Jim

About Jim

CFO - Senior Care Central, LLC

Kristen L. Mauk’s Continuing Education Courses (MEDBRIDGE)

Kristen L. Mauk, PhD, DNP, RN, CRRN, GCNS-BC, GNP-BC, ACHPN, FAAN

Instructor Bio:
Dr. Mauk has been a Professor of Nursing for 26 years. Prior to moving to Colorado, she was a Professor of Nursing at a large private university in Indiana for nearly 25 years, and there she held the first Kreft Endowed Chair for the Advancement of Nursing Science, a position dedicated to gerontological nursing. She earned a BSN from Valparaiso University, an MS in Adult Health from Purdue University, a PhD from Wayne State University, a Post-Master’s GNP certification from University of Virginia, and a Doctor of Nursing Practice (DNP) degree from Valparaiso University.

Dr. Mauk has more than 35 years of experience in chronic illness nursing, rehabilitation, and gerontological nursing, and teaches in these specialties at both the graduate and undergraduate levels. She is certified in rehabilitation, as a gerontological nurse practitioner and clinical nurse specialist, and as an advanced palliative care and hospice nurse. She has authored or edited eight books, including two that were recognized with an AJN Book of the Year Award. She has served on editorial boards for Rehabilitation Nursing and Geriatric Nursing, and has written numerous articles and book chapters. Dr. Mauk is a frequent presenter at conferences at the regional, national, and international levels. She is the Co-Founder and President of Senior Care Central/International Rehabilitation Consultants, providing educational, clinical, and legal nurse consulting in rehabilitation and senior care in the U.S. and internationally. Dr. Mauk is also a recent past president of the Association of Rehabilitation Nurses (ARN) and has served ARN in many roles, most significantly including the Council of Leaders, Editor of the 5th edition of the Core Curriculum, PRN course faculty, and the task force to develop the ARN Professional Rehabilitation Nursing Competency Model, and current Editor in Chief of Rehabilitation Nursing.

Some of Dr. Mauk’s recognitions include: Nominee for the 2016 National Robert Foster Cherry Award for Great Teachers, three AJN Book of the Year Awards (2017, 2010 & 1999), CASE/Carnegie Indiana Professor of the Year (2007), VU Caterpillar Award for Excellence in Teaching (2007), ARN Educator Role Award (2007), and the ARN Distinguished Service Award (2005). Dr. Mauk has taught nurses and students in China over the past few years. She has a passion for helping other countries to develop rehabilitation nursing into a strong specialty to promote quality care for their aging population and those with disabilities.

Kristen L. Mauk’s Continuing Education Courses – Medbridge Education

 

 

By |2025-02-28T19:45:47-05:00March 1st, 2025|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Kristen L. Mauk’s Continuing Education Courses (MEDBRIDGE)

Guest Blog: Ways to prevent and treat depression in older adults

 Older adults are at high risk of developing depression. As we age, the brain becomes less active and we often begin to experience mild memory losses. Even though many seniors choose to get treatment as soon as they realize their mental health begins to decline, they don’t want to become pariahs to their families. As a consequence, they refuse to get further help and end up in depression. How can we help our older parents overcome depression when they refuse to accept our assistance?

Depression – a real health concern we shouldn’t leave unattended

Depression is a proven health concern that manifests differently from individual to individual. The symptoms are real, and if they’re not treat in advance, the condition may lead to even greater health issues, including sleep deprivation, lack of interest in performing daily activities, isolation, lack of appetite, and more.

Sadly, too many seniors can’t or won’t want to admit that they feel depressed. They refuse to get help because they don’t want to be a burden to their loved ones. As their parent, you have to be more aware of the signs, so that you can help them get back on their feet. Depression shouldn’t be seen as a sign of weakness. Everyone can become depressed at any age, and regardless of any accomplishments of background.

Have a chat with your parents and talk about their feelings

Stress or bereavement are not the sole cause of depression in older adults. If you’ve noticed that your loved ones are not eating anymore or that they’ve lost interest in performing daily activities that once made them feel good, then they might be depressed. It’s very important to talk to your parents about their feelings.

Have a friendly conversation and ask them if they’re doing ok. Older adults become depressed when their health is in jeopardy; or when they begin losing their friends due to old age. If you can’t afford to hire a specialized caregiver, you can be their caregiver. All you have to do is listen to what they have to say. Be there to comfort them and find a way to lift their spirit by doing activities together.

