Gerontological & Community Based Nursing: Culture & Aging Professor Adrianne Maltese.
33496007 Gerontological Nursing
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Transcript of 33496007 Gerontological Nursing
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Gerontological Nursing
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GERIATRICS
y From the Greek word GERAS, meaning OLD AGE
y A branch of medicine that deals with the diseases and
problems old age
y Generally NOT used when describing the nursing of older
adults
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GERONTOLOGY
y From the Greek word GERON, meaning OLD MAN
y Is the scientific study of the process of aging and the
problems of aged persons; it includes:
y Biologic, Sociologic, Psychological, Economic aspects
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GERONTOLOGIC NURSING
y This specialty of nursing involves:
y assessing the health and functional status of older adults
planning and implementing health care and to services to
meet the identified needs evaluating the effectiveness of carey Developed by GUNTER and ESTES in 1979
y More inclusive than Geriatric or Gerontologic nursing the art
and practice of nurturing, caring, comforting, connotes the
nursing of older persons.
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CORE VALUES AND PRINCIPLES OF
GERIATRICS AND GERONTOLOGICALNURSING
y Health promotion
y Health protection
y Disease prevention
y
Treatment of diseases
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Profiles of Aging
y Demographic Profile of the old Older Adult:
y All nations are facing an aging population
- In 1997, approximately 10% world population was older than age 60
-This figure is projected to increase 15% by 2025
y
Women comprise 55% of the worlds older population-The majority reside in developing countries - one
- Men have shorter life expectancies
* Because of greater exposure to risk factors, both occupational and vocational
* Women will close this gender gap if they increase their risk exposures
y Life expectancy is also impacted by nationality, race, and
socioeconomic status (SES).
y Chronic conditions develop over time
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Nurses can intervene using three levels of prevention
y Primary Health Promotion: Education, Nutritional
Assessment and guidance, Exercise prescriptions,
avoidance of tobacco, Moderation of alcohol and limiting
exposure or avoiding known carcinogens
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y Secondary- Early Diagnosis and Prompt Treatment: Screeningquestions and Health assessment, Referral for examination and
testing & Disease cure and aggressive treatment to limit disability
and disease progression.
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y Tertiary- Restoration and Rehabilitation: Multidisciplinary
rehabilitation ( Physical, occupational, speech and recreational
therapy), Short term placement in rehabilitation facilities or
aggressive in-home rehabilitation, Appropriate services and aids ti
increase independence ( walkers, cane)
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Myths of Aging
y You cant teach an old dog new tricks
yDirty old man
y
Disease and disability are an inevitablepart of aging
yHealth promotion is wasted on older
peopleyThe elderly do not pull their own weight
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Myths of aging lead to:
yAgeism is the disliking of aging and older
people based on the belief that aging makes
people unattractive, unintelligent and
unproductive.
yReduced healthcare services
ySegregation of elders from mainstream society
yNurse recruitment difficulties
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Chronic Conditions
y Seventy percent of physical decline is modifiable through
ySmoking cessation
y Improved nutrition
yPhysical activity
yPrevention of injuries from falls
y Improved use of Medicare-covered preventive services
y Leading chronic diseases are treatable but not curable.
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Effects of chronic conditions
yReduces quality of life
yLimits activity
y
Requires assistanceyIncreases healthcare costs
yIncreases hospitalizations
yImpacts emotional health
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Healthy People 2010 Goals
y Increase quality and quantity of healthy life
yEliminate health disparities
yNurses can have significant impact onpeoples lives.