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Geriatric Care

الكلية كلية التمريض     القسم قسم التمريض العام     المرحلة 7
أستاذ المادة امين عجيل ياسر الياسري       18/10/2018 10:17:41
Geriatric Care
Geriatric refers to the study of all aspects of the aging process, including economic, social, clinical, and psychological factors, and their effects on the older adult and on society. Geriatric multidisciplinary practice, and gerontologic nursing concentrates on promoting the health and maximum functioning of older adults.
Meeting The Health Needs of Older Adults:
However, the proportion of people with health problems increases with age, and as a group, older adults are more likely than younger ones to suffer from multiple, chronic, and often disabling conditions requiring ongoing care and management.
Level Of Prevention
Older adults, like any age group, have certain basic needs: physiologic and safety needs, as well as the needs for love and belonging, self-esteem, and self-actualization. Their physical, emotional, and social needs are complex and interrelated. The following sections discuss these needs according to primary, secondary, and tertiary prevention activities.
Primary Prevention
primary prevention activities involve those actions that keep one healthy. Such primary prevention activities as health education, follow-through of sound personal health practices (e.g.,flossing, seat belt use, exercise), recommended routine screenings, and maintenance of an appropriate immunization schedule ensure that older adults are doing all that they can to maintain their health.
Nutrition and Oral Health Needs: People who have maintained sound dietary habits throughout their life have little need to change in old age. The modifications include an emphasis on drinking plenty of fluids such as water and/or fat-free milk, high fiber intake, as well as adding multivitamins to the diet. The oral health of older adults, however, is often neglected. Oral health and hygiene needs do not decrease with age.

Exercise Needs: Older adults need to exercise; in fact, they thrive when exercise is incorporated into their daily routine. Research demonstrates that exercise and increased physical activity have multiple benefits for the older adult including arthritis relief, restoration of balance and reduction of falls, strengthening of bone, proper weight maintenance, and improved glucose control. It also contributes to a healthy state of mind, improved sleep.
Sleep: Sleep is essential for health, productivity, energy, and emotional balance. In older adults, adequate sleep is necessary to fight off infection and support the metabolism of sugar to prevent diabetes or to work effectively and safely. Sleep timing and duration affect a number of endocrine, metabolic, and neurological functions that are critical to the maintenance of individual health
Economic Security Needs, Poverty: Economic security is another major need for older adults. Worrying about finances is often one of the most debilitating factors of old age.
Psychosocial Needs :All human beings have psychosocial needs that must be met for their lives to be rich and fulfilling. Without healthy relationships with other people, life can be very lonely and lacking in quality.
Spiritual Needs: Holistic nursing is a hallmark of community and public health nursing. This means a focus on body, mind, and spirit. The word spirit comes from the Latin meaning “breath” and refers to the core of an individual, the part that gives meaning to life .
Safety Needs : People of all ages have safety needs, and safety issues are a major concern for older adults and the CHNs who work with them.
-Immunizations. - Fall Prevention. - Medications.
Secondary Prevention: Secondary prevention focuses on early detection of disease and prompt intervention. Much of the CHN’s time is spent in educating the community on preventive measures and positive health behaviors. This includes encouraging individuals to obtain routine screening for diseases such as hypertension, diabetes, or cancer, which, if identified early, can be treated successfully.
Diseases Common in Old Age
-Alzheimer’s Disease. - Arthritis. - Cardiovascular Disease.
- Diabetes. - Depression. - Osteoporosis.
Tertiary Prevention
Tertiary prevention involves follow-up and rehabilitation after a disease or condition has occurred or been diagnosed and initial treatment has begun. Chronic diseases that are common among older adults, such as heart failure, stroke, diabetes, cognitive impairment, or arthritis, cannot always be prevented but can frequently be postponed into the later years of life through a lifetime of positive health behaviors. However, when they occur, the debilitating symptoms and damaging effects can be controlled through healthy choices encouraged by the CHN and recommended by the primary care practitioner.
Criteria for Effective Service:
1-Adequate financial support. 2 - Adult day care programs.
3- Access to high-quality health care services. 4 - In-home services.
5- Health education (including preparation for retirement).
6- Recreation and activity programs that promote socialization.
7- Specialized transportation service.
References:-
-Administration on Aging. (2010a). A profile of older Americans:2010.
-Administration on Aging. (2011a). Elderly nutrition program.2011.
-American Association of Retired Persons (AARP) (2011a).
Assessing housing options.
-American Geriatrics Society Foundation for Health in Aging. (n.d.).
Disorders of the mouth.
-American Occupational Therapy Association. (2011). Myths and
realities about older drivers.
- Centers for Disease Control and Prevention (CDC). (2011e). How
much physical activity do older adults need.
- National Institute on Aging. (2010a). Exercise and physical activity
for older adult: Benefits of exercise.
- National Institute on Aging. (2011). Diagnosis of Alzheimer’s.


المادة المعروضة اعلاه هي مدخل الى المحاضرة المرفوعة بواسطة استاذ(ة) المادة . وقد تبدو لك غير متكاملة . حيث يضع استاذ المادة في بعض الاحيان فقط الجزء الاول من المحاضرة من اجل الاطلاع على ما ستقوم بتحميله لاحقا . في نظام التعليم الالكتروني نوفر هذه الخدمة لكي نبقيك على اطلاع حول محتوى الملف الذي ستقوم بتحميله .