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GERIATRIC
CONSIDERATIONS
IN NURSING
Geriatric
MYTHS
• Elderly people are incompetent and
incapable of making decisions
• Most elderly live in nursing homes
• All elderly people live in poverty
• Older people are lonely and unhappy
• Elderly do not want to work
• Retirement ends your active life
NORMAL AGE
RELATED
CHANGES
AGING TYPES
• INTRINSIC
EXTRINSIC
PHYSIOLOGY OF AGEING
• 1.CHANGES IN THE CELLS
• 2.CHANGES IN TISSUES
• 3. CHANGES IN ORGANS
• 4.CHANGES IN THE
CONFIGURATION
PHYSICAL
ASPECTS OF
AGING
CARDIO VASCULAR
SYSTEM
Valves
Loss of elasticity
Low response
CO decreases
HTN
isolated
primary
secondary
HEALTH PROMOTING
ACTIVITIES
• Regular exercise
• Diet
• Wt control
• Normal bp
• Stress mgt
• Smoking cessation
• Avoid falls
RESPIRATORY SYSTEM
• Increased AP diameter
• Collapse
• Calcification of ribs
• Rigidity
• Loss of recoil
• Increased respiratory dead
space
INTEGUMENTARY
SYSTEM
• Appearance
• Reduced blood supply
• Graying of hair
• Irritations
REPRODUCTIVE SYSTEM
• Hormones
• Atrophy of uterus
• Vaginal bleeding
• Erectile dysfunction
• Sexual problems
GENITO URINARY
SYSTEM
• Changes in kidney function
• Stress incontinence
• BPH
• Prostate cancer
• Bladder infections
• Constipation
Geriatric
GASTRO INTESTINAL
SYSTEM
• Tooth problems
• Dry mouth
• Decreased gastric motility
• Decreased absorption
• Dysphagia
• Aspiration
Geriatric
SLEEP DISTURBANCES
SLEEP
• Avoid day time naps
• Light snack at bedtime
• Bath before sleep
• Meditation
• Lack of disturbances
Musculoskeletal system
• Osteoporosis
• Kyphosis
• Back pain
Geriatric
NERVOUS SYSTEM
• Postural hypotension
• Cerebral ischemia
• Sensitivity decreases
• Reaction is delayed
• Changes in sleeping
• Frequent awakening
Endocrine system
• thyroid gland becomes less active
• more susceptible to cold
• secretions of testosterone , oestrogen
, progesterone decreases
• Less secretion of insulin
SENSORY SYSTEM
COGNITIVE CHANGES
• Delirium, or acute confusional state
• Dementia.
• Depression.
PSYCHOLOGICAL
ASPECTS
STRESS
LONLINESS
LOSS OF SPOUCE
FINANCIAL PRBS
DISEASES
RETIREMENT
NURSING
MANAGEMENT
PRINCIPLES
• I. Consider individuality.
• 2. Be patient, kind and sympathetic.
• 3. Encourage independence
• 4. Assist elderly to achieve emotional
stability.
• 5. Stimulate mental acuity and sensory
input and physical activity
• 6. Make elderly's stay in home
interesting and lively
• 7. Provide diversional / occupational
therapy.
• 8. Maintain privacy.
• 9. Handle them gently.
• 10. Make them comfortable
CARE OF THE AGED
• 1. HEALTH EDUCATION
• 2.MEDICAL CARE
• 3.REHABILITATION
SUPPORTING COGNITIVE
FUNCTION
• Calm environment
• Regular routine
• Pleasant speaking
• Prominent displays
• Colour coding doors
PHYSICAL SAFETY
• Safe envt
• Nightlights
• Restrains
• Secure doors
• Supervision
• Id card
REDUCING ANXIETY
AND AGITATION
• Emotional support
• Remain calm
• Diversional activities
• Structuring of activities
SELF CARE ACTIVITIES
• ACTIVITY AND REST
• SUPPORTING HOME AND
COMMUNITY BASED CARE
Functions of
gerontological nurse
Guiding Eliminating Respecting
Observing Noticing Teaching
Opening Channels Listening
Offering Generating Implementing
Co-ordinating Assessing Linking
NURSE
Geriatric

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Geriatric

Editor's Notes

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