• 2019 Senior Report Senior Report: Older Americans have more options for home care, but still struggling.

    The United Health Foundation has released results of a sweeping new study benchmarking the health of older adults. The America's Health Rankings® Senior Report was created in partnership with GAPNA to improve the health of America's seniors.

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  • 38th Annual GAPNA Conference

    October 3-5, 2019 at the Paris Hotel, Las Vegas, NV.

    Focused education; lasting connections, networking, free access to the GAPNA Online Library.

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  • AwardCall for Excellence Award Nominations

    The awards are: Emerging Chapter Award, Established Chapter Excellence Award, Special Interest Group Excellence Award, Excellence in Clinical Practice Award, Excellence in Community Service Award, Excellence in Education Award, Excellence in Leadership Award, and Excellence in Research Award.

    The nominations are tallied in July and the winners are announced every year during the Awards Celebration at the GAPNA Annual Conference.

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  • FREE continuing education credit is available for the following session:

    "Contemporary Heart Failure Management"

    (session captured at the GAPNA 2018 Annual Conference)

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  • AwardNew for GAPNA members: MCM Education

    GAPNA has partnered with a MCM Education to offer a series of CNE programs available to GAPNA members. "Alzheimer’s Disease Today and Tomorrow: Optimal Treatment and Collaborative Care," is the first program offered.

    What are the state-of-the-art strategies for managing the symptoms of Alzheimer’s disease? How can the multidisciplinary team work together to ensure timely intervention and optimal outcomes?

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  • Meet the Candidates for the 2019-2020 BOD!
    The time to vote is right now: May 6 - 31, 2019!

    Please take a moment to read about this year’s candidates and why they feel they should be chosen for the position noted.


Serious Mental Illness

Serious Mental Illness

by Sharon Bronner

Competency is a legal term and is decided by the court of law (Schouten & Brendel, 2004).

Capacity suggests the ability to comprehend the problem and to make a decision. Capacity is an assessment of a psychiatric/medical provider.

Applebaum and Grisso (1988) outlined four criteria used to determine capacity to consent to treatment:

  1. Patient expression of a preference.
  2. Ability to understand the illness, the prognosis with and without treatment, and the risks and benefits of the treatment (accurate understanding).
  3. An appreciation of the significance of the facts (significance of the facts).
  4. Ability to use the information in a rational way to reach a decision in a logical manner (rationality of the thought processes).

Incompetence can be caused by intense pain, depression, delirium, dementia, and psychosis (Schouten & Brendel, 2004).

Collaboration with the team and communication is a key component to providing quality of care for the serious mental illness population.

Sharon Bronner, DNP, MSN, APRN, GNP, BC Hct


  • Applebaum, P.S., & Grisso, T. (1988). Assessing patient’s capacities to consent to treatment. New England Journal of Medicine, 319(25), 1635-1638.
  • Schouten, R., & Brendel, R.W. (2004). Legal aspects of consultation. In T.A. Stern, G.L. Fricchione, H.N.H. Cassem, M.S. Jellinek, & J.F. Rosenbaum (Eds.), Massachusetts General Hospital handbook of general hospital psychiatry (5th ed.) (p. 356). Philadelphia, PA: Mosby.