nursing management of older person geropharmacology -the study of pharmacology as it

relates to older adults.

geriatric - comes from greek word "geras" meaning old
age and "iatro" meaning relating to medical treatment. cgp-certified geriatric pharmacist

- is a medical specialty that deals with the physiology of

aging and with diagnosis and treatment of disease
financial gerontology- another emerging subfield that
affecting older adults.
combines knowledge of financial planning and services
with a special expertise in the needs of older adults.

gerontology- comes from greek word "gero" meaning

related to old age and "ology" meaning the study of
gerontological rehabilitation nursing- combine expertise
-it is the study of all aspects of the aging process, in gerontological nursing with rehabilitation concepts
including the clinical, psychologic, economic and and practice.
sociologic problems of older adults and society.
-care for older adults with chronic illness and long-term-
functional limitations such as

gerontologic nursing- the specialty of nursing involves: - stroke

- head injury
-assessing the health and functional status of older
- -spinal cord injury
adults
- arthritis
-planning and implementing health care and services to - multiple sclerosis
meet the identified needs and - -joint replacement
- parkinson's disease
-evaluating the effectiveness of such care. - amputation

-to assist older adults to regain and maintain the highest

gerontic nursing- connotes the nursing of older persons level of function and independence possible while
-- the art and practice of nurturing, caring and preventing complications and enhancing quality
comforting.

-it encompasses a holistic view of aging with the goal of old- having lived or existed for a long time.
increasing health, providing comfort and caring for
older adult needs.

social gerontology - concerned mainly with the social

aspects of aging versus the biological or psychological.

social gerontologist - person who seek to understand

how the biological processes of aging influence the
social aspects of aging.

ex. kinakausap ung matatanda kase bumababa na den chronologic age -the number of years a person has
ung pagiging social nila leading to depression or anxiety. lived.

geropsychology - branch of psychology concerned with - is most often used when we speak of aging because it
helping older persons and their families maintain well- is the easiest to identify and measure.
being, overcome problems, and achieve maximum
- it is not the most meaningful measurement of aging
potential during later life.
-chronologically young but physically or functionally old - may experience some decline in intellectual
- individuals remain physically fit, stay mentally active abilities but is usually not severe enough to
and are productive members of society cause problems in daily living
- generally have lower rates of diagnosable
aging - is a complex process that can be described
depression when they live in community
chronologically, physiologically and functionally.
settings, when compared with younger adults
- tend to maintain a consistent personality
throughout the life span
- typically adjust wall to the challenges of aging

ageism- disliking of aging and older adults based on the

belief that aging makes people unattractive,
unintelligent and unproductive

-it is an emotional prejudice or discrimination against

people hand solely on age

-is a negative belief pattern that can result in irrational

thoughts and destructive behaviors
gerontophobia - fear of aging and the refusal to accept
older adults into the mainstream of society. -have a negative effect on the way health care providers
relate to older patients, which in turn, can result in poor
- results in very odd behavior. health care outcomes in these individuals.

two ways to fight ageism

myth: older adults... - increased positive interactions with older adults
- are pretty much all alike. -improved professional training designed to address
- generally are alone and lonely misconceptions regarding aging
- tend to be sick, frail, and
- dependent on others
- are often cognitively impaired age discrimination reaches beyond emotions and leads
- suffer from depression to actions; older adults are treated differently simply
- become more difficult and rigid with advancing because of their age.
years
- -can barely cope with the inevitable declines - it is illegal
associated with aging
-some older adult respond to age discrimination with a
passive acceptance, whereas others are banding
together to speak up for their rights

epidemiology -study of health among populations

facts: older adults....

- are very diverse age group

- typically maintain close contact with family seventy percent of physical decline related to
usually live independently modifiable risk factors

- smoking
 - poor nutrition - must be skilled in leadership, communications,
- physical inactivity and managing change
- failure to use preventative and screening
advocate- acts on behalf of older adults to promote
services
their best interests and strengthen their autonomy and
nurses can intervene using the three levels of decision making
prevention

primary - health promotion

research consumer- remain abreast of current research
secondary - early diagnosis and prompt treatment literature, heading and putting into practice.

tertiary- restoration and rehabilitation - head professional journals

- attend seminars, workshop

expanded roles
opportunities to improve older adults' health and
quality of life - counselor
- case manager
- -healthy lifestyles
- coordinator of services
- -early disease detection
- collaborator
- -immunization.
- geriatric care manager
- -injury prevention
-
- -self-management techniques
rights of the elderly

- right to reside their home as long as possible

roles of gerontologic nurse
- right for their need and limitations
provider of care (caregiver) - gives direct, hands-on care
to older adults in a variety of settings. - right to have access to free health/medical care

