• Like
Geriatric, Need hierarchy, Psychology
Upcoming SlideShare
Loading in...5

Geriatric, Need hierarchy, Psychology

Uploaded on


More in: Education
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads


Total Views
On Slideshare
From Embeds
Number of Embeds



Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

    No notes for slide


  • 1. Geriatric Need hierarchy Dr. D. Dutta Roy Psychology Research Unit Indian Statistical Institute, Kolkata – 700108 Web:http://www.isical.ac.in/~ddroy E-mail: ddroy@isical.ac.in Lecture at CMIG, Kolkata 22.12.2010
  • 2. History  Modern geriatrics in the United Kingdom really began with the "Mother" of Geriatrics, Dr. Marjorie Warren. Warren emphasized that rehabilitation was essential to the care of older people. She developed the concept that merely keeping older people fed until they died was not enough- they needed diagnosis, treatment, care and support. She found that patients, some of whom had previously been bedridden, were able to gain some degree of independence with the correct assessment and treatment.  Another "hero" of British Geriatrics is Bernard Isaacs, who described the "giants" of geriatrics: incontinence, immobility, impaired intellect and instability. Isaacs asserted that if you look closely enough, all common problems with older people relate back to one of these giants
  • 3. Geriatric Need hierachy
  • 5. Geriatric nutrition  It includes foods that are tasty, but at the same time have a higher energy and nutrient content. Food should not elevate blood pressure, develop constipation. It should normalize level of cholesterol.
  • 6. Massage
  • 7. Massage
  • 8. Massage
  • 9. Safety needs
  • 10. Home Assessment  I) Social Information II) Caregiver Information III) Patient's Health IV) Head Injury V) Activities of Daily Living VI) History of Falls VII) Vision VIII) Hearing IX) Dentition X) Bowel/Bladder XI) Sexuality XII) Nutrition XIII) Communication XIV) Usual daily activities (with exercise) XV) Sleeping XVI) Finances XVII) Home Safety Checklist XVIII) Current Medications XIX) Care resources/agencies
  • 11. Geriatric utensils
  • 12. Geriatric rooms
  • 13. Geriatric commode
  • 14. Geriatric commode
  • 15. Social Needs
  • 16. Social need assessment
  • 17. Use projective test
  • 18. Marital Counseling  Analyze love pattern: Love as dependency, sadistic love,love as a rescue fantasy, compulsive love,love for the unattainable object, celibate love,critical love,loving for partner’s parents, revengeful love – any of which lead to extramarital affairs and marital breakdown.  Assess the degree to which the prpblem is due to ignorance about sex, cultural taboos, myths, poor communication, sexual failures, unrealistic concepts of success or undue performance pressure.
  • 19. Social need fulfillment
  • 20. Performing Art Therapy
  • 21. Performing art therapy
  • 22. Movement therapy
  • 23. Animal assisted therapy
  • 24. Esteem Need
  • 25. Computer games
  • 26. Games
  • 27. Yoga
  • 28. Self-actualization
  • 29. Meditation