Professional Documents
Culture Documents
Prepared by:
Dr. Soad Hassan
Lecturer of Gerontological
Nursing
Health promotion of the elderly
Health promotion is the process of enabling
people to increase control over & improve their
health by developing their resources to maintain or
enhance well being.
Psychological
Benefits of
exercise
Physical Social
Physical benefits of exercise
1) Consumption of body fat
2) Improve cardio-vascular capacity( by↑ blood flow-----
keep tissue healthy
3) Control hypertension& blood sugar
4) Improve respiratory function
5) Improve joint flexibility
6) Improve pattern of sleep & rest
7) ↑ independency
8) Improve sense of well –being & relaxation
9) Maintain mind’s function
10) Promote sense of normality
11) Peristaltic movement
Psychological benefits of exercise
1. Improve mood state
2. Improve self-image
3. Reduce stress
4. Enhance sleep
5. Improve depressive state of elderly
Social benefits of exercise
Isotonic Isometric
Role of the nurse during exercise
I- Assessment done at the beginning of exercise
program include:
1. History & physical examination (CVS, resp,
musculoskeletal & neurological system)
2. Renal & liver function tests
3. ECG,& exercise stress test
4. Assess range of motion & use of assistive
devices.
5. Assess environmental hazards
II-Set a regular time to exercise each day
III- Before starting exercise the nurse should advice the
elderly about:
1. Document baseline resting function status (ht &resp
rate, bl.sugar)
2. 10 minutes warms up stretching exercise
3. Drink water before and after exercise is important as
water will be lost during exercise
4. Clothes worn during exercise should allow for easy
movement and perspiration.
5. Athletic shoes provide both support and protection
6. Outdoor exercise should be avoided in extremely hot
or cold weather.
1. Enclosed shopping malls are sheltered places for
walking during the extreme weather or when
there are concerns about neighborhood safety.
2. Exercising with a partner provides both
encouragement to continue exercising and safety.
3. Nurse should advice the older adults to stop
exercising and seek help if they experiences chest
pain or tightness, shortness of breath, dizziness,
or palpitation during exercise.
During exercise
Monitor heart & resp. rate
Stop exercise if elderly has fatigue , chest pain
or ↑heart & resp. rate
After exercise:
10 minutes cooling up at end of exercise
2) Psychosocial factors
3) Economic factors
4) Cultural factors
Age related changes
↓ Taste & smell
↓ Visual acuity
Loss of teeth & poor fitting denture
↓ Gastric secretion→ influence in absorption
of B12, folic acid& iron.
1- Calories
Caloric requirement diminished by 10% in
age 51-75 years and by 20-25% in age more
than 75 years.
Drink 200-3000cc/daily
3- Rest& sleep
Person spend 1/3 of his life in sleep
Sleep is time for cell growth& repair
Elderly need 5-7 hrs at night
It includes:
Over the counter medication (multiple medications )
Smoking
Caffeine
Smoking
Nicotine & toxic substances in cigarette has
impact on detoxication process in the body-------
cell damage& variety of diseases as cancer,
respiratory, CVD, ↑ risk of osteoporosis
Despair
Guilt
Boredom
Social structure
Personal relationships