7 Questions
What type of services are provided by General Practitioners (GPs) in emergency situations?
Urgent domiciliary visits
Which service is specifically meant for diagnosis and management plan of conditions like cardiac failure?
Rapid Access services
What type of care involves active, elective management of slowly progressive conditions?
Domiciliary visits
In what setting would you find services like respite care?
Home care and care agencies
Which service is not typically associated with emergency situations?
Day hospital
What type of care is provided by informal carers?
Home care and care agencies
Where would you find services for chronic problems like slowly progressive conditions?
Domiciliary visits
Study Notes
Prevention and Management of Health Problems in Older Adults
- The elderly population requires special care and attention to maintain their health and well-being.
- Assessment of the elderly is crucial and includes:
- Physical assessment
- Functional assessment
- Psychological assessment (cognitive, affective)
- Socio-economical assessment
- Environmental assessment
Aims of Elderly Assessment
- Cost-effective use of services
- Maintaining the elderly active
- Providing quality care to the maximum satisfaction of the user
Evaluation of Newly Discovered Risk Factors
- Severe functional disability: Hospitalization and detailed assessment
- Mild to moderate dysfunction:
- Cause found: drugs, caregiver support, rehabilitation
- Cause not found: caregiver support, rehabilitation
Multi-disciplinary Geriatric Assessment (Geriatric Clinic)
- Concept of geriatric clinic suits best for assessment and management of diseases and disabilities in the elderly
- Components:
- Gerontologist/Physician
- Physiotherapist
- Occupational therapist
- Ophthalmologist
- Audiologist
- Psychiatrist
- Dietitian
- Geriatric nurse
- Social worker
Scope of Geriatric Clinic
- Facility available only at tertiary and few secondary health care centers
- Covers:
- Hyper/hypotension
- Diabetes mellitus
- Dental problems
- Drug adverse effects
- Cancers
- Infections
- Nutritional deficiency states
- Eyes/ears assessment
Tertiary Prevention
- Deals with rehabilitation and caregiver support
- Rehabilitation:
- Problem-solving process focused on the patient's functional abilities
- Rehabilitation team includes:
- Physician
- Physiotherapist
- Occupational therapist
- Speech and language therapist
- Psychiatrist
- Dietitian
- Nurse
- Social worker
- Interventions in rehabilitation:
- Hard interventions:
- Drugs and medical treatment
- Physiotherapy
- Occupational therapy
- Aids and adaptation
- Speech and language therapist
- Soft interventions:
- Advice on lifestyle change
- Health education
- Counseling
- Encouragement
- Listening
- Hard interventions:
Supporting the Caregiver
- Social attitude modified
- Physician's support
- Organization of "day care centers"
- Hospitalization in chronic illness
- Counseling the caregiver
Prevention and Management of Elder Abuse
- Assessment of physical and mental capacity of the elderly
- Assessment of general quality of care
- Assessment of relation with the abuser
- Assessment of abusers for their problems
- Counseling the abusers
- Institutionalization in old age homes
Responsibilities of the Nurse Working with Older Adults in the Community
- Functions as:
- Case manager
- Advocate
- Teacher
- Facilitator
- Collaborator
- Responsibilities:
- Assesses the client, family, and community to determine actual or potential health care needs and resources
- Develops nursing diagnoses that are individual, family-, and community-focused
- Case management:
- Collaborates with the client and family for setting mutually acceptable goals
- Develops and implements a nursing care plan
- Refers the client and family to appropriate resources and monitors
- Coordinates the extent and adequacy of services to meet family health care needs
- Advocacy:
- Sensitivity to the needs of the client and family
- Knowledge of available community resources and supports
- Communicates a professional assessment of client and family needs to the appropriate service providers
- Teaching and counseling:
- Teaches clients and families about disease processes, management of symptoms, mobility, medications, diet, bowel and bladder function, and normal health promotion activities
- Counsels clients and families on health promotion activities
Explore the importance of treating elderly individuals with care, prevention, and management strategies to promote their well-being. Learn about the components and aims of assessing the elderly, including physical, functional, psychological, cognitive, affective, socio-economic, and environmental aspects.
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