-care provider should be educated about disease - right to special and appropriate care
processes and syndromes commonly seen in the older
- right to immediate aid in the event of disaster and
populations.
emergencies
- knowledge of risk factors
- right to live in an environment which is safe and
- signs and symptoms
adaptable to personal preferences and changing
- usual treatment (medical)
capacities
- rehabilitation
- end-of-life care -right to opportunities for work or access to other
income generating opportunities
teacher -focuses their teaching on modifiable risk
factors and health promotion. -right to remain integrated in the society
- healthy diet -right to pursue opportunities for the full development
- healthy lifestyle of their potentials
- smoking cessation
- appropriate weight maintenance -freedom from exploitation and physical or mental
- increased physical activity abuse
- stress management

manager -acts as manager during everyday practice as existing measures protecting and promoting human
they balance the concerns of the patient, family, rights of the elderly
nursing and the rest of the interdisciplinary team.
- establishment of national federation of senior citizens 3. the grant of a minimum of five percent (59%)
of the philippines (nfscap) -devolution of total family discount relative to the monthly utilization of water and
approach program electricity supplied by the public utilities: provided, that
the individual meters for the foregoing utilities are
-community service to the elderly through some ngo
registered in the name of the senior citizen residing
organizations
therein: provided, further, that the monthly
ra 7432 which provides for the establishment of the consumption does not exceed one hundred kilowatt
senior citizens affairs in the cities and municipalities hours (100 kwh) of electricity and thirty cubic meters
(30 m3) of water: provided, furthermore, that the
ra 7876 /senior citizens acts establishing day care privilege is granted per household regardless of the
centers for the senior citizens in every municipalities...... number of senior citizens residing therein;

4. exemption from training fees for socioeconomic

ra 9994 "expanded senior citizens act of 2010."- an act programs;
granting additional benefits and privileges to senior 5. free medical and dental services, diagnostic and
citizens, laboratory fees such as, but not limited to, x-rays,
further amending republic act no. 7432, as amended, computerized tomography scans and blood tests, in all
otherwise known as "an act to maximize the government facilities, subject to the guidelines to be
contribution of senior citizens to nation building, grant issued by the doh in coordination with the philhealth;
benefits and special privileges and for other purposes" 6. the doh shall administer free vaccination against the
influenza virus and pneumococcal disease for indigent
senior citizen patients;
sec. 4. privileges for the senior citizens.
7. educational assistance to senior citizens to pursue
1. the grant of twenty percent (20%) discount and pot secondary, tertiary, post tertiary. vocational and
exemption from the value-added tax (vat), if applicable, technical education, as well as short-term courses for
on the sale of the following goods and services from all retooling in both public and private schools through
establishments, for the exclusive use and enjoyment or provision of scholarships, grants, financial aids, subsides
availment of the senior citizen on the purchase of and other incentives to qualified senior citizens,
medicines on the professional fees of attending including support for books, learning materials, and
physician/s in all private hospitals, medical facilities, uniform allowances, to the extent feasible: provided,
outpatient clinics and home health care services; on the that senior citizens shall meet minimum admission
professional fees of licensed professional health requirements;
providing home health care services as endorsed by
private hospitals or employed through home health 8. to the extent practicable and feasible, the
care employment agencies; on the utilization of services continuance of the same benefits and privileges given
in hotels and similar lodging establishments, restaurants by the government service insurance system (gsis), the
and recreation centers; - on admission fees charged by social security system (sss) and the pag-ibig, as the case
theaters, cinema houses and concert halls, circuses, may be, as are enjoyed by those in actual service;
leisure and amusement, and on funeral and burial
services for the death of senior citizens;

9. retirement benefits of retirees from both the

2. exemption from the payment of individual income government and the private sector shall be regularly
taxes of senior citizens who are considered to be reviewed to ensure their continuing responsiveness and
minimum wage earners in accordance with republic act sustainability, and to the extent practicable and
no. 9504;
feasible, shall be upgraded to be at par with the current ex. pag hina ng pandinig e hindi diseae pero pag may
scale enjoyed by those in actual service; hearing problems na tulad ng otitis media, may disease
na.
10. to the extent possible, the government may grant
special discounts in special programs for senior citizens 2. medical conditions in geriatric patients are commonly
on purchase of basic commodities, subject to the chronic, multiple, and multifactorial
guidelines to be issued for the purpose by the
3. reversible and treatable conditions are often under-
department of trade and industry
diagnosed and under-treated in geriatric patients
11. provision of express lanes for senior citizens in all
4. functional ability and quality of life are critical
commercial and government establishments; in the
outcomes in the geriatric population
absence thereof, priority shall be given to them; and
5. social history, social support, and patient preferences
12. death benefit assistance of a minimum of two
are essential aspects of managing geriatric patients
thousand pesos (php2, 000.00) shall be given to the
nearest surviving relative of a deceased senior citizen 6. geriatric care is multidisciplinary
which amount shall be subject to adjustments due to
inflation in accordance with the guidelines to be issued 7. cognitive and affective disorders are prevalent and
by the dswd commonly undiagnosed at early stages

"in the availment of the privileges mentioned above, 8. latrogenic illnesses are common and many are
the senior citizen, or his/her duly authorized preventable ex. drugs taken by the patient
representative, may submit as proof of his/her entitled 9. geriatric care is provided in a variety of settings
thereto any of the following: ranging from the home to long- term care institutions
1. an identification card issued by the office of the 10. ethical issues (ex. euthanasia) and end-of-life care
senior citizen affairs (osca) of the place where the are critical aspects of the practice of geriatrics
senior citizen resides: provided, that the identification
card issued by the particular osca shall be honored
nationwide;

2. the passport of the senior citizen concerned; and

3. other documents that establish that the senior citizen

is a citizen of the republic and is at least sixty (60) years
of age as further provided in the implementing rules
and regulations.

big 10 basic principles of geriatrics

1. aging is not a disease