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Global Trends in Aging…. One out of every 10 persons is now 60 or older... By the year 2050 one out of five will be at least 60... Now, persons 80 and older consititute 11% of the world's population…. Pre-Class Quiz. 1. Which is not a universal life demand? a. safety b. love
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Global Trends in Aging…. • One out of every 10 persons is now 60 or older... • By the year 2050 one out of five will be at least 60... • Now, persons 80 and older consititute 11% of the world's population….
Pre-Class Quiz 1. Which is not a universal life demand? a. safety b. love c. normality d. ventilation and circulation 2. Altered tissue perfusion can be indicated by: a. loss of hair on extremities b. bradycardia c. hypertension d. increased urinary output
Pre-Class Quiz 3. A reduction of which product can aid in reducing cardiovascular disease? a. monounsaturated oils b. fiber c. sugar d. complex carbohydrates 4. Which condition is linked with a blue or gray skin discoloration? a. chronic bronchitis b. emphysema c. lung carcinoma d. all of the above
Pre-Class Quiz 5. The major chronic condition of the elderly is: a. diabetes mellitus b. hypertension c. dementia d. arthritis
Health • Different for everyone • Is it just “the absence of disease”? • Types • Physical • Mental • Spiritual • Functional … • “a state of wholeness…an integration of body, mind, and spirit to achieve the highest possible quality of life each day.”
Elder Health • By the 7th decade of life, the chronicity of • lack of exercise, • a diet high in fat & salt, • heredity, injuries, medical history, • a polluted environment • and so on… • results in a decline in physical abilities & function • By the 7th decade of life--are our elders healthy our definition?
Elder Health Care • Elders have • much wisdom from experience, • strong feelings of independence, & • a need for self-determination • Few want to be in a passive or dependent state when it comes to their health care • For the most effective outcomes, we (RNs) need to • empower elders to meet as many of their health care needs • as possible with own resources
Orem’s Self-Care Model • Offers a simple framework to generate goals & goal-focused nursing interventions for elders • Based on: • Universal Life Demands • basic self-care needs that sustain optimal level of personal functioning • Requisites for Life Demands • abilities needed to meet life demands • Self-Care • Self-Care Agency • self-care agent • dependent care agent “wholly,” or “partly compensatory”, or “supportive-educative”
Ventilation & Circulation • Nutrition • Excretion • Activity/Exercise • Sleep/Rest • Solitude & Connection • Safety • Normality Ability to meet demands Inability to meet demands NURSING ACTION Self-care capacity Universal Life Demands • REQUISITES TO MEET DEMANDS • Physical, mental and socioeconomic resources • Knowledge, experience, & skill • Desire & decision to take action Act for, do for, or partially assist Strengthen self-care ability Minimize limitations
Self-Care Model Application Iris, a 79 year-old widow lives alone in a senior apt. building. Yesterday, she returned home after being 9- days post-op for a prosthetic hip replacement. She has h/o arthritis, NIDDM, hypertension, & emphysema. You’re making your 1st home visit. 1. Watertown: What are some Universal Life Demands that Iris may do herself? What some demands that Iris will need a dependent care agent? 2. Glens Falls: What “requisite” areas do you predict Iris may be capable? What “requisite” areas do you imagine Iris may be lacking? 3. Potsdam: Using the suggested Universal Life Demands by H2Otown, determine each’s applicable “nursing system” (ie, wholly or partly compensatory or supportive-educative)
