Geriatrics

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GERONTOLOGY

Prof. Eljohn P. Zulueta, RN, MAN, PhDc


Imagine yourself 50 years from now.
Will you look like…
Imagine yourself 50 years from now.
Will you look like…
Demographics of Aging
• Life Expectancy – Average number of years
that a person can be expected to live.
• Global Life Expectancy
– In 1990, the average life expectancy was 47.3
years.
– By 1998, the figure had increased to 76.7 years.
– In 2015, 71.4 years (73.8 years for females and
69.1 years for males),
Demographics of Aging

• Centenarians - a person who lives


beyond 100 years.

• Supercentenarians - a person who


lives 110 years or more.
Jeanne Louise Calment
Jeanne Louise Calment (French
pronunciation: ​[ʒan lwiz kalmɑ̃] 21
February 1875 – 4 August 1997) was
a French SUPERCENTENARIAN who
has the longest confirmed human
lifespan on record, living to the age
of 122 years, 164 days. She lived
in Arles, France, for her entire life,
outliving both her daughter and
grandson by several decades.
Calment became especially well
known from the age of 113, when the
centenary of Vincent van Gogh’s
visit brought reporters to Arles. Her
lifespan has been thoroughly
documented by scientific study.
Epidemiological Transition
Control of
infectious diseases

Improvements in
environmental and
social conditions

Technological
innovations in
medicine

Increase survival
rates among the old
Gerontology vs. Geriatrics
• Gerontology – broad term used to define the
study of aging and/or the aged.

• Geriatrics – one of the subfields of


Gerontology which is often used as a generic
term relating to the aged, but specifically
refers to the medical care of the aged.
(illnesses)
Definition of Terms
(Sub-fields of Gerontology)
• Social Gerontology – concerned mainly with
the social aspects of aging versus the
biological or psychological.
• Geropsychology – concerned with helping
older persons and their families maintain well-
being, overcome problems, and achieve
maximum potential during later life.
• Geropharmacology – the study of
pharmacology as it relates to older adults.
Definition of Terms
(Sub-fields of Gerontology)
• Finacial Gerontology – financial planning and
services with special expertise in the needs of
older adults.
• Gerontological Rehabilitation Nursing –
combines expertise in gerontological nursing
with rehabilitation concepts and practice.
• Gerontological Nursing – fall within the
discipline of nursing and the scope of nursing
practice.
AGING
• It is defined as a maturational
process that creates the need for
individual adaptation because of
physical and psychological declines
that occurs during life time.
AGING
• Chronological Age - refers to the number of
years a person has lived. Easy to identify &
measure.
• Physiological Age - refers to the determination
of age by body function. Physiological age is
not useful in determining a person’s age.
• Functional Age - refers to a person’s ability to
contribute to society and benefits others &
himself. It is based on the fact that not all
individuals of the same chronological age
function at the same level.
FACTORS AFFECTING AGING
• HEREDITORY FACTORS
FACTORS AFFECTING AGING
• ENVIRONMENTAL FACTORS
üABIOTIC FACTORS
üBIOTIC FACTORS
• SOCIOECONOMIC FACTORS
ROLES OF THE
GERONTOLOGICAL NURSE

• Provider of Care – older adults often


presents atypical symptoms (eg.
decrease appetite, decrease bowel
practice) that complicate diagnosis and
treatment.
• Teacher – essential part of all nursing is
teaching.
ROLES OF THE
GERONTOLOGICAL NURSE
• Manager – nurse managers must be
skilled in
• Leadership
• Time-management
• Building relationships
• Communications
• Managing change
• Advocate – acts on behalf of older adults to
promote their best interest and strengthen
their autonomy and decision making.
ROLES OF THE
GERONTOLOGICAL NURSE

• Research Consumer – must be abreast of


current research, literature, studies esp.
for older adults.
History of Gerontological
Nursing
• 1902 – American Journal of Nursing (AJN)
publishes the first geriatric article by an MD.
• 1904 – AJN publishes first geriatric article by
an RN.
• 1925 – AJN considers geriatric nursing as a
potential specialty.
• 1950 – First geriatric nursing textbook,
Geriatric Nursing(Newton), published.
– Geriatric becomes a specialization in nursing.
History of Gerontological
Nursing
• 1952 – First geriatric nursing study published
in Nursing Research.
• 1961 – ANA recommends specialty group for
geriatric nurses.
• 1962 – ANA holds first National Nursing
Meeting on Geriatric Nursing Practice.
• 1966 – ANA forms a geriatric nursing division
First Gerontological Clinical Nurse Specialist
master’s program begins at Duke University.
History of Gerontological
Nursing
• 1968 – First RN (Gunter) presents at the
international Congress in Gerontology.
• 1970 – ANA creates the Standards of Practice
for Geriatric Nursing.
• 1973 – ANA offers the first generalist
certification in gerontological nursing (74
nurses certified).
• 1975 – first nursing Journal for the care of
older adults published.
History of Gerontological
Nursing
• 1976 – ANA Geriatric Nursing Division chnages
name to Gerontologoical Nursing Division
• 1977 – Kellogg Foundation funds Geriatric
Nurse Practitioner certificate education.
• 1979 – First National Conference on
gerontological nursing sponsored by the
Journal of Gerontological Nursing.
• 1980 – AJN publishes Geriatric Nursing Journal
Education for Gerontic Nurses by Gunter and
Estes.
History of Gerontological
Nursing
• 1980 – First Robert Wood Johnson (RWJ)
Foundation grants for health-impaired elders
given (eight in the United States)
• 1981 – First international Conference on
Gerontological Nursing sponsored by the
Iinternational Council of Nursing

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