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Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
Intro to geriatric nsg
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Intro to geriatric nsg

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  • 1. Introduction to Geriatric Nursing Sumi Mathew BSc N, MSc N, RN,RM
  • 2. OBJECTIVES • Define gerontology and geriatrics. • Enumerate factors influencing aging. • Discuss the common needs. • Activities of Daily Living (ADLs).
  • 3. OBJECTIVES • Describe major characteristics of today’s older population • Defining terms
  • 4. •Aging: • A Natural Process… NOT a disease!
  • 5. DEFINING OLD AGE • Chronological age – Exact age from birth • Biological age - Age determined by physiology rather than chronology • Functional age – Age in terms of functional performance
  • 6. FACTORS INFLUENCING AGING • • • • • • • Heredity Nutrition Health status Life experiences Environment Activity Stress produce unique
  • 7. COMMON NEEDS PHYSIOLOGIC BALANCE CONNECTION GRATIFICATION
  • 8. Activities of Daily Living (ADLs) Basic: • • • • • Bathing (hygiene, grooming) Dressing Eating Toileting Transferring (mobility)
  • 9. Activities of Daily Living (ADLs) Instrumental: • • • • • • Light housework Preparing meals Taking medications Shopping for groceries or clothes Using the telephone Managing home
  • 10. Characteristics of Aging Population • Typical” older person? • Age 65 start of “old age?” • Energetic, vibrant, influential, diverse • Gerontology identifies common characteristics, problems, disease processes, & concerns • Nurse must consider individual differences & characteristics when planning & implementing care
  • 11. Definition of Terms • Ageism - Prejudice, negative stereotyping based solely on age • Geriatrics - Branch of medicine that deals with problems & diseases of old age, aging people
  • 12. Definition of Terms • Gerontology – Comprehensive, multidisciplinary study of aging process & problems of older people with holistic focus, including biologic, sociologic, psychological, spiritual, & economic issues
  • 13. Definition of Terms • Senescence - Process of aging within cells and organs accompanied by loss of organ function.
  • 14. Definition of Terms • Primary prevention – Activities directed toward the protection from or avoidance of potential health risks • Secondary prevention – Activities designed for early diagnosis & treatment of disease or illness
  • 15. Definition of Terms • Tertiary prevention – Activities designed to restore disabled individuals to their optimal level of functioning
  • 16. Gerontology: Complex Field Encompassing Three Levels of Complexity • 1. Normal aging changes • 2. Chronic conditions associated with aging • 3. Acute exacerbations of chronic conditions
  • 17. Important Qualities of the Gerontological Nurse  Ability to form a therapeutic relationship with elderly adults Appreciation of the uniqueness of elders  Clinical competence in basic nursing skills  .
  • 18. Important Qualities of the Gerontological Nurse Good communication skills  Knowledge of physical & psychosocial changes that occur with age  Ability to work with & supervise others  .
  • 19. Therapeutic Communication • Ongoing, continuous, dynamic process. • Includes verbal and nonverbal signals
  • 20. Nonverbal Communication • Nonverbal communication composes up to 80% of information exchange – – – – – – Body language Position Eye contact Touch Tone of voice Facial expression
  • 21. Verbal Communication Guidelines  Do not yell or speak too loudly to patients – Yelling into a hearing aid can be disturbing and painful  Try to be at eye level  Minimize background noise
  • 22. Verbal Communication Guidelines  Touch if appropriate and acceptable  Supplement with written instructions as needed  Avoid complicated explanations
  • 23. Verbal Communication Guidelines  Ask how the patient would like to be addressed  Avoid demeaning terms such as sweetie, honey, or dearie  Use caring responses and careful listening
  • 24. Verbal Communication Guidelines  Use open-ended statements – “Tell me more…” or “How does this affect you?”  Avoid misunderstandings by clarifying – “I’m not sure what you mean…”  Encourage reminiscing

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