nursing and Health Innovation at Arizona State University (ASU). She was also faculty at the Phoenix Institute for Herbal Medicine and Acupuncture (PIHMA).…

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Chapters & Learning Objectives

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1. Who Are We: Profiles of the Oldest Old

Those 85 and older (the oldest old) have recently become the fastest growing segment of the United States population. Additionally, this age cohort has become the fastest growing segment of populations around the world. Yet, what is known about the oldest old? How has this cohort group achieved advanced age and remained able to live in the community? This chapter will provide an overview of pertinent background information about the oldest old age cohort, with an emphasis on those living in the community.

2. Practical Issues of the Oldest Old

It has been said that change is inevitable. This is quite apparent as more years are lived. But what changes are specific to the oldest old? In this chapter, changes to physical body functioning and cognition will be discussed.

3. Frailty: An Increasingly Complex Issue for the Oldest Old

When does one become frail? What does frailty mean to one’s daily functioning? In this chapter, changes to one’s social environment will be discussed, focusing on frailty from a holistic, person-centered perspective. An interview with a member of the oldest old population will illustrate practical issues of the oldest old.

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