Ch02 Gerontological Nursing Issues(3)

5/18/2018 Ch02 Gerontological Nursing Issues(3)

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Copyright 2010 by Pearson Education, Inc.Upper Saddle Rier, !e" #ersey 0$%&'

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CHAPTER

Gerontological Nursing,Second EditionPatricia (. )ablos*i

Gerontological Nursing

Issues

2Lecture Note PowerPoint Presentation


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+E(R!I! -U)C-E 1

/iscuss the nurses role in caring or olderadults.


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eriatrics

-riginated in 12&

edical specialty ocusing on the

diagnosis and treat3ent o diseases inolder adults


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(3erican !urses (ssociation

Responsible or deining scope andstandards o nursing practice

Established the /iision o eriatric!ursing Practice in 144

5 oal to create standards or 6uality nursingcare or the aged

Changed na3e to /iision oerontological !ursing Practice in 1$4


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Standards o erontological!ursing

Set by the (!(

Establish standards and criteria or

gerontological nursing


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Responsibilities o theerontological !urse

/irect care

anage3ent and deelop3ent o nursing

personnel Ealuation o care and serices or the

older adult


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)he !urses Role in Caring or-lder (dults

eneralists

5 /irect care proiders

5 Case 3anagers

5 !urse leaders

5 Educators

5 Patient adocates

5(d3inistrators


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)he !urses Role in Caring or-lder (dults

(danced practice gerontological nurses

5 Pri3ary care proiders ocus on 7ealth pro3otion

/isease preention

+ong8ter3 3anage3ent o chronic conditions


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+E(R!I! -U)C-E 2

Identiy appropriate educational preparationand certiication re6uire3ents o thegerontological nurse generalist and

specialist.


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erontological Certiication

(ailable ro3 the (!( in 1$9

Establishes co3petency in the area opractice

Consists o a "ritten e:a3ination

Criteria

5 Registered !urse in the United States or one o

its territories5 Practiced a 3ini3u3 o 2,000 hours "ithin the

last 9 years


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;asic +eel Certiication

(ssociate, /iplo3a, or ;accalaureatedegree in nursing

Credentials appear as R!C


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(danced +eel Certiication

Clinical nurse specialist and nursepractitioners "ith asters degree

Certiied as gerontological specialists

Credentials appear as R! or ;C


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+E(R!I! -U)C-E 9

Identiy co3ponents o the long8ter38caresyste3.


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E3ploy3ent Settings orerontological !urses

S*illed nursing acilities

5 S*illed care proided by nurses

5 ay include both subacute and chronic

5 7elpul or the rail, older adult needing help"ith actiities o daily liing


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Retire3ent co33unities

5 >ary in si?e and scope

5 -erings range ro3 independent liing tonursing ho3e care ay allo" residents to 3oe bet"een leels o

care as condition changes 3andate

(3enities ary


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(dult day care

5 Proides dayti3e superision and actiities

5 ay oer transportation

5 )ypically ees are paid priately

5 eal serices nor3ally included

5 Planned actiities are included

5(dditional health serice aailability aries


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Residential care acilities

5 Preiously called rest ho3es

5 -er superision and health 3onitoring


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)ransitional care units

5 Established by acute care hospitals

5 Proide subacute care, rehabilitation, andpalliatie healthcare serices

5 ost patients are recuperating ro3 surgery,3a@or illness, or in@uries

5 Support serices o the acute care acility areproided


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Rehabilitation hospitals or acilities

5 Speciali?ed acilities proide subacute care topatients "ith co3ple: healthcare needs

5 Patients 3ay hae head in@uries, be entilatordependent, or re6uire rehabilitation ater anin@ury or surgery


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Co33unity nursing care

5 >isiting nurse serice

5 Proides s*illed care in the ho3e

5 Serices 3ay include ital signs, education,"ound care, and 3edication ad3inistration

A


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(ppro:i3ately A20$ billion spent onlong8ter3 health care in 200&

(ccounts or 12B o all healthcaree:penditures

$0B o this igure coered by healthinsurance

1'B paid by patients and a3ilies


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Figure 2-1

!ational spending or long8ter3 care, by payer


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+E(R!I! -U)C-E %

/iscuss the (!( standards and scope opractice or gerontological nursing.

