Care of older adult.

Major needs of older patients

Arising conditions for great health of our loved . 1. financial security

ones.
2. personal security
Senior citizen – may need proper medication to
remain healthy. This begins with adequate medical 3. health care and health challenges
care such as: 4. mental health
1. dental care 5. self actualization
2. foot care How to support care to the elderly
3. eye care 1. spend quality time with the person keep in mind
4. physical therapy that our patients is an emotional being.

5. psychiatric is needed. 2. speaking encouraging words

tips 3. serve sacrificially and wholeheartedly.

1. keep care at home if possible. 4. give gifts.

- geriatric nsg – specialize in the care of adults. 5. touch

- geriatric n- educated to understand and treat Illness for elder

comples physical and mental health needs of older - Back and neck pain/ hip,knee – pain stiffness
people.
- osteoarthritis – degeneration of joints, cartilage
Goals: 1. Elderly people need care and comfort to and underlying bones
lead a healthy life w/o worries and anxiety,.
- chronic obstruction
2. aging cannot be prevented but we can learn how
to deal w/ - heart disease

Essential principles - stroke

1. continuity of care - cancer

2. bolstering of the family and home - diabetes

3. good comm. Skills Most mpt. Problems faced by elder:

4. sound pt. nurse relationship - cognitive – ability to think,llearn and remember.

Brain health. Mental health, subset of brain health.
5. let the elders remain active functional and
engaged as possible. Effective communication with - dementia
elderly end of life care.
Nutrition
- hearing loss
- plant based diet – rrh in veg.
- vision impairment
- reg. exercise
- dementia
- good sleep habits
- Alzheimer disease
- stress reduction
- social engagement
- challenging your brain
7 needs of elderly
1. maintaining hygiene of oral mouth
2. nutritional needs
3. routine hygiene care
4. bowel / bladder care
5. adequate sleep
Problems: hearing loss, cataracts and refractive
errors
Family responsibility: to take care of their elders
when they got old.
- government society take steps that old people and
and old homes get all the proper care to live
healthy life.
- old people spent all of their lives for their families.
Alzheimers (worst) – experience greater memory
loss and other coginitive difficulties.
Ex: wandering, getting lost, trouble handling money
and paying bills, repeating questions, taking longer
to complete normal daily, tasks, and personality
behaviour changes.
Symptoms:
1. increase memory loss and confusion
2. inability to learn new things
3. difficulty with languages and problems with
reading, writing, and working with numbers.
4, difficulty with languages and with problems.
Dementia – chronic or persistent disorder of the
mental process caused by brain disease or injury.
Symptoms:
1. memory disorder
2. personality changes
3. impaired reasoning
Alzheimer – a progressive neuroligic disorder that
causes the brain to shrink (atrophy) and brain celss
to die and common cause of dementia.
Dementia- a continuous decline in thinking
behavioural and social skills that affect a person
ability to function independently.
Elderly care – simple serves the needs and req. of
senior citizen
- it encompasses assisted living adult daycare,
longterm care nursing homes, hospital care and
home care.
How we take care of the elderly?
1. keep care at home if possible.
2. coordinate your care
3. care regimen – person centered.
4. enable social inclusion.
5. stay up to date on the latest tech.
6. investigate iissurance options.
7. learn and practice mindful comm.
Basic needs of elders
1. needs for survival
2. needs of family comm.
3. personalized act.
4. encouragement
10 essential elderly pt. care
1. start w/ the right body language and eye
contact.
2. Exercise patience.
- Repeat talking points several times before
patient fully understands the message.
- Speak clearer until the client can
understand
- Older pt. also take longer to react during
conversation.
Rights of a dying pt. Common drugs prescribe for end of life

1. right to participate in decisions concerning care 1. acetaminophen

2. right to expect continuing medical and nursing 2. haloperidol

attention even though cure goals maybe change to
comfort goals 3. lorazepam or diazepam

3. right to die alone. 4. morphine

4. right to be free from pain 5. prochlorperazine

How to care for dying pt. 6. atrophins

1. provide physical contact Reasons why shouforld care your elders.

