This document discusses geriatric nursing and policy in Nepal. It begins by defining geriatric nursing and outlining future opportunities in the field due to rising elderly populations. There will be increased demand for nurses working in acute, long-term, and home care settings. The document then outlines Nepal's Senior Citizen Act of 2006 which provides economic benefits like allowances, healthcare facilities including priority treatment and discounts, and social security measures like identification cards and transportation concessions. It discusses the roles of government agencies and organizations in supporting elderly healthcare and concludes by mentioning the growth of old age homes in Nepal.

1. Geriatric Nursing:
Future
opportunities &
Geriatric Policy

2. Learning Objectives
At the end of the session students will be
able to:
– Discuss future opportunities of geriatric
nursing
– State about geriatric policy in Nepal
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3. Geriatric Nursing
– specialty of nursing pertaining to older adults to
support healthy aging, maximum functioning,
and quality of life.
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4. Future Opportunities
– As evident, the aged population continues to
rise and is the population group who require
and use the greatest amount of health
services.
– Geriatric nursing within institutions provides
acute, sub-acute and long term care.
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5. Work Settings
– Acute Care Setting: Fifty percentage of the
elderly age 75 and over account for 21% of
all inpatient days.
– Private homes
– Day Care Units
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6. Nurses’ Role
– Geriatric Nurse Practitioner
– Gerontologic Clinical Nurse Specialist
– In-Service Educator/ Staff Developer
– Counsellor and Health Educator
– Home Care Case Management Nurse
– Researcher
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7. In Nepal
– Elderly nursing care and assisted living home.
For e.g.
– Ageing Nepal
– Orchid Home care
– Saar Nepal – Day care and Lifelong Learning
Center
– Health Home Care Nepal
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8. Shristi Shrestha, M.Sc Nursing8

9. Geriatric policy in Nepal
Senior Citizen Act, 2063 (2006) and Regulations
2065 (2008)
 Economic benefit
 Social security
 Health service facilities
 Honor, participation and involvement,
 Education as well as entertainment aspects
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10. Economic Benefits
– Initially government provided an old age
allowance of Rs.100/month to senior citizens
aged 75 years and above in 2052 (1995) as social
security in the eighth five year plan.
– In the International Year of Elderly Persons
(1999), Nepal govt. raised the old age allowance
(OAA) from Rs.100 to 150/month.
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11. Economic Benefits
– In 2063 (2006) the amount was raised to
Rs.200/month from 150/month.
– In fiscal years 2065/2066 (2008/2009) the
government increased the amount to
Rs.500/month and reduced the age of senior
citizen from 75 to 70 years and above (except
Karnali zone and dalit citizen-60years).
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12. Economic Benefits
– From fiscal Year 2015/16 Nepal govt. has
declared to allocate Rs.1000 OAA to the senior
citizens adding 500 rupees to its previous
amount.
– The fiscal year 2073/74 (2016/17) increased OAA
from Rs.1000 to Rs.2000 (Rs.1000 as medical
allowance)
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14. Social Security
– Senior citizen welfare committee and fund in
each district.
– Senior citizen identity card
– The Senior Citizens Act, 2063 (2006) stipulates
that every public vehicle reserve two seats for
people aged 60 or above and grant them 50
percent concession in fare.
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15. Social Security
– Other organizations providing public
services including drinking water, electricity
and telephone shall give priority to the
senior citizens while providing such
services.
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16. Health Facilities16

17. Health Facilities
– Each organization providing health services shall
provide health services by giving priority to the
senior citizens.
– The poverty affected elderly people are provided
free medicine and treatment up to NRs.2000 at a
time in all 75 districts under MWCSW.
– Fiscal year 2007/8(2064/65) allocated 25% free
beds for senior citizen.
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18. Health Facilities
– From the fiscal year 2067/68 (2010/11) Govt. of
Nepal has been provided concession of at least
50% on the fees chargeable on the treatment.
– Senior citizen get free treatment up to
Rs.1,00,000 in some chronic illness: cancer, heart
disease, hemodialysis, Alzheimer's disease etc.
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19. Institutional
Mechanism
– MoWCSW, MoHP, the National Planning Commission,
and the MoF are the main agencies responsible for
taking care of the health needs of the ageing people.
– According to the directory of elderly people related
institutions in Nepal, There are about 70 organizations
registered with the govt. of Nepal. Most of them are
charity organizations.
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20. Old age Home
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