SPECIFIC GERIATRIC SYNDROME : IMMOBILITY.

For older people enjoy the best quality of life possible. It’s essential that they retain physical mobility because 

it indicates that the patient has autonomy.

Mobility, indicates that the elderly enjoy health level and indicates that maintaining a certain degree of independence.

An immobilized patient has a high risk of being dependent on daily life activities and also has many risks that nurses have to avoid using the cares that is provided to the patient. For this, first we try to correct the problems that lead to the old man to immobilization.

It is important to make a detailed plan of care for these people because bed rest due to organs and systems are affected. To do this, we make a detailed study of the patient.

We will work for the elderly for don´t lose the mobility and functions and prevent deterioration of organs and systems, reduce skin lesions and sociological and social complications such as social isolation and prevent the patient become unable to look after themselves.

If the old man loses all or part of her mobility, it is necessary to take appropriate action in specific cases such as architectural barriers.

It is very important that from primary care nursing we bridle the immobility and we encourage the patient to regain mobility. We will make home visits for home adaptation studies and aid patient counseling techniques which support the patient to remain mobile.

For us to carry out the degree of patient mobility we have stand validated scales: scale Timed up and go test, and Barthel Tineti that values ​​basic activities of daily living.

Bibliograpy:

1. Morales Razo. D.P; Durán de la Fuente. I.E; Cabello Ponce de Leon.S.A .Inmovilidad en el anciano; Available in:

http://www.facmed.unam.mx/deptos/salud/censenanza/spivsa/antol%202%20anciano/2parte2013/VI_sindrome.pdf

PRESSURE ULCERS

Pressure ulcers, is a prominent issue in the elderly and very important in nursing care to a geriatric patient.

With the emergence of chronic diseases that lead to immobility and stay in bed, if there is prevention and identification of risk factors can hardly avoid the occurrence of pressure ulcers in patients in these conditions.

Most pressure ulcers are preventable so good practice nurse will be reflected in the good prevention thereof.

To evaluate these items have validated scales noted for its greater use the Braden scale and Norton scale.

In our role as nurses we must put the necessary means to prevent these injuries (bony protection, repositioning etc.)

In the event that a patient come to us with a pressure ulcer we study and plan a standardized care based on scientific evidence in order to resolve it.

From my point of view, this issue is very important and is an area in which nurses should be renewed because these injuries can trigger other complications in patients and is always vital to prevent complications due to lower incomes of patients and the economic cost that this would take place.

Bibliography:

1. Bermejo Caja CJ; Beamud Lagos, M; de la Puerta Calatayud M; Ayuso Gill Mª  ; Martín Iglesias. S; Martín - Cocinas Fernández. Mª C ; Fiabilidad interobservadores de dos escalas de detección del riesgo de formación de úlceras por presión en enfermos de 65 o más años. Enferm Clin. 1998;8:242-. - vol.8 núm 6. Available in:
http://www.elsevier.es/es/revistas/enfermeria-clinica-35/fiabilidad-interobservadores-dos-escalas-deteccion-riesgo-formacion-5900-originales-1998

2. García Fernández F.P; Pancorbo Hidalgo P.L; Soldevilla Ágreda J.J, Blasco García C; Pressure ulcer risk assessment scales.  Gorekomos v.19 n.3 Madrid sep.2008. Available in:

http://scielo.isciii.es/scielo.php?pid=S1134 928X2008000300005&script=sci_arttext&tlng=en

GERIATRIC SYNDROMES,

Humans have always wanted to live as long as possible, but with the best quality of life.

At this time, the aging population in developed countries leads to increasing number of elderly and the need to put your care resources needed service.

In this population group are three factors to note:

PAIN, WEAKNESS AND CHRONIC.

The sooner these symptoms are detected, the sooner you can act on them and avoid greater evils.

Performing a quick intervention we can provide better care for the elderly and to act at an early stage, the resources needed to carry out the treatment of pathologies of this group can decrease both on medical and economic aspects.

Bibliography:

1. Alonso Galbán. P; Sansó Soberats, FJ; Díaz- Canel Navarro, AM elt al. Envejecimiento poblacional y fragilidad en el adulto mayor. Rev Cubana Salud Pública v.33 n.1 Ciudad de La Habana ene.-mar. 2007. Revised in: 

http://scielo.sld.cu/scielo.php?pid=S0864-34662007000100010&script=sci_arttext 

BASIC NEEDS IN THE ELDERLY.

