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Constance Sheets
DNP, RN, GCNS-BC
Dr. Sheets has taught in the undergraduate nursing program at Valparaiso University since 2004. She is certified in gerontology and has an extensive home health background. She has co--authored articles that have been published in Rehabilitation Nursing and Nursing Education Perspectives, and has been a content reviewer for a gerontological nursing textbook. Professor Sheets has presented her Transitional Care DNP EBP project at both the Canadian and American Gerontological Nurses Associations. Professor Sheets maintains a limited practice through Moses Caregivers in a small elderly group home environment and is a CNS trained in home hospice/palliative care. Dr. Sheets was also instrumental in developing a new service line of Transitional Care and Palliative Care at IU Health LaPorte Hospital. She is a member of Sigma Theta Tau, ANA, and other local community organizations. Professor Sheets also holds a supervision and leadership certificate.
Courses with Constance Sheets
Browse Course CatalogIdentifying and Preventing Common Risk Factors in the Older Adult
Presented by Constance Sheets, DNP, RN, GCNS-BC
Identifying and Preventing Common Risk Factors in the Older Adult
As people age, they are more at risk for disease and disability from the natural decline in body systems. Nurses need to be aware of factors that put the older adult at risk for functional decline and disease. Once risk factors are identified, poor outcomes can be minimized through interventions that improve an older adult's well-being, quality of life, and self-care. This course will focus on recommendations that promote the health of the older adult. Areas such as physical activity, nutrition, tobacco use, alcohol use, heart disease, injury prevention, safe medication use, and immunizations will be addressed.
Physiological Changes and Assessment of the Older Adult Part 2
Presented by Constance Sheets, DNP, RN, GCNS-BC
Physiological Changes and Assessment of the Older Adult Part 2
Individuals 85 years of age and older are one of the fastest growing segments of the US population (US Census Bureau, 2010). Growth in this age bracket, coupled with the already growing number of individuals 65 and older, will lead to a tremendous need for nurses to provide specialized physical and comprehensive assessments. These assessments will need to account for chronic illness and age-related physiological changes to prevent complications and improve well-being. Age-related changes in health are most pronounced in those over 85; therefore, astute assessment skills are imperative. Providing a systematic approach to the assessment will cover all essential aspects and give the opportunity to develop appropriate interventions. This course will provide the nurse with skills and techniques on how to provide a head-to-toe physical assessment of the older adult. Other dimensions in providing a comprehensive evaluation of the older adult will also be mentioned.
Physiological Changes and Assessment of the Older Adult Part 1
Presented by Constance Sheets, DNP, RN, GCNS-BC
Physiological Changes and Assessment of the Older Adult Part 1
By 2030, the number of US adults aged 65 or older will more than double to about 71 million, or 20 % of the US population (US Census Bureau, 2010). The increase in the older adult population has far-reaching implications and will put high demands on nurses to provide quality, age-specific care. The US population is living longer, but the increased years of life are not always healthy ones. Nurses will need to have awareness and knowledge of physiological changes that occur in the older adult to improve quality of life and well-being while preventing complications. This course will arm the nurse with the understanding of physiologic changes that occur with aging. Physiologic changes in the aging of each body system will be discussed, along with some assessment parameters that the nurse can use to differentiate expected differences from those that are abnormal.
Transitions of Care: Acute Myocardial Infarction (AMI)
Presented by Constance Sheets, DNP, RN, GCNS-BC
Transitions of Care: Acute Myocardial Infarction (AMI)
Since the inception of the Affordable Care Act (ACA), healthcare facilities have had to improve quality of care and reduce costs. Penalties have been imposed by the Centers for Medicare and Services (CMS) that decrease payments to hospitals with excess 30-day readmission rates through the Hospital Readmissions Reduction Program. Readmissions for residents after acute myocardial infarction (AMI) are a national concern and come with a penalty from CMS. This course will provide nurses with an overview of anatomy and physiology, signs and symptoms, and risk factors of AMI to improve knowledge of assessment data and early identification of impending AMI. Evidence-based treatment and discharge plans for residents who are post-AMI will be discussed. The course will also focus on how nursing can improve care transitions of skilled nursing facility (SNF) residents by improving communication and by providing evidence-based practice (EBP) interventions and discharge plans.
Transitions of Care: Hydration & Fluid Balance
Presented by Constance Sheets, DNP, RN, GCNS-BC
Transitions of Care: Hydration & Fluid Balance
Frail elderly residents of skilled nursing facilities (SNFs) are at an increased risk for developing hydration issues. Dehydration is often a cause of morbidity and mortality of these elderly residents. Dehydration has been linked to an increased risk of developing infections. Dehydration and infections are two common problems that send SNF residents to acute care facilities. This course will provide nurses with a background of risk factors for dehydration and strategies to maintain normal hydration; it will also address how dehydration affects frail elders and puts them at risk for infections. Specific infections, such as urinary tract infections (UTI) and septicemia, along with physiologic changes of aging and signs and symptoms will be addressed. Analysis of strategies nurses can use to prevent dehydration and infections will be reinforced.
Transitions of Care: Diabetes
Presented by Rose Flinchum, MSEd, MS, RN, ACNS-BC, BC-ADM, CDE and Constance Sheets, DNP, RN, GCNS-BC
Transitions of Care: Diabetes
Diabetes has now reached pandemic proportions. Hospitalization expenditures for the disease have been quoted at $176 billion annually (Enomoto. Shrestha, Rosenthal, Hollenbeak & Gabby, 2017). The prevalence of diabetes increases with age, reaching 25.2% in those 65 and older (American Diabetes Association, 2015). Elders living in skilled nursing facilities (SNFs) are at an increased risk of developing acute and chronic complications related to diabetes. Comorbidities affect and are affected by diabetes, rendering it a complex problem in which nurses will need to personalize residents' care and establish achievable goals to prevent complications that lead to readmission. Due to the significant disease burden, this course will provide nurses with an overview of pathophysiology, signs and symptoms, general diabetic management and care, assessment for the development of complications, and interventions nurses can provide to prevent readmissions.
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