1 / 26

Chapter 6 The Specialty of Gerontological Nursing

Chapter 6 The Specialty of Gerontological Nursing. Development of Gerontological Nursing. 1904: First article on care of the aged published in the American Journal of Nursing 1935: Federal Old Age Insurance Law, or Social Security

kourtney-warren
Télécharger la présentation

Chapter 6 The Specialty of Gerontological Nursing

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Chapter6The Specialty of Gerontological Nursing

  2. Development of Gerontological Nursing • 1904: First article on care of the aged published in the American Journal of Nursing • 1935: Federal Old Age Insurance Law, or Social Security • 1962: First meeting of the ANA’s Conference Group on Geriatric Nursing Practice • 1966: Division of Geriatric Nursing— gerontological nursing as a nursing specialty

  3. Development of Gerontological Nursing • 1970: published Standards for Geriatric Nursing Practice • 1975: first certification of nurses for excellence in geriatric nursing • 1975: Journal of Gerontological Nursing first published • 1976: Geriatric Nursing Division became the Gerontological Nursing Division

  4. Development of Gerontological Nursing • Growth in the last few decades • Increase in gerontological nursing texts • Increase in journal articles • Gerontological nursing education • Certification in gerontological nursing • Subspecialization • Hartford Institute for Geriatric Nursing

  5. Core Elements of Gerontological Nursing Practice • Evidence-based practice: • Systematic • Based on research • Standards for Nursing Practice: • Used to guide and evaluate nursing practice • ANA Standards

  6. Core Elements of Gerontological Nursing Practice • Principles: • Scientific data regarding theories • Biological and social sciences • Nursing principles • Guides care for gerontological nursing

  7. Aging: A Natural Process • Process of maturing or aging • Comments associated with aging • Aging is not a disease • Aging brings the opportunity for usefulness, fulfillment, and joy • Need for a realistic understanding of the aging process

  8. Factors Influencing the Aging Process • Heredity, nutrition, health status, life experiences, environment, activity, and stress • Aging is individualized • General characteristics evident among most people in a given age category

  9. The Nursing Process Framework • Scientific data and knowledge of nursing • Systematic approach to nursing care • Holistic approach to individuals

  10. Common Needs to Promote Health and Quality of Life • Core needs: • Physiologic balance • Connection • Gratification • Self-care practices

  11. Optimal Health and Wholeness • Aging as the process of realizing one’s humanness, wholeness, and unique identity • Self-actualization • Harmony with internal and external environment • Sense of purpose

  12. Nursing Actions to Promote Self-Care • Strengthening self-care capacity • Eliminating or minimizing self-care limitations • Providing direct services • Promotion of maximum independence

  13. Gerontological Nursing Roles: Healer • Recognizing the interdependency of body, mind, and spirit in health and aging • Staying well • Overcoming or coping with disease • Restoring function • Finding meaning and purpose in life • Mobilizing internal and external resources

  14. Gerontological Nursing Roles: Caregiver • Utilization of gerontological theory in the application of the nursing process • Promotion of active participation of older adults and their significant others • Ensures care of the older adult is based on sound knowledge

  15. Gerontological Nursing Roles: Educator • Takes advantage of formal and informal opportunities to share knowledge and skills related to care • Education extends to the general public • Requires effective communication techniques

  16. Gerontological Nursing Roles: Advocate • Aids older adults in asserting rights and obtaining required services • Facilitation of a community’s efforts to effect change for the benefit of older adults • Promotes gerontological nursing

  17. Gerontological Nursing Roles: Innovator • Inquisitive style • Efforts to experiment to improve gerontological practice • Thinks “out of the box” • Takes risks • Transforms visions into reality

  18. Advanced Practice Nursing Roles • Preparation in unique principles and best practices for the older adult • Broad knowledge base • Capacity for independent practice • Leadership • Complex clinical problem-solving abilities

  19. Advanced Practice Nursing Roles • Advanced practice nurses make a significant difference in the care of the older adult: • Improvement in quality of care • Reduction in cost of care • Acute care: reduction in complications, length of stay, and need for readmission

  20. Future of Gerontological Nursing • Lessons from the past • Challenges for the future • Gerontological nursing as a dynamic specialty • Multitude of opportunities • Development of new practice models

  21. Nursing Research • Need for a strong knowledge base • Support of research: • Network with nurse researchers • Support research efforts in practice • Support and testimony to funding agencies • Keeping abreast of new findings

  22. Promote Integrative Care • Nurses must ensure that gerontological care is holistic • Alternative and complementary therapies • Inclusion of caregivers in the plan of care

  23. Education of Caregivers • Caregivers at every level require competency in providing services to older adults • Nurses have the ability to influence the education of caregivers • Include family caregivers in educational efforts

  24. Development of New Roles • Opportunities for nurses to develop new roles within the field of gerontological nursing • Need for creativity and leadership • Examples of new roles

  25. Balance Quality of Care andHealth Care Costs • Increasing number of older adults necessitates diversity of health care services for the older adult • Effects of third-party insurers and changes in reimbursement policies • Nurses need to be involved in cost-containment efforts to promote quality services

  26. Nurses’ Involvement in Cost-Containment Efforts • Test creative staffing patterns • Use lay caregivers • Abolish unnecessary practices • Ensure safe care • Advocate for older adults

More Related