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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

Chapter 1

Gerontological Nursing and an Aging Society

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Study of Aging

  • Religious and Secular Movements
  • Puritans
  • Victorian Age
  • Later

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Study of Aging

  • Reverse Ageism
  • Largely attributable to gerontology professionals of “baby boom” confronting their own aging

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Gerontology

  • Biomedicalization of Aging
  • Aging seen as biomedical problem that must be reversed, eradicated, or held at bay as long as possible

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Gerontology

  • Who Will Care for an Aging Society?
  • Demand is critical for gerontological nurses and other health professionals prepared to deliver care to growing numbers of older people
  • Growing concern is lack of adequate staffing, particularly professional nurses, in nursing homes

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Gerontology

  • Organizations Devoted to Gerontology Research and Practice
  • Gerontological Society of America (GSA)
  • American Society on Aging (ASA)
  • Association for Gerontology in Higher Education (AGHE)
  • National Council on Aging (NCOA)

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Development of
Gerontological Nursing

  • Gerontic Nurse Pioneers and Leaders
  • Origins of gerontological nursing rooted in England
  • Began with Florence Nightingale

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Development of
Gerontological Nursing

  • Gerontological Nursing Education
  • Schools of nursing now include gerontological nursing content in curricula
  • Continued need to increase numbers of faculty with preparation in gerontological nursing

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Development of
Gerontological Nursing

  • Gerontological Nursing Roles
  • Functions in variety of settings—hospital, home, subacute and long-term care facilities, community
  • Advanced practice gerontological nurses
  • Mission is to preserve function, enhance health, and enhance quality of life and dying

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Aging Today

  • Demographics of Aging
  • Aging in the United States
  • Gender issues
  • Diversity
  • Global aging
  • Western Europe and Japan have more older people than young people

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Diversity of the older population

(Redrawn from U.S. Census Bureau, 2004.)

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Aging Today

  • Chronological Age
  • The old
  • Parents of baby boomers make up majority of present old numerically
  • Nonagenarians and centenarians
  • Expanding group of very old (90+)

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Age self-identification

(Redrawn from National Council on the Aging, Inc., American perceptions of aging in the 21st century, telephone survey, Jan-Feb 2000. Available at www.ncoa.org.)

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Aging Today

  • Attitudes Toward Aging
  • Elders
  • Children
  • Health care students

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Aging Today

  • Research and Aging
  • Research and gerontological knowledge strongly influenced by federal bulletins distributed nationwide to indicate research most likely to receive federal funding

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Aging Today

  • Nursing Research
  • Studies
  • Dementia
  • Reducing falls
  • Use of restraints
  • Pain management
  • Delirium
  • Humane end-of-life care

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Aging Today

  • Politics of Aging
  • White House Conferences on Aging
  • Make recommendations to President and Congress to help guide national aging policies
  • Older Americans Act
  • Delivers community-based services through state Area Agencies on Aging (AAAs)

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Top 10 Resolutions
of 2005 WHCoA

  • Reauthorize Older Americans Act
  • Develop coordinated, comprehensive long-term care strategy by supporting public and private sector initiatives that address financing, choice, quality, service delivery, and paid and unpaid workforce

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Top 10 Resolutions
of 2005 WHCoA

  • Ensure that older Americans have transportation options to retain mobility and independence
  • Strengthen and improve Medicaid program for seniors
  • Strengthen and improve Medicare program for seniors
  • Support geriatric education and training for all health care professionals, paraprofessionals, health profession students, and direct care workers

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Top 10 Resolutions
of 2005 WHCoA

  • Promote innovative models of non-institutional long-term care
  • Improve recognition, assessment, and treatment of mental illness and depression among older Americans
  • Attain adequate numbers of health care personnel in all professions who are skilled, culturally competent, and specialized in geriatrics
  • Improve state and local integrated delivery systems

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Aging Today

  • Business of Aging
  • Major marketing attention extended to elderly
  • American Association of Retired Persons (AARP)

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Gerontological Nursing and Aging:
The Future

  • Baby Boomers
  • Informed and educated
  • Alerted to importance of preparing early for "good" old age
  • Expect much higher quality of life as they age than did their elders

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Mosby items and derived items © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Some material was previously published.

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Gerontological Nursing and Aging:
The Future

  • Global Challenges
  • Policies needed to meet income, health, and long-term care needs for men and women throughout world

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