GERONTOLOGIC NURSING

• TERMINOLOGIES

• AGING

• AGEISM
• ELDERLY
• GERONTOLOGY
• GERIATRICS
AGING
• happens throughout lifespan
AGEISM
• coined by Butler in 1969

• Deep profound prejudice in American Society against

Older Adults

• Personal distaste for growing old, disease, disability and

fear of powerlessness, uselessness and death

• - stereotyping and discriminatoin

ELDERLY
• Conventionally,has been defined as a chronological age
of 65 years old or older

• The UN agreed cutoff is 60+ years to refer to the older or

elderly persons. Within the elderly population, further
classification like oldest old (normally those 80+) and
centenarian (100+) and even super-centenarian (110+)
are also made.
• hree life-stage subgroups:

• the young-old (approximately 65–74),

• the middle-old (ages 75–84),

• old-old (over age 85)

GERONTOLOGY
• from Greek word “ Geron” – Old Man

• Study of process of aging and the problems of aged

persons

• It includes biologic, sociologic, psychologic and economic

aspects.
• Gerontologic Nursing
• Specialty of nursing that involves assessing the health and
functional status of older adults, planning and implementing health
care & services to meet identified needs and evaluates the
effectiveness of care given.
GERIATRICS
• From greek word “Geras” – Old Age

• As a branch of medicine that deals with the diseases and

problems of old age

Gerontic nursing
- by Gunter and Estes
- art and practice of nurturing,caring and comforting.
Development of Gerontologic Nursing
• 1961- formation of specialty group by ANA

• 1962- first meeting of ANA on GNP

• - first research ‘ An investigation on Geriatric Nursing
Problems in Hospital.

• 1966- first gerotological clinical specialist nursing program

“ Duke University
Development of Gerontologic Nursing
• 1968- Laurie Gunter, paper presentation int’l Congress of
Gerontology
• -Barbara Davis , speak before American Geriatric Society
• -first article on Nursng Curriculum (Delora JR Moses)
• 9 standards for GNP are develooped

1970- Standard GNP published

- first gerontologic clinical nurse specialists graduate from Duke
University.
ELDERLY DEMOGRAPHICS:
IMPLICATIONS OF AGING
POPULATIONS
Objectives
Describe Emphasize

Trends Role of Nurse

Demography
• Distribution • Density

• Vital Statistics of
human population
Global Aging
2008 2017 2030 2050
506 962 1.4 2.1
million million billion billion
people people people people
65 y/o 60 y/o 65 y/o
↑
*oldest country
27% - 65 y/o
 Japan, the world’s oldest country, currently
with 21.6% of its population over the age of 65
years, closely followed by Italy and Germany
with 20%
Demographics of the United States
2009 2000-2030

39.6 million 72.1 million

persons
(65 y/o and above)
12.9% of 19% of
population population
 Demographics of the United States
• In 2009 about 12.9% of the population in US or 39.6 million
persons were 65 and over,compared with 0.1% in 1901.
• The total number is expected to double between 2000 and
2030, increasing to about 72.1 million or 19% of the
population(Administration on Aging, 2011)
 Gender Age
In US, women As of 2010,life
comprises most of expectancy
elderly population 81.1 y/o female
78 y/o male
5 years longer than By 2030,
men 84.17 yrs 78.2 y/o
female male
GENDER AND AGE
 Women make up the majority of elderly
people in almost every country
 In US, throughout most countries,
women can expect to live, on average,
5 years longer than men
 As of 2010, life expectancy was 81.1
years for women and 78.32 years for
men
Life expectancy projections for 2030
are 84.17 years for women and 78.32
years for men
Population pyramid of Germany 2016
Population of Germany by age and sex
(demographic pyramid) in 1950
By fargomeD
https://commons.wikimedia.org/w/index.php?curid=1541176
Demographics of the Philippines

2000 2010

4.6 million Senior 6.5 million older

Citizens people
( 65 years or older)
6% of total 6.9% of total
population population
By year-end 2018

8,013,059
Filipinos
60 y/o
8.2%
Percentage of elderly people (65 and
above) in the Philippines

2020 2025 2030

65 y/o ↑ 65 y/o ↑ 65 y/o ↑

4.9 % 5.6% 6.3%

Implications for Health Care Delivery

• Nurses in a wide variety of settings and roles will be

challenged to provide care to an increasingly divergent,
complex group of older persons.
An urgent need exists for gerontologic nurses
to:
Create roles Develop models Assume
that meet of care delivery positions of
the needs of directed at all leadership in
the older levels of institutions
population prevention and settings
to older
persons
 Gerontological Nursing Education
• According to the ANA Scope and Standards of
Gerontological Nursing Practice (2010),

 knowledge and skills to assist older adults in a broad range

of nursing care issues
 maintaining health and preventing illnesses
managing complex, overlapping chronic conditions
progressive/protracted frailty in physical and mental
functions, to palliative care.”
Therefore…

Basic competence for

diverse populations of older persons

Gerontological nursing content needs to be integrated

throughout the curriculum
Issues Contributing to lack of inclucion to
curricula
• Reluctance as legitimate specialty

• Perceived as low status

• Lack of adequate faculty

• Questionable competence

• Ageist attitude

• Little consensus on rpfessinal exams

• Lack of requirement of a gerontologic Nursing book.

“Expertise in caring for older adults
can make a significant difference in
the quality of life of the persons
served”
Thank you for listening!
Have a nice day!
GOD bless us..
References:
Touhy et al.(2010) Ebersole and Hess’
Gerontological Nursing & Healthy
Aging; mosby, Inc,an imprint of Elsevier
Inc.
www.un.org/en/development/desa/population/theme world
population ageing 2017.k

un.orghttp://news.abscbn.com/news/01/03/18/philppines-
moving-toward-aging-p