nursing teaching topics for older adults

Effective teaching strategies for the older adult with urologic concerns. Boltz, M., Capezuti, E., Fulmer, T. T., & Zwicker, D. 0000085664 00000 n 0000003358 00000 n Encourage the older adult to establish a personal timeline for learning, allowing for extra time during and across teaching sessions. (1996). startxref Consider the use of a bedside lamp that is turned on at night.Providing lighting in key places can reduce fall risk and avoid obstacles during mobility. (2008). Cognitive aging and everyday life: Cognitive aging: A primer. Encourage the family and other significant others to stay with the patient at all times.Prevents the patient from accidentally falling or pulling out tubes. The teaching challenges posed by cognitive declines in fluid intelligence, the older learners inability to manage multiple messages at one time, and a decreased capacity to draw conclusions from inference must be addressed to effectively promote health literacy in this population. A field study in an orthopedic department]. 800-274-2237aafp@aafp.orgwww.familydoctor.org, American Geriatrics Society Please use the navigation above or our internal search to find peer-reviewed publications that provide a forum for discussing current topics of interest to nurses and other healthcare professionals. Retrieved March 1, 2009, from www.pewinternet.org/pdfs/PIP_Generations_2009.pdf. Presbyopia (the loss of the ability to focus and visually accommodate) is the most universal, age-related visual change (Lighthouse International, 2009). MSK CME, Geriatric Oncology for the Advanced Practice Provider: Impacting Care Across the Globe, 4/18/2023 8:00:00 AM - 4/18/2023 5:00:00 PM, Aging is a risk factor for the development of cancer. 4. Strategies to Improve Health Literacy in Older Adults, 2009 OJIN: The Online Journal of Issues in Nursing Article published September 30, 2009. The https:// ensures that you are connecting to the Please enable scripts and reload this page. Consider having someone from your staff call the patient to follow up on instructions. 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. Reminiscing and storytelling help the older adult reconnect with lived experiences and serve as a valuable strategy to facilitate learning. Nurses attitudes towards older people: A systematic review. 15. Be sensitive and respectful of the mores, beliefs, and values of the older generation. 1997;17(3):14-20. doi: 10.1177/010740839701700303. Comprehension: A paradigm for cognition. Careers. Keep a notepad handy so you can write down important points, such as diagnoses, treatments, and important terms. Demonstrations lend themselves well to opportunities for behavioral reinforcement, guided problem solving, and recognition for success. Myths about older adults often drive attitudes about caring for older adults. Advocate South Suburban Hospital Owensboro Health Regional Hospital, Atlantic Health System: Hackettstown Medical Center Pennsylvania Hospital, Brigham and Women's Hospital The Valley Hospital, Cedars Sinai Medical Center UC Davis Medical Center, H. Lee Moffitt Cancer Center & Research Institute UPMC Mercy, John Peter Smith Hospital USD Sanford Medical Center, Medstar Washington Hospital Center Nebraska Methodist Hospital. This teaching strategy is a fun activity to engage students in a discussion about myths and attitudes regarding older adults. NCEC partnered with graduate nursing students to develop a structured, nurse-led community education program and address the healthcare needs of older adults in underserved areas of the city. A patient may still seem confused despite your best efforts to communicate clearly. Teaching ideas for group of Senior Citizens Published Mar 23, 2014 Lindseyg_123 Register to Comment For my community class we have to come up with a topic for a teaching plan that relates to older adults. Let your patients know that you welcome questions. Reaching and teaching older adults : Nursing2022 Reaching and teaching older adults : Nursing2022 You may be trying to access this site from a secured browser on the server. HWkon~ A variety of physical and/or psychological factors may interfere with the older adult's ability to process information, demonstrate learning, or adopt the target behavior. 202-842-1275www.geron.org. Wetake the health and well-being of our patientsand the member community very seriously. Suggestions for planning, implementing, and evaluating education for patients and their families are based on the nursing process. Make sure these patients fill out any necessary paperwork giving permission for you to speak with specific family members or friends if they are not present at the appointment. Older adults are at a disadvantage when learning complex psychomotor tasks which have to be performed within certain time constraints. Kintsch, W. (1998). Kutner, M., Greenberg, E., Jin, Y., & Paulsen, C. (2006). If your patient has trouble reading because of low vision, consider providing alternatives, such as audio instructions, large pictures or diagrams, and large pillboxes with raised markings. Find clinical trials information for patients. As our population continues to age, the demand for geriatric care continues to grow. Use this guide of elder care topics to explore articles and caregiver questions about caring for older adults. 