Gerontological Nursing
Standards, Practice &
Elder Care Frameworks |
Study Guide & Exam
Review
|Guaranteed success|
,Gerontology? "Old Man" scientific study of the process of aging and the problems of older
adults, Includes biologic, sociologic, psychological and economic aspects.
Gerontologic nursing Specialty of nursing involves assessing the health and functional status of older
adults, planning and implementing health care and services to meet identified
needs, and evaluating the effectiveness of such care.
term used by nurses that specialize in that field
Gerontic nursing More inclusive than geriatric or gerontologic nursing NOT limited to diseases
or scientific principles.
Purpose of HIPAA 1. Increase a person's ability to get healthcare coverage when the person
begins a new job.
2. Lower the chance of losing existing health coverage, whether the coverage
is through a job or through individual health insurance.
3. Help maintain continuous health coverage when a change of job occurs.
4. Help purchase health insurance coverage individually if the coverage is lost
under an employer's group health plan and no other health coverage is
available.
Medicare Medicare: program for persons 65 yr age and older are for healthcare
coverage and treatment
Medicare Coverage: Part A hospitalization, skilled nursing facilities (limited stay), hospice, and select home
health services.
Paid by payroll taxes during the beneficiary employed time and do not have a
cost when they hit 65years of age
Medicare Coverage Part B physician services and outpatient care, physical therapy, occupational therapy,
home health services
monthly premium based on beneficiary income
Medicare Coverage Part C Medicare +choice: private and public companies authorized to offer optional
health plan coverages to Medicare beneficiaries
- HMO- health maintenance organizations
- PPO- preferred provider organization
Medicare Coverage Part D is prescription drug coverage and is available only with a Medicare-eligible
plan
monthly premium based on beneficiary income
, Nursing Responsibilities Advance Care: DNR o Nurses are responsible for knowing the policies for the nursing facility as well
as state regulations. Because the nurse may be the only healthcare professional
present in the nursing facility at any given time, it is imperative for the nurse to
request that the facility have a detailed and specific policy to provide the
necessary guidance for DNR
Nursing Responsibilities Advance Care: POLST Physical Orders for Life-Sustaining Treatment
o these tools to provide a comprehensive set of patient preferences for care,
more so than simply a DNR.
o identify their wishes related to resuscitation (Section A), intubation (Section
B), instructions related to other medical interventions such as blood
transfusions and dialysis (Section C), and artificial nutrition (Section D).
Nursing Responsibilities Advance Care: POA Healthcare o is a legal instrument by which a person may designate someone else to make
healthcare decisions at a time in the future when they may be rendered
incapable of decision-making for medical care
Nursing Responsibilities Advance Care: Living Will o to express the patient's wishes regarding the withholding or withdrawal of life
support when the patient is cognitively stable and aware of their decisions
who are the accrediting agencies? The Joint Commission- TJC
designed and developed and have proven reasonable and achievable to
provide quality and safety for healthcare outcomes
Geriatric Assessment: Purpose o Identify strengths and limitations so that effective and appropriate
interventions can be delivered to support, promote, and restore optimum
function to prevent disability and dependence.
o Patient responses that reveal an inability to meet these needs satisfactorily
indicate a need for nursing care.
Geriatirc Assessment: System assessed Functional, Cognitive, Affective, Social Assessment
Functional Status The ability to perform activities of daily living (ADLs) and instrumental activities
of daily living (IADLs)
Katx index of ADLs
Cognitive/affective Assessment Determines the patient's level of cognitive function (which implies all those
processes associated with mentation or intellectual function)
Mini-cog, Montreal cognitive, geriatric depression
Social Assessment An individual's social well-being may positively affect his or her ability to cope
with physical impairments and the ability to remain independent.
Standards, Practice &
Elder Care Frameworks |
Study Guide & Exam
Review
|Guaranteed success|
,Gerontology? "Old Man" scientific study of the process of aging and the problems of older
adults, Includes biologic, sociologic, psychological and economic aspects.
Gerontologic nursing Specialty of nursing involves assessing the health and functional status of older
adults, planning and implementing health care and services to meet identified
needs, and evaluating the effectiveness of such care.
term used by nurses that specialize in that field
Gerontic nursing More inclusive than geriatric or gerontologic nursing NOT limited to diseases
or scientific principles.
Purpose of HIPAA 1. Increase a person's ability to get healthcare coverage when the person
begins a new job.
2. Lower the chance of losing existing health coverage, whether the coverage
is through a job or through individual health insurance.
3. Help maintain continuous health coverage when a change of job occurs.
4. Help purchase health insurance coverage individually if the coverage is lost
under an employer's group health plan and no other health coverage is
available.
Medicare Medicare: program for persons 65 yr age and older are for healthcare
coverage and treatment
Medicare Coverage: Part A hospitalization, skilled nursing facilities (limited stay), hospice, and select home
health services.
Paid by payroll taxes during the beneficiary employed time and do not have a
cost when they hit 65years of age
Medicare Coverage Part B physician services and outpatient care, physical therapy, occupational therapy,
home health services
monthly premium based on beneficiary income
Medicare Coverage Part C Medicare +choice: private and public companies authorized to offer optional
health plan coverages to Medicare beneficiaries
- HMO- health maintenance organizations
- PPO- preferred provider organization
Medicare Coverage Part D is prescription drug coverage and is available only with a Medicare-eligible
plan
monthly premium based on beneficiary income
, Nursing Responsibilities Advance Care: DNR o Nurses are responsible for knowing the policies for the nursing facility as well
as state regulations. Because the nurse may be the only healthcare professional
present in the nursing facility at any given time, it is imperative for the nurse to
request that the facility have a detailed and specific policy to provide the
necessary guidance for DNR
Nursing Responsibilities Advance Care: POLST Physical Orders for Life-Sustaining Treatment
o these tools to provide a comprehensive set of patient preferences for care,
more so than simply a DNR.
o identify their wishes related to resuscitation (Section A), intubation (Section
B), instructions related to other medical interventions such as blood
transfusions and dialysis (Section C), and artificial nutrition (Section D).
Nursing Responsibilities Advance Care: POA Healthcare o is a legal instrument by which a person may designate someone else to make
healthcare decisions at a time in the future when they may be rendered
incapable of decision-making for medical care
Nursing Responsibilities Advance Care: Living Will o to express the patient's wishes regarding the withholding or withdrawal of life
support when the patient is cognitively stable and aware of their decisions
who are the accrediting agencies? The Joint Commission- TJC
designed and developed and have proven reasonable and achievable to
provide quality and safety for healthcare outcomes
Geriatric Assessment: Purpose o Identify strengths and limitations so that effective and appropriate
interventions can be delivered to support, promote, and restore optimum
function to prevent disability and dependence.
o Patient responses that reveal an inability to meet these needs satisfactorily
indicate a need for nursing care.
Geriatirc Assessment: System assessed Functional, Cognitive, Affective, Social Assessment
Functional Status The ability to perform activities of daily living (ADLs) and instrumental activities
of daily living (IADLs)
Katx index of ADLs
Cognitive/affective Assessment Determines the patient's level of cognitive function (which implies all those
processes associated with mentation or intellectual function)
Mini-cog, Montreal cognitive, geriatric depression
Social Assessment An individual's social well-being may positively affect his or her ability to cope
with physical impairments and the ability to remain independent.
