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    In an effort to support our members with the most updated information on COVID-19 we developed this resource page to easily access current CDC information and other resources to assist you professionally and personally.

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  • 2020 GAPNA Pharmacology Conference: Contemporary Pharmacology and Prescribing in Older AdultsGAPNA Pharmacology Conference:
    Contemporary Pharmacology and Prescribing in Older Adults

    Rescheduled, so you won't miss a thing! Find out what to do next!

    April 20-24, 2021, Honolulu, Hawaii

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    Call for Nominations! (EXTENDED DEADLINE)

    Have you ever considered stepping forward, accepting the challenge and volunteering for a position on the 2020-21 National Board of Directors? Register online NOW by March 31, 2020!

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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.

    Now is the time to nominate a colleague or yourself - DEADLINE is June 1, 2020.

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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

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

Register today!