• 2019 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older AdultsJoin us at the 2019 GAPNA Pharmacology Conference:
    Contemporary Pharmacology and Prescribing in Older Adults

    March 28-30, 2019, Chicago Hilton, Chicago, IL.

    Earn up to 11.5 CNE hours.

     

    Find out more about it and REGISTER today!

  • Poster PresentationCALL FOR: Podium and Poster Abstracts

    For the 37th GAPNA Annual Conference
    at the Paris Hotel
    Las Vegas, Oct. 2-5, 2019

    GAPNA members are invited to submit an abstract about their innovative work, that should enrich the APRN's knowledge and/or enhance the care of an older adult.

    Submit by March 15, 2019!

  • W A N T E D   G A P N A   L E A D E R S!
    Call for Nominations!

    Have you ever considered stepping forward, accepting the challenge and volunteering for a position on the 2019 National Board of Directors? Register online NOW by April 1, 2019!

    Step Up - NOW is the Time! Register Here>

  • Gerontology Resources for APRNs in Acute and Emergent Care Settings ToolkitCareer Center

     
    NEW! The goal of the Gerontology Resources for APRNs in Acute and Emergent Care Settings (“Acute Care Resource Guide”) is to make geriatric and gerontological content easily accessible to those caring for older adults in higher acuity care settings.

    Learn more about the toolkit

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

    "Diastolic Heart Failure Management"

    (session captured at the GAPNA 2017 Annual Conference)


    For Jan/Feb 2019 - Get Your Free CNE Now!

  • Poster PresentationONLINE NOW:

    2018 GAPNA Conference Poster Presentations

    Note the latest trends in the care, education, and research of the older adult population.

     

    View the 2018 Poster Presentations from the Annual Conference!

Mapping

Pulling Back the Onion Layers or Can’t See the Frost for the Trees

by George Peraza-Smith

These are familiar idioms used by many to describe a process in searching for a deeper understanding to a clinical problem.

One of the joys I have in working with some older adults is the complexity of a clinical presentation with multiple layers and co-morbidities.

Pulling back the onion layers can help us understand each clinical sign or symptom “layer” and then examine the impact the sign or symptom has on the overall presentation.

As a visual thinker, a tool that has helped me to better understand a complex clinical presentation is mind mapping or concept mapping.

Mapping is a visual diagraming tool that can be used to represent a conceptual non-linear picture connecting competing indicators of the clinical presentation (e.g., heart failure: ). However, for those complex, multivariant presentations, applying a mapping process to your decision-making may be useful in pulling back the onion layers. [View examples.]

George Peraza-Smith, DNP, ARNP, GNP-BC, NP-C, CNE, GS-C, FAANP
gbyronsmith@gmail.com

Join your friends at the 2019 Contemporary Pharmacology and Prescribing in Older Adults Conference, March 28-30, 2019, in Chicago, IL.

Register today!