S. (5c
S
?
SIMON FRASER UNIVERSITY
MEMORANDUM
To:
Senate ?
From:
Senate Committee on
Undergraduate Studies
Subject:
Gerontology Program -
?
Date:
October 15, 1986
New Course Proposals
Action undertaken by the Senate Committee on Undergraduate Studiesat its - - - -
meetirig of September
3T9
gives rise to the fo11ong motion:
MOTION:
That Senate approve and recommend approval to the Board of
Governors, as set forth in S.86- , the proposed
O
?
New courses GERO 402-3 Drug Issues in Gerontology
GERO
403-3
Counselling with Older Adults"
0
SiMON FRASER UNIVERSITY
MEMORANDUM
?
SC
US
•..........on Heath, Secretary
Senate Committee
on Undergraduate Studies
Subject.. ?
..... ?
C ?
Proposals
From ......
c. ..
?
tsCurriculum Committee
Date.....July
18, 1986
The Faculty of Arts Curriculum Committee, at its meeting of July
17, 1986,
approved the following coursesfor permanent inclusion in the calendar:
GERO 402-3 DRUG ISSUES IN GERONTOLOGY
GERO 402-3 COUNSELLING WITH OLDER ADULTS
Would you please place these items on the agenda of the next meeting of the
- - ---
Senate Committee on Undergraduate
?
- ---
- -
2& t
,vC4
Sheila Roberts
.
?
?
SR/sjc
end.
cc: E. Gee
I'GJf
.
New Course Proposal
?
GERO 14023
?
Revised 7 Oct/86
GERO
1
4023: Drug Issues in Gerontology
Calendar Description
An overview of issues relating to drugs and the elderly. Topics will include:
An introduction to pharmacological issues as they apply to older people; Uses
and abuses of commonly prescribed and non-prescribed medication; Medication
reviews; Government subsidy programs. This course is designed for those who
work or plan to work with elderly persons.
Prerequisites: GERO 300
Rationale
1. The issue of drug use is central within Gerontology. This course is
designed to provide students with the background information that will help
them deal with this major social issue.
2 Most credible Gerontology programs offer at least one course dealing with
drugs and the elderly, given the importance of the issue.
3. The DGT Program was given $20,000 by Squibb Canada (Ltd.) Pharmaceuticals
to mount this course. Although this money will eventually run out, we are
confident that we will be able to raise money in the future for the continuation
of the course.
L
I.
This course was offered in the 85-3 semester, under a Special Topics
rubric, and was taut by a pharmacist well qualified in geriatric pharmacology.
This individual, Lynn Trottier, is the Extended Care Unit Pharmacy Supervisor
and Clinical Pharmacy S
p
ecialist--Geriatrics, at the U.B.C. Health Sciences
Centre and is also an Associate Professor (part-time) in the Clinical Division,
Faculty of Pharmaceutical Sciences, U.B.C. The course was well enrolled, and
we have received positive feedback from the students who took it. This
pharmacist is preparing to teach the course again. In the event she is not
available in the future, there are several pharmacists with similar credentials
and expertise in geriatrics who have indicated their willingness to teach this
course.
.
S
SENATE COMMITTEE ON UNDERGRADUATE STUDIES
NEW COURSE PROPOSAL FORM
0. ,
Calendar Information
?
Department
GERONTOLOGY
Abbreviation Code:
GERO
?
Course Number: ?
402 ?
Credit Hours:
3
Vector: 2-1-0
Title of Course:
Drug Issues in Gerontology
Calendar Description of Course:
An overview of issues relating to drugs and the
elderly. Topics will include: An introduction to pharmacological issues as they apply
to older people; Uses and abuses of commonly prescribed and non-prescribed medication;
Medication reviews; Government subsidy programs. This course is desied for those who
work or plan to work with elderly persons.
Nature of Course
Lecture and Seminar
Prerequisites (or special instructions):
?
GERO
300
What course (courses), if any, is being
- dropped - from the -calendar- if- this -course- is -
--------provid:
?
None.
2. Scheduling
How frequently will the course be offered? ?
Once a year
Semester in which the course will first be offered?
87-3
Which of your present faculty would be available to make the proposed offering
possible? ?
Sessionals (pharmacists) will teach this course.
Objectives of the Course ?