( i ! ( i i


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(3erican !urses (ssociation. Planning

5 >. I3ple3entation

5 >I. Ealuation


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+E(R!I! -U)C-E &

Identiy the use o unctional health patternsin the or3ulation o a nursing diagnosis.


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unctional 7ealth Patterns

/eeloped by ordon

Interact and or3 the basis or the olderpersons liestyle

Used to guide the nurse in obtaininginor3ation


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Patterns include

5 7ealth perception5health 3anage3ent

5 !utritional53etabolic

5 Eli3ination

5(ctiity5e:ercise

5 Sleep5rest

5 Cognitie5perceptual

5 Sel8perception5sel8concept


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Patterns include

5 Roles5relationships

5 Se:uality5reproductie

5 Coping5stress tolerance

5 >alues5belies


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Copyright 2010 by Pearson Education, Inc.Upper Saddle Rier, !e" #ersey 0$%&'(ll rights resered.


+E(R!I! -U)C-E 4

/escribe the uses and need orgerontological nursing research as support

or eidence8based practice.

t l i l ! i R l i


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erontological !ursing Roles inResearch

Interpret, apply, and ealuate researchindings

Identiy clinical proble3s appropriate orstudy

ather data

Interpret indings to i3proe care Research indings to proide eidence8

based nursing interentions

t l i l ! i R l i


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erontological !ursing Roles inResearch

Participate in research tea3s

Collaborate "ith nursing colleagues "ithadanced education and research training

Sere on an institutional reie" board


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1'4 !I!R Established Dithin !I7

ission to support science that adancesnurses *no"ledge

5 I3proe health o indiiduals, a3ilies,

co33unities, and populations5 Support and conduct clinical and basic

research training on health and illness across

the lie span


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1'4 !I!R Established Dithin !I7

ission to support science that adancesnurses *no"ledge

5 E:tend nursing science by integrating the

biological and behaioral sciences5 E3ploy ne" technologies to research

6uestions, i3proe 3ethods, and deelop

scientists o the uture


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ocus o !ursing Research

!oninasie, cost8eectie behaioraltechni6ues

(lternaties or supple3ents to the usualcare


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Eidence8;ased Practice

;est 3ethod or deliery o care

;ased on clinical guidelines deried ro3research

5 Coding syste3 indicates the strength o theresearch

(gency or 7ealthcare Research


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(gency or 7ealthcare Researchand uality


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Rando3i?ed, Controlled Clinical)rials

;est or establishing causes and eects


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+E(R!I! -U)C-E $

/escribe eectie co33unicationtechni6ues appropriate or use "ith the older

adult.


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)herapeutic Co33unication

-ngoing, continuous, dyna3ic process

Includes erbal and nonerbal signals


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!onerbal Co33unication

'0B o co33unication process

;ody language

Positioning Eye contact

)ouch

)one o oice acial e:pressions


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>erbal Co33unication uidelines

/o not yell or spea* too loudly

Co33unicate at eye leel

ini3i?e bac*ground noise onitor patients reaction

Use touch as appropriate

Supple3ent erbal instruction "ith "ritteninstructions


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>erbal Co33unication uidelines

(oid long, co3plicated instructions

/eter3ine ho" patient "ould li*e to beaddressed

Use caring responses and caring listening

Encourage re3iniscing


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;arriers to Co33unication

ear o ones o"n aging

ear o sho"ing e3otion

ear o 3issing so3ething ear o being called on to rectiy eery

proble3

+ac* o *no"ledge o patients culture,goals, and alues


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;arriers to Co33unication

Unresoled issues "ith aging relaties ino"n a3ily

eelings that proessional distance 3ustbe 3aintained

;eing oer"or*ed, or oerscheduled

Documents

Ch02 Gerontological Nursing Issues(3)