Geriatric, Need hierarchy, Psychology

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Geriatric, Need hierarchy, Psychology

  1. 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. 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. 3. Geriatric Need hierachy
  4. 4. PHYSIOLOGICAL NEEDS
  5. 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. 6. Massage
  7. 7. Massage
  8. 8. Massage
  9. 9. Safety needs
  10. 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. 11. Geriatric utensils
  12. 12. Geriatric rooms
  13. 13. Geriatric commode
  14. 14. Geriatric commode
  15. 15. Social Needs
  16. 16. Social need assessment
  17. 17. Use projective test
  18. 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. 19. Social need fulfillment
  20. 20. Performing Art Therapy
  21. 21. Performing art therapy
  22. 22. Movement therapy
  23. 23. Animal assisted therapy
  24. 24. Esteem Need
  25. 25. Computer games
  26. 26. Games
  27. 27. Yoga
  28. 28. Self-actualization
  29. 29. Meditation

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