Roles of a Gerontological Nurse
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Questions and Answers

Gerontological nurses focus their teaching on modifiable risk factors to help older adults remain ______.

independent

An essential part of gerontological nursing involves assessing activities of daily living (ADLs) and instrumental activities of daily living (IADLs) to determine the older adult's level of ______.

functioning

The nurse, as an advocate, acts on behalf of older adults to promote their best ______ and strengthen their autonomy.

interests

In intervention strategies for rehabilitation, gerontological nurses must consider the ______ aspects of disability that can affect older adults' recovery.

<p>psychological</p> Signup and view all the answers

Evidence-based practice is fundamental to gerontological nursing, ensuring the delivery of ______ care to older adults.

<p>quality</p> Signup and view all the answers

Gerontological nursing involves understanding the psychological aspects of ______.

<p>disability</p> Signup and view all the answers

Intervention strategies in rehabilitation focus on enhancing ______ and personal autonomy.

<p>functionality</p> Signup and view all the answers

Activities of Daily Living (ADLs) are essential for maintaining ______ in elderly populations.

<p>independence</p> Signup and view all the answers

Instrumental Activities of Daily Living (IADLs) extend beyond basic tasks and involve more complex ______.

<p>skills</p> Signup and view all the answers

Functional assessments are tools used to evaluate an individual's ______ capabilities.

<p>functional</p> Signup and view all the answers

Gerontological nursing principles emphasize the importance of a ______-centered approach to care.

<p>patient</p> Signup and view all the answers

Stress management techniques are crucial for ______ in geriatric care settings.

<p>nurses</p> Signup and view all the answers

To become a geriatrician, a physician must complete a three-year ______ and achieve board certification.

<p>residency</p> Signup and view all the answers

The DSWD provides necessary technical assistance in the form of social and recreational services, health and personal care services, and ______ services.

<p>spiritual</p> Signup and view all the answers

Republic Act No. 8425 institutionalizes the social reform and ______ alleviation program.

<p>poverty</p> Signup and view all the answers

The National Anti-Poverty Commission (NAPC) provides a mechanism for older persons to participate in ______ formulation.

<p>policy</p> Signup and view all the answers

Home care services should be ______-centered, catering to the unique needs of older adults.

<p>person</p> Signup and view all the answers

Functional assessment considers the patient's ability to perform activities of daily living, or ______, which are essential for self-care.

<p>ADLs</p> Signup and view all the answers

In gerontological nursing, interventions often focus on enhancing older adults' ability to perform instrumental activities of daily living, also known as ______.

<p>IADLs</p> Signup and view all the answers

"You matter because of who you are; you matter to the last moment of your ______."

<p>life</p> Signup and view all the answers

Care for older persons includes structured activities and providing time for socialization, which is vital for their ______ health.

<p>psychological</p> Signup and view all the answers

Flashcards

Gerontological Nurse Care Provider Role

A gerontological nurse understands that older adults may have atypical symptoms, and thus, they have specific knowledge about common aging diseases' processes to properly treat them.

Gerontological Nurse as a Teacher

Gerontological nurses teach older adults about modifiable risk factors that may be contributing to their condition.

Gerontological Nurse as an Advocate

The nurse stands up to promote the wishes and autonomy of older adults to encourage their best interests. They also help them make their own decisions in medical procedures.

Atypical Symptoms in Older Adults

Older adults often display symptoms that are not typical for their diseases, which can complicate diagnosis and treatment.

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Modifiable risk factors

Risk factors that can be changed by lifestyle adjustments or medical care, unlike those inherent to age.

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Gerontology

The scientific study of aging and its impact on individuals and cultures.

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Lifestyle Modification

Changes in daily habits to prevent health issues, such as eating healthy, not smoking, managing weight, and exercising.

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Gerontological Nurses

Nurses specializing in the care of older adults, balancing patient, family, nursing, and interdisciplinary team needs.

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Nurse Manager (Gerontological)

Nurses who manage care and supervise other nursing staff (LPNs, CNAs) in geriatric settings, emphasizing staff coordination and communication.

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Geriatricians

Physicians specializing in the medical care of elderly patients, requiring a three-year residency and board certification in internal medicine or family medicine.

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Evidence-Based Practice

Using current research and valid studies to improve patient care in gerontological settings.

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Research Consumer (Nurse)

Gerontological nurses critically assessing and utilizing current, reliable, and valid research to improve quality of care.

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Interdisciplinary Team

A group of professionals (doctors, nurses, and others) working together to provide comprehensive care to a patient.

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DSWD's role for older persons

The Department of Social Welfare and Development (DSWD) works with other agencies and groups to give technical help for social, recreational, health, and personal care services. They also provide spiritual, livelihood, and volunteer support.

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Executive Order No. 105, Series of 2003

This order made a program for group and foster homes for older people needing help or care (neglected, abandoned, abused, poor etc.) and disability support homes.

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Republic Act No. 8425

This law created the National Anti-Poverty Commission (NAPC) to improve social programs and decrease poverty by coordinating action with many different groups.

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DSWD Administrative Order No. 4, Series of 2010

This order made clear how care services (home healthcare) would be given to older people in their communities.

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Home Care for the elderly

Care given in the elderly person's own home. Services should be customized to the person's individual needs.

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Structured activities for older people

Activities planned to help keep elderly people active, involved, and connected to others in a group setting.

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Person-centered care

Focuses only on the individual needs and preferences of the elderly person, tailoring care accordingly.

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Importance of care for older adults

Older adults need help, regardless of their stage of their life, and care for them is vital, and their needs must be remembered.

