psychology, performing art therapy, counseling

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

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. Geriatric Need hierachy

4. PHYSIOLOGICAL NEEDS

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. Massage

7. Massage

8. Massage

9. Safety needs

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. Geriatric utensils

12. Geriatric rooms

13. Geriatric commode

14. Geriatric commode

15. Social Needs

16. Social need assessment

17. Use projective test

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. Social need fulfillment

20. PERFORMING ART THERAPY

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. A creative age to make body fit
Experience your bodily changes during laughing
Make others laugh
Facilitate your imagination
Self-engagement

23. Performing Art Therapy

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."
http://www.worldhealth.net/news/research_shows_that_social_dancing_in_ol/

25. Sculpturing

26. Farming and gardening
Individualism VS Collectivism

27. Yoga

28. Performing art therapy

30. Movement therapy

31. Animal assisted therapy

34. Esteem Need

35. Computer games

36. Games

37. Self-actualization

38. 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;

39. Meditation