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My name is Gayle and I am an adult nurse practitioner (APRN)whose practice has focused on geriatrics in long term care facilities, evaluating and prescribing medications for medical and psychiatric conditions. I presently perform geriatric home assessments and physical exams in patients' homes. I can answer questions related to assisting adult children in keeping their parents at home, advising when a specialist should be consulted, advising if medications may be causing certain new problems that have arisen. Having cared for my dad with Alzheimer's for 14 years I am quite knowledgeable about what is normal and abnormal when it comes to this disease. I can help direct individuals to resources and support services that they may be unaware of. Lastly, I can make recommendations that can be brought back to the patient's doctor if he/she is willing to consider alternatives to the current treatment plan regarding a particular issue or medical problem.

Experience in the area

I am an adult nurse practitioner with nearly 5 years experience in primary care, focusing on geriatric clients. I cared for my parents in the final 15 years of their lives interacting with healthcare providers, home nursing agencies, state agencies, Medicare and Medicaid representatives, palliative care and home hospice agencies. Prior to becoming an APRN I worked as an emergency dept. nurse for 15 years and 12 years for a large health insurance company providing medical reviews for underwriting, educating underwriters on medical conditions, utilization review and case management, requesting exceptions from medical directors to allow patients to receive medications or treatments not normally covered under their insurance plan, and I assisted in the area of reviewing complex medical claims for payment.


CT APRN American Association of Nurse Practitioners (AANP) Sigma Theta Tau International (SITT) AARP


"Walk A Corridor in My Shoes" published in November, 2004, Nursing Spectrum.


Associate Degree in Nursing from Greater Harford Community College BSN from CCSU MSN in Nursing Management from the University of Hartford MBA from Rensselaer Polytechnic Institute MSN with Adult APRN from Quinnipiac University Graduate Certificate in Geriatric Care Management from the University of Florida Reiki Master Legal Nurse Consultant

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    K = Knowledgeability    C = Clarity of Response    P = Politeness
John02/22/17101010My thanks for a truly detailed and .....
philip12/03/16101010thankyou gayle, i live with my elderly .....
sh09/08/16101010thank you for that great answer!!!!!!!!!! what .....
Chris08/10/16101010This expert has to be an exemplar .....
Zent08/03/16101010 Thanks a lot for your helpful .....

Recent Answers from Gayle Gwozdz

2017-02-21 Routine Exams:

Hi John,    Thank you for your question. For the most part (and according to what a health insurance will usually pay for) a true "physical exam" or P.E. is done on an annual basis. The exam should consist

2016-12-10 exhaustion:

Dear Philip,  It is usually best for an elderly person to be kept in an environment that is familiar to him/her. As long as it is not so burdensome on you that you are not able to function and have somewhat

2016-12-02 exhaustion:

I'm sorry, I did forget to address the issue of how to "avoid" having a stroke. The best way to avoid having a stroke is to maintain a BP close to what is considered the "normal" range. Here in the states

2016-12-02 exhaustion:

Dear Philip:    I think the fact that you are signed up for "memory services" is a good thing. It is concerning to me when a doctor chalks everything up to old age rather than to investigate until he/she

2016-12-01 exhaustion:

Hi Philip:    If you have the need to write in the future, kindly include a list of your mom's medical conditions and the medications that she takes. The fact that she was prescribed folic acid for a while


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