Geria Nursing

Introduction: Geriatric nursing
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Introduction
AGING:
• Aging is a normal process
of time related change,
begins with birth and
continuous throughout
life.
• It is a multidimensional
process of physical,
psychological, and social
change.
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Introduction…
AGING CATEGORY:
CATEGORIES AGE IN YEARS
Young Old 65-74
Middle Old 75-84
Old Old 85-100
Elite Old Over 100
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Introduction…
GERONTOLOGY:
- Geriatrics ,from greek “ geras” (old age ) and
“iatrike”(medicine), is the branch of medicine
concerned with medical problems and care of
older people.
- It is a scientific study of the aging process
- Studies all aspects of aging and/or aged
- A multidisciplinary field draws from biological,
psychological and social science.
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Introduction…
• The senior citizens Acts 2063 (2006), Nepal defines the
senior citizens as people who are 60 yrs and above.
• The retirement age (OLD) for government employees

differs by a few years :
Nepal:
• Civil servant retirement at 58 yrs of age
• University teacher and staff at 63 yrs
• Widow allowance at 65 years
• Senior citizen allowance at 75 yrs
• UN convention 65 yrs
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GERIATRIC or GERONTOLOGIC
NURSING: Background
• It is a field of nursing that specializes in the
care of the elderly.
• Florence Nightingale and Doreen Norton

provided early insights into the care of aged
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Background…
• Nightingale was the first geriatric nurse.
• ANA Established the Division of Geriatric Nursing Practice in

1966 with a goal to create standards for quality nursing care
for the aged
• The standards and scope of gerontological nursing practice

were developed in 1969 by ANA.
• The term gerontological nursing replaced the term Geriatric

Nursing in the 1970s
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Background…
• geriatric nursing is bound to be part of our

professional future.
• Older adults are the core business of health care

representing the majority visits, hospital
admissions, and long-term care residents.
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Background…
• In Canada, one in seven Canadian seniors

receives home care.
• Seniors are re/admitted three times more than

younger Canadians
• With length of stay twice as long as younger

Canadians
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Background…
• Thus, care of older adults is the “core business of

health care”
• Today a nurse’s typical patient is an older adult.
• So, every nurse graduating from a nursing

program should have a defined level of
competency in care of elderly.
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ROLES of Geriatric Nurse
• Researcher
• Nurse leaders
• Educators
• Patient advocates
• Administrators
• Primary care providers focus on
– Health promotion
– Disease prevention
– Long-term management of chronic conditions
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Geriatric Nursing
Geriatric nursing, sometimes referred to as
gerontological nursing, is simply defined as
nursing care for elderly patients with a focus not
only on illness, but on overall health and
wellness. Geriatric nurses are needed to care for
a growing number of elderly patients. These
professionals provide treatment for new and
ongoing medical conditions and help patients
and their families learn to manage a variety of
health issues.
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Introduction…
• Gerontological nursing falls within the
discipline of nursing and the scope of nursing
practice.
• It is the specialty of nursing pertaining to older
adults.
• Gerontologic nursing is provided in acute care,

skilled and assisted living, community, and
home settings.
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Introduction…
• Its goals include:
– promoting and maintaining functional status
– helping older adults to identify and use their strengths
to achieve optimal independence.
• Gerontological nurse work with healthy elderly

persons in their communities, acutely ill elders
requiring hospitalization and treatment and
chronically ill or disabled elders in long term care
facilities, skilled care, home care and hospice.
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Introduction…
• It involves the nurse advocating for the health
of older persons at all levels of prevention.
• The nurse gerontologist can be either a
specialist or a generalist offering
comprehensive nursing care to older persons
by combining the basic nursing process of
assessment, diagnosis, planning,
implementation, and evaluation with a
specialized knowledge of aging.
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Introduction…
• The nurse helps the older person to maintain
dignity and maximum autonomy despite
physical, social, and psychological losses.
• The nurse who becomes certified in

gerontologic nursing has specialized
knowledge in the acute and chronic changes
specific to older people.
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• Many older people are happy and engaged in
a variety of activities. Gerontology, an
interdisciplinary field that studies the process
of aging and the aging population, involves
psychology, biology, sociology, and other
fields.
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Age related changes
1. Physical aspects of ageing

2. Psychosocial aspects
3. Cognitive aspects
4. Pharmacological aspects
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Introduction: Geriatric nursing

Young Old 65-74

Middle Old 75-84

Old Old 85-100

Elite Old Over 100

• The retirement age (OLD) for government employees

• Florence Nightingale and Doreen Norton

• ANA Established the Division of Geriatric Nursing Practice in

• The standards and scope of gerontological nursing practice

• The term gerontological nursing replaced the term Geriatric

• geriatric nursing is bound to be part of our

• Older adults are the core business of health care

• In Canada, one in seven Canadian seniors

• Seniors are re/admitted three times more than

• With length of stay twice as long as younger

• Thus, care of older adults is the “core business of

• Today a nurse’s typical patient is an older adult.

• So, every nurse graduating from a nursing

• Gerontologic nursing is provided in acute care,

• Gerontological nurse work with healthy elderly

• The nurse who becomes certified in

1. Physical aspects of ageing

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