Copyright © 2004 Mosby, Inc. All rights reserved. Care of the Older Person “You are younger, healthier and more active than the older person, respect their wishes.” Slide 0 Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. 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 Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. 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. Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. 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 Copyright © 2004 Mosby, Inc. All rights reserved.

What social changes do you think one experiences as they age? Retirement Reduced income Social relationships Children as caregivers Death of a partner Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. 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 Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. 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 Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. 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 Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. 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. Copyright © 2004 Mosby, Inc. All rights reserved.

Lets watch the following videos: Skill 16 ~ Mouth Care Skill 17 ~ Mouth care comatose resident Skill 8 ~ Denture Care Copyright © 2004 Mosby, Inc. All rights reserved.

Copyright © 2004 Mosby, Inc. All rights reserved. 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. Slide 21 Copyright © 2004 Mosby, Inc. All rights reserved.