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Chapter 1

Chapter 1. Gerontological Nursing and an Aging Society. Study of Aging. Religious and Secular Movements Puritans Victorian Age Later. Study of Aging. Reverse Ageism Largely attributable to gerontology professionals of “baby boom” confronting their own aging. Gerontology.

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Chapter 1

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  1. Chapter 1 Gerontological Nursing and an Aging Society

  2. Study of Aging • Religious and Secular Movements • Puritans • Victorian Age • Later

  3. Study of Aging • Reverse Ageism • Largely attributable to gerontology professionals of “baby boom” confronting their own aging

  4. Gerontology • Biomedicalization of Aging • Aging seen as biomedical problem that must be reversed, eradicated, or held at bay as long as possible

  5. Gerontology • Who Will Care for an Aging Society? • Demand is critical for gerontological nurses and other health professionals prepared to deliver care to growing numbers of older people • Growing concern is lack of adequate staffing, particularly professional nurses, in nursing homes

  6. Gerontology • Organizations Devoted to Gerontology Research and Practice • Gerontological Society of America (GSA) • American Society on Aging (ASA) • Association for Gerontology in Higher Education (AGHE) • National Council on Aging (NCOA)

  7. Development of Gerontological Nursing • Gerontic Nurse Pioneers and Leaders • Origins of gerontological nursing rooted in England • Began with Florence Nightingale

  8. Development ofGerontological Nursing • Gerontological Nursing Education • Schools of nursing now include gerontological nursing content in curricula • Continued need to increase numbers of faculty with preparation in gerontological nursing

  9. Development ofGerontological Nursing • Gerontological Nursing Roles • Functions in variety of settings—hospital, home, subacute and long-term care facilities, community • Advanced practice gerontological nurses • Mission is to preserve function, enhance health, and enhance quality of life and dying

  10. Aging Today • Demographics of Aging • Aging in the United States • Gender issues • Diversity • Global aging • Western Europe and Japan have more older people than young people

  11. Diversity of the older population (Redrawn from U.S. Census Bureau, 2004.)

  12. Aging Today • Chronological Age • The old • Parents of baby boomers make up majority of present old numerically • Nonagenarians and centenarians • Expanding group of very old (90+)

  13. Age self-identification (Redrawn from National Council on the Aging, Inc., American perceptions of aging in the 21st century, telephone survey, Jan-Feb 2000. Available at www.ncoa.org.)

  14. Aging Today • Attitudes Toward Aging • Elders • Children • Health care students

  15. Aging Today • Research and Aging • Research and gerontological knowledge strongly influenced by federal bulletins distributed nationwide to indicate research most likely to receive federal funding

  16. Aging Today • Nursing Research • Studies • Dementia • Reducing falls • Use of restraints • Pain management • Delirium • Humane end-of-life care

  17. Aging Today • Politics of Aging • White House Conferences on Aging • Make recommendations to President and Congress to help guide national aging policies • Older Americans Act • Delivers community-based services through state Area Agencies on Aging (AAAs)

  18. Top 10 Resolutions of 2005 WHCoA • Reauthorize Older Americans Act • Develop coordinated, comprehensive long-term care strategy by supporting public and private sector initiatives that address financing, choice, quality, service delivery, and paid and unpaid workforce

  19. Top 10 Resolutions of 2005 WHCoA • Ensure that older Americans have transportation options to retain mobility and independence • Strengthen and improve Medicaid program for seniors • Strengthen and improve Medicare program for seniors • Support geriatric education and training for all health care professionals, paraprofessionals, health profession students, and direct care workers

  20. Top 10 Resolutions of 2005 WHCoA • Promote innovative models of non-institutional long-term care • Improve recognition, assessment, and treatment of mental illness and depression among older Americans • Attain adequate numbers of health care personnel in all professions who are skilled, culturally competent, and specialized in geriatrics • Improve state and local integrated delivery systems

  21. Aging Today • Business of Aging • Major marketing attention extended to elderly • American Association of Retired Persons (AARP)

  22. Gerontological Nursing and Aging: The Future • Baby Boomers • Informed and educated • Alerted to importance of preparing early for "good" old age • Expect much higher quality of life as they age than did their elders

  23. Gerontological Nursing and Aging: The Future • Global Challenges • Policies needed to meet income, health, and long-term care needs for men and women throughout world

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