Podcast
Questions and Answers
What is the primary goal of healthcare transitions for older persons?
What is the primary goal of healthcare transitions for older persons?
Why are transitions in care often challenging for patients and families?
Why are transitions in care often challenging for patients and families?
What does an emancipatory approach in healthcare transitions prioritize?
What does an emancipatory approach in healthcare transitions prioritize?
What is a key initial step in the transition conversation for healthcare?
What is a key initial step in the transition conversation for healthcare?
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Why is early planning regarded as critical for transitions in care?
Why is early planning regarded as critical for transitions in care?
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What role do nurses play in facilitating transitions of care?
What role do nurses play in facilitating transitions of care?
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What should be included in discharge plans for older persons?
What should be included in discharge plans for older persons?
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Which of the following models or frameworks guides transitions in care?
Which of the following models or frameworks guides transitions in care?
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What is one of the six standards included in the Gerontological Nursing Standards of Practice and Competencies (GNSPC)?
What is one of the six standards included in the Gerontological Nursing Standards of Practice and Competencies (GNSPC)?
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What approach does the summary of the chapter emphasize in relation to gerontological nursing?
What approach does the summary of the chapter emphasize in relation to gerontological nursing?
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What commitment is promoted by the emancipatory lens for healthcare providers?
What commitment is promoted by the emancipatory lens for healthcare providers?
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What is anticipated to happen to the centenarian population in Canada between 2046 and 2065?
What is anticipated to happen to the centenarian population in Canada between 2046 and 2065?
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Why is it important to understand contextual factors for older adults?
Why is it important to understand contextual factors for older adults?
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What elements are included in the definition of contextual factors relating to older persons' health?
What elements are included in the definition of contextual factors relating to older persons' health?
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Which theoretical perspective relates to individual agency as discussed in the chapter?
Which theoretical perspective relates to individual agency as discussed in the chapter?
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What role do social structures and physical environments play in the lives of older adults?
What role do social structures and physical environments play in the lives of older adults?
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What is the primary focus of the micro level of the Social Ecological Model?
What is the primary focus of the micro level of the Social Ecological Model?
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What negative consequences can result from loneliness in older adults?
What negative consequences can result from loneliness in older adults?
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Which factors are addressed at the meso level of the Social Ecological Model?
Which factors are addressed at the meso level of the Social Ecological Model?
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How do cultural values impact older adults’ decisions regarding health?
How do cultural values impact older adults’ decisions regarding health?
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What is the role of government policies in relation to older adults' health?
What is the role of government policies in relation to older adults' health?
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What is a recommended approach for improving nursing care for older adults?
What is a recommended approach for improving nursing care for older adults?
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What is crucial for effective nursing practice with older adults?
What is crucial for effective nursing practice with older adults?
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What should nursing educators and leaders prioritize concerning the care of older adults?
What should nursing educators and leaders prioritize concerning the care of older adults?
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What is the main goal of fostering healthy lifestyle changes in older persons?
What is the main goal of fostering healthy lifestyle changes in older persons?
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What is one of the key benefits of an emancipatory approach for older individuals?
What is one of the key benefits of an emancipatory approach for older individuals?
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Which of the following factors does NOT impact circulation health in older adults?
Which of the following factors does NOT impact circulation health in older adults?
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What holistic approach do nurses take when caring for older adults?
What holistic approach do nurses take when caring for older adults?
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What are some age-related changes observed in the skin?
What are some age-related changes observed in the skin?
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Which factors are known to influence cognitive ability as individuals age?
Which factors are known to influence cognitive ability as individuals age?
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How does aging generally affect the healing process of the skin?
How does aging generally affect the healing process of the skin?
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How does aging typically affect cognitive function?
How does aging typically affect cognitive function?
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What impact does poor circulation have on older adults’ quality of life?
What impact does poor circulation have on older adults’ quality of life?
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What are the potential consequences of social isolation in older adults?
What are the potential consequences of social isolation in older adults?
