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Care of the Older Person “You are younger, healthier and more active than the older person, respect their wishes.”
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State Standard
15) Outline the normal structure and function of body systems related specifically to geriatric clientele, and summarize appropriate medical text(s) in order to list signs and symptoms of common diseases and disorders associated with each. Compile a paper or digital artifact describing abnormalities in geriatric patients and what should be reported to a nurse and/or physician for the following: a. Integumentary systems b. Nervous system with eye and ears c. Musculoskeletal systems d. Cardiovascular and respiratory systems e. Digestive and urinary systems f. Endocrine systems
19) Understand principles of and successfully perform skills related to personal care. Incorporate guidelines for residents’ rights and utilize rubrics from textbooks, National HOSA guidelines, or other clinical standards of practice for the following: Page 6 a. Principles of self-care versus full care b. Bathing/skin care/back rub c. Grooming/shaving/hair care/nail care d. Mouth care/denture care of conscious and comatose resident e. Dressing f. Transfers, positioning, turning in bed g. Bed making, occupied and unoccupied h. Care for resident when death is imminent
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Objectives
Students will be able to…
Identify Physical and Emotional Changes in an Elderly patient
Perform mouth care on a dependent patient, a comatose patient, and provide denture care via a set by set rubric.
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Who does society consider to be the “older person?”
Late Adult Hood
As a society we are living longer.
Age ranges of late adult hood
Young-old: people between 65 and 74 years of age
Old: people between the ages of 75 to 84 years of age
Old-old: people 85 years of age and older
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5. What social changes do you think one experiences as they age?
Retirement
Reduced income
Social relationships
Children as caregivers
Death of a partner
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Physical Changes
Integumentary system
Skin is easily injured
Musculoskeletal system
Not able to move as well or as quick
Nervous system
Senses
Cardiovascular system
Heart weakens
Arteries Narrow
Respiratory system
Respiratory muscles weaken, lungs less elastic.
Digestive system
Things begin to slow down.
Loss of teeth
Difficult to digest fried foods.
Urinary system
Kidney function decrease
Incontinence
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Housing Options
Most elderly people live in their own homes.
Simple changes can make a home safe and easy to use.
In-home and community-based services available
Living with family
Adult day-care centers (Bristol)
Senior Apartments/Communities
Assisted Living Facilities
Nursing Homes
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Resident Rights
OBRA is a federal law.
Nursing centers must:
Protect and promote resident rights.
Inform residents of their rights orally and in writing.
Residents have the right to:
Information
Refuse treatment
Privacy and confidentiality
Personal choice
Disputes and grievances
Work
Participation in resident and family groups
Care and security of personal possessions
Freedom from abuse, mistreatment, and neglect
Freedom from restraint
Quality of life
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Ombudsman Program
The Older Americans Act requires a Long-Term Care Ombudsman Program in every state.
An ombudsman is someone who supports or promotes the needs and interests of another person.
Acts on behalf of the nursing center and assisted-living residents.
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10. Lets watch the following videos:
Skill 16 ~ Mouth Care
Skill 17 ~ Mouth care comatose resident
Skill 8 ~ Denture Care
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Activity
We will be practicing the following skills, you will need your skills check lists
Skill 16 ~ Mouth Care - This skill will be practiced on one another, please select a tooth brush and kidney basin for your own personal use. The kidney basin should be labeled on the bottom with your name by using a piece of tape. The tooth brush should be labeled on the cover with a sharpie.
Review Assisting the person to brush the teeth
Review Brushing the persons teeth
Review ~ Flossing the person’s teeth
Skill 17 ~ Mouth care comatose resident
Skill 8 ~ Denture Care – Denture cup, tablets, and denture brush and dentures are in the drawer.
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