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Study Notes

Roles of a Gerontological Nurse

  • Older adults often present with atypical symptoms that complicate diagnosis and treatment. Nurses need knowledge of common disease processes in the elderly. This involves background statistics, risk factors, signs/symptoms, treatments, nursing care (evidence-based practice), and rehabilitation.
  • Teaching is essential for gerontological nurses. They focus on modifiable risk factors, lifestyle modifications (diet, smoking cessation, weight maintenance, physical activity, stress management) as preventative measures for age-related diseases.
  • Gerontological nurses act as managers, balancing patient, family, nursing, and interdisciplinary team concerns. Skills needed are staff coordination, time management, assertiveness, communication, and organization. They may supervise other nursing personnel (LPNs, CNAs, nurse technicians).
  • Advocacy is crucial. Nurses act on behalf of older adults to promote their best interests, strengthen autonomy, and support decision-making. This includes explaining medical/nursing procedures to family members.
  • Nurses participate in research, reading current research literature, applying valid studies, and improving patient care quality.

Geriatric Healthcare Team

  • Geriatricians: Fully trained physicians (MDs or DOs) specializing in treating elderly patients. They complete a 3-year residency and must become board certified in internal medicine or family medicine.
  • Gerontologists: Their role is supportive and educational – focusing on the application of knowledge through coursework and continuing education in gerontology.

Gerontology as a Discipline

  • Gerontology is a scientific study of aging, its effect on individuals and cultures. It's a multidisciplinary field encompassing medicine, biology, psychology, sociology, and other related fields.
  • Gerontology nurses are specialized to work directly with elderly adults, ensuring high-quality and specialized care.

Similarities between Gerontologists and Geriatricians

  • Gerontologists and geriatricians might work together in research or facilities providing elder care.
  • Both bring unique specialized knowledge and skills to the plan of care.
  • Geriatricians are trained physicians who provide direct treatment for age-related disorders

Differences between Gerontologists and Geriatricians

  • Clinicians, registered nurses, social workers, and psychologists may gain credentials in gerontology.
  • Gerontologists are focused on supportive and educational functions.
  • Gerontologists may build long-term relationships for clients' comprehensive care. These may include support with diets, exercises, and cognitive therapies.

Geriatric Occupational Therapy

  • Occupational therapy (OT) is an allied health profession utilizing everyday routines to treat physical, mental, and emotional health concerns impacting activities of daily living (ADLs).
  • OT aids in regaining independence by using valuable skills.
  • The therapist facilitates reintegration, assists in restoring physical, mental, and emotional health, addressing depression and misconceptions.
  • The importance of communication: clear expectations and recovery time frames should be established.

Types of Occupational Therapy Activities for Older Adults

  • Relaxation techniques
  • Physical exercises
  • Personal activities
  • Cognitive exercises
  • Recreational activities

Physical Therapists

  • Essential for older adults with physical disabilities.
  • Expertise in movement and exercise; training includes assessment, exercise prescription, and progression.
  • Treatment is personalized to improve function, prevent decline, and manage pain. This may include gait training.
  • Examples of conditions where Physical therapists are helpful are: Broken hip, osteoarthritis, pain, diabetes, Parkinson's, Alzheimer's, stroke, vertigo, and cerebral palsy.

Speech Therapists

  • Focusing on communication, and cognitive skills development in older adults, including safe swallowing.
  • Assisting with diet modifications, teaching conversational techniques to strengthen cognitive skills, and addressing aphasia (loss of language understanding or ability to talk).
  • Speech therapy aims to improve functional communication, cognitive skills, and safety in swallowing.
  • Examples of conditions are aphasia, stroke, Alzheimer's, Parkinson's, and brain injuries.

Nursing Interdisciplinary Care Conference Team

  • Addresses various aspects of comprehensive patient care in gerontological settings.

Communication with the Elderly

  • Communication is essential in all human cultures and strongly influences personal life.
  • Communication styles vary based on personality type and age.
  • Older adults may withdraw or disengage, but communication can improve interactions through various approaches.
  • Offering reading groups, book clubs, story circles, and one-on-one visits can support communication.

Ethical Issues in the Care of Older Adults

  • Ethics: Declarations of right and wrong.
  • Bioethics: Applying ethics to matters concerning life, death.
  • Ethical Dilemmas: Difficult problems with conflicting solutions.
  • Nursing Ethics: Applying ethical principles in nursing practice.
  • Decision-making Capacity: Implies the ability of an individual to comprehend the nature and implications of options, choosing among them.
  • Informed Consent: Understanding and agreeing to treatments.
  • Refusal of Treatment: A patient's right to decline treatment despite possible negative outcomes.
  • Advance Directive: A document explaining the individual's preferences regarding end-of-life care.

Advanced Directive (Patient Self Determination Act- (PSDA))

  • Written documents (Living Will) explaining preferences for medical care and treatment decisions.
  • Designation of a healthcare agent (Health- Care Power of Attorney) enabling someone to make decisions when the person is unable.
  • Informing patients about these options is mandated by law.

Senior Citizen Policies, Rights, and Privileges

  • Senior Citizens Act (Republic Act No. 9994): Providing benefits like discounts or free services. These benefits and rights may vary based on the type of service or product.

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Description

This quiz explores the essential roles of gerontological nurses in providing care for older adults. It covers the unique challenges they face, including atypical symptoms in patients, the importance of teaching lifestyle modifications, managing care teams, and advocating for patient autonomy. Test your knowledge on these crucial nursing practices in gerontology.

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