The link between sadness and depression

There’s a very tight connection between sadness and depression. However many older adults claims they’re not sad, making you believe they’re not depressed. But deep down something’s off. Their depression might kick in and develop in a totally different way. Pay close attention to the signs, and if you notice that mom doesn’t talk as much or doesn’t want to do anything, then she might be depressed.

In older adults, depression can be observed physically. Your parent may suffer from insomnia, acute arthritis, lack of appetite, or lack of energy. Migraines and headaches can also be a predominant symptom. As we age, we begin losing some of the people we care most about. Loss is excruciating, and older seniors don’t know how to cope with it. Many grieve differently, and even though it’s normal, some adults end up depressed.

It’s tough to make the difference between depression and grief because oftentimes the symptoms are very similar. Nonetheless, there are ways to tell them apart. Grief involves a wealth of emotions; some are good, others are not so good. Sometimes, the person grieving a loved one may experience feelings of joy and happiness. When you’re depressed, positive feelings are completely eradicated, and you feel totally empty.

Helping a loved one cope with depression

Beating depression is hard, but not impossible. It demands a lot of hard work and determination. Support matters the most, they key often being to be there for your aging parent and engage in activities that make them feel positive and upbeat. Note that digital communication doesn’t help; talking to your mom every week over the phone is not enough to raise her spirit. You have to do it in person.

Make time to visit every week. Bring the kids over, go out for coffee, and find a way to have a good time and remember the good times. Residential care may not be the first thing that comes to mind when aiming to overcome depression. But it might be a good idea because it allows older adults to make new friendships and build relationships.

 

 

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By |2025-01-30T12:23:53-05:00February 26th, 2025|Dr. Mauk's Boomer Blog, News Posts|Comments Off on Guest Blog: Ways to prevent and treat depression in older adults

How Important are Bedside Manners?

Physicians are medical experts, for sure, but there’s more to being an excellent doctor than making the correct diagnosis time after time. How physicians treat and interact with the patients they serve is just as important as the medical treatment they provide.

In fact, you can argue that having an excellent bedside manner plays a pivotal role in ensuring that patients get the best medical care possible. Take a look at how bedside manners can cement the physician-patient relationship and improve the overall experience.

Establish Trust

Bedside manner describes how a physician or medical care provider interacts with and approaches a patient. Some doctors are notorious for not having a good bedside manner. They  might wave off patient’s concerns or act like they are in a rush whenever they see patients.

Doctors with good bedside manners take the time to get to know their patients. The doctors might ask patients about their lives and show a genuine interest in the patients’ wellbeing. Taking that extra time to connect with patients allows doctors with a good bedside manner to build trust.

Patients are more likely to open up to doctors when they feel that the doctor will listen to their concerns or take them seriously. Trusting patients are also more likely to follow the medical advice they get from doctors.

Build Compassion for Your Patients

Having a good bedside manner helps you see what life is like for your patients. When you take the time to really listen to their problems and hear what they’re telling you, you’ll be better able to empathize with them.

When a doctor has empathy or compassion for their patients, they’re better able to see their patients as living, breathing humans. That’s why compassion matters for doctors. It humanizes the medical experience. It lets doctors share in some of the patient’s suffering, for sure. But it also gives doctors a chance to genuinely rejoice and feel relieved when patients do well.

Improve Patient Outcomes

Better bedside manners often leads to better patient outcomes, for several reasons. When doctors demonstrate compassion to patients, patients are more likely to share their concerns. A doctor who has a clearer picture of what’s going on with a patient can make a more accurate diagnosis.

Patients who trust their doctors are more likely to follow through on any treatment plans created. They’re more likely to take prescribed medications and to return for follow-up care.

Boost Your Career

Developing an excellent bedside manner can do wonders for a doctor’s career. When a physician treats their patients with compassion and shows genuine care and interest in their patients, they become the in-demand doctor.

Being in-demand leads to more patients and can also help you move up the career ladder, advancing to more challenging and fulfilling roles.

How to Improve Your Bedside Manner

More and more medical schools are focusing on training students to develop their bedside manner, along with medical skills. That’s a great thing. But if your school didn’t focus on bedside manner or your patients have noted that yours is lacking, all isn’t lost.

Taking a few simple steps can help you get a better bedside manner and improve your patient rapport.

