Purpose Of Nursing Theory • Defines our practice • In gerontological nursing they must be comprehensive yet consider individual differences
• A good GERONTOLOGICAL THEORY:
– Integrates knowledge, – Tells how and why phenomena are related, – Leads to prediction, and – Provides process and understanding – In addition, it must be holistic & take into account all that impacts on a person throughout a lifetime of aging Types of Theories I. Psychosocial: Attempt to explain aging in terms of behavior, personality, and attitude change • Encompass psychological and sociological theories 1.Sociological Theories a. Activity Theory b. Disengagement Theory c. Subculture Theory d. Continuity Theory Personality Types o Integrated o Armored defended o Passive dependent o unintegrated Cont.of Sociological Theories e. Age stratification theory f. Person-environment fit theory 2. PSYCHOLOGICAL Theories of AGING • Various coping or adaptive strategies must occur for a person to age successfully • Triggers for coping/adaptive responses – Physical changes of aging – Issues of retirement – Dealing with the death of spouse or friend – Declining health 2. PSYCHOLOGICAL Theories of AGING a. Human Needs – (Maslow) b. Individualism Theory c. Stages of personality development (Jung) d. Stages of personality development (Erickson) e. Life-course/ lifespan development Maslow’s Hierarchy of Human Needs Theory II. Biological Theories 1. Stochastic Theories a. Free-Radical theories b. Orgel / error Theory c. Wear and Tear theory d. Connective-tissue Theory/ cross link theory 2. Non- Stochastic Theories a. Programmed Theory b. Gene/ Biological Clock Theory c. Neuroendocrine Theory d. Immunologic/ Autoimmune Theory Types of Theories Cont’d. • Sociological: How changing roles, relationships, and status within a culture or society impact the older adult’s ability to adapt –Activity theory – central theme that remaining active in old age is desirable –Disengagement theory – characterized by gradual withdrawal from society and relationships