Geriatric Nursing

Marlon O. GalamayCarmela V. VelascoBSN IV – 5 (King)

Caring for the Filipino Elderly…• “It is when we are older that we

become wiser, more sound, and more sure of ourselves, especially in making

choices and decisions in life…”

Dr. Letty G. KuanMember – BON, PRC

Terminologies

Terminologies

• Geriatric Nursing – nursing care of older adults

• Geriatrics – study of old age and the disease that comes with it

• Gerontology – study of aging process and its effects on the

older adult biologically, psychologically and socially

Terminologies

• Senescence – progressively deterioration of the body and

its process• Ageism – negative bias against old

people• Elder Abuse – physical or emotional

hurting among elderly• Polypharmacy – taking multiple

meds at the same time

AgingProcess

Aging Process

• Intrinsic Aging:–Normal aging process–Genetically determined•Wrinkles as we age

• Extrinsic Aging:–Factors that accelerates aging• Prolonged sun exposure, illness pollution

Signs of Healthy & Developed

PsychosocialStatus among

Elderly

Signs of Healthy & Developed Psychosocial Status among

Elderly• Smooth interpersonal relationship• Sensitive, caring, and ready to

anticipate needs of others• Open-minded• Go out of ourselves to others and go

beyond our necessities• Better decision makers

Factors that Determine

Psychosocial Development

Factors that Determine Psychosocial Development

• Unwanted or unwelcome pregnancies• Deprived childhood needs• Neglected and abandoned• Bad adult models during early

childhood

Socially Healthy Elderly

Socially Healthy Elderly

• Happy to be growing older and able to manage the aging syndrome with dignity and simplicity• Honest about their aches, pains and

difficulties• Can mix with any group without

feeling isolated and dejected

Socially Healthy Elderly

• Has sense of humor and finds time to laugh at oneself• Connects with friends at all time• Open to sharing• Generous with time• Find ways and means to be busy

Socially Healthy Elderly

• Does not entertain false rumors; refrains from making negative comments on others• Shows uprightness of values and

stands on principles• Makes all opportunity for taking

Socially Unhealthy

Elderly

Socially Unhealthy Elderly

• Cranky and calculating• Sensitive and narrow minded• Quick to complain about anything

and everything• Cannot get along well with other

person

Socially Unhealthy Elderly

• Greedy to grab anything you give or offer with critical comments accompanying acceptance• Isolates himself during gatherings

yet complains that he is neglected• Demands respect, attention and

recognition at all times

Socially Unhealthy Elderly

• Neglects personal hygiene and grooming• Accumulate things even if they are

old and ugly• Manifests insecurity and fear of

death through words and actions• Afraid to be alone yet attests people

who come near them

Clinical Concerns in

GeriatricNursing

Clinical Concerns in Geriatric Nursing

• Multiple disease• Multiple medications• Adverse Drug Reaction Rate

Meeting the Needs…

Physical Needs

• Keep client ambulatory as long as possible and maintain exercise regimen• Maintain optimal nutritional status• Maintain bowel and bladder

elimination through routine consistent toileting

Physical Needs

• Provide adequate time for rest and sleep• Institute safety measure

Psychosocial Needs

• Provide cognitive stimuli to enhance memory and orientation• Use reality orientation and testing

skills• Provide regular social interaction• Maintain self-esteem through

involvement in ADL skills

Psychosocial Needs

• Maintain structural milieu or social environment• Pay particular attention to the use of

non-verbal communication techniques as well as verbal cues to maintain effective communication patterns• Use behavior modification techniques

to modify negative behavior

General…

•K.S.A.•T.L.C.

THANK YOU!!! ^^,