Gerontology and Older Adults Essay

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Wk 1: Gerontological Nursing
N410

Young-Shin Lee, PhD, RN
School of Nursing
San Diego State University

1

Learning Objectives






Examine the history of gerontological nursing.
Discuss the nurse’s role in caring for older adults.
Identify educational preparation and certification requirement for gerontological nurse generalist and specialist. Related course objectives: 1.1~1.4

2

**Gerontological Nursing


Gerontology: study of aging; a branch of science that deals with the aging population and problems of aging people; multidisciplinary



Geriatrics: focuses on medicine, deals with diseases, disabilities of old people



Gerontological Nursing: core of aging people and emphasizes the promotion of the hiquest quality of life and wellness including social, emotioan andmental aspectrs
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Growth of Gerontological Nursing


18C: Florence Nightingale period



1904: First article in AJN – “Care of Aged”



1950: First gerontological nursing text –
“Geriatric Nursing” (K. Newton)

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Growth of Gerontological Nursing (Cont)


1970: ANA standards of gerontological nursing practice



1973: Certification in gerontological nursing



1976: ANA renames to “Gerontological Nursing”



1976: Published Standards of gerontological nursing



1984: National Gerontological Nursing Association



1989: ANA offered Gerontological Clinical Specialist.

5

Core Elements of
Gerontological Nursing Practice


Evidence-based practice:





Standards for nursing practice:





Based on research
Systematic analysis

Used to guide and evaluate nursing practice
ANA standards and scope

Principles:




Scientific data regarding theories
Biological and social sciences
Guides care for gerontological nursing
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ANCC* Guidelines for the Scope of Practice of the Gerontological Nurse


Specialize in care and the health needs of older adults 





Plan, manage, and implement healthcare
Evaluate effectiveness
Identify and use the strengths of older adults
Assist in maximizing independence
Actively involve older adults and family in decision making

* ANCC: American Nurses Credentialing Center
Source: ANA(2001). Scope and standards of gerontological nursing practice. Washington, DC.: American Nurses
Association
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ANA Standards of Gerontological Nursing


Professional Gerontological Nursing Performance









Quality of care
Performance appraisal
Education
Collegiality
Ethics
Collaboration
Research
Resource utilization

Source: ANA(2001). Scope and standards of gerontological nursing practice.
Washington, DC.
8

Certification at the Basic Level (Generalist)


Associate or baccalaureate degree in nursing



Current RN



Practiced the equivalent of 2 years full time as an RN



Minimum of 2,000 hours of clinical practice in the specialty area within the past 3 years



Completed 30 hours of CE in gerontological nursing within the last 3 years (2008~)


Indicate certification with the initials RN-BC (Board
Certified)

9

Certification at the Advanced Practice Level
(Nurse Specialist)




Clinical nurse specialists (CNS) and nurse practitioners (NP) with Master’s degree
Certified as gerontological specialists


Indicate certification with the credentials of APRNBC (board certified)

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Nurse’s Role in Caring for Older Adults:
Generalist


Generalists







Direct care providers
Case managers
Nurse leaders
Educators
Patient advocates
Administrators

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Nurse’s Role in Caring for Older Adults:
Advanced practice gerontological nurses


Primary care providers focus on









Health promotion
Disease prevention
Long-term management of chronic conditions

Complex clinical problem-solving
Improvement in quality of care
Reduction in cost of care
Acute care: reduction in complications, length of stay, and need for readmission

12

Future of Gerontological Nursing






Protect for care of older adults and nurses.
Advance research
Promote Integrative Care
Develop new roles
Balance
Show More

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