Tabloski ch03 lecture

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THIRD EDITION
CHAPTER
3
Principles of
Geriatrics
Copyright © 2014, © 2010, © 2006 by Pearson Education, Inc.
All Rights Reserved

Learning Objectives
1. Define interdisciplinary geriatric
assessment and terminology.
2. Apply appropriate guidelines for health
promotion and disease prevention.
3. Identify the nurse’s role in the
geriatric assessment process.
Gerontological Nursing, Third Edition
Patricia A. Tabloski

Learning Objectives
4. Recognize the importance of and need
to specify advance directives when
caring for the older adult.
5. Identify ethical, legal, and public policy
issues affecting care of the older
patient.

Introduction
• A key part of the geriatric evaluation is
the systematic evaluation of the older
person’s level of function and self-care.
• The gerontological nurse’s primary
challenge is to identify and use the
strengths of older adults and help them
maximize their independence.

Box 3-1 Reasons for Interdisciplinary
Collaboration to Improve Care
Source: Hartford Institute for Geriatric Nursing, 2011b.

Components of Comprehensive
Geriatric Assessment
• Physical, psychological, and
socioeconomic factors interact to
influence the health and functioning of
the older person.
• Comprehensive evaluation of an older
person’s health requires an assessment
in each domain.

Components of Comprehensive
• Functional abilities should be a central
focus of the evaluation to determine
overall health, well-being, and the need
for social services.

Variables Affecting Holistic
• Evaluation of the Environment
• Accuracy of the Health History
• Social History
• Psychological History
• Home Environment
• Culture and Education

Minimum Data Set
• Assessment of an older person for
appropriate placement is done using
the Minimum Data Set (MDS).

Figure 3-1 The MDS process.
Source: Centers for Medicare and Medicaid Services.

Health Promotion and Disease
Screening
• Health for older adults is a complex
interaction of physical, functional, and
psychosocial factors.
• The older person’s health beliefs will
indicate the motivational support and
perceived benefits of action.

Health Status
• The health status of the United States
is a description of the health of the
total population, using information
representative of most people living in
this country.

Legal Issues
• Legal issues affecting older adults are
increasingly common.
• The gerontological nurse should be
aware of all the rules, regulations, and
standards that govern professional
practice.

Legal Issues
• Older patients have many rights.
• The healthcare facility is required to
post the bill of rights in a conspicuous
place.

Legal Issues
• All nurses are urged to purchase
individual professional liability
insurance to pay financial damages
should they be the target of a lawsuit.

Patient Confidentiality
• Each healthcare facility is required to
develop policies and procedures to
maintain the medical record and ensure
confidentiality.

Health Insurance Portability and
Accountability Act (HIPAA)
• It is the first national legislation that
protects every patient’s health
information through the establishment
of standards and requirements for the
electronic transmission of health
information.

Informed Consent and
Competence
• The Patient Self-Determination Act
requires providers to seek informed
consent from all patients before they
receive health care or engage in a
research protocol.

End-of-Life Issues
• When the end of life is approaching, a
variety of legal as well as ethical issues
may emerge.

Patient and Family Teaching
• Gerontological nurses require skills and
knowledge related to teaching patients
and families about the key concepts of
gerontology and gerontological nursing.

Tabloski ch03 lecture

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