North Carolina ems education Standards: emt curriculum Map



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Geriatrics




  • Summary:Applies a fundamental knowledge of growth, development, aging, and assessment findings to provide basic emergency care and transportation for a patient with special needs.



  • TARGET SKILLS:Impact of age-related changes on assessment and care.Changes associated with aging, psychosocial aspects of aging, and age-related assessment and treatment modifications for the major or common geriatric diseases and/or emergencies



  • Key Terminology:



    • Cardiovascular diseases

    • Respiratory diseases

    • Neurological diseases

    • Endocrine diseases

    • Alzheimer’s

    • Dementia



    • Objectives:



      • EMS Education Standards

      • Define the term geriatrics.

      • Appreciate some of the special aspects of the lives of the elderly persons.

      • Discuss generational considerations when communicating with a geriatric patient.

      • Describe the common complaints and the leading causes of death in the elderly.

      • Discuss special considerations when performing the patient assessment process on a geriatric patient with a medicalcondition and traumatic injury.

      • Explain the GEMS diamond and its role in assessment and care of the geriatric patient.

      • Discuss the phsysiologic changes associated with the aging process and the age related assessment and treatment modifications that result.

      • Define polypharmacy and explain the toxicity issues that can result.

      • Discuss the effect of aging on psychiatric and environmental emergencies.

      • Discuss the special considerations when responding to calls to nursing and skills care facilities.

      • Define an advance directive and its use with older patients.

      • Describe the causes of elder abuse and neglect

      • Cardiovascular system: anatomical and physiological changes, and pathophysiology

      • Respiratory system: anatomical and physiological changes, and pathophysiology

      • Neurovascular system: anatomical and physiological changes, and pathophysiology

      • Gastrointestinal system: anatomical and physiological changes, and pathophysiology

      • Genitourinary system: anatomical and physiological changes, and pathophysiology

      • Endocrine system: anatomical and physiological changes, and pathophysiology

      • Musculoskeletal system: anatomical and physiological changes, and pathophysiology

      • Toxicological emergencies

      • Sensory changes in the elderly





    • Activities/Resources:Use of auditory, visual, and kinesthetic aids to facilitate the student learning environment for the topic of instruction.

    • Use multiple pairs of gloves along with glasses covered with KY jelly to simulate some of the changing issues faced by geriatric populations

    • Discuss the body systems and the changes as they decrease in age.



    • Assessments:Scenario based assessment pertinent to topic of instruction, quiz, and exam (didactic and skills).


    • Patients with Special Challenges




    • Summary:Applies a fundamental knowledge of growth, development, and aging and assessment findings to provide basic emergency care and transportation for a patient with special needs.



    • TARGET SKILLS:Recognizing and reporting abuse and neglect.Healthcare implications of:

    • Abuse

    • Neglect

    • Homelessness

    • Poverty

    • Bariatrics

    • Technology dependent

    • Hospice/ terminally ill

    • Tracheostomy care/dysfunction

    • Homecare

    • Sensory deficit/loss

    • Developmental disability



    • Key Terminology:



    • Autism spectrum disorders (ASD)

    • Automatic implanted cardiac defibrillator (AICD)

    • Bariatrics

    • Central IV catheter

    • Continuous positive airway pressure (CPAP)

    • Dialysis

    • Disability

    • Feeding tube

    • Left ventricular assist device (LVAD)

    • Obesity

    • Ostomy bag

    • Pacemaker

    • Stoma

    • Tracheostomy

    • Urinary catheter

    • Ventilator



    • Objectives:



      • DOT Objectives

      • EMS Education Standards

      • Give some examples of patients with special needs whom an EMT may encounter during a emergency.

      • Discuss the special patient care considerations that may be required when providing emergency care to patients with developmental disabilities.

      • Discuss the different types of needs regarding vision and hearing impairment including tips on effective communication techniques.

      • Discuss care to patients who suffer from neuromuscular disorders.

      • Discuss the special need patient population regarding obesity and their care.

      • Discuss the Special patient population who rely on medical technological assistance devices.

      • Describe Home care, types of patients it serves, and the services it encompasses.

      • Abuse and neglect

      • Homelessness/poverty

      • Bariatric patients

      • Technology assisted/ dependent

      • Hospice care and terminally ill

      • Tracheostomy care

      • Sensory deficits

      • Homecare

      • Patient with developmental disability





    • Activities/Resources:Use of auditory, visual, and kinesthetic aids to facilitate the student learning environment for the topic of instruction.

    • Using media, discuss the uses of the different types of devices used by people with special needs.

    • Connect with the community to find someone with some of these devices who is willing to show students how they work.



    • Assessments:Scenario based assessment pertinent to topic of instruction, quiz, and exam (didactic and skills).




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