-
To familiarize students who work, or plan to work, with elderly persons, with medical,
psychological, social and service delivery aspects of drug use amongst the elderly.
4.
Budgetary and Space Requirements (for information only)
What additional resources will be required in the following areas:
Faculty
Staff ?
None.
Library
Audio Visual
Space
Equipment
5.
Approval ?
-
Date:
epá '
rtment Chairman ?
Dean
?
- ?
Chairman, SCUS
OC
US 73-34b:- (When completing this form, for instructions see Memorandum SCUS 73-34a.
Attach course outline).
Arts 78-3
SIMDN FRASER UNIVERSITY
GERO
1
4023 Drug Issues in Gerontology
Course Description
An overview of issues relating to drugs and the elderly for Gerontology
students without degrees in medicine or pharmacy. The course will include:
discussion of general principles of pharmacology and how these principles
relate to aging; use and abuse of commonly prescribed and self-medicated
drugs including a brief discussion of the diseases or disorders for which
the drugs are used; desirable and undesirable effects of these drugs; drug
holidays; medication reviews; compliance; abuse of "social" drugs; seniors'
drug education programs; B.C. Pharmacare Program; and resources available
for referrals.
Reading Materials
Required reading materials (reprints) will be available on reserve. A
textbook is not required.
Course Requirements
Each student will be required to select and present an article to the
class during the term as well as complete two examinations.
Distribution of Marks
Your final grade in the course will be a composite of the following:
Mark Value
Article Presentation ?
30
Mid-term Examination ?
70
Final Examination ?
100
is
S
2 =100%
TOTAL ?
200 ?
-
Course Outline
I.
Introduction
II.
Pharmacological Issues
1. Pharmacokinetics (Drug Disposition)
- Absorption
- Distribution
- Metabolism
- Excretion
- Time course of drug effect
/2
GERO
L
102_3: Drug Issues in Gerontology
?
p. 2
is
2. Phannacodynarnics (Drug Response)
- Mechanisms of drug action
- Relationship between drug dose and response
3.
Effects 'of aging on phannacokinetics and phannacodynamics.
III. Use and Abuse of Medications
1.
Commonly used medications including:
Brief description of disease or disorder for which the medication
is used
- Cardiovascular Diseases (eg. Congestive Heart Failure,
Angina, Hypertension)
?
- . -----
- - - -- - - - - - -
Respiratory DiSeaés (eg
?
onic Obstructive Pulmonary
Disease)
- Neurological and Psychological Disorders (eg. Parkinson's
Disease, Seizure Disorders, Dementia, Anxiety, Insomnia,
Depression)
- Gastrointestinal Disorders (eg. Constipation, Ulcers)
- Infections (eg. Urinary Tract, Upper Respiratory Tract)
- Hematological Diseases (eg. Anemias)
•
?
- Endocrine Disorders (eg. Diabetes, Hypothyroidism)
-
Dermatological Disorders
- Opthalrnic Disorders (eg. Glaucoma)
-Pain
Desirable effects of these ndicatibns
Undesirable effects of these medications
Hints for administration of these ndications
2.
Factors increasing risks of undesirable drug effects.
3.
Drug Holidays
. Medication Reviews
5.
Compliance
6.
Drug Abuse
- Prescription Medications
- "Social" .
Drugs (eg. alcohol, nicotine, caffeine, cocaine)
7.
Seniors' Drug Education Programs.
IV. B.C. Paniiacare Program
V. Referral Resources - When and to whom?
DRUG
ISSUES IN
GERONTOLOGY ?
Reading List (Fall 1985)
1. Lipton, H. L. The Graying of
America:
IrnplicaUoris for he Pharmacist.
Amer J Hosp
c:rjirm .39
:1
3
1 - 1 35
(Jan) 19o2
2.
Steinberg, S
K.
Geriatric: Pharmacy PracUce in Ule Long-
Term Care
Faciljtv.
?
Il1Host: Pharm
?
:
'
a): 14- 1 (Jan-Feb) 1982
?
3 ?
Mc:Ienney, J
.
M. et. al. Drug Therapy Asses nent:E; by Pharmacists.
Amer J_HospPh;:rm 37:824-828 (u.n) 1980
4.
