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Lesson 3 Nursing Care Implementation of The Older Adult

This document provides information on caring for the physical needs of elderly patients, including changes to their skin, elimination, exercise needs, rest and sleep. It discusses age-related changes that can occur in these areas and recommends best practices for maintaining health and wellness. These include keeping skin moisturized, maintaining regular exercise and eating habits, and establishing consistent sleep schedules to promote quality rest. It also summarizes common sleep issues like insomnia that older adults may experience and non-pharmacological and pharmacological treatment options.

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Sam Garcia
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40 views

Lesson 3 Nursing Care Implementation of The Older Adult

This document provides information on caring for the physical needs of elderly patients, including changes to their skin, elimination, exercise needs, rest and sleep. It discusses age-related changes that can occur in these areas and recommends best practices for maintaining health and wellness. These include keeping skin moisturized, maintaining regular exercise and eating habits, and establishing consistent sleep schedules to promote quality rest. It also summarizes common sleep issues like insomnia that older adults may experience and non-pharmacological and pharmacological treatment options.

Uploaded by

Sam Garcia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Disclaimer

This video content is exclusively intended for


informational and educational purposes only.
Contents, opinions and points of view expressed
in this material represent the view of the author
and those of the participants individually.
Adhering to the principles of fair use, this video
is non-commercial and is regulated to protect
privacy and secure confidentialities.

Alternative Hybrid Education and Asynchronous Distance Learning


NCM 106

Lesson 3: Nursing Care Plan,


Implementation of the older
adult

Prof. Dodie A. Dichoso


implementation in nursing care plan
Implementation is the step which involves action
or doing and the actual carrying out of nursing
interventions outlined in the plan of care.

Implementation:
Implementing nursing care according to the care
plan, based on the patient's health conditions and
the nursing diagnosis. Documenting care the nurse
performs. Evaluation: Monitoring (and documenting)
the patient's status and progress towards goals, and
modifying the care plan as needed.

Alternative Hybrid Education and Asynchronous Distance Learning


Aging Skin and Mucous membrane

Mucous membranes Become drier in Older Adults


Age-related changes occur in the function and basic
structure of the skin and mucosa. With aging, the skin
becomes drier, with more tendency to crack.

Alternative Hybrid Education and Asynchronous Distance Learning


Physical needs of an elderly person.
Hygiene. For comfort and dignity. Pain relief. This
can be given in a variety of ways even if the person
is unable to take tablets.
Good Skin Health for Seniors
1. Avoid hot baths and frequent showers.
2. Use only mild soaps, and gently apply
moisturizers to the skin after every shower or
bath.
3. Turn bed-ridden seniors frequently to avoid
bed sores and pressure-sensitive ulcers.
4. Change absorbent products and catheters
frequently.
Alternative Hybrid Education and Asynchronous Distance Learning
It is important to observe for any changes occurring on
the skin of an older person
Older people are at risk of skin damage, as changes that
can occur to skin as it ages can affect its integrity, making
it more vulnerable to damage, and to the development of
a pressure injury or skin tears.
Elimination
Changes in elimination expected as the person
ages:
Bladder atrophy- inability to hold
bladder for long periods.
Constipation can become a concern
because of slower metabolism.
Men can develop prostate
problems causing frequent need to
urinate.
Incontinence may occur because of
lack of sphincter control .
Alternative Hybrid Education and Asynchronous Distance Learning
Various conditions may contribute to dysfunction
of the bowel in the elderly person. Of great
importance in maintaining satisfactory
elimination is adherence to proper diet and a
regular schedule of meals and intake of fluids.
When constipation is prolonged or intractable,
certain products may help to re-establish regular
habits of elimination. Laxatives rarely, if ever,
should be required to improve the health of a
healthy person.
Exercise recommendations for older adults
• Older adults should aim for at least 150 minutes (2 hours
and 30 minutes) of moderate-intensity aerobic activity
each week, 75 minutes (1 hour and 15 minutes) of
vigorous-intensity aerobic physical activity each week, or
an equivalent combination of moderate- and vigorous-
intensity aerobic activity.

Alternative Hybrid Education and Asynchronous Distance Learning


Most Common Physical Activity for Older Adult
Among adults aged 65 years and older, walking and gardening or
yard work are, by far, the most popular physical activities.

Physical Activity is Important for Older Adults


Studies have shown that maintaining regular
physical activity can help prevent many
common diseases, such as heart disease and
diabetes. Exercise improves overall immune
function, which is important for seniors as their
immune systems are often compromised.
There are many benefits of exercising when you're a
senior, including:
1. It improves your strength. ...
2. It improves your balance. ...
3.It gives you more energy.
4. It prevents or delays diseases, such as heart disease,
diabetes, or osteoporosis.
5. It can improve your mood and fight off depression.
Adults should aim to:
Do strengthening activities that work all the major
muscle groups (legs, hips, back, abdomen, chest,
shoulders and arms) on at least 2 days a week. do at
least 150 minutes of moderate intensity activity a week
or 75 minutes of vigorous intensity activity a week.
Rest and sleep for elderly
1. Sticking to a regular sleep schedule, waking and going to bed at
the same times each day.
2. Limiting use of stimulants (caffeine, sugar or alcohol)
3. Trying a soothing pre-bedtime routine, such as bathing or
reading.

Alternative Hybrid Education and Asynchronous Distance Learning


Sleep and aging
A good night's sleep helps improve concentration and memory
formation, allows your body to repair any cell damage that occurred
during the day, and refreshes your immune system, which in turn
helps to prevent disease.
Related changes affect rest sleep and activity in older
adults

Older adults spend more time in the earlier, lighter


stages of sleep and less time in the later, deeper stages.
These shifts may contribute to older people waking up
more often during the night and having more
fragmented, less restful sleep.
Alternative Hybrid Education and Asynchronous Distance Learning
The elderly does not sleep at night
Causes of insomnia in elderly adults
Other sleep disorders, such as sleep apnea or restless legs
syndrome. Other health conditions, like dementia, Alzheimer's,
chronic pain, diabetes, or respiratory diseases. Mental illness,
including depression and anxiety. Lifestyle habits, such as napping
or lack of physical ...

Alternative Hybrid Education and Asynchronous Distance Learning


3 types of insomnia

1.Acute Insomnia
2.Transient Insomnia
3.Chronic insomnia.
Insomnia is defined as repeated difficulty with
sleep initiation, maintenance, consolidation, or
quality that occurs despite adequate time and
opportunity for sleep and results in some form of
daytime impairment.
Best treatment for insomnia in older adults
In the elderly, non benzodiazepines such as zolpidem,
eszopiclone, zaleplon, and ramelteon are safer and better
tolerated than tricyclic antidepressants, antihistamines, and
benzodiazepines. Pharmacotherapy should be recommended only
after sleep hygiene is addressed.

Daytime sleepiness is very common among elderly


people. Sometimes it's just a sign of interrupted
nighttime sleeping due to poor sleep habits, an
uncomfortable environment, the aches and pains of
aging or a side effect of medications
Treat of insomnia in the elderly?

Non Pharmacological
1. Sleep Hygiene Education. ...
2. Cognitive Behavioral Therapy for Insomnia.
3. Sleep Restriction Therapy. ...
4. Stimulus Control Therapy. ...
5. Relaxation Techniques. ...
6. Brief Behavioral Therapy for Insomnia.

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