Dr. Speros began her nursing career at Methodist Hospitals of Memphis where she designed and directed the Learning for Life program of education for patients. This teaching strategy can be an effective tool to begin a discussion with nursing students caring for older adults and help to change negative attitudes. Patient Education and Counseling, 51, 267-275. For example, they tend to have a higher risk of physical and mental health issues, sleep problems, and chronic conditions such as high blood pressure. & Reicherter, E.A. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders. Content reviewed: Rushing an older adult to demonstrate a new skill can lead to incapacitating anxiety, frustration, and unwillingness to perform for fear of failure and shame. NIA scientists and other experts review this content to ensure it is accurate and up to date. The cornerstone of patient teaching. Careers. Open-ended questions encourage a more comprehensive response, but yes-or-no or simple-choice questions may be helpful if the patient has trouble responding. Complex messages or instructions should be separated into multiple learning modules or topics, with each subsequent module being delivered at a future date or learning session. I utilize your web page/info on all of my care plans, thank you Collaborate with other healthcare teams to assess and review patients medications that can contribute to the risk for falls. In S. Crocker Houde (Ed. For more information, check out our privacy policy. Because pitch is not the same as loudness, raising the voice is not necessary and may be interpreted as shouting to the patient. 0000085664 00000 n 0000065384 00000 n Health literacy and knowledge of chronic disease. Presbycusis and the inability to discriminate between certain speech sounds are common problems that interfere with the older client's ability to hear teaching instructions. Adult learning principles and aspects of normal aging that affect learning are described in this article. MeSH terms Aged Offer information through more than one channel. With a focus on personalized care and addressing the specific needs of the elderly, geriatric nursing care plans help nurses to provide the best possible care for their elderly patients. . Enhancing a patients receptivity to teaching, increasing the teachings value and meaningfulness for the patient, and helping patients see the relevance of the teaching for their lives all facilitate learning, as described below. Caring for an older patient requires discussing sensitive topics related to safety, independence, and health. Link new knowledge or skills to clearly identifiable past experiences. Please enable scripts and reload this page. Offered several times a year, participants will engage with NICHE staff and faculty, learn data-driven change management approaches, program implementation techniques while earning ANCC continuing education credits. (2005). Make sure your patient can hear you. ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. I also like to be called Penny. Start the conversation. Specifically when it comes to young. New York, NY: Springer Publishing Company. Assisted Living, and Nursing Homes. Live and learn: patient education for the elderly orthopaedic client. Schedule teaching sessions in mid-morning when energy levels are high. Encourage them to seek respite care so they can take a break to recharge. 4. (2007). - Continued education gives one a sense of purpose and boosts feelings of self-worth. Health literacy introductory kit. Jones, S. & Fox, S. (2009). Wash your hands. Colleagues such as social workers and other interdisciplinary team members may be able to recommend resources for caregivers. If permitted by the patient, involving a significant other in the patients education is an effective way to promote health literacy in the older adult. 0000000016 00000 n Female nurses are advised to concentrate on lowering the pitch of their voice and speaking clearly and slowly. You might ask the companion to step out of the exam room during part of the visit so you can raise sensitive topics and provide the patient some private time if they wish to discuss personal matters. Nurses Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales Quick-reference tool includes all you need to identify the correct diagnoses for efficient patient care planning. Faculty (n = 10) and students (n = 10) from the disciplines of social work, nursing, consumer and family sciences, psychology, recreation, and business participated in focus groups . It can strengthen the patient-provider relationship, lead to improved health outcomes, help prevent medical errors, and make the most of limited interaction time. 0000355235 00000 n Effective videos are those in which older adults are featured and portrayed in a positive manner. 0000006993 00000 n Effect of aging on vision. Face the person directly, at eye level, so that they can lip read or pick up visual clues. Nurses Improving Care for Healthsystem Elders (NICHE) imparts principles and tools to stimulate changes in clinical practice to achieve patient-centered nursing care for older adults in healthcare facilities. 10 Myths About Aging. Modules incorporate the expertise of local, regional and national leaders in geriatrics, neurology, pharmacy, physical therapy, nursing, social work and other disciplines. A total of 46 new nursing diagnoses and 67 amended nursing diagnostics are presented. HWkon~ Call attention to the patients strengths and offer ideas for improvement. 0000000916 00000 n Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking. Available www.who.int/healthpromotion/conferences/7gchp/track2/en/. The site is secure. Retrieved August 19, 2009 from www.niapublications.org/shopdisplayproducts.asp?id=45&cat=All+Age+Pages, National Institute on Deafness and Other Communication Disorders, National Institute of Health (2007). The strategy also includes a short video that portrays a dynamic older adult with a substantive quality of life. In some cases, they can also gain access to new treatments before they are widely available. 2. It is helpful to begin by finding out what the patient understands about their condition, what they think will happen, and how much more they want to know. The tools each have an article about using the tool, and a video illustrating the use of the tool, are all available for your use. In this way, the nurse can assess the level of the patients comprehension and provide feedback concerning additional learning needs (Billek-Sawhney & Reicherter, 2005). Generations online in 2009: Pew internet and American life project. PMC 0000085273 00000 n Many times there are negative connotations entangled in these myths and attitudes. (2008). Retrieved February 19, 2009 from www.nidcd.nih.gov/health/hearing/older.asp. No, this is not true. Methodist was the only hospital in the country ever to receive three of these prestigious awards. Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client CareIdentify interventions to plan, individualize, and document care for more than 800 diseases and disorders. By conducting an effective risk for falls assessment, healthcare providers can prevent falls, which can improve patient outcomes and prevent injury. Orthopaedic Nursing, 20(3), 46-52. Older adults should not have sex. Receptivity to teaching. Find clinical trials information for patients. Likewise, family members and other caregivers can benefit from having this information. Below is a suggestion of tools that were mentioned in the speaker notes of the Myths Game. 0000001677 00000 n It can also help you lower your risk of developing some health conditions that are common . Support and reassure the patient, acknowledging when responses are correct or understood. Demonstrate, rather than describe, a new skill or procedure; and have the patient practice the skill with you. Limited literacy and mortality in the elderly: The health, aging, and body composition study. Kutner, M., Greenberg, E., Jin, Y., & Paulsen, C. (2006). The manner in which adults adapt psychologically to the effects of aging varies across individuals and cultures. Give the older adult written material that reinforces the major points of the teaching. Caring for Older Adults encourages schools of nursing and their practice partners to help create a future in which care of older adults is holistic, consistently competent, individualized, and humane. Active involvement in recording information may help your patient better retain information and adhere to the treatment plan. Reminiscing and storytelling help the older adult reconnect with lived experiences and serve as a valuable strategy to facilitate learning. Treatment might involve lifestyle changes, such as a more nutritious diet and regular exercise, as well as medication. b. Visit our COVID-19 Resources page and Need to Know series forimportant information about how to navigate hospital or nursing home stays during this time. Teach students how to manage chronic care as . Older adults are often at higher risk for nonadherence, as they are more likely to be on multiple prescription medications, according to the Kaiser Family Foundation open_in . Stop smoking. In addition to talking with the patient, you can use fact sheets, drawings, models, or videos. https:// As the United States population ages, the need for clinicians skilled in the care of older adults with cancer will increase. Parker PD, Heiney SP, Friedman DB, Felder TM, Estrada RD, Harris EH, Adams SA. FOIA Secure a wristband identification to warn healthcare providers to implement fall precautions on the patient. 9. Suggest that the patient perform a learned behavior regularly, for example, every time teeth are brushed, a favorite television show is watched, or after the dog is walked. An online survey, Care of the Older Adult with Cardiovascular Disease (COA-CVD), was used to describe self-rated competency in the care of the aging adult with cardiovascular disease and . Lighthouse International. (2005). Having physical, sensory, or cognitive impairments does not lessen the maturity of an adult patient. These free, 1-hour modules provide training on geriatric topics and evidence based tools to advance health professional teamwork in the care of older adults. An atmosphere of respect, sensitivity, and patience will allay feelings of anxiety, low self esteem, loss of control, and depression, as these psychological conditions can all reduce motivation and incentive to learn. Ensure the patients room is well-lit. You can also share anecdotes about patients in similar circumstances, though always clearly maintaining patient confidentiality, to ease your patient into the discussion. They often provide help with household chores, transportation, and personal care, in addition to juggling their own jobs and families. Gazmarian, J.A., Williams, M.V., Peel, J., & Baker, D.W. (2003). Items such as call bells, telephones, and water should be kept close to avoid frequent reaching. Use this guide of elder care topics to explore articles and caregiver questions about caring for older adults. To re-set the game, close the file. Since aging is a normal and fundamental part of life, providing nursing care for elderly clients should not only be isolated to one field but is best given through a collaborative effort that includes their family, community, and other health care team. Depression is a common problem in the older adult that can significantly affect ones receptivity to teaching. All age pages. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. Baker, D.W., Wolf, M.S., Feinglass, J., Thompson, J.A., Gazmararian, J.A., & Huang, J. More serious pathologies such as cataracts, glaucoma; and macular degeneration account for many of the visual problems experienced by the older patient. Patient Education Patient Education Through the Health in Aging Foundation, we provide patient education materials for our members and the public at large to advance our commitment to the health, independence, and quality of life of all older adults. (n.d.). Schwartzberg, J.G. Make sure there is adequate lighting, including sufficient light on your face. In many cases, referrals to websites and support groups can be helpful. Select Internet Resources for Older Adults, Age Pages www.niapublications.org/shopdisplayproducts.asp?id=45&cat=All+Age+Pages, National Cancer Institute Dictionary of Cancer-related Terms www.cancer.gov/dictionary, Evaluating Health Information on the Internet: A Tutorial www.nlm.nih.gov/medlineplus/webeval/webeval.html, FamilyDoctor.org Health Topics for Seniors http://familydoctor.org/online/famdocen/home/seniors.html, FDA Easy to Read Health Information www.fda.gov/opacom/lowlit/7lowlit.html, NIH Health Topics for Seniors http://nihseniorhealth.gov/, Talking With Your Doctor: A Guide for Older People www.nia.nih.gov/HealthInformation/Publications/TalkingWithYourDoctor, MedlinePlus Interactive Tutorials for Patients www.nlm.nih.gov/medlineplus/tutorial.html, Fact Sheets about Hearing Loss and Deafness www.nidcd.nih.gov/health/, Table 3. 1997;17(3):14-20. doi: 10.1177/010740839701700303. This study utilized a . It is important to keep the patient involved in their own health care and conversation. Tailor the plan to the patients situation and lifestyle and try to reduce disruption to their routine. Retrieved February 19, 2009 from http://depts.washington.edu/pfes/PDFs/HardOfHearingCultureClue.pdf, U.S. Department of Health & Human Services. 0000007300 00000 n Table 4 provides a summary of these strategies that can be used in the process of teaching an older adult. Emphasize safety and maintaining independence. Friends and family members can act as surrogate readers for the patient, reinforce information provided in the clinical setting, and clarify information that may have been misunderstood by the patient upon returning home (Schwartzberg, 2002). I love my career of caring for people. 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