Dan! ortil, D. Drug Use and
the
Elderly. British Columbia Med J. 24
(12):559-5t50 (Dcc) 1982
5.
Mas, X et al. Drug Prescribing and Use Among Elderly People in Spain.
aJgInt.ell din Pharm 17:378-382 (May) 1983
6.
Lamy, R The Elderly. Drugs, and Cost Control Drugs. lnt.ell Clin Pharm
16:758-782 (Oct.) 1 92
7.
Principles of Drug Action and Drug Interactions InPharmacology for
N:r;es. 8tfl Ed. Mcsby Co.. St. Louis. I 985
8.
Mor1a1an, F. D. Nurse Alert: Prepare for Geriatric Drug Dosages.
Profiles -Manrex Pharrna:y Con:3ultants (Jul -Aug) 1 985
9.
Ro,.ie,
j.
W. Health Care of the Elderly. Nc'i,
Ene_:Lj
'IN-led
3
12( 1
3)
:
8 27
-
835
(Mar 2
0/
1
10.
Mic:haels, . Drug iherapy and the iceriy Fatient. .an Med ssc'c j.
128:142-1447 (jun) 1983
11.
Stanaszek, W. F., Baker, D. Drug Monitoring in the Geriatric Patient.
ArnerPharrn NS23(7):32-37 (Jul) 1963
12. Ouslander, J
.
G. Drug Therapy in the Elderly. Ann mt Me 95:
7
11-
722
(Dec) 1981
13.
Jernigan,
1. A. Update on Drugs and the Elderly. Amer Fam Physician
29(4):238-246 (Apr) 1964
. ?
-2-
14.
Lamy, P. P. Hazards of Drug Use in the Elderly. Post
Grad
Med 76(1):
50-61 (Jul) 1984
15. Simenson W. As
p
ects of Geriatric
Therapv-DrucrInteractions. On Cont
Practice i0(1):l4-16. 1983
16.
Klein, L. E. et al. Aging and Its Relationship to Health Knowielge and
Medication Compliance Geronto1ogi
:
t. 22(4):
384-387.
1 982
17.
Gryfe, C. I. Drug Therapy ofthe Aged: The Prol::lerh of Compliance and
?
WA
Rol-9 f Phsiians
drYl
L131
m ..lsL '__Awr '3r
1tt 1 6
S ?
-
32(4):30 1-307 (Apr) 1984
18.
Srnitfl, M. Cl., Sharpe, T. R. A Study of Pharmacists* involvement in
Drug Use by the Elderly.ig_Irit.ell Olin Phrm 18:525-529
(Jun)
1964
19.
Haynes, R. B. Physician Interventions to Improve Compliance.
Geriatric Consultant 20-29 ul-Aug) 1986
20.
Chryssidis E.
A
t al. Drug Compliance
and
the Elderly. Aust J_Hosp
Pharm 12(1):1932
I.
?
?
Weintraub, M. Intelligent. ioncc'rnp1iance with Special Emphasis on
?
the Elderly. Contern
p
Pharm Prac 4(1 ):8- 11 (Winter) 196 1
22. ?
Eeber, C. R., Lamy P. P.
Elderly: Proceed
1 9, 22 -2
5
(Ma.7
Medication Management. and Education of the
ings of Symposium.
WashjnQtofl,
D.C. 9- 12, 16-
1)1978
23.
Ascione, F. J
.
, Shimp, L. A. The Effectiveness of Four Education
Strategies in the Elderly. PLIj gIntell Clin Pharm 18:92 6-9.3 1
(Nov) 1984
24.
Luridin, D. V. et al Education of Independent. Elderly in the
Responsible Use of Prescription Medications. Drug inteil Clin
Pharm 14:335-342 (May) 1980
25.
Sherman, F. T. Tamper-resistant Packa
g
ing: Is it Elder-r
e si:3tant, Too?
J Amer Geriatrics c
(
2) -1"6-141 (Feb) 1985
-3-
?
.
26.
Robbins, L. J
.
, jahnigen,
D.
W. Chi1d-reistant. Pacl::ging and the
Geriatric
1984
Patient. J_Amer Geriatrics Soc ?20"))A50-4
2 (Juri)
c:
27.
Martin,
D.
C..
Mead (. Reducing Medi::ation Errors in a Geriatric
Populat
i
on. Amer Geriatrics cc 30(4):258-260 (Apr) 1962
28.