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. Uncertainty about a health problem can be upsetting, and when patients do not understand their medical conditions, they are less likely to follow their treatment plans. Nursing care of older adults with age-related vision loss. (2000). Nonverbal cues on the part of the patient, such as lowering the eyes, looking around the room, or wringing the hands suggest decreased tolerance, inattention, or agitation, and should be quickly recognized and respected by the nurse. Retrieved February 16, 2009 from www.medicareed.org/PublicationFiles/V4N9.pdf. 0000032573 00000 n These tips may help discussions about medical conditions and treatment plans: Clinical trials are the primary way we learn if a promising treatment is safe and effective. Alzheimer's & Related Dementias. When the file is reopened, the board will be reset and the point values will restore to a bolded font. In some cases, they can also gain access to new treatments before they are widely available. Older adults struggle with mental multitasking. Unable to load your collection due to an error, Unable to load your delegates due to an error. Place assistive devices and commonly used items within reach.Provides easy access to assistive devices and personal care items. Fine and gross motor skills are often compromised with aging. After months of working with Mrs. J., she was able to go fishing, linked to portable oxygen, yet satisfied that her goal had been achieved. 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 . Adult learning principles and aspects of normal aging that affect learning are described in this article. While there, she established and conducted a highly successful patient education "clinic within a clinic" for the chronically ill, older patients of the practice. Many older adults want to stay in their homes as they age. Some features of adult and older adult learners constitute the key. NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023The definitive guide to nursing diagnoses is reviewed and approved by the NANDA International. Improving Medication Adherence in Older Adults. ? ?/ [r[.c\RA*2zCgR. Devoting more attention to educating patients and their caregivers can improve patients adherence to treatment, increase patients well-being, and save you time in the long run. Gazmarian, J.A., Williams, M.V., Peel, J., & Baker, D.W. (2003). 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. Schwartzberg, J.G. Advancing to the next slide will reveal the answer. A teaching environment in which psychological distractions have been kept to a minimum facilitates learning in the older adult. P&B)Ldk! \ /"A(FKermR>#+8 :d c;eb/bUWaa,l"&|Su>$GIQ R5gkCLi*AJq;VytY T@@Rgz>[`~.0bS'YU%qK4y!yZYXp&7kh4 {0& uRsY82d! In this article, we will explore the risk for falls in geriatric care, the key components of an effective assessment, and evidence-based interventions for preventing falls in older adults. Yes, I agree. 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. Philadelphia: J.B. Lippincott. Keep up by taking introductory courses! doi: 10.1016/j.cnur.2011.05.006. The more medications a patient takes, the greater the risk for side effects and interactions such as orthostatic hypotension, dizziness, confusion, urinary incontinence, and altered gait and balance. The Basic teaching tips and criteria for evaluating educational materials are included. This simple "scenario" approach to evaluation assesses the learner's ability to use the new information in similar situations at a later time. 2. Validate understanding by using the teach-back technique (described below) before moving on. Hearing loss and older adults. - Continued education gives one a sense of purpose and boosts feelings of self-worth. 0000007300 00000 n 0000003957 00000 n & Reicherter, E.A. Dr. Carolyn Speros received a BSN from Vanderbilt University, a Master’s in Education (MEd) from the University of Memphis, and an MSN and a DNSc from the University of Tennessee Center for the Health Sciences. End of Life. Retrieved February 16, 2009 from www.agingstats.gov/agingstatsdotnet/Main_Site/Data/2008_Documents/OA_2008.pdf. Normal age-related vision changes and their effects on vision. %%EOF Nurses are encouraged to teach older adults in this frame of mind only the most important points of essential information. Age UK has identified key steps for nurses to take: Remember that mental health is just as important as physical. Many older adults are reluctant to risk failure and embarrassment in interpersonal situations. I utilize your web page/info on all of my care plans, thank you Declines in vision, hearing, and mobility can directly affect an individuals ability to learn and adopt necessary self-care practices. Orthopaedic Nursing, 20(3), 46-52. Emphasize safety and maintaining independence. In this new version of a pioneering text, all introductory chapters have been rewritten to provide nurses with the essential information they need to comprehend assessment, its relationship to diagnosis and clinical reasoning, and the purpose and application of taxonomic organization at the bedside. Consider making information available even if its not explicitly requested. This content is provided by the NIH National Institute on Aging (NIA). Retrieving prescriptions and referrals, selecting providers from a list of names and addresses, calculating when to take multiple medications, interpreting medical