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Biomedical subjects

L F Deisering

Publications and source records attributed to L F Deisering.

3 recordsLinked to original sources

The expanding role of the clinical coordinator.

This article describes the role of the clinical coordinator in nurse anesthesia educational programs, a role which has greatly expanded as programs shift to university-based frameworks with multiple clinical sites. The role of the clinical coordinator has become vital in the success of schools of nurse anesthesia based in the university/college setting. The significance and functional responsibilities of this role need to be broadened by making the clinical coordinator a university appointed representative. The expanded role provides for university representation at each site, improves the lines of communication between the university and each site, and allows for regular visits to each clinical site. Hopefully, program directors, faculty members, and students will benefit from this innovative attempt at bridging the gap between the university and the associated clinical facilities. Regional coordinators also play a vital role in coordinating student functions between various institutions and the clinical coordinators in each of these institutions, as well as representing the university/school of nurse anesthesia interest and needs in these settings.

Clinical Competence↗

Cardiovascular changes associated with aging: the anesthetic implications.

Successful anesthesia care of the elderly patient is highly dependent on the anesthesia care provider's knowledge of the physiological alterations on the cardiovascular system associated with aging. It is projected that by the year 2000, the elderly segment of the population will increase to 13% and by the year 2030, 52 million Americans, or 17% of the population will be older than age 65. More people than ever before are reaching old age, with the latest statistics indicating that life expectancy for a man of 45 years has increased from 70.4 to 77.3 years and from 77.0 to 82.8 years for a woman. One of the primary factors associated with the increase in longevity is the decrease in mortality from cardiovascular diseases. Since the 1960s, there has been a decline in cardiovascular mortality of about 3% per year. Recent technological advances and healthier lifestyles are among the reasons contributing to this trend. With these positive changes impacting the elderly population, anesthesia care providers must become better prepared to select and administer the appropriate agents that will ultimately influence perioperative outcome.

Aged↗