Danfortfl, D. A Difficult Pill t SW&l1W. Gerontol Assoc
&tiSli
Columbia Newsletter 7(3): (Spring) 1964
39
?
Wells, B. G. et a1. Factors Associated with the Elderly Failing in Inter-
mediat.e Care Units. jjrugIntell Clin Pharm 19:142- 145 (Feb)
1965
30.
Salzman, C. A Primer on Geriatric Psychopharmacology. Amer J_
Psvc:lflatrv 139(1 ):67774 (jan) 1982
31.
Coleman, J. H., Dorevitch, A. P. Rational Use of Psychoactive Drugs in
the Geriatric Patient. Dru
g
Irjtell Cliri Pharm 15:940-944 (Dec)
1981
32.
Mcrrant,
j.
C. A. Use and Abuse of Psychoactive Drugs i:i the E1der17.
Can Med Asscc j. 129:245-248 (Aug 1)1983
33.
Spiegel, R. Aspects of Sleep, Daytime Vigilance, Mental Performance
and Psychot.ropic Drug Treatment in the Elderly. Gerontology
28 (Suppl. 10082, 1982
34.
Rosse, R. B. Evaluation and Treatment of Insomnia in the Elderly.
Geriatric Consultant 26-28 (Sep-Oct) 1965
35.
Feigenbaum, L. Z. Confusional States Mimicking Dementia. Geriatric
Consultant 14-18 (May-Jun) 1985
36.
Reifler, B. V. Clinical Aspects of Alzheimer's Disease. Mod Med Cant
Geriatrics 39(1): 18-20 (Jan) 1964
37.
Laurenc, R. Alzheimer's. UBC Chronicle 10-13 (Spring) 1965
0
.
?
"1-
38.
Lcder, K. Alzheimer's Research Update. UBC Chronicle 13 (Spring)
1985
39.
Chang, P. Depression and the Elderly. Can Pharrn
3,
145-147 (Apr)
1982
40.
Bruni. J. Management of Seizures in the Elderly. Can Pharm j 272-
275
(Jun)
1985
41.
Bartie. W. R. Peptic Ulcer t:'isease in the Elderly. Can Pharm . 284-285
(Jun) 1985
-
42 - Spio,M Caring for the E
-i
iy C' I hronic 0 tn tiv- Lung Disea
se
- A
Role for Theophyiline. Car! Pharm 3. 261-267 (Jun) 1985
43.
Budden, F. Osteoporosis in Geriatrics. Can Pharrn J. 276-278
(IUfl)
44.
Peace, D. A. Vitamins and Nutrition. Can Pharm j 279-2 8 (Jim)
.
?
1985
45.
Simon, A. E. Infection in the Older Patient. Can Pharm J
.
292-29
(ju:n) 1985
46. Kern I. G. Cancer Chemotherapy in the Elderly. Can Pharrn
3.
2-29C
(June) 1985
47.
Lamy, P. P. Alcohol Misuse and Abuse Among the Elderly. Prug irt.e11
Clin Pharm 1 &649-651 (Jul-Aug) 1984
43,
?
Kin g
, S. Alcoholism in
the Elderly. Reflections - Manrex Pharmaceu-
tical Consultants 6(11 ):(Jan) 1981
49.
Bradford Brown, B. Professionals' Perception of Drug and Alcohol
Abuse Among the Elderly. GeIonto1ogjt 22(6):5 19-5
2
5 .
1982
50.
Hartford, 3. T., Sainorajski. Alcoholism in the Geriatric Population.
Amer Geria tr ics 5cc
.30(1):18-24
(jar±) 1982
51.
Dayley, C. Who Wants to Admit 70-Year-Old Aunt Else is a Regular
Tippler? Courier (Jul 15) 1979
New Course Proposal
?
GERO 403-3
?
Revised
7
October
1986
GERO 403-3: Counselling With Older Adults
Calendar Description:
An examination of the ways of adapting counselling theory and practice to
meet the needs of older adults and their families. Emphasis will be placed
on counselling techniques and outcomes appropriate to the needs of persons
living independently, with their families, or in institutional settings.
Prerequisites: GERO 300 .
This course is restricted to students in the
Gerontology Diploma Program.