- try holding hands or gentle massage. 1. they are your parents

2. set a comforting mood - they raised you and made sacrifices till you grows
up to be the person that you are. They deserve the
- some people prefer quiet best care.

- moments and less people
3. play music at low voume
- helps relaxation and lessens pain
4. be present
- dying brain responds to sound tones even during
conscious tones.
- hearing Is the last sense to go in the dying.
- gasping is the agonal respiration (last breath
before death)
- gasping respiration appear uncomfortable, pt is
dyspnoeic and in agony.
- it is believed that open window in the death bed is
needed to allow the souls of family members who
have already died to come to retrieved the soul of
the person who is dying to take them into the next
life.
- they cared for you and now they are the ones who
need you.
2. they love you.
- as you grow up parents were there every step of
the way.
- through your fumbles and triumphs
- they love you uconditionally.
- show your love in return by caring for them by
providing them the same care they have shown
you.
3. they made sacrifices for you
- parents made sacrifice to make sure you are in
good hands.
4. show you appreciate them
- attend to their needs

Disadvantage of hospice - appreciate their presence

1. denial of some diagnostic tests like blood test 5. heritage

and xray.
2. hospitalization is discouraged.
3. participation I experimental treatment or clinical
trials because they are prolonging life.
- parents impact traditions and ideals what have
been integral to your fam. History and your own
personal identity.
- caring for elders show your own humanity and
simply do what is right.
6. learn from them
- parents weathered many storals throughout the
years of the life and from here your can find
precious life lessons.
- take time to hear what they say and learn from
their lives.
7. they need sense of belonginess
8. gain insight into their values
- they live thru a time where the value system is
different form yours.
- by spending time to talk to them and get to know
their history-you can gain sight into how they life
was in their times.
- learn values that you can apply to your
generations.
9. they need a sense of purpose.
- elders look forward to days ahead of them instead
of being filled w/ dread or uncertainity.
10. they are nearing the end.
- let them live the rest of their lives feeling
happiness and at peace as well as feeling loved
and cared for.
Challenges in caring for elderly
a. problems in mobility and everyday tasks
- at elderly age – dexterity and mobility decline
- meal preparation and feeding
- bathing
- grooming
- dessing
4 common care environments
- home care
- assisted living facilities
- nursing homes
- adult daycare center
How to care for elders
1. show espect
2. express gratitude
3. enable access to care
4. involve family member and friends
5. coordinate patient care with other provider
6. provide emotional support
7. engage pt. in their care plan
8. address you pt. to physical needs.
Biggest challenges for elderly people in our
society
1. ageism and a lost sense of purpose
2. financial insecurity
3. difficulty w/ everyday tasks and mobility
4, finding the right care provisions
5. access to health care services
6. end of life preparations
3 unique kinds of aging
1. biological aging- human body changes
2. psychological aging
3. social aging
most crucial rights of elderly
- right to exercise
- right to dignity and respect
- right to designate a guardian or representive
- right to comm. And complain regarding treatment
and care services.
- right to privacy
- right to participation in act.
Nursing diagnosis for nsg elders

- anxiety, constipation, pain, activity intolerance,

impaired gas exchange, excessive fluid volume,
ineffective coping.

Responsibilities of nurses to elders

1. assess

2. observe

3. speak to pt.

4. record details, symptoms and medical history,

current health

5. prepare pt. for exams and treatment.

6. monitor pt. for side effects and reactions

- make a care plan:

1. outline persons assessed care needs

2. how to meet those needs.

What causes end of life pain?

1. emotional discomfort – financial instability

2. interpersonal disability – marital discord, conflicts

w/ family members, inability to get ones affairs.

Why is one for elders importants?

1. they need sense of belongingness

- stops them feeling isolated and depressed.

2. help them continue to provide a sense of

community, social life that empowers and energize
them.

* eventually parents become older

- they become sick, weak and frail.

* w/ their conditions they need a more love.

- more attention

- more understanding

- more duality elderly care