The Aging Population Pt. 2

what are the jobs of the geriatric nurse?

•Manage complex conditions

•Facilitate transitions in care

•Identify real or potential risks, co-morbidities, gaps in care

•Attend to ethical questions/issues

•Recognize the patient as the central partner while planning care

•Advocate care to assure cost-containment efforts do not adversely impact welfare

what are the key things you need to consider for the OA for income?

Many older adults are on a fixed income. SS was meant to be a supplement and total income support.

•Are they able to meet their daily needs? (SDOH) Are they asset rich and income poor?

Since Medicare B, C, D is costly. Some can’t afford the increased coverage and therefore have no coverage for medications or outpatient services.— what should you be aksing

•Does this affect follow up and med compliance?

since Women are more likely to be widowed. what should you be thinking abt?

•What kind of support does she have at home?

since Chronic disease is more likely to impact the older adult population. These diseases can have a significant impact on independence and the quality of daily life of our seniors. what should you be asking?

•Why are primary and secondary prevention so important in this population?

Advocacy – nurses need to advocate for cost-effective care, high quality, compassionate care. This is huge. how can you apply critical questions to this?

What could be the impact of large medical bills for our seniors? How can you advocate at the legislative level?

what is a known factor that causes and prevents aging?

No single known factor causes or prevents aging.

wha theory can explain the complexities of aging?

No one theory can explain the complexities of aging.

what are the characteristics of biologic aging?

•Biological aging differs from species to species.

•No two individuals age identically.

•Theorists divide the many factors, both internal and external of human body, into two categories: stochastic and nonstochastic.

what do sociologic theories of aging do?

Explore mental processes, behaviors, and feelings throughout life span.

•Theories often reflect views held about older adults at the time they were developed.

•Norms of society often affect how older adult’s roles and relationships were viewed.

•Examples: Activity theory, continuity theory, subculture theory, etc.

what’s the activity theory for sociologic aging?

continuing to live  a middle aged lifestyle even in the presence of aging

what’s the continuity theory for sociologic aging?

people will act similarly in old age as in other aspects of life (personality and preferences remain the same)

what’s the subcutlture theory for sociologic aging?

age groups are viewed in whole, with distinct characteristics that separate them from

what do the psychological theories of aging do?

•Explore mental processes, behavior, and feelings through life span along with

•Developmental tasks – successful fulfillment of developmental tasks => healthy psychological aging.

•→Erickson – adjusting to one’s infirmities, developing sense of satisfaction, preparing for death

what’s Gerotranscendence

•as people are less concerned about their physical bodies, material possessions, meaningless relationships,  self-interests => life of significance and connection to others.

what’s role theory

ID based on role (job, title, etc.)

what’s social exchange theory

Only keep social standing if maintain wealth

what’s modernization theory

Status kept regardless of age

what’s Socioemotional Selective Theory

Focus on the present, don’t dwell in the past, adapt to aging

what are the different nursing theories of aging?

•Functional Consequences Theory

•Theory of  Thriving

Theory of Successful Aging

what’s •Functional Consequences Theory

nursing theory

•aging for aging and holistic nursing – nurses can promote wellness by addressing individuals holistically

what’s the theory of thriving

nursing theory

•everything that impacts people throughout their lives must be linked to create a holistic view of aging; in contrast to failure to thrive

what’s Theory of Successful Aging - Roy’s adaptation model

nursing theory

.  People adapt and change to internal and external environment.

how do we apply all the theories to the nursing practice?

•Biological, psychological, and social processes of aging are interrelated.

→•No single theory can adequately explain the aging process.

•Knowledge of all theories can guide nursing interventions to promote health and longevity.

•Nurses assist older adults in experiencing health, fulfillment, and sense of well-being.

•What patterns of aging are in a client’s biological family?  What can be done to influence these? 

•Prematurely grey versus diabetes (upstream approach). 

Upstream focuses more on communities, downstream individual care plans, midstream screenings for the individual

what’s the nurses role when a pt claims they’re reversing their aging?

look into it — see if there’s a harm there (financially or health) — then intervene if you need to

what can nurses do to those who are segregated/isolated?

•Nurses can promote joy and a sense of purpose in the older adult by viewing old age as an opportunity for continued development and satisfaction rather than a depressing, useless period of life.

T/F: The continuity theory of aging states that personality and basic patterns of behavior are said to remain unchanged as the individual ages.

True
Rationale: The continuity theory of aging relates personality and predisposition toward certain actions in old age to similar factors during other phases of the life cycle. For instance, activists at 20 years of age will most likely be activists at 70 years of age.

Is the following statement true or false?

The genetic theories of aging best describe how and why a person ages.

False
Rationale: No single factor causes or prevents aging; therefore, it is unrealistic to think that one theory can explain the complexities of the aging process.