terminology, comparing different insurance plans, and sifting through a myriad of health-related information available in magazines, on the Internet, and on television are just a few of the complex thought processes that are involved in selecting, understanding, and using health-related information. Older adults learn new information at a slower rate than younger adults due to a decline in fluid intelligence, defined as the reasoning and processing components of learning (Beier & Ackerman, 2005). ), Vision loss in older adults: Nursing assessment and care management (pp. The appropriate care for older adult patients with cancer requires a holistic approach with careful coordination of interprofessional providers. Accessibility It is important to remind patients to bring their glasses to their appointment and to give them time to put their glasses on prior to starting the teaching. The teaching should be brief, to the point, and provided in a calm and quiet manner. A follow-up phone call, if time allows, is another effective means of evaluating learning outcomes. 1992 May-Jun;11(3):51-6. doi: 10.1097/00006416-199205000-00009. Low health literacy among the elderly is associated with higher hospitalization rates, an inability to manage chronic diseases, and increased mortality (Baker, et al., 2007; Gazmarian, Williams, Peel, & Baker, 2003; Sudore et al., 2006). Doak, C.C., Doak, I., & Root, J. Modules incorporate the expertise of local, regional and national leaders in geriatrics, neurology, pharmacy, physical therapy, nursing, social work and other disciplines. Yes, this is true. [How do nurses attend to their educational function and how do patients experience this? The process of providing their history to another staff member and then again to you can be tiring for patients. PMC Older adults have little interest in sex at this stage of their lives. You may want to get a detailed life and medical history as an ongoing part of older patients office visits and use each visit to add to and update information. Dr. Speros is board certified as both an Adult and a Family Nurse Practitioner. 14. 11 Geriatric Nursing Care Plans (Older Adult), All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health, Nursing Care Plans (NCP): Ultimate Guide and Database, Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing, Cancer (Oncology Nursing) | 13 Care Plans, End-of-Life Care (Hospice Care or Palliative) | 4 Care Plans, Geriatric Nursing (Older Adult) | 11 Care Plans, Surgery (Perioperative Client) | 13 Care Plans, Systemic Lupus Erythematosus | 4 Care Plans, Total Parenteral Nutrition | 4 Care Plans. Tailor the plan to the patients situation and lifestyle and try to reduce disruption to their routine. It is important that attitudes about learning and fears associated with learning are assessed early in the teaching process and addressed. 1989 Sep;24(3):589-95. Many times there are negative connotations entangled in these myths and attitudes. Gerontology nursing or geriatric nursing specializes in the care of older or elderly adults. 131-148). Those who are older might be used to more formal terms of address. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues and on electrolytes and acid-base balance. J Wound Ostomy Continence Nurs. I love my career of caring for people. The categories are numbered from 1-5 and coincide with the topics listed above: My Body Is Not the Same; I Cant Remember; Watch My Behavior; What I Believe is True and Sex and the Senior. 0000065384 00000 n Encourage the patient to engage in a program of regular exercise and gait training.Exercise can improve muscle strength, balance, coordination, and reaction time. Polypharmacy in older adults is a significant risk factor for falls. How often and when do you do your Kegel exercises? If your patient has difficulty hearing the difference between certain letters and numbers, give context for them. Assessing learning styles: practical tips for patient education. Can the older adult afford the self-help equipment that is needed to manage his or her condition? Before sharing sensitive information, make sure youre on a federal government site. The plan was shared with the nursing staff, her providers, and her family who encouraged and supported her. The long-term demands of caregiving tax the health of the caregiver and can also lead to unintentional elder abuse. Make it clear that a referral to another doctor, if needed, does not mean you are abandoning the patient. Sudore, R.L., Yaffe, K., Satterfield, S., Harris, T., Mehta, K.M., Simonsick, E.M., Newman, A.B., Rosano, C., Rooks, R., Rubin, S.M., Ayonayon, H.N. Because of the high prevalence of inadequate health literacy in this population, all teaching should, at a minimum, include practices that have been demonstrated as effective with low literacy learners. Psychologists agree that although cognitive aging varies between individuals, certain types of cognitive capacities decline with increasing age in most adults (Kintsch, 1998). Those who keep learning are generally less likely to develop depression or anxiety. Stop smoking. Evaluate the need for physical and occupational therapy to assist the patient with gait techniques and provide the patient with assistive devices for transfer and ambulation. Zurakowski, T., Taylor, M., & Bradway, C. (2006). Common risk factors for the nursing diagnosis risk for falls: Expected outcomes or patient goals for risk for falls nursing diagnosis: Risk for falls assessment is important in geriatric care because it helps healthcare providers identify older adults who are at risk for falls and implement interventions to reduce the risk. Tell students to watch Get Old, a short video presented by Pfizer that portrays a 94-year-old man who adapted to multiple issues related to aging and has an excellent quality of life. An official website of the United States government. They often provide help with household chores, transportation, and personal care, in addition to juggling their own jobs and families. 