Geriatric

Nursing
Marlon O. Galamay
Carmela V. Velasco
BSN IV – 5 (King)
Caring for the Filipino Elderly…
•“It is when we are older that we become
wiser, more sound, and more sure of
ourselves, especially in making
choices and decisions
in life…”

Dr. Letty G. Kuan

Member – BON, PRC
Terminologies
 Terminologies
• Geriatric Nursing – nursing care of
older adults
• Geriatrics – study of old age and the
disease that comes with it
• Gerontology – study of aging
process and its effects on the older
adult biologically, psychologically
and socially
 Terminologies
• Senescence – progressively
deterioration of the body and its process
• Ageism – negative bias against old
people
• Elder Abuse – physical or emotional
hurting among elderly
• Polypharmacy – taking multiple meds at
the same time
Aging
Process
 Aging Process
• Intrinsic Aging:
– Normal aging process
– Genetically determined
• Wrinkles as we age
• Extrinsic Aging:
– Factors that accelerates aging
• Prolonged sun exposure, illness pollution
Signs of Healthy &
Developed
Psychosocial
Status among
Elderly
 Signs of Healthy & Developed
Psychosocial Status among Elderly
• Smooth interpersonal relationship
• Sensitive, caring, and ready to
anticipate needs of others
• Open-minded
• Go out of ourselves to others and go
beyond our necessities
• Better decision makers
 Factors that
Determine
Psychosocial
Development
 Factors that Determine Psychosocial
Development
• Unwanted or unwelcome
pregnancies
• Deprived childhood needs
• Neglected and abandoned
• Bad adult models during early
childhood
 Socially
Healthy Elderly
 Socially Healthy Elderly
• Happy to be growing older and able
to manage the aging syndrome with
dignity and simplicity
• Honest about their aches, pains and
difficulties
• Can mix with any group without
feeling isolated and dejected
 Socially Healthy Elderly
• Has sense of humor and finds time
to laugh at oneself
• Connects with friends at all time
• Open to sharing
• Generous with time
• Find ways and means to be busy
 Socially Healthy Elderly
• Does not entertain false rumors;
refrains from making negative
comments on others
• Shows uprightness of values and
stands on principles
• Makes all opportunity for taking
 Socially
Unhealthy
Elderly
 Socially Unhealthy Elderly
• Cranky and calculating
• Sensitive and narrow minded
• Quick to complain about anything
and everything
• Cannot get along well with other
person
 Socially Unhealthy Elderly
• Greedy to grab anything you give or
offer with critical comments
accompanying acceptance
• Isolates himself during gatherings
yet complains that he is neglected
• Demands respect, attention and
recognition at all times
 Socially Unhealthy Elderly
• Neglects personal hygiene and
grooming
• Accumulate things even if they are old
and ugly
• Manifests insecurity and fear of death
through words and actions
• Afraid to be alone yet attests people
who come near them
Clinical Concerns
in Geriatric
Nursing
Clinical Concerns in Geriatric Nursing
• Multiple disease
• Multiple medications
• Adverse Drug Reaction Rate
Meeting the
Needs…
 Physical Needs
• Keep client ambulatory as long as
possible and maintain exercise
regimen
• Maintain optimal nutritional status
• Maintain bowel and bladder
elimination through routine
consistent toileting
 Physical Needs
• Provide adequate time for rest and
sleep
• Institute safety measure
 Psychosocial Needs
• Provide cognitive stimuli to enhance
memory and orientation
• Use reality orientation and testing
skills
• Provide regular social interaction
• Maintain self-esteem through
involvement in ADL skills
 Psychosocial Needs
• Maintain structural milieu or social
environment
• Pay particular attention to the use of
non-verbal communication techniques
as well as verbal cues to maintain
effective communication patterns
• Use behavior modification techniques
to modify negative behavior
 General…

•K.S.A.
•T.L.C.
THANK YOU!!!
^^,