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Which of the following statements best describes respiratory changes with aging?
Which of the following statements best describes respiratory changes with aging?
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What thermoregulation issue is commonly faced by older adults?
What thermoregulation issue is commonly faced by older adults?
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Which type of hearing loss is NOT associated with aging?
Which type of hearing loss is NOT associated with aging?
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What change in vision is commonly experienced by older adults?
What change in vision is commonly experienced by older adults?
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What impact does poor sleep quality have on older adults?
What impact does poor sleep quality have on older adults?
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What is an effective strategy for nurses to support older adults with vision needs?
What is an effective strategy for nurses to support older adults with vision needs?
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Study Notes
Gerontological Nursing Standards of Practice and Competencies (GNSPC)
- The GNSPC includes six standards: Relational Care, Ethical Care, Evidence-Informed Care, Aesthetic/Artful Care, Safe Care, and Socio-politically Engaged Care.
- The GNSPC supports gerontological nurses within their regulated scope of practice.
Holistic, Emancipatory, and Collaborative Approach
- The text emphasizes a holistic, emancipatory, and collaborative approach to gerontological nursing.
- Nurses are positioned as change agents in promoting the well-being of older persons and their families.
- The emancipatory lens promotes a commitment to recognizing and addressing the diverse bio-psycho-social-emotional-spiritual needs of older persons.
- This approach fosters an environment that values cultural diversity and sensitivity.
The Aging Population
- The number of centenarians in Canada is expected to increase significantly between 2046 and 2065.
Contextual Factors
- Contextual factors are interconnected elements and conditions, including social, physical, organizational, institutional, and legislative structures, that shape an individual’s circumstances, experiences, and perspectives.
- Factors include social structures and physical environments, significantly shaping the experiences and well-being of older adults.
Theoretical Frameworks
- Three theoretical perspectives are discussed: Freire’s emancipatory education, Bourdieu’s habitus related to individual agency, and Crenshaw’s approach to context and lived experience.
The Social Ecological Model
- The Social Ecological Model helps understand how different layers of context influence individuals’ development and experiences.
Micro Level
- The micro level of the Social Ecological Model focuses on immediate personal relationships, such as family, friends, and community, and how supportive social connections empower older adults.
- Loneliness can lead to poor life satisfaction, depression, and low self-esteem, particularly for older individuals with fewer social connections.
Meso Level
- The meso level of the Social Ecological Model examines community systems and institutional factors, such as housing conditions, transportation, access to healthy food, and quality of healthcare.
Macro Level
- Cultural values and norms significantly affect older adults’ health experiences and their decisions regarding healthcare and medical interventions.
- Government policies shape socioeconomic determinants of health, impacting financial stability, healthcare access, and reducing health disparities among older adults.
Nursing Care
- Nursing care should move beyond standardized plans to recognize the unique social and historical contexts of each older person, allowing for tailored care that reflects their realities, preferences, and interests.
- Integrating individual contexts into nursing practice ensures that care strategies effectively support older adults by aligning with their complex needs and circumstances.
Holistic Care
- Nursing educators, clinicians, and leaders should foster awareness and confidence in providing care that respects the unique contexts of older people.
- They should promote holistic and client-focused care plans.
Healthcare Transitions
- The primary goal of healthcare transitions for older persons is to facilitate the transition to the best level of care that meets the specific needs of individuals and their families.
- Transitions involve ensuring transparency and collaboration throughout the process.
- Transitions in care can expose patients and families to gaps in the healthcare system, which may lead to poor or worsening health outcomes.
- Adopting an emancipatory lens in healthcare transitions involves empowering patients and their families by actively involving them in decision-making during the transition process.
- A key initial step when beginning a transition conversation is to listen attentively to the person without interrupting and to ask reflective questions.
- Early planning is crucial for optimal preparedness and effectiveness, especially for those in rural areas or facing barriers to care.
- Nurses are essential team members who begin the transition process during initial encounters, collecting information to help patients return home safely.