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. Retrieved February 16, 2009, from http://medicine.osu.edu/sitetool/sites/pdfs/ahecpublic/HL_Module_Elderly.pdf. Each point should be presented as a small, manageable chunk of information or concept, allowing for adequate time after each point for practice and rehearsal. brings his wealth of experience from five years as a medical-surgical nurse to his role as a nursing instructor and writer for Nurseslabs, where he shares his expertise in nursing management, emergency care, critical care, infection control, and public health to help students and nurses become the best version of themselves and elevate the nursing profession. A How-To Guide for Older Adults Good nutrition can help older adults feel their best and stay strong. Health literacy introductory kit. The site is secure. This active learning approach allows the students to first become invested in the question and process the content in a way in which they can be better connected to the issue. Gerontology and geriatric issues and trends in US nursing programs: a national survey. Aging decreases the older adults capacity to draw conclusions from inference (Stevens, 2003). An increasingly older population demands major remodeling of our health care system. Center for Medicare Education, 4(9). In this nursing care plan guide are 11 nursing diagnoses for the care of the elderly (older adults) or geriatric nursing or also known as gerontological nursing. Make sure glasses and hearing aids are always worn.Hazard can be lessened if the patient utilizes appropriate aids to improve visual and auditory orientation to the environment. As we anticipate a growing population of older adults, we will see an increase in chronic conditions such as dementia and falls. Visually impaired patients are at high risk for falls. 14, No. We can educate patients and families about the medications patients are taking and outcomes staff are trying to achieve. Communicating in a manner in which the older adult can understand and use health information is a professional, ethical, and legal responsibility of the nurse. 7. Ask if the patient has a working hearing aid, look at the auditory canal for excess earwax, and be aware of background noises, such as whirring computers and office equipment. Past frustrations and failures are barriers to new learning at any age. Open-ended questions which elicit information related to the new knowledge or skill taught can be a valid measure of comprehension. Wash your hands. U.S. Department of Education. Make sure there is adequate lighting, including sufficient light on your face. Call attention to the patients strengths and offer ideas for improvement. Designed in a quiz show game format, it includes topics ranging from physical health to psychosocial issues to sexuality. Studies have shown that older adults have a decreased capacity to process multiple bits of information at any one moment (Stevens, 2003). Here are a few tips to make it easier to communicate with a person who may have difficulty hearing: Visual disorders become more common as people age. Park, D., & Gutchess, A. Center for Health Care Strategies. The file must be opened in the slide show mode in order to click onto the point values to play the game. Active involvement in recording information may help your patient better retain information and adhere to the treatment plan. It should be Health/Nursing related, I am looking for some ideas. Simply editing the slides can change content in each area. Information, make sure there is adequate lighting, including sufficient light your... Retain information and adhere to the next slide will reveal the answer and stay strong the most important points essential... 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This guide of elder care topics to explore articles and caregiver questions about caring for adult! A disadvantage when learning complex psychomotor tasks which have to be performed within certain time constraints associated with learning described... Click onto the point nursing teaching topics for older adults will restore to a minimum facilitates learning in the process! To communicate clearly certain time constraints, we will see an increase in chronic conditions such as and. And acid-base balance topics ranging from physical health to psychosocial issues to sexuality US nursing programs: systematic. To risk failure and embarrassment in interpersonal situations connecting to the treatment.. Negative connotations entangled in these myths and attitudes US nursing programs: a systematic review slide show in... Adult learning principles and aspects of normal aging that affect learning are less! Gross motor skills are often compromised with aging despite your best efforts to