Earliest reference to need for a specialty in older adult care 1925 anonymous
column in AJN "Care of the Aged"
ANA established division of geriatric nursing practice 1966
ANA definition of geriatrics in 1966 concerned with the assessment of nursing
needs of older people; planning and implementing nursing care to meet those
needs; and evaluating the effectiveness of such care
year of established certification for gerontology clinical nurse specialist 1989
roles of generalist nurse -RN who practices in wide variety of settings
-consults with the advanced practice nurse and other interdisciplinary health care
professionals
(when we graduate we will be this!)
role of gerontology clinical nurse specialist - master's prepared RN who functions
as clinician, educator, consultant, administrator, or researcher
(helps formulate plan of care. ONLY do geriatrics)
role of adult gerontology acute care nurse practitioner -practice in various
settings and function as a provider of primary care and a case manager
(serve more as a doctor)
,Gerontology holistic study of the aging processes and individuals as they mature
throughout adult life
*includes*
-study of physical (ex. HTN, Arthritis), mental (ex: brain deteriorates, Alzheimer’s),
and social changes (ex: are they married? live alone? spouse pass away?) of aging
-analysis of changes in society as a result of aging population
-application of knowledge to policies and program development
geriatrics field more closely aligned with *medicine*
*includes*
-study of health and disease later in life
-comprehensive health care of older persons and the well-being of their
caregivers
-the *medical specialty* that focuses on diagnosis and treatment of diseases
common in aging; disease focused
erotological nurse A nurse who works primarily with older adults by incorporating
erotological competencies in order to assess manage and implement health care
to meet the specialized needs of older adults and evaluate the effectiveness of
such care.
-may be seen as a
hospice nurse/ home health
nursing home nurse
assisted living nurse
,the graying of America increase # of adults over 65 you
Social Security Act of 1935 65 is a reasonable age for allocating benefits and
services
increase in the older adult population is related to... -result of falling fertility rates
-reduced infant and child mortality
-improved sanitation
-advances in vaccination
- increasing survival at older ages
*advances in study of geriatrics/medicine! *
life expectancy of OA in developed and developing countries? developed- 78 yrs.
developing- 68 yrs.
what gender in OA lives longer? why? women!
-they have reduced accident rates & men have increased chronic illness
-reduced maternal mortality
-protective effects of estrogen
-men outside more often, have more accidents
women life expectancy after age of 65 an additional 20.6 yrs.
men life expectancy after age of 65 additional 18 yrs.
, what gender of OA is more likely to be married? older men! 70% of men vs. 45%
of women
- majority of older women are likely to be poor, live alone, and have greater
degree of functional impairment and chronic disease
-because women live longer than men, women's geriatric population to choose
from is higher
why is marital status an important determinant of health and well-being? it
influences income, mobility, housing, intimacy, and social interaction
- majority of older women are likely to be poor, live alone, and have greater
degree of functional impairment and chronic disease
living arrangements of OA -based on their preference
-overall health and wellbeing influences their selection
-promotes functional independence, safety, and socialism
*types*
- their own home
-with family
-retirement communities
-assisted living
-long term care
what is the trend of education in OA? Education is increasing!
-this is being we are managing their conditions better, they are living longer