COA | OCTOBER 3 | October 10 o Kind, respect, and humble to

colleagues

• Ethics
American Nurses Association (ANA) Standards of
Gerontological Nursing Practice o It is important to be aware of the
context in which communication is
taking place
ROLES OF NURSES
o Morality
• Quality of Care
• Collaboration
o Systematically evaluates the quality
o Collaborates with older adults,
of care and effectiveness of nursing
caregivers, and all member of
practice
interdisciplinary team to provide
o Maintain eye contact and at eye level, comprehensive care
volume of voice enough to be heard,
o Interdisciplinary Team: Doctors,
personal space (estimated 1 meter or 1
MedTech, Dietitians, Physical
dupa), introduce yourself, establish
Therapist, Pharmacist
rapport
• Research
o ADPIE
o Interprets, applies, and evaluates
o Concrete proof that the patient is
research findings to improved
satisfied with the quality of care:
gerontological nursing practice.
Evaluation (form)
(Customer/Client Satisfaction • Research Utilization
Survey- BRGHGMC)
o Considers the factors related to safety,
• Performance Appraisal effectiveness, and cost in planning and
delivering patient care.
o Evaluates his/her own nursing
practice in relation to professional STANDARD OF PROFESSIONAL NURSING PRACTICE
practice standards and relevant status (according to American Heart Association)
and regulation.
• STANDARD 1: Assessment
o Self-assessment checked by the
o Collects comprehensive data
supervisor
pertinent to the healthcare consumer’s
• Education health or the situation.

o The gerontologic nurses requires and • STANDARD 2: Diagnosis

maintains current knowledge in
o Analyze assessment data to
nursing practice
determine the diagnoses or issues
o How to ensure lessons/curriculum are
up to date: Attending seminar and
• STANDARD 3: Outcome Identification
workshops
o Expected outcome of the diagnosis

o Consider individualized outcomes to

Geria patients
• Collegiality
o Individualized intervention
o Contributes to professional
development of peers, colleagues and
others • STANDARD 4: Planning
 o Short and long-term planning o Relate to the do’s of the quality of care

• STANDARD 12: Leadership

• STANDARD 5: Implementation
o Demonstrates leadership in the
o Management/ Intervention professional practice setting and the
profession
o The nurse implements the
interventions identified in the plan o Democratic Leaderships: Prone to
abuse
o Standard 5A. Coordination of Care
(interdisciplinary team) o Authoritative Leadership: positive

o Standard 5B. Health teaching and o Autocratic Leadership: disaster, mass

Health promotion casualty or emergency

o Standard 5C. Consultation (Graduate • STANDARD 13: Collaboration

Prepared Specialty or Advanced
o Collaborates with the healthcare
Practice Nurse)
consumer, family and others in the
o Standard 5D. Prescriptive Authority conduct of nursing practice.
and treatment (Advanced practice
o Interdisciplinary approach
Nurse)
o Proper chart: serves as a
• STANDARD 6: Evaluation
communication and for collaboration
o Is the implementation effective or is
• STANDARD 14: Professional Practice
the goal reached?
Evaluation
o Reassess again if UNMET ang
o Evaluates her or his own nursing
evaluation
practice in relation to professional
ANA STANDARDS OF PROFESSIONAL PERFORMANCE practice standards and guidelines,
relevant statutes, rules and
• STANDARD 7: Ethics
regulations.
o Practices ethically
• STANDARD 15: Resource Utilization
• STANDARD 8: Education
o Utilizes appropriate resources to plan
o Attain knowledge and competence and provide nursing services that are
that reflects current nursing practice safe, effective and financially
responsible.

• STANDARD 9: Evidence-based Practice and • STANDARD 16: Environmental Health

Research
o Practice in an environmentally safe
o Integrates evidence and research and healthy manner
findings into practice
o Waste segregation
• STANDARD 10: Quality of Practice
▪ Black: Non-Biodegradable
o Contributes to quality of nursing (Paper/paper products,
practice Bottles, Packaging materials)

o Basis: Commentation ▪ Yellow: Infectious

• STANDARD 11: Communication ▪ Green: Biodegradable

(Leftover food, Used cooking
o Communicates effectively in a variety oil, Fish entrails, scale, fins,
of formats in all areas of practice Fruits, Vegetables peelings,
o Do preliminaries, establish rapport Rotten Fruits and vegetables)
 activities toward enhancing the
gerontological practice.
GERONTOLOGICAL COMPETENCIES
HAND IN HAND
1. Assist the older adult in evaluating, deciding,
locating, and transitioning to environments that • Assessment of mental status and cognitive
fulfill living and care needs. skills

