Gerontological Nursing Certification Guide

Nursing and Certification

• A minimum of 12 months post-master's degree practice is required for certification in nursing.
• The American Nurses Association (ANA) introduced the first generalist certification in gerontological nursing in 1973.
• Clinical specialists must demonstrate 800 hours of direct client care in gerontologic nursing within the last 24 months.
• Consultants, researchers, and educators must show a minimum of 400 hours of relevant work.

Aging Well

• 72% of seniors report good to excellent health.
• The number of seniors living in nursing homes has decreased.
• One in 5,578 individuals is 100 years old or older.
• Promoting positive health behaviors is crucial to combat chronic diseases arising from unhealthy choices.

Demographics of Aging

• Life expectancy has increased from an average of 47 years in 2004 to 77.8 years.
• By 2030, approximately 20% of the U.S. population will be aged 65 and older, with projections of 33 million individuals in this age group.
• The aging population will surpass the younger demographic for the first time by mid-21st century.
• Persons aged 65 and older constitute about 13% of the total U.S. population currently.

Historical Perspectives

• Various ancient cultures had differing attitudes toward aging, ranging from respect in Confucianism to skepticism in early Greek thought.
• Throughout history, social dynamics have often marginalized older adults, especially during the Industrial Revolution.
• Biblical teachings emphasize the well-being and respect for elder family members.

Modern Challenges

• The newer elderly population faces chronic diseases and health funding issues; the average 75-year-old may have three chronic diseases and take five medications.
• Rising expectations for health care funding challenge both clients and systems.

Community Care Services

• Various organizations in the Philippines, like Kanlungan ni Maria, provide residential care for abandoned or poor elderly individuals.
• Emmaus House offers care for the homeless elderly, illustrating the community’s role in elderly welfare.

Subacute Care

• Subacute care addresses the needs of stable patients who could be treated effectively in less costly settings, accommodating about 40% of acute care patients.
• This level of care can improve cost-efficiency and patient outcomes.

Skin and Health Assessment

• Skin assessments, including monitoring for conditions like scabies, are important for older adults, especially those with chronic illnesses or weakened immunity.
• Changes in skin pigmentation are typical during aging and require regular monitoring by nursing staff.

Implications of Aging

• Nurses are urged to promote comprehensive theories in gerontological care that accommodate aging complexities and differences among individuals.
• The holistic approach aims to enhance the functional status of older adults and helps them leverage their strengths for optimal independence.

This quiz covers the requirements and practices related to gerontological nursing certification introduced in the 1970s. It highlights the significance of the master’s degree and the necessary qualifications for generalist certification. Test your knowledge of the evolution of nursing standards and practices!