Tabloski ch03 lecture

Gerontological NursingGerontological Nursing

CHAPTER

THIRD EDITION

Copyright © 2014, © 2010, © 2006 by Pearson Education, Inc.All Rights Reserved

Principles of Geriatrics

3

Gerontological Nursing, Third EditionPatricia A. Tabloski

Learning Objectives

1. Define interdisciplinary geriatric assessment and terminology.

2. Apply appropriate guidelines for health promotion and disease prevention.

3. Identify the nurse’s role in the geriatric assessment process.


Learning Objectives

4. Recognize the importance of and need to specify advance directives when caring for the older adult.

5. Identify ethical, legal, and public policy issues affecting care of the older patient.


Introduction

• A key part of the geriatric evaluation is the systematic evaluation of the older person’s level of function and self-care.

• The gerontological nurse’s primary challenge is to identify and use the strengths of older adults and help them maximize their independence.


Box 3-1 Reasons for InterdisciplinaryCollaboration to Improve Care

Source: Hartford Institute for Geriatric Nursing, 2011b.


Components of Comprehensive Geriatric Assessment

• Physical, psychological, and socioeconomic factors interact to influence the health and functioning of the older person.

• Comprehensive evaluation of an older person’s health requires an assessment in each domain.


Components of Comprehensive Geriatric Assessment

• Functional abilities should be a central focus of the evaluation to determine overall health, well-being, and the need for social services.


Variables Affecting Holistic Geriatric Assessment

• Evaluation of the Environment• Accuracy of the Health History• Social History• Psychological History• Home Environment• Culture and Education


Minimum Data Set

• Assessment of an older person for appropriate placement is done using the Minimum Data Set (MDS).


Figure 3-1 The MDS process.Source: Centers for Medicare and Medicaid Services.


Health Promotion and Disease Screening

• Health for older adults is a complex interaction of physical, functional, and psychosocial factors.

• The older person’s health beliefs will indicate the motivational support and perceived benefits of action.


Health Status

• The health status of the United States is a description of the health of the total population, using information representative of most people living in this country.


Legal Issues

• Legal issues affecting older adults are increasingly common.

• The gerontological nurse should be aware of all the rules, regulations, and standards that govern professional practice.


Legal Issues

• Older patients have many rights.• The healthcare facility is required to

post the bill of rights in a conspicuous place.


Legal Issues

• All nurses are urged to purchase individual professional liability insurance to pay financial damages should they be the target of a lawsuit.


Patient Confidentiality

• Each healthcare facility is required to develop policies and procedures to maintain the medical record and ensure confidentiality.


Health Insurance Portability and Accountability Act (HIPAA)

• It is the first national legislation that protects every patient’s health information through the establishment of standards and requirements for the electronic transmission of health information.


Informed Consent and Competence

• The Patient Self-Determination Act requires providers to seek informed consent from all patients before they receive health care or engage in a research protocol.


End-of-Life Issues

• When the end of life is approaching, a variety of legal as well as ethical issues may emerge.


Patient and Family Teaching

• Gerontological nurses require skills and knowledge related to teaching patients and families about the key concepts of gerontology and gerontological nursing.

Documents

Tabloski ch03 lecture