Transcript Caring for Older Adults Holistically, 4th Edition Chapter Ten

Caring for Older Adults Holistically, 4th Edition
Chapter Ten
Environments of Care
Caring for Older Adults Holistically, 4th Edition
Environmental Management
 Assess all aspects of the older adult’s living
situation that can be seen, heard, touched, or
smelled
 Assess how well the older person functions in the
living areas
Caring for Older Adults Holistically, 4th Edition
Environmental Management
 Climate of caring
 People in the environment
 Family members, neighbors, friends, paid caregivers
 Environmental tone and atmosphere
 Safety
 Assess for environmental hazards
 Keep environment free of fall risks
Caring for Older Adults Holistically, 4th Edition
Environmental Management
 Stimulation and personalization
 Personalized items maintain a sense of identity
 A caring climate facilitates optimal independence
and autonomy
 Personal space territoriality
 Personal space is important to everyone
 Personal space varies from person to person
 Territory space is used by a person and seen as
owned by the person
Caring for Older Adults Holistically, 4th Edition
Environmental Management
 Privacy
 Provide opportunities for privacy
 Respect right to privacy
 Activity and involvement
 Provide multiple and diverse opportunities for
activity and involvement
Caring for Older Adults Holistically, 4th Edition
Relocation Trauma
 Moving from one environment to another can be
stressful to older adults
 Orient to new surroundings slowly
 Incorporate personal furniture and objects into
environment
Caring for Older Adults Holistically, 4th Edition
Environments of Care
 Variety of settings where older adults may receive
health-care services
 Day care
 Day-care centers available to provide supervised
activities for older adults
 Provide specific services to meet their physical,
psychiatric, and social needs
 Ongoing assessments of the day-care participants
are important
Caring for Older Adults Holistically, 4th Edition
Environments of Care
 Home care
 Provide services for older adults in their homes
 Provide nursing services, therapy services, medical
supplies, and equipment
 Care provided on a daily basis or intermittently
 Community-based care
 Community clinic, dialysis center, or physician’s
office
Caring for Older Adults Holistically, 4th Edition
Environments of Care
 Hospice
 Provide care for the dying patient and the family
 Care given by interdisciplinary team approach
 Allows nurses to give direct patient care to patient
and family members
Caring for Older Adults Holistically, 4th Edition
Environments of Care
 Assisted living
 Provide services for older adults with physical care
needs
 Person must be ambulatory and fairly independent
 Environment is homelike
 Nursing homes
 Area of practice that has been available to
practical nurses for a number of years
Caring for Older Adults Holistically, 4th Edition
Environments of Care
 Nursing Home (cont.)
 Two categories
 Skilled and nursing facility
 Licensed by state
 LPNs supervise nursing assistants and give
medications and treatments
Caring for Older Adults Holistically, 4th Edition
Environments of Care
 Acute care
 40% to 65% of hospital admissions include older
adults
 Patients admitted for short period of time
 Difficult to develop trusting relationships with
patients
 Requires all the basic skills the practical nurse
possesses