Prepared By: Marlon N. Japitana, RN GERONTOLOGICAL NURSING
Development of Gerontological Nursing
1902- First article on care of aged in American Journal Nursing written by a physician.
1904- First article on care of aged in American Journal Nursing written by a nurse.
1950-First Gerontological nursing text published, Geriatrics recognized as an area of specialization in nursing.
1961- ANA recommends specialty group for geriatric nurses.
1966- Formation of geriatric nursing division of ANA
1969- Development of standards for geriatric nursing practice
1976- ANA changes name from Geriatric Nursing division to Gerontological nursing division.
1981- First international conference on Gerontological nursing.
1982- Development of Robert Wood Johnson teaching Home Nursing Program.
1984- Formation of National Gerontological Nursing Association.
Gerontological Nursing Roles
Nursing plays a significant role in helping individuals stay well, overcome or cope with disease restore function and purpose in life and mobilize internal and external resources.
In this healer role, gerontological nurse recognizes that most human beings value health, are responsible and active participants in their health maintenance and illness management, and desires harmony and wholeness with their environment.
Holoistic approach is essential viewed in context of their biological, emotional, social, cultural and spiritual elements.
Conscientious application of Nursing process to care of elders.
Inherit in this role is the active participation of older adults and their significant others and promotion of highest degree of self care in elderly.
Providing care, efficiency and best interest that rob them of their existing independence.
Formal and informal opportunities to share knowledge, skills related to care of older adults.
Educating others including normal aging, pathophysiology, geriatric pharmacology and resources.
Essential to this role is effective communication involving listening, interacting, clarifying, coaching, validating and evaluating.
Advocacy including aiding older adults in asserting their rights and obtaining required services, facilitating a community or other group’s effort to affect change and achieve benefits for older adults.
Assumes an inquisitive style, making conscious decisions and efforts to experiment for an end result to improved gerontological practices.
ANA STANDARDS OF GERONTOLOGICAL NURSING PRACTICE (Nursing Care)
STANDARD I. Assessment: The gerontological nurse collects patient health data.
STANDARD II. Diagnosis: The gerontological nurse analyzes the assessment data in determining diagnoses.
STANDAR III. Outcome identification: The gerontological nurse identifies expected outcomes individualize to the older adult.
STANDARD IV. Planning: develops a plan of cares that prescribes interventions to attain outcomes.
STANDARD V. Implementations: implements the interventions identified in the plan of care.
STANDARD VI. Evaluation: evaluates the older adults progress towards attainment of expected outcomes.
ANA STANDARDS OF GERONTOLOGICAL NURSING PRACTICE (Quality Care)
STANDARD I. Quality of Care: The gerontological systemically evaluates the quality of care and effectiveness of nursing practice.
STANDARD II. Performance Appraisal: The gerontological nurse evaluates his/her own nursing practice in relation to professional practice standards and relevant statutes and regulations.
STANDAR III. Education: The gerontological nurse acquires and maintains current knowledge in nursing practice.
STANDARD IV. Collegiality: contributes to professional development of peers, colleagues and others.
STANDARD V. Ethics: decisions and actions on behalf of older adults are determined in an ethical manner.
STANDARD VI. Collaboration: collaborates with older adult, the older adults caregiver, and all member of interdisciplinary team to provide comprehensive care.
STANDARD VII. Research: interprets applies and evaluates research findings to improved gerontological nursing practice.
STANDARD VIII. Resource Utilization: considers the factors related to safety, effectiveness and cost in planning and delivering patient care.
PRINCIPLES OF GERONTOLOGICAL NURSING PRACTICE
Aging is a natural process common to all living organisms.
Various factors influence the aging process.
Unique data and knowledge are used in applying the nursing process to the older populations.
The elderly share similar self-care and human needs with all other human beings.
Gerontological nursing strives to help older adults achieve optimum levels of physical, psychological, social and spiritual and spiritual health so that the can achieve wholeness.