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Wanda Goldschmidt

RN, BSN, MA

Wanda Murray-Goldschmidt, a life-long resident of Baltimore, Maryland, found her passion for working with older adults while working as a nursing assistant in a nursing home shortly after completing high school. That passion sparked her pursuit of nursing as a career. She first completed a hospital-based program of study to become a licensed practical nurse (LPN). As an LPN, she worked in a nursing home while she continued her education, completing her bachelor's degree in nursing at Towson University in Maryland, graduating magna cum laude in 1982. She later completed her master's degree in aging studies at the College of Notre Dame in Baltimore, Maryland, where she received the Academic Achievement Award. She has maintained certification in gerontological nursing through the American Nurses Credentialing Center (ANCC) since 1988.

Wanda has devoted her career to long-term care nursing, serving in both clinical and administrative roles. As a director of nursing in a long-term care facility, she founded the Maryland chapter of the National Association for Directors of Nursing Administration for Long-Term Care (NADONA/LTC) and served as its first president. Wanda also developed and supervised a state-approved training program for the certification of geriatric nursing assistants. Under her guidance and supervision, her facility achieved consistent survey success, earning a positive reputation in the long-term care community.

Since leaving her director of nursing position, Wanda has continued to support leadership in long-term care. As director of clinical education at the corporate level for eight and a half years, Wanda coordinated and delivered clinical education on a variety of topics for nurses and nursing assistants. For the past 10 years, Wanda has supported the long-term care community as an independent consultant, author, and educator. She coauthored the Long-Term Care Nursing Assistant Textbook, published by Lippincott, Williams, & Wilkins. She contributed two chapters for the third edition of American Red Cross: Nurse Assistant Training, and served as the subject matter expert (SME) for the fourth edition of that text. Wanda has provided numerous lectures and presentations to the long-term care audience, including all members of the interdisciplinary team, licensed nurses, and nursing assistants. She has been sought after as a guest speaker, with repeated invitations to statewide conferences for nursing assistants. She currently serves as a consultant for one of Maryland's leading trade associations for senior care services, in the implementation of grant-funded activities promoting improved practices in long-term care.

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NA: Promoting Foot Health in LTC

Presented by Wanda Goldschmidt, RN, BSN, MA

NA: Promoting Foot Health in LTC

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Video Runtime: 27 Minutes

Unless they hurt, we often do not pay much attention to our feet. As people get older, foot problems often occur. Many problems can occur from repeated wear and tear during a lifetime of use. Disease or other health conditions can also affect the feet. Regardless of the source, foot problems can negatively affect overall health and function, and diminish quality of life. This course is designed for the nursing assistant working in long-term care, and promotes greater understanding of foot problems and care for the foot. It includes a discussion of diseases and conditions that affect the structure or function of the foot, identifies specific observation and reporting skills needed to identify and communicate problems to the nurse, and provides instruction on how to provide appropriate foot care.

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NA: Promoting Skin Care in LTC

Presented by Wanda Goldschmidt, RN, BSN, MA

NA: Promoting Skin Care in LTC

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Video Runtime: 28 Minutes

The long-term care population is at high risk for injury to skin. Most people living in long-term care are older adults. Age-related changes alone make the skin thinner and more fragile, which results in a higher risk for injury. Illness and disability are additional factors that pose risks for skin, even among younger residents. There are federal regulations for nursing homes that require care and services be provided to prevent skin injury. Skin injuries have been associated with complications of care, due to infection, pain, and suffering experienced by the resident. Skin may be the first line of defense against infection, but the nursing assistant is the first line of defense for skin protection. Of all people on the health care team, the nursing assistant has the most opportunity to observe skin, monitor changes, and provide care to prevent injury. This course will review the structure and function of the skin and provide guidance to the nursing assistant for identifying common injuries and risk factors, observing and reporting skin conditions, and providing care to maintain skin in good condition and protect against injury.

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NA: Supporting Care for Dysphagia

Presented by Wanda Goldschmidt, RN, BSN, MA

NA: Supporting Care for Dysphagia

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Video Runtime: 28 Minutes

Dysphagia, or difficulty swallowing, results from damage to the brain that interferes with control of the muscles in the mouth and throat. This condition occurs more frequently in older adults, and presents a major challenge for staff working in long-term care. It is estimated that 40% of long-term care residents suffer from dysphagia. The risks associated with dysphagia are high. The person with difficulty swallowing will have difficulty eating. If a person cannot eat well, inadequate nutrition and hydration can easily result. Poor nutrition and hydration can lead to other problems that threaten one's health. Difficulty eating also increases the risk of choking, which increases the risk of aspiration pneumonia, which can be deadly--especially in an older person. A primary responsibility of the nursing assistant in long-term care is to assist residents with meals. Since dysphagia affects eating, the nursing assistant must be armed with knowledge and skills to provide supportive interventions at mealtimes, and carefully observe, respond, and report any problems or complications. This course will explain dysphagia and provide guidance to the nursing assistant on how to support the resident during meals to minimize risks and prevent complications.

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