Nursing Care Process in geriatrics and gerontology

To perform Nursing Care Process geriatrics and gerontology, you have to follow the same structure: assessment, diagnoses (NANDA), planning (NOC and NIC), implementation and evaluation.In this blog post, I will focus on the valuation. This can be carried out in accordance with: Virginia Henderson's 14 basic needs, Gordon patterns, Maslow's needs, etc.. In this case, I chose Virginia Henderson's needs because I think a full assessment, good structure and can help the individual to health and disease in carrying out those activities that contribute to health, recovery or death quiet activities he realized without help if you have the strength, will and knowledge needed. And do this in a way that will help them become independent as soon as possible. The Virginia Henderson's 14 basic needs in order of increasing complexity are:

          1. Breathe normally.         

          2. Drinking and eating properly.         

          3. Remove all body passageways.         

          4. Move and maintain good body alignment.

          5. Sleep and rest.         

          6. Use suitable clothing, dressing and undressing.         

          7. Maintain body temperature within the corporate limits.    

          8. Maintaining hygiene and skin integrity.         

          9. Avoid environmental hazards.         

          10. Communicate, express their sexuality and emotions.

          11. Living with their own beliefs and values.        

          12. Being busy.        

          13. Participate in recreational activities to perform.        

          14. Learn, discover and satisfy curiosity.

Once above the 14 needs, dedicate my entry to the first need (breathe normally) because, in my opinion, is of great weight in geriatric patients due to the high probability of having difficulty with your breathing pattern.

 

Manifestations of independence:

• Respiratory rate: 15 to 25 rpm
• Regulate breathing rate.
• F.C.: 70-80 l.p.m.- Amplitude respiratory diaphragmatic breathing.
• Exchange and systematic transport air right: pink skin and mucous membranes.
• Ability to cough up: keep airway clear.

Manifestations of dependency:

• Amplitude Respiratory bag or shallow breathing.
• Existence of orthopnea, shortness of breath and fatigue.
• Exchange and air transport system incorrect: bluish color of the skin and mucous membranes.
• Inability to cough up.
• Not preventive measures (risk factors, unhealthy lifestyles): vaccines, snuff, no physical exercise.
• Improper postural habits.

Nursing interventions:

• Avoid fatigue.
• Promotion of exercise.
• Exercise therapy.
• Environmental Performance.
• Weight control.
• Control of liquids.
• Teach coughing.
• Promoting lifestyles.

 

Bibliography:

• Johnson M. Interrelationships NANDA, NOC and NIC. Barcelona 2nd Ed. Elsevier Mosby, 2007. ISBN: 978-84-8174-946-5.
• Izuel C. Lopez, Nursing care. 1st ed. Madrid. Masson. 2004.
• Dillon P.M. Clinical evaluation in nursing. 2nd ed. Caracas. McGraw - Hill Interamericana. 2003.