Geriatric Need Fulfilment


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psychology, performing art therapy, counseling

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Geriatric Need Fulfilment

  1. 1. Geriatric Need hierarchy Dr. D. Dutta Roy Psychology Research Unit Indian Statistical Institute, Kolkata – 700108 Web: E-mail:
  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
  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
  21. 21. Role of Performing Art  Performing art acts as the tool for  Diagnosis  Restoring (condition at control)  Preventing and  Promoting physical, mental, social and spiritual health.  It is the process of achieving three layers of consciousness.
  22. 22. A creative age to make body fit Experience your bodily changes during laughing Make others laugh Facilitate your imagination Self-engagement
  23. 23. Performing Art Therapy
  24. 24. Social dancing  Social dancing increases feeling of generativity and reduces stagnation in life;  It reduces feeling of loneliness;  It provides social support and care;  It encourages life expectancy  It contributes to the longevity of the dancers, giving them something to enjoy and focus upon - to live for.  it alleviates social isolation and quite literally helps take away the aches and pains associated with older age."
  25. 25. Sculpturing
  26. 26. Farming and gardening Individualism VS Collectivism
  27. 27. Yoga
  28. 28. Performing art therapy
  29. 29. Movement therapy
  30. 30. Animal assisted therapy
  31. 31. Esteem Need
  32. 32. Computer games
  33. 33. Games
  34. 34. Self-actualization
  35. 35. Old age is the age of self-realization Performing art enhances Self-realization. Performing art has different forms –  Dance, drama, song and music ;  Drawing, painting, sculpturing ;  Gardening;  Yoga;  Games, Sports;
  36. 36. Meditation