 

  • Always introduce yourself. At the start of every encounter, take a few minutes to introduce yourself by telling the patient your name and what your role is in their care. Also, ask their name or how they like to be called. If other members of the care team will work with the patient, too, inform the patient of that, so that they know what’s going on.
  • Pay attention to body language. Look at the patient and how they’re sitting or lying down. Do they have their arms crossed or are they refusing to look at you? Do they seem nervous or scared? Take a few minutes to check in with them based on what you observe.
  • Keep things simple. Whenever possible, use the simplest terms to describe things to your patients or when asking questions. Ask them if pain moves, rather than radiates, for example. If you have to use a jargon-y term, take the time to explain what it means. Check in with your patient throughout the encounter to make sure they understand you.
  • Listen and repeat. Try repeating what your patients tell you. Doing so verifies that you have the details correct and shows the patient you’re listening. It also gives them the chance to correct any mistakes.

Your success as a physician, and your patients’ success, depends on the strength of your bedside manner. Practicing being compassionate and really seeing and listening to your patients can take you far in your medical career.

By |2025-01-30T12:23:40-05:00February 24th, 2025|Dr. Mauk's Boomer Blog, News Posts|Comments Off on How Important are Bedside Manners?

Cataract Warning Signs and Treatment

Cataracts are responsible for 51% of world blindness, representing about 20 million people (World Health Organization [WHO], 2010). More than 90% of cataracts are age-related. Cataracts are so common in older adults that some almost consider them an inevitable consequence of old age and often fail to report to the doctor. According to the University of Washington, Department of Ophthalmology (2008), 400,000 new cases of cataracts are diagnosed each year, over 3 million visits to a doctor are related to cataracts each year, and 5,500,000 people have some impaired vision due to cataracts. Although about half of people between 65 and 75 years of age have cataracts, they are most common in those over age 75 (70%), and there are no ethnic or gender variations (Trudo & Stark, 1998).

Risk Factors

Advancing age is the biggest risk factor for the development of cataracts. Other risk factors include diabetes, tumor, long-term use of medications such as corticosteroids, excessive exposure to sunlight, blunt or penetrating trauma, and excessive exposure to heat or radiation. Tobacco use, family history of cataracts, high alcohol intake, diabetes, and lack of dietary antioxidants also puts the person at risk for cataract development (Gerzevitz, Porter, & Dunphy, 2011).

Warning Signs/Diagnosis

Cataracts cause no pain or discomfort and may be manifested by gradual opacity of the lens, which affects the ability to see clearly. This causes decreased visual acuity, sensitivity to glare, and altered color perception. Older adults may not be aware of the problem until visual changes occur. They may report blurred or distorted vision or complain of glare when driving at night. The person may present with a fall due to visual changes. Some older adults will disclose that their reading vision has improved and they no longer need reading glasses, something called “second sight”. Eventually the pupil changes color to a cloudy white. Generally, the most common objective finding is decreased visual acuity, such as that measured with a Snellen eye chart. The patient should be referred to an ophthalmologist for further evaluation and consideration of surgery.

Treatment

Although changes in eyeglasses are the first option, when quality of life becomes affected, the most effective treatment for cataracts is surgery. Surgery is relatively safe and usually is done as an outpatient procedure. The opaque lens is removed through an incision in the eye and an intraocular lens is inserted. The surgical incision is either closed with sutures or can heal itself. This is the most common operation among older adults, and more than 95% of them have better vision after surgery (Trudo & Stark, 1998). After surgery, patients will need to avoid bright sunlight; wear wrap-around sunglasses for a short time; and avoid straining, lifting, or bending. They may need to use eye drops as instructed by the doctor (National Eye Institute, 2013). The benefits of surgery include improved visual acuity, depth perception, and peripheral vision, leading to better outcomes related to ADLs, quality of life, and reduced risk of falls. Complications associated with surgery are rare but include retinal detachment, infection, and macular edema. Cataract surgery today offers a safe and effective treatment to maintain independence and improve quality of life for older adults.

Adapted from Mauk, K. L., Hanson, P., & Hain, D. (2014). Review of the management of common illnesses, diseases, or health conditions. In K. L. Mauk’s (Ed.) Gerontological Nursing: Competencies for Care. Sudbury, MA: Jones and Bartlett Publishers. Used with permission.

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By |2025-01-30T12:22:59-05:00February 19th, 2025|News Posts|Comments Off on Cataract Warning Signs and Treatment
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