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Chapter 6 The Specialty of Gerontological Nursing. Development of Gerontological Nursing. 1904: First article on care of the aged published in the American Journal of Nursing 1935: Federal Old Age Insurance Law, or Social Security

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Chapter 6 the specialty of gerontological nursing

Chapter6The Specialty of Gerontological Nursing

Development of gerontological nursing
Development of Gerontological Nursing

  • 1904: First article on care of the aged published in the American Journal of Nursing

  • 1935: Federal Old Age Insurance Law, or Social Security

  • 1962: First meeting of the ANA’s Conference Group on Geriatric Nursing Practice

  • 1966: Division of Geriatric Nursing— gerontological nursing as a nursing specialty

Development of gerontological nursing1
Development of Gerontological Nursing

  • 1970: published Standards for Geriatric Nursing Practice

  • 1975: first certification of nurses for excellence in geriatric nursing

  • 1975: Journal of Gerontological Nursing first published

  • 1976: Geriatric Nursing Division became the Gerontological Nursing Division

Development of gerontological nursing2
Development of Gerontological Nursing

  • Growth in the last few decades

    • Increase in gerontological nursing texts

    • Increase in journal articles

    • Gerontological nursing education

    • Certification in gerontological nursing

    • Subspecialization

    • Hartford Institute for Geriatric Nursing

Core elements of gerontological nursing practice
Core Elements of Gerontological Nursing Practice

  • Evidence-based practice:

    • Systematic

    • Based on research

  • Standards for Nursing Practice:

    • Used to guide and evaluate nursing practice

    • ANA Standards

Core elements of gerontological nursing practice1
Core Elements of Gerontological Nursing Practice

  • Principles:

    • Scientific data regarding theories

    • Biological and social sciences

    • Nursing principles

    • Guides care for gerontological nursing

Aging a natural process
Aging: A Natural Process

  • Process of maturing or aging

  • Comments associated with aging

  • Aging is not a disease

  • Aging brings the opportunity for usefulness, fulfillment, and joy

  • Need for a realistic understanding of the aging process

Factors influencing the aging process
Factors Influencing the Aging Process

  • Heredity, nutrition, health status, life experiences, environment, activity, and stress

  • Aging is individualized

  • General characteristics evident among most people in a given age category

The nursing process framework
The Nursing Process Framework

  • Scientific data and knowledge of nursing

  • Systematic approach to nursing care

  • Holistic approach to individuals

Common needs to promote health and quality of life
Common Needs to Promote Health and Quality of Life

  • Core needs:

    • Physiologic balance

    • Connection

    • Gratification

  • Self-care practices

Optimal health and wholeness
Optimal Health and Wholeness

  • Aging as the process of realizing one’s humanness, wholeness, and unique identity

  • Self-actualization

  • Harmony with internal and external environment

  • Sense of purpose

Nursing actions to promote self care
Nursing Actions to Promote Self-Care

  • Strengthening self-care capacity

  • Eliminating or minimizing self-care limitations

  • Providing direct services

  • Promotion of maximum independence

Gerontological nursing roles healer
Gerontological Nursing Roles: Healer

  • Recognizing the interdependency of body, mind, and spirit in health and aging

    • Staying well

    • Overcoming or coping with disease

    • Restoring function

    • Finding meaning and purpose in life

    • Mobilizing internal and external resources

Gerontological nursing roles caregiver
Gerontological Nursing Roles: Caregiver

  • Utilization of gerontological theory in the application of the nursing process

  • Promotion of active participation of older adults and their significant others

  • Ensures care of the older adult is based on sound knowledge

Gerontological nursing roles educator
Gerontological Nursing Roles: Educator

  • Takes advantage of formal and informal opportunities to share knowledge and skills related to care

  • Education extends to the general public

  • Requires effective communication techniques

Gerontological nursing roles advocate
Gerontological Nursing Roles: Advocate

  • Aids older adults in asserting rights and obtaining required services

  • Facilitation of a community’s efforts to effect change for the benefit of older adults

  • Promotes gerontological nursing

Gerontological nursing roles innovator
Gerontological Nursing Roles: Innovator

  • Inquisitive style

  • Efforts to experiment to improve gerontological practice

    • Thinks “out of the box”

    • Takes risks

    • Transforms visions into reality

Advanced practice nursing roles
Advanced Practice Nursing Roles

  • Preparation in unique principles and best practices for the older adult

    • Broad knowledge base

    • Capacity for independent practice

    • Leadership

    • Complex clinical problem-solving abilities

Advanced practice nursing roles1
Advanced Practice Nursing Roles

  • Advanced practice nurses make a significant difference in the care of the older adult:

    • Improvement in quality of care

    • Reduction in cost of care

    • Acute care: reduction in complications, length of stay, and need for readmission

Future of gerontological nursing
Future of Gerontological Nursing

  • Lessons from the past

  • Challenges for the future

    • Gerontological nursing as a dynamic specialty

    • Multitude of opportunities

    • Development of new practice models

Nursing research
Nursing Research

  • Need for a strong knowledge base

  • Support of research:

    • Network with nurse researchers

    • Support research efforts in practice

    • Support and testimony to funding agencies

    • Keeping abreast of new findings

Promote integrative care
Promote Integrative Care

  • Nurses must ensure that gerontological care is holistic

  • Alternative and complementary therapies

  • Inclusion of caregivers in the plan of care

Education of caregivers
Education of Caregivers

  • Caregivers at every level require competency in providing services to older adults

  • Nurses have the ability to influence the education of caregivers

  • Include family caregivers in educational efforts

Development of new roles
Development of New Roles

  • Opportunities for nurses to develop new roles within the field of gerontological nursing

  • Need for creativity and leadership

  • Examples of new roles

Balance quality of care and health care costs
Balance Quality of Care andHealth Care Costs

  • Increasing number of older adults necessitates diversity of health care services for the older adult

  • Effects of third-party insurers and changes in reimbursement policies

  • Nurses need to be involved in cost-containment efforts to promote quality services

Nurses involvement in cost containment efforts
Nurses’ Involvement in Cost-Containment Efforts

  • Test creative staffing patterns

  • Use lay caregivers

  • Abolish unnecessary practices

  • Ensure safe care

  • Advocate for older adults