Rationale:
1.
This course would be an elective in the DGT that would complement
the required GERO
t
WO (Seminar in Applied Gerontology) in having an applied,
practical focus.
2.
This course was offered in the
86-1
semester., under a Special Topics
rubric, and was taut by a clinical psychologist with gerontological
expertise. The course was well enrolled and was received enthusiastically by
the the students. This instructor is willing to teach the course again. In
the event she is not available in the future, we have on file applications
from several other persons qualified to teach this course.
3.
The DGT was given $30,00
0
by the Fred Silber family. Thi
?
ney will
be used to mount this course annually.
SENATE COMMITTEE ON UNDERGRADUATE STUDIES
NEW COURSE PROPOSAL FORM
Calendar Information
?
Department
?
GERONTOLOGY
Abbreviation Code:
GERO ?
Course Number:
1
403
?
Credit Hours:
3
?
Vector: ?
2-1-0
Title of Course:
?
Counselling With Older Adults
Calendar Description of Course:
An examination of the ways of adapting counselling theory
and practice to meet the needs of older adults and their families. Emphasis will be
placed on counselling techniques and outcons appropriate to the needs of persons living
independently, with their families, or in institutional settings.
Nature of Course
?
Lecture and Seminar
Prerequisites (or special instructions):
?
GERO 300
This course is restricted to students in the Gerontology Diploma Program.
What course (courses), if any, is being dropped from the calendar if this course is
approved: ?
None.
2. Scheduling
How frequently will the course be offered?
?
Once a year
Semester in which the course will first be offered?
87-2
Which of your present faculty would be available to make the proposed offering
possible? ?
Sessionals will teach this course.
Objectives of the Course
o
To familiarize students who work, or plan to work, with elderly persons with
counselling theory and techniques to this group of clients.
4. Budgetary and Space Requirements (for information only)
What additional resources will be required in the following areas:
o
Faculty
Staff
None.
Library
Audio Visual
Space
Equipment
5. Approval
Date:
2cI
?
fe.
Department Chairman ?
Dean
Chairman, SCUS
CUS 73-34b:- (When completing this form, for instructions see Memorandum SCUS 73-34a.
tach course outline).
Arts 78-3
Counselling with older adults ?
and their families
Elizabeth Bristowe
Summer 1987
Course Description:
This course will study ways of adopting Counselling Theory and Practice to
meet the needs of older adults and their families, either on a one-to-one basis or in
small group settings. The emphasis will be on counselling technique and outcomes
appropriate to the changes and needs of both normal aging and the problems inherent
in independent, family-supported and institutional living arrangements for the elderly.
Required Readings:
Text:
?
Alpaugh P., Haney M., (1978).
?
Counselling the older Adult, Toronto,
Lexington Books.
Sargent, S.S., (1980) Non-Traditional Therapy and Counselling with the Aging, New
York, Springer.
Chapters from the text and some additional readings will be assigned by the instructor.
Selected Readings = Listed in the appropriate lecture category marked * and on
reserve in the Library.
Course Organization:
One 1k hour lecture and discussion and
one 1k hour lecture or seminar
IXV
material, guest speaker or student
presentation per week)
Course Requirements:
1.
In class seminQr/presentation/participation. 25% of the final mark.
2.
Practicurn/Lab Work: Two taped interviews (to be debriefed to the
instructor) and a brief (three to five page) subjective description and
criticism of the experience. 30% of the final mark
3.
Examination = In the, formally scheduled time. 45% of the final mark.
S
0
BRISTOWE/ P. 2
COURSE SCHEDULE
Week I ?
Introduction
-
An overview of Gerontology
- An introduction to counselling theory and practice:
- Active Listening
- Feedback and empathy
- Contracting
- The personal characteristics of the Counsellor
Required reading: Gotestam K.G. (1980)
Behavioral and dynamic psychotherapy with the elderly in J.E. Birren
and R.B. Sloane (Ed.) Handbook of mental health and aging Englewood
Cliffs, N.J. Prentice Hall. ?
- -
?
- ---
Week U
?
Theories and models of Counselling and Therapy
- Systems Theory
- The client-centered approach
- The problem-management approach
AV Presentation: Three approaches to
Psychotherapy No. 1: Carl Rogers (40 mins.)