2. Facilitate the individualization care • Wide understanding of patient’s acute and

chronic issues
3. Unique data and knowledge are used to apply
the nursing process to the older adult • Discuss common health concerns such as
falls, incontinence, changing sleep patterns
4. Advocate to patient’s rights.
and sexual issues
5. Facilitate discussion of and honor advance
• Organize medications
directives.
• Educate the patient about personal safety and
disease prevention
GERONTOLOGICAL NURSING ROLES
• Explain and adjustment to the patient’s
1. Advocate medication regimen to ensure adherence.

o Speaks out for older adult • Link the patient with local resources as
needed
2. Caregiver
• Watch for signs of older abuse, helping
o Meeting the unique needs of the older patients with daily grooming needs, and giving
adults advice on disability - related problems
o Independence and efficiency

o Maximizing the capabilities of the ROLES AND RESPONSIBILITIES OF GERIATRIC NURSE

client
• Conceptualize one’s individual role as a
o Not only provide care, boosts their primary nurse practitioner and one’s personal
esteem philosophy of primary care practice
3. Educator • Demonstrate leadership and competence in
o Both formal and informal chance to implementing the role of the primary nurse care
share knowledge and skills related to practitioner
the care of older adults • Demonstrates competence in managing the
o Effective communicators health/illness status of geriatric clients in
primary care
4. Healer
• Engage in counseling, communication,
o Holistic approach collaboration, and teaching in a manner that
o Achieve participation of their health reflects caring, advocacy, ethics, and
maintenance, illness management professional standards

o Interconnected with older adults with • Monitor and ensures quality healthcare for
the environment geriatric clients in primary care

• Incorporates an understanding of trends in

5. Innovator aging in planning and providing primary care
nurse practitioner
o Inquisitive, making decisions based on
critical thinking utilization and other • Integrates advances knowledge and
experience in delivering safe, effective, quality
care to geriatric clients in primary care
 • Manages and negotiates within the health LEGAL TOOLS AND INSTRUMENTS
care delivery system on behalf of geriatric
clients in primary care
• Advance Medical Directives (AMD)
NURSES ETHICAL CODE AND END OF LIFE CARE
o Are documents that permit people to
set forth in writing their wishes and
• Ethics preferences regarding healthcare.

o Relate to the moral actions, behavior • Do not Resuscitate (DNR)

and character of an individual
o Specific order forms healthcare
o Nurses occupy one of the most trusted provider, entered on the patients
positions in society, and conforming residents order sheet or by using
to a code of ethics computerized physician order entry
systems
o A code of ethical conduct offers
general principles to guide and to o An instruction to the healthcare
evaluate nursing actions workers not to use or order methods of
life-saving therapy referred to as CPR.
o The role of a healthcare professional is
to advocate for, promote, and improve • Physician Orders for Life-Sustaining
patient autonomy, maintain or Treatment (POLST)
improve health status and do no harm
o A written medical order from physician,
o The nurse- patient relationship is built nurse practitioner or physician
on trust and nurses’ understanding of assistant that helps give people with
the key ethical principles is the basis serious illness more control over their
of trusting relationships. own care by specifying the types of
medical treatment they want to receive
during serious illness.
THE KEY ETHICAL PRINCIPLES

• Autonomy or self-determination
• Living Wills (LW)
• Beneficence( Doing Good)
o Intended to provide written expressions
o More on the benefits for patient of a patient’s wishes regarding the use
of medical treatment in the events of a
o Ex: Vaccination terminal illness or conditions
• Non Maleficence (Avoiding Evil) o Orders, designation of healthcare
o Do what is good all the time agents, and durable powers of attorney
help people plan for future decisions
o Example: Observing sterility making so that their wishes can be
• Justice (Allocation of resources) carried out even when they are no
longer alive.
o Fairness
• Affirmative Euthanasia
• Veracity (Truthfulness)
o Actual administration of instrumentally
o White lies that causes death

o Criminal offense

o Potassium chloride - Kayexalate

(antidote)
COMMUNICATING WITH OLDER ADULT

1. Sit in a face to face position

2. Ensure as much privacy as possible

3. Provide good lighting, and avoid background

glare

4. Eliminate as much as background noise

VERBAL & NONVERBAL COMMUNICATION

• Begin contracts with an exchange of names and

handshakes

• Explain the purpose of the interview in relation

to a nursing goal

• Begin with questions

• Use open-ended questions, and learn to use

silence effectively and comfortably

• Periodically clarify the messages

• Maintain good eye contact, use attentive

listening, and encourage the person to
elaborate on information

• Remain non-judgmental in response but show

appropriate empathy.

• Ask the formal mental status questions, or the

most threatening questions, toward the end of
the interview.

• Gain the person’s permission before asking

formal assessment questions regarding
memory and other cognitive abilities

Patient’s Rights

1. Right Medication

2. Right Patient

3. Right Dose

4. Right Route

5. Right Time

6. Right to Refuse

7. Right documentation

8. Right Reason

9. Right education

10. Rights assessment