• 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.

    The data will help advanced practice nurses and other providers deliver quality care.

    Find out about it!

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

    "Decisional Capacity"

    (session captured at the GAPNA 2018 Annual Conference)

    For July/August 2019 - Get Your Free CNE Now!

  • Save $90 - Register Now with Early Bird Savings!
    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.

    Earn up to 22 contact hours (including pre-conference workshops).

    Get more information and register now!

  • AwardNew for GAPNA members: MCM Education

    GAPNA has partnered with a MCM Education to offer an ongoing series of CNE programs available to GAPNA members. "Diagnosing and Managing Parkinson’s Disease in Older Adults," is the latest program offered.

    Parkinson’s disease (PD) is characterized by both motor and nonmotor symptoms. It is diagnosed based on the presence of two of four motor symptoms including rest tremor, bradykinesia, rigidity, and gait imbalance...

    Find out about it!


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!