Required Reading: Patterson C.H. (1986)
Theories of Counselling and Therapy N.Y.
Harper and Ron
pp.
531 - 545 *
Week UI ?
Theories and models of Counselling and Therapy (cont'd.)
- An Eclectic approach
- AV Presentation: Three approaches to psychotherapy
No. 3 Arnold Lazarus
- Discussion
Required Reading: Robertson, D., (1982) Management of the elderly at
home: stress and the supporter. Canada's Mental Health Sept. 1982 *
Kapust, L.R., (1982) Living with dementia -the ongoing funeral. Social
Work in Health Care Vol. 7(4) Summer, *
Brody, E., (1985) ?
Parent care as a normative family stress, The
gerontologist Vol 25, No. 1, 19 - 29 *
Week
IV ?
Who are our clients?
- Population aging: The dimensions of the problem
- The well elderly
- The mentally and physically frail elderly
- Women and aging The silence upstairs (NFB. 15 mins.)
- The impact on formal and informal caregivers
- AV presentation
Discussion
0
?
• ?
BRISTOWE/ P. 3
Week V
?
Who are our clients? (cont'd.)
?
V. ?
- The mentally impaired elderly
- The dimensions of the problem
- The impact on the family.
Discussion on the implications for counselling
Required Reading: Fell, N., (1982) V/F Validation, Cleveland, Ohio
Feil Productions,
pp.
1 - 27.
Week VI ?
Group Counselling
- The role of the leader
- Setting up a leader-less group
- Group work with the mentally impaired elderly
- A.V. presentation: Looking for Yesterday (30 mins.)
Required Reading: Hollobon, J., (1986) Older alcoholics: the file builds,
The Journal, February 1. *
Week VII ?
Alcohol and Dru g Abuse
- The dimensions of the problem
- Implications for Counselling
Elder abuse and neglect
- The dimensions of the problem
- Implications for Counselling
Required Reading: Falk G., and Falk, V.A., (1980) Sexuality and the
aged Nursing Outlook, January. 51 - 55 .
Week VIII ?
Sexuality and aging
- AV presentation: A rose by any other name
Discussion
Required Reading: Cohen, S.Z., Gans, B.M., (1978) Can some involve-
ments harm you or your parents? in The other generation gap, Chicago.
Follett.
pp.
141 - 159 *
Week IX • Institutional placement
Counselling with the family and the client
?eJol. stress: fact or- fiction?
The goals and objectives of chronic vs. acute care as a source of
stress
Living with loss
Week X ?
Debriefing the Counselling Practicum and Lab. Work Interviews
- This will be an interactive session and attendance is a MUST
Required Reading: Besdine, R.W., (1983) Decisions to withhold treat-
ment from Nursing Home Residents. J. of the American Geriatrics Socy.
October *
Week XI ?
Ethics and aging
- Considerations for counsellors and caregivers
- AV presentation: The Last Right (NFB, 30 mins.)
Discussion
Required Reading: Hwyck M., Hoyer, W.J., (1982) Death, dying and
mourning in Adult development and aging, Belmont, CA, Wadsworth Pub.
Co.*
?
40
BRISTOWE/ P. 4
Week XU
?
Counselling the dying and bereaved
- Working with a dying client
-
Hospice
care and the alternatives
- Counselling the bereaved family
-
AV
presentation (TBA)
Retrospective
- A review
of the course
- Resolution and termination of the client/counsellor relationships
'-
These
readings are on reserve in the Library
- The readings are listed in the week during which they are to be
done in preparation for the following week...
.
C
SiMON FRASER UNIVERSITY
MEMORANDUM
Robert Secreta
Faculty of Arts Curriculum
.CQJrAt.t.?
................................
NEW COURSES: GERO 402-3 AND
Subject....
GERO 403-3
From . . .
?
C
Sharon
•
Thom...
Head, ollections Management
Office
Date.
....Ju.....1986
The Library is reasonably well able to support
these courses with the existing collections thanks to
a rather generous SSHRC grant. In fact, it appears
that we have serviced them both as Special Topic courses
with no particular difficulties.
Since each of these courses is funded by external
grants to the Gerontology programme, I assume the
Director would entertain a request for funds from the
Library if the need were to arise.
ST : is
THE
of All's
