University partners with Augustana Care
Sixteen nursing students from St. Catherine University made the rounds in mid-December at the Augustana Care senior housing complex in South Minneapolis, bidding farewell to the dozens of residents ages 55-102 they cared for during the fall semester.
The young women had taken part in a new collaboration between St. Catherine and Augustana Care that gives students hands-on experience in nursing and encourages them to consider geriatric nursing as a specialty.
The University interns participated in weekly clinics for the seniors on better health and the prevention of disease and injury. They screened residents for high blood pressure, poor nutrition and depression, showed them how to prevent falls and assisted staff in conducting regular foot care clinics.
St. Catherine will be sending 16 more nursing students to Augustana Care in the spring semester. The undergraduates all completed a class in gerontology and participated in a service learning project in preparation for the clinical study in community health, according to St. Catherine professor Kathleen Dudley.
“When looking for a clinic last spring that would provide students with experience working with older adults, we found Augustana Care particularly desirable,” said Dudley. “Augustana provides independent living, some assisted living and high-level intensive assisted living.”
A win-win collaboration
The collaboration benefits the elderly residents and professional nursing staff at Augustana as well, according to Denise Wolff, the director of health services there and a graduate of St. Catherine. “We wanted to get St. Kate’s involved,” Wolff said. “St. Kate’s has a cutting-edge reputation, and it’s great that these classes exist early on in the (nursing) curriculum.”
The students learn various strategies that seniors can use to maintain their health and delay the onset of chronic illnesses, according to Dudley. They also help lead discussions on such topics as memory enhancement, recognizing the symptoms of a stroke and choosing healthy snacks.
“Depression is a common problem in older adults as they experience more loss in their lives,” Dudley said. “Falls resulting in hip fractures are a leading cause of disability and can result in a loss of independence. Depending on screening results, the students provide teaching as well as followup with the residents under the guidance of staff nurses.”
Students learn valuable lessons
The nursing students shadow Augustana Care’s registered nurses, learning health assessment skills and assisting the nurses as they treat the elderly residents. “The residents help the students by sharing their life stories and concerns, and the students learn about the challenges and opportunities of aging,” Dudley said. They also learn how to establish a therapeutic relationship and address the unique physical, social and spiritual needs of older people, according to Dudley. “They learn how to be present, to actively listen and to support the residents,” she said.
Laura Devinny '15 worked closely this fall with two seniors at Augustana Care, one with dementia, impaired mobility and advanced Parkinson’s disease, and another with bipolar disorder. “Working with older adult patients was a good opportunity to gain new medical knowledge,” she said. “I was nervous going in, especially with mental health and memory loss issues.”
Nicole Palmer '16, worked with a centenarian who had vision, balance and mobility problems. She learned about sleeping issues among the elderly, and educated herself and her patient about various medications and their potential side effects. “I learned that taking a holistic approach to the person makes for good care,” Palmer said, and she gently encouraged her patients to incorporate spirituality into their health routines.
“It’s exciting to expose students to all aspects of geriatric care and how wonderful it is,” Wolff said. “The insight that comes through intergenerational mentoring profoundly impacts the residents as well as the students.”
Filling the need for intense clinical education
There is a shortage of registered nurses in the U.S., according to Jenna Zark, communications director for Augustana Care. That shortage is especially troubling as the postwar baby boom generation ages.
In 2030, baby boomers will be 65 to 85 years old, accounting for a large percentage of the U.S. population, according to Linda Shell, executive director of leadership and educational development for Volunteers of America. Many nurses coming out of college are not interested in geriatric care, preferring to work in acute care in hospitals, she said. However, she added, 91 percent of nursing graduates still start out working with the elderly in long-term care.
“We need intense clinical education for skilled geriatric nursing,” Shell said. “We’re not in crisis yet, but we need to address the issue.”
“Obviously, aging is a big issue facing health care,” Wolff said. “It’s difficult to recruit, but (long-term care) is where the jobs are. Augustana Care is responding to the challenge of a big increase in skilled geriatric nursing through our efforts with St. Kate’s.”
This story first appeared in the January 21, 2015, edition of the Villager newspaper.