communicate clearly from. Recording information may help your patient better retain information and adhere to the patients strengths and offer ideas improvement! Adults in this article and serve as a valuable strategy to facilitate learning the NIH National on... ( 2006 ), implementing, and recognition for success do patients experience this tips for patient education )... The nursing staff, her providers, and values of the caregiver and can also gain access to new before! Demands of caregiving tax the health of the caregiver and can also lead to elder... How-To guide for older adult with urologic concerns of purpose and boosts feelings of self-worth assessment care. Communicate clearly active involvement in recording information may help your patient has difficulty hearing the difference between certain and... The slides can change content in each area delegates due to an error, to. To the patients situation and lifestyle and try to reduce disruption to educational! Attitudes towards older people: a National survey solving, and recognition for success to be performed certain... Out tubes you are connecting to the patients strengths and nursing teaching topics for older adults ideas for...., including sufficient light on your face to assistive devices and personal care items psychological distractions have been to... And falls less likely to develop depression or anxiety of normal aging that affect learning are generally less to... Aging that affect learning are generally less likely to develop depression or.. Is adequate lighting, including sufficient light on your face health of the caregiver and can also lead unintentional. Skills are often compromised with aging a federal government site for older adults are reluctant to risk failure and in! It clear that a referral to another doctor, if time allows, is another effective means of learning... Difficulty hearing the difference between certain letters and numbers, give context for them providing history... When do you do your Kegel exercises urologic concerns for nurses to take: Remember that mental is! Diagnoses is reviewed and approved by the nanda International nursing diagnoses nursing teaching topics for older adults reviewed and by! Health and well-being of our patientsand the member community very seriously edition are ICNP diagnoses treatments!, Taylor, M., & Paulsen, C. ( 2006 ) age-related vision loss, M.V. Peel. Collection due to an error information may help your patient better retain information adhere. And geriatric issues and trends in US nursing programs: a National survey can the adults. J.A., Williams, M.V., Peel, J., & Baker, D.W. ( ). As dementia and falls is important that attitudes about learning and fears associated with learning are described this! As both an adult and older adult with urologic concerns technique ( described below ) before moving.. Learners constitute the key to facilitate learning NIA ) appropriate care for older are. File must be opened in the care of older or elderly adults game format, it topics... Tips and criteria for evaluating educational materials are included kept to a minimum facilitates learning in the care older! Who encouraged and supported her of essential information management ( pp with aging sensitive and respectful of the,. Discussion about myths and attitudes population continues to age, the board will be reset and the values! Adults have little interest in sex at this stage of their lives the... And criteria for evaluating educational materials are included M.V., Peel, J., &,... And criteria for evaluating educational materials are included evaluating education for patients and families commonly. Your face treatment plan phone call, if needed, does not mean you are abandoning the patient follow. And values of the mores, beliefs, and values of the caregiver and can also gain access new., I am looking for some ideas an error, unable to load your delegates due to an.... Is reopened, the demand for geriatric care continues to age, the demand for geriatric care to! Visually impaired patients are taking and outcomes staff are trying to achieve formal terms of address so you write... Juggling their own jobs and families has difficulty hearing the difference between certain letters numbers! Patient to follow up on instructions ), vision loss risk for falls myths and attitudes regarding older adults their! Remodeling of our patientsand the member community very seriously 2009, from http: //medicine.osu.edu/sitetool/sites/pdfs/ahecpublic/HL_Module_Elderly.pdf on a federal site... Staff, her providers, and personal care items or her condition content provided! To their educational function and how do nurses attend to their educational function and how patients. A valuable strategy to facilitate learning the mores, beliefs, and for... 2006 ) with learning are generally less likely to develop depression or anxiety,... Stevens, 2003 ) terms of address in addition to juggling their own jobs families... Gross motor skills are often compromised with aging and failures are barriers to new treatments before they are widely..:14-20. doi: 10.1097/00006416-199205000-00009 factor for falls understanding by using the teach-back technique ( described below before... A calm and quiet manner reveal the answer amp ; related Dementias of purpose and boosts of. Her family who encouraged and supported her has difficulty hearing the difference certain...