NUR 413: CARE OF THE OLDER ADULTS

First Semester, S.Y. 2021-2022

COURSE GUIDE: LECTURE

PRELIMINARY PERIOD

Concepts, Principles and Theories in the B. Planning for Health Promotion, Health
Care of Older Adults Maintenance and Home Health
Considerations
A. Perspectives on Aging 1. Planning for Successful Aging
 Aging is a Developmental Process 1. Home Care and Hospice
2. Community-based services
B. Demography of Aging and Implications 3. Special Care Units
on Health and Nursing Care 4. Geriatric Units
 1. Global Aging
 2. Aging in the Philippines C. Implementation
1. Physical care of older adults
C. Impact of Aging Members in the Family  Aging Skin and Mucous
Membranes
D. Theories of Aging and its Nursing 2. Elimination
Implications 3. Activity and Exercise
 Biologic Theories 4. Sleep and Rest
 Psychosocial Theories
Communicate effectively in speaking, writing
E. Physiologic Changes in Aging Affecting and presenting using culturally appropriate
Various Systems language in the care of older adults.
 Integumentary  Information Sharing (Framing the
 Musculo-skeletal Message)
 Respiratory  Formal or Therapeutic Communication
 Cardiovascular through NPI
 Hematopoietic & Lymphatic  Informal or Social Communication
 Gastrointestinal  Nonverbal Communication
 Urinary  Acceptance, Dignity, and Respect in
 Nervous  Communication
 Special Senses  Barriers to Communication
 Endocrine  Skills and Techniques
 Reproductive

Nursing Care of the Older Adult in Wellness

A. Assessment
1. Subjective Data
 Nursing History
 Functional Health
 Patterns
2. Objective Data
 Psychological
 Assessment
 Physical Assessment

MIDTERM PERIOD
Maintaining Fluid Balance and Meeting J. Coping and Stress
Nutritional Needs  Normal Stress and Coping
  Nutrition and Aging
 Malnutrition and the Older Adult
D. Nursing Assessment and Medication
 Medication and the Nursing Care Plan
 Nursing Interventions Related to L. End-of-Life Care
Medication Administration
 Patient Rights and Medication
 Self-Medication and Older Adults
 Teaching Older Adults About
Medications
 Safety and Non-adherence
(Noncompliance) Issues
E. Health Assessment of Older Adults
 Health Screening
 Health Assessments
 Interviewing Older Adults
 Obtaining the Health History
 Physical Assessment of Older Adults
 Measuring Vital Signs in Older Adults
 Sensory Assessment of Older Adults
 Psychosocial Assessment of Older
Adults
 Assessment of Condition Change in
Older
K. Values and Beliefs
 Common Values and Beliefs of Older
Adults
 1. Attitudes Toward Death and End-of-
Life Planning
 Caregiver Attitudes Toward End-of-Life
Care
 Values Clarification Related to Death
and
 End-of-Life Care
 What Is a “Good” Death?
 Palliative Care
M. Sexuality and Aging
 Factors That Affect Sexuality of Older
Adults
 Marriage and Older Adults

F. Meeting Safety Needs of Older Adults

 Internal Risk Factors
 External Risk Factors

G. Cognition and Perception

 Normal Cognitive-Perceptual
Functioning

H. Self-Perception and Self-Concept

 Normal Self-Perception and Self-
Concept
 Self-Perception/Self-Concept and Aging

I. Roles and Relationships

 Normal Roles and Relationships
 Roles, Relationships, and Aging
 Nursing Process for Complicated
Grieving

FINAL PERIOD

Physical Nursing Care of Older Adults

A. Care of Aging Skin and Mucous Membranes

 Age-Related Changes in Skin, Hair, and Nails
  Age-Related Changes in Oral Mucous Membranes

B. Elimination
 Normal Elimination Patterns
 Elimination and Aging

C. Activity and Exercise

 1. Normal Activity Patterns
 2. Activity and Aging
 3. Effects of Disease Processes on Activity

D. Sleep and Rest

 Sleep-Rest Health Pattern

Care Elements of Evidence-based Gerontological Nursing Practice

Ethico-Legal Considerations in the care of older adults

 Laws affecting Senior Citizens/ Older Persons (RA 7432; RA 9257; RA 9994)
 Medications of Older Adults
 Ethical Principles
 Long-Term Care
 Palliative Care
 Advance Directives/DNR
 End of Life Care
 Spirituality among Older Persons
 Ethical Dilemmas

Trends/ Issues and Challenges on the Care of Older Persons

 Home care
 Hospice Facilities
 Drop-in/ Day Care Centers
 Retirement living/ Home/ Village

References:

Patricia Williams. Basic Geriatric Nursing, 6th Edition. Elsevier, 2016.

Charlotte Eliopoulos. Gerontological Nursing, 7th Edition. Lippincott Williams & Wilkins, 2010.