Community geriatrics

Community geriatrics

1. COMMUNITY GERIATRICS

2. DEFINITION OLD AGE /ELDERLY Old age or elderly is defined as the individual who is after 65 years of age and showing physical, social and psychological deterioration of activities and behaviors and may or may not require assistance by others. Potter and Perry AGING Aging is the progressive physiological change in an organism that lead decline of biological functions and the organisms’ ability to adapt to metabolic stresses. Encyclopedia Britannica .

3. GERIATRICS Geriatrics is the branch of medicine dealing with the physiological and psychological aspects of aging; and with the diagnosis and treatment of disease affecting old age. Potter and Perry.

4. WORLD DEMOGRAPHYCS Today world wide there are 600 million persons aged 60 and above The elderly population will get double by 2025,and will reach virtually 2 billion by 2025 The percentage of population >65 years will be higher in developed countries but absolute number will be higher in developing countries.

5. INDIAN DEMOGRAPHYCS In India elderly population is over 82 million Indian elderly population is expected to reach the mark of 177 million, almost double by the year 2025.

6. FACTORS AFFECTING AGEING Hereditary Environmental Socioeconomic

7. GENERAL PROBLEMS IN OLD AGE Economic problem sociological problem Spiritual changes

8. SYSTEM WISE CHANGES Cardiovascular changes Respiratory system GI system Neurological system Accidents Cancer

9. NEEDS FOR HEALTHY AGING Independence with strong and varied interests Community participation Feeling of satisfaction with present status and past achievements Minimum or no worries about self and others Avoidance of criticism of others to provide a feeling of safety and security Help them to enjoy the recreational activities for elderly

10. NEEDS FOR HEALTHY AGING Acceptance and respect in the social group Support during retirement Avoiding social isolation

11. GERONTOLOGY Gerontology is the science of all aspects of aging including the physical and chemical processes of aging, accidental organic process of disease and injury that leads to death or other consequences Encyclopedia Britannica

12. GERENTOLOGY The scientific study of the biological, psychological and sociological phenomena associated with old age and aging.

13. OBJECTIVES OF GERIATRIC CARE Maintenance of health function Detection of disease at early stage Prevention of deterioration of any existing problem

14. PRINCIPLES GUIDING THE GERENTOLOGICAL NURSE PRACTICE Aging is natural process common to all living organism Various factors influence the ageing process Unique data and knowledge are used in applying the nursing process to older population Older adult share similar self care and human needs with all other human beings Gerentological nurse strives to help older adults to achieve wholeness by reaching optimum level of physical, psychological ,social and spiritual health.

15. VARIOUS LEVELS OF HEALTH CARE Primordial prevention pre geriatric care Primary prevention Health education exercise Immunization-influenza and tetanus

16. VARIOUS LEVELS OF HEALTH CARE Secondary prevention Screening for hypertension, diabetes, periodontal disease, dental carries, Sensory impairment medication side effect, Colon rectal cancer, breast cancer, podiatric problem etc. Annual medical check up Early detection and treatment

17. VARIOUS LEVELS OF HEALTH CARE Tertiary prevention Rehabilitation-physical deficit, cognitive deficit, functional deficit Caretaker support Counseling and welfare activities Improving quality of life Cultural programe Old age club Home help Old age home

18. SERVICE TO THE ELDERLY There are so many services provided by many agencies such as social service agencies, religious organizations, social security administration etc. Banking services Burial services. Consumer services. Educational services Financial services Employment services Counseling services Food, health, housing and transportation service. Referral and information service. Recreational service. Service by mail. Volunteer service.  

19. SUPPORTIVE SERVICES Chore service – help to re main at home. Day care program. Foster- care- service – provide supervision. Home delivered meal service. Telephone reassurance program. Service for partial and intermittent care. Service for complete and continuous care. Home nursing services. Medicare and medic aids

20. GERENTOLOGICAL NURSE FUNCTIONS G -Guiding E –Eliminating R –Respecting O –Observing N – Noticing T –Teaching O- Opening channels L –Listening G –Generating

21. Continue…. FUNCTIONS I –Implementing C – Coordinating A –Assessing L- Linking N –Nurturing U- Understanding R- Recognizing S –Supporting E –Education and encouraging

22. ROLES OF GERONTOLOGIC NURSES A gerontologic nurse can use a wide range of knowledge and skill in delivering services such as medical, surgical, psychiatric, community health nursing, pharmacology, nutrition, sociology and psychology.

23. ROLES OF GERONTOLOGIC NURSES Care giver Counselor Manager Teacher Advocate Rehabilitat or Co-coordinator Facilitator

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