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Gerontological Nursing: Principles of Geriatrics

tabolski

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Myrrha Velarde Filomeno Taganas
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505 views

Gerontological Nursing: Principles of Geriatrics

tabolski

Uploaded by

Myrrha Velarde Filomeno Taganas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Gerontological Nursing

THIRD EDITION

CHAPTER 3
Principles of
Geriatrics

Copyright 2014, 2010, 2006 by Pearson Education, Inc.


All Rights Reserved
Learning Objectives

1. Define interdisciplinary geriatric


assessment and terminology.
2. Apply appropriate guidelines for health
promotion and disease prevention.
3. Identify the nurses role in the
geriatric assessment process.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Learning Objectives

4. Recognize the importance of and need


to specify advance directives when
caring for the older adult.
5. Identify ethical, legal, and public policy
issues affecting care of the older
patient.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Introduction

A key part of the geriatric evaluation is


the systematic evaluation of the older
persons level of function and self-care.
The gerontological nurses primary
challenge is to identify and use the
strengths of older adults and help them
maximize their independence.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Box 3-1 Reasons for Interdisciplinary
Collaboration to Improve Care
Source: Hartford Institute for Geriatric Nursing, 2011b.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Components of Comprehensive
Geriatric Assessment
Physical, psychological, and
socioeconomic factors interact to
influence the health and functioning of
the older person.
Comprehensive evaluation of an older
persons health requires an assessment
in each domain.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Components of Comprehensive
Geriatric Assessment
Functional abilities should be a central
focus of the evaluation to determine
overall health, well-being, and the need
for social services.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Variables Affecting Holistic
Geriatric Assessment
Evaluation of the Environment
Accuracy of the Health History
Social History
Psychological History
Home Environment
Culture and Education

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Minimum Data Set

Assessment of an older person for


appropriate placement is done using
the Minimum Data Set (MDS).

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Figure 3-1 The MDS process.
Source: Centers for Medicare and Medicaid Services.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Health Promotion and Disease
Screening
Health for older adults is a complex
interaction of physical, functional, and
psychosocial factors.
The older persons health beliefs will
indicate the motivational support and
perceived benefits of action.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Health Status

The health status of the United States


is a description of the health of the
total population, using information
representative of most people living in
this country.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Legal Issues

Legal issues affecting older adults are


increasingly common.
The gerontological nurse should be
aware of all the rules, regulations, and
standards that govern professional
practice.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Legal Issues

Older patients have many rights.


The healthcare facility is required to
post the bill of rights in a conspicuous
place.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Legal Issues

All nurses are urged to purchase


individual professional liability
insurance to pay financial damages
should they be the target of a lawsuit.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Patient Confidentiality

Each healthcare facility is required to


develop policies and procedures to
maintain the medical record and ensure
confidentiality.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Health Insurance Portability and
Accountability Act (HIPAA)
It is the first national legislation that
protects every patients health
information through the establishment
of standards and requirements for the
electronic transmission of health
information.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Informed Consent and
Competence
The Patient Self-Determination Act
requires providers to seek informed
consent from all patients before they
receive health care or engage in a
research protocol.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
End-of-Life Issues

When the end of life is approaching, a


variety of legal as well as ethical issues
may emerge.

Gerontological Nursing, Third Edition


Patricia A. Tabloski
Patient and Family Teaching

Gerontological nurses require skills and


knowledge related to teaching patients
and families about the key concepts of
gerontology and gerontological nursing.

Gerontological Nursing, Third Edition


Patricia A. Tabloski

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