N330 Care of the Older Adult and the Family in Retirement
Study Guide for Final
1. Why is it important to study gerontological nursing?
Our society is rapidly aging, with an increasing proportion of the population being over the age of 65. This growth of the older population is expected to increase dramatically over the next 25 years. Consequently, there is a growing need for professionals to be trained to work with older persons.
2. Review the roles of the gerontological nurse.
Direct care providers, case managers, nurse leaders, educators, patient advocates, administrators.
3. What are the American Nurses Association (ANA) Standards of Clinical Gerontological Nursing Care?
A. Standard I: Assessment.
a. The gerontological nurse collects patient health data. b. Enhances the nurse’s ability to make sound clinical judgments c. Culturally and ethnically appropriate
B. Standard I: Assessment
a. Types of assessments: Interviewing, Functional assessment, Environmental assessment, Physical assessment, Review of health records C. Standard II: Diagnosis
a. The gerontological nurse analyzes the assessment data in determining diagnosis. b. Independently or collaboratively
c. Evaluates health assessment data
d. Develops comprehensive diagnoses
e. Forms the basis for care interventions
D. Standard III: Outcome Identification
a. The gerontological nurse identifies expected outcomes individualized to the older adult. b. Ultimate goals of providing gerontological nursing are: i. To influence health outcomes
ii. Improve or maintain the aging person’s health status E. Standard III: Outcome Identification
a. Outcomes often focus on maximizing the aging person’s: i. State of well-being
ii. Functional status
iii. Quality of life
F. Standard IV: Planning
a. The gerontological nurse develops a plan of care that prescribes interventions to attain expected outcomes. b. Plan of care used to: Structure and guide therapeutic interventions; Achieve expected outcomes G. Standard IV: Planning
a. Plan of care is developed in conjunction with: The older adult, Significant others, and Interdisciplinary team members H. Standard V: Implementation
a. The gerontological nurse implements the interventions identified in the plan of care. b. The gerontological nurses uses a wide range of direct and indirect interventions c. Must be culturally competent interventions
I. Standard V: Implementation
a. Interventions designed toward: Health promotion, Health maintenance, Prevention of illness, Health restoration, Rehabilitation, Palliation J. Standard V: Implementation
a. Plan of care is implemented in collaboration with the older adult and others b. Interventions are selected according to level of education and practice of the gerontological nurse. K. Standard VI: Evaluation
a. The gerontological nurse evaluates the older adult’s progress toward attainment of expected outcomes. b. The older adult’s responses to treatment and interventions are continually evaluated by the gerontological nurse. L. Standard VI: Evaluation
a. Evaluation includes: Collection of new data, Revision of the database, Alteration of nursing diagnoses, Modification of the plan of care, and Must be ongoing to provide effective care
4. What are the components of each of the above Standards of Clinical Gerontological Nursing Care?
5. What are some common stereotypes and attitudes that society has about older adults? ← Negative stereotypes including:
› Social isolation
› Psychological rigidity
› Asexual behavior
› Lack of creativity
› Physical and mental decline...
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