- Models that guide transitions include nurse case management models, discharge planning rounds, transitional discharge models, and post-discharge case management approaches.
- Discharge plans should involve input from various stakeholders, web-based supports, and consideration of the older person's readiness to transition.
Medication Safety
- Common challenges related to medication safety during transitions of care include polypharmacy, medication reconciliation, and adherence to medication regimens.
Cognitive Function
- Environmental factors, genetic predispositions, chronic diseases, lifestyle choices, and social determinants of health all influence cognitive ability.
- Aging can lead to a decrease in brain size, fluid and crystallized intelligence, and various cellular and molecular changes.
Social Isolation
- Social isolation can lead to depression, stigma, ageism, and a reduced quality of life.
Nursing Interventions for Cognitive Needs
- Nursing interventions include assessing social determinants of health, fostering community connections, promoting healthy lifestyle modifications, and addressing social isolation.
Hearing Loss
- Common types of hearing loss associated with aging include sensorineural, conductive, or mixed, affecting one or both ears.
Nursing Support for Hearing Impairments
- Nurses can conduct screenings, adapt communication methods, connect individuals with community supports, and promote lifestyle changes.
Vision Impairment
- Changes in vision as people age may include a decrease in visual acuity, reduced flexibility of the lens, and alterations in tear production.
- Vision impairment can challenge reading, mobility, daily activities, and can contribute to social isolation and depression.
Nursing Strategies for Vision Needs
- Strategies include screening for visual acuity, connecting with community resources, and promoting a culture of dignity and empowerment.
Sleep Changes
- Older adults may experience a decrease in restorative sleep, hormonal changes, and alterations in cellular and molecular processes.
Impact of Poor Sleep Quality
- Poor sleep can lead to daytime sleepiness, cognitive decline, social isolation, and increased risk of depression.
Collaborative Approaches for Sleep Needs
- Nurses should assess social determinants of health, foster healthy lifestyle changes, and connect individuals with community support systems.
Emancipatory Approach
- An emancipatory approach empowers older individuals through education, decreases stigma, and fosters autonomy in managing their health needs.
Holistic Approach to Older Persons' Care
- The goals of a holistic approach include preventing social isolation, promoting social engagement and physical activity, and supporting cognitive health and overall healthy aging.
Skin Health
- Environmental and genetic factors that influence skin health as we age include intrinsic changes (like hormonal levels) and extrinsic factors such as environmental pollutants.
Age-Related Skin Changes
- Key changes in the skin include decreased thickness of the epidermis, reduced collagen and elastin production, decreased hydration, and loss of subcutaneous adipose tissue.
Impact of Aging on Skin Healing
- Aging can lead to extended healing times for wounds, increased risk of infection, and overall skin fragility.
Circulation Health
- Factors impacting circulation health in older adults include structural changes in blood vessels, lifestyle choices, chronic diseases, gender disparities, and social determinants of health.
Age-Related Changes in the Circulatory System
- Changes include reduced elasticity of blood vessels, increased blood pressure, decreased cardiac output, and fewer capillaries.
Impact of Poor Circulation
- Poor circulation can lead to difficulties with activities of daily living, social isolation, stigmatization, and depression.
Respiratory Changes
- Changes in the respiratory system include structural and functional alterations, weakened respiratory muscles, and diminished blood flow to the upper respiratory structures.
Thermoregulation
- Aging reduces the body’s ability to sweat, shiver, and maintain core temperature, making older adults vulnerable to hypothermia and hyperthermia.
Sexual Health
- Women may experience menopause and related pelvic floor changes, while men may face andropause and erectile dysfunction.
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Description
This quiz explores the Gerontological Nursing Standards of Practice and Competencies (GNSPC), focusing on ethical, evidence-informed, and holistic care for the aging population. It emphasizes the role of nurses as change agents in promoting well-being, addressing diverse needs, and fostering cultural sensitivity. Understand the significance of these standards in gerontological nursing.
