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The two terms gerontology and geriatrics are often used interchangeably, but there is a difference between the two.
Gerontology is the study of aging. The word gerontology comes from two Greek words, "Geron," which means old man, and "logos," meaning science or knowledge.
There are three main fields in gerontology: social gerontology, psychological aspects of aging, and biological effects. Gerontology is the study of aging in its broadest context with an emphasis on social science research.
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Geriatrics is the branch of medicine that focuses on treating ailments commonly associated with advanced age, like Alzheimer’s disease or arthritis.
Gerontologists study aging in its broadest context, emphasizing social science research, whereas geriatricians specialize in the medical care of older adults. Gerontologists are trained in several disciplines such as psychology, economics, sociology, and anthropology, to name a few.
- geriatricians study aging in its broadest context with an emphasis on medical care rather than social science research
- gerontologists are trained in several disciplines such as psychology, economics, sociology, and anthropology, to name a few.
The focus of geriatricians is more narrow than gerontology as they treat only the most prevalent conditions among the elderly.
Gerontologists study aging in its broadest context, emphasizing social science research, whereas geriatricians specialize in the medical care of older adults.
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If you are interested in becoming a geriatric nurse, many requirements must be met.
To become a geriatric nurse, individuals must have the following:
- A bachelors degree from an accredited university is required
- A minimum of two years experience in geriatrics or a related field
- A license as an RN in the United States or Canada
- An active, unencumbered state registration/license to practice nursing
- The ability to communicate effectively with elderly patients and their families, as well as have the patience to complete long term care assignments, is necessary
Nurses who work with older adults are providing a valuable service. By working with geriatrics, nurses can help support seniors and their families and help improve the quality of life for all involved.
Nurses who work with older adults can expect to experience a rewarding career that is challenging and engaging. Nurses must be competent in taking care of their aging patients by using age-appropriate strategies and techniques.
Additionally, nurses will have opportunities to expand their knowledge of the aging process by attending geriatrics conferences and lectures.
Geriatric nurses can enjoy an increased sense of self-satisfaction because they will be able to make a difference in daily people's lives, which is very fulfilling for those working with older adults!
Nurses who are interested in geriatrics nursing will need to familiarize themselves with the following topics:
- Medicines that often have side effects which can be problematic for elderly patients
- Pathophysiology of common conditions among older adults, including treatment options and possible outcomes
- Managing pain associated with chronic medical conditions
- Rehabilitation and wound care
- Management of common geriatric conditions, such as urinary incontinence, memory loss, or falls.
- Physical assessment of geriatric patients
- Pharmacological treatment and management for elderly individuals with chronic diseases such as hypertension, arthritis, and diabetes mellitus to improve their quality of life.
- Strategies used in physical rehabilitation techniques to help older adults resume daily activities after a fall or other injury has occurred.
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Geriatric nursing assessment is a process nurses use to gather information about their patients' health and well-being. The geriatric nursing assessment aims to identify the patient's needs to provide high-quality care.
Nurses who specialize in geriatrics need an excellent understanding of how best to conduct assessments for older adults, including:
- How physical changes affect patients at different life stages (such as puberty or menopause) and what implications for assessing elderly individuals with chronic diseases such as hypertension, arthritis, and diabetes mellitus.
- What types of questions should be asked during interviews with senior citizens?
- Understanding the effects that multiple medications can have on individual seniors
Nurses interested in geriatrics nursing will need to familiarize themselves with the types of assessments they need to conduct on their patients.
The most common assessment is called a "Head-to-Toe Assessment," which includes an evaluation of different body systems, including:
- Respiratory system
- Cardiovascular system
- Digestive system
- Urinary tract and reproductive organs (females) or prostate gland (males)
- Musculoskeletal system. This includes the bones, muscles, tendons, and joints. These can be assessed for range of motion problems and tenderness or swelling due to injury or inflammation. The skin should also be checked during this assessment for any changes or abnormalities.
The neurologic system, which includes the brain and spinal cord, can be assessed by asking about a patient's memory loss, level of alertness, and ability to concentrate on tasks. "Sensory" aspects should also be evaluated during this part of the geriatric nursing head-to-toe assessment, such as touch (feeling heat or cold), sight (ability to see colors or recognize objects), and hearing (ability to hear sounds).
- Psychiatric status is another key aspect that nurses will need to assess when caring for older patients in this age group. The nurse should look at how often a patient appears confused versus alert throughout the day/nighttime hours since older people tend not to sleep.
- Endocrine system, which includes the thyroid gland and adrenal glands, should also be evaluated for proper function during this part of the geriatric nursing head-to-toe assessment.
A "Functional Assessment" is another type of geriatrics evaluation that nurses will need to conduct on their patients older than 60 years old to determine what types of activities they can still perform despite any functional limitations due to age or disease process. Some examples include:
The last type of evaluation conducted by gerontological nurses is called a "Nutritional Status Evaluation." This assessment evaluates how well an individual patient's diet meets all of their nutritional requirements.
The geriatric nursing assessment is an integral part of the job for nurses interested in this specialized field. However, it can be very time-consuming to conduct all of these assessments on every patient you care for daily.
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