 

The elderly person just like the rest of the population, might need a series of cares provided by the nursing staff based on their health, as have a number of risks and needs to satisfy.

Nursing, through a standardized care plan must satisfy these needs, solve problems and prevent them.

This is very important to perform a comprehensive assessment of the elderly.

To provide this cares, and basic needs can make the elderly person be independent and therefore they are in an optimal state of health.

Bibliography: 

1. Quality of life meaning for the older adult and his family. Available on:

 http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2006000100002

 2. Rojas Ocaña. Mª. J.  ; Toronjo Gómez A. ; Rodríguez Ponce. C ; Rodríguez Rodríguez. J.B. Autonomía y estado de salud percibidos en ancianos institucionalizados. Gerokomos (Madr., Ed. impr.) v.17 n.1 Madrid mar. 2006  Available on: 

http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2006000100002

GLOBAL GERIATRIC ASSESSMENT.

Global geriatric assessment is a very important goal of nursing.

The elderly population which attends nursing visits can suffer many problems to be detected early.

It is important that this assessment is a process diagnostic dynamic and structured. We assess all the individual systems orderly and all areas: functional, social, mental...

                                                                                              

At this point we have to give great importance to the need to use scales and instrumental evaluation validated. Each scale is for the evaluation of a particular problem.

To carry out the comprehensive geriatric assessment, it is very important that when we do the clinical interview, this is the best possible way in spite of the difficulty whit some patients. 

From my point of view, it is very important to communication with the patient. Speak clearly with appropriate voice tone and establish good communication in addition to giving confidence to our patient is the most important.

Another important and alarming to consider, is attributed to the age old problems that present such as memory loss. I think it is a worrying issue and it is necessary that people are aware that any problem detected early can be resolved or do not get worse. Therefore it is important to conduct separate interviews with family and patient, so that we can compare information.

For all this, we have a very important role in promoting patient autonomy. We detect problems at an early stage, making prevention and preventing the elderly lose functionality and becomes a dependent of your family or institutionalized.

Bibliograhy:

1. Baztan, JJ; Gil, L; Andrés, E. Actividad comunitaria de un servicio de geriatría hospitalario: un ejemplo practico de coordinación entre atención primaria y especializada. Aten primaria. 2000;26 : 374-82. -vol. 26 núm 06. Disponible en:

 http://www.elsevier.es/es/revistas/atencion-primaria-27/actividad-comunitaria-un-servicio-geriatria-hospitalario-un-11917-originales-2000

2. Redín, J.M. Valoración geriátrica integral ( I ). Evaluación del paciente geriátrico y concepto de fragilidad. Disponible en:  

http://www.fundacion-barcelo.com.ar/gerontologia/archivos/valoracion%20geriatrica%20integral.pdf

THEORIES OF AGING.

Theories of aging, want expose an explanation of why aging occurs.

In this process there are a number of changes on the person which these theories try to explain, each from their point of view.

There are a number of theories emphasizing among them two large groups: the biological and psychosocial.

Based on these theories, we can make prevention and advice to the person on possible changes that will be appearing.

Each theory attempts to give an explanation for this process differently.

We have achieved the main objective, the independence of the person and involve them to live in a healthy environment.

The theory used in nursing is the LIFE COURSE THEORIES.

From my point of view during our life happens a series of changes and causes on the person, that deteriorate functions previously had and appearance changes.

I believe that the best way to combat the aging process, is coping with the changes happening in the person. Addressing this in a positive way I think is very important.

Life involves a series of stages that we all go. Since nursing is important to support the person in the changes and answer any questions that may arise to the person.

We understand it can be difficult for the person because it carries a deterioration and decay of health, a possible departure from the company, retirement and other. One of our roles is to encourage the person to maintain an active lifestyle and non-stop activities previously undertaken within their means.

PHYSIOLOGIC CHANGES

The ageing process begins with the birth of the person and continues throughout of their life cycle. It is a physiological process.

People, suffers from a series of biological changes in organs and systems characteristic of this process called aging.

In the aging process the person suffer from various physical and physiological changes which affect the appearance and the functioning of organs and systems.

This means that could appear malfunctions of the body of the person.

Is very important in our profession as nurses, understand the person about their feelings and experiences of the changes that occur in them in addition to providing the best nursing care related to diseases that may be suffering in process of ageing and prevent complications.

During the last years of our lives, we suffer from more illness and find more limitations to adapt to the environment.

The aging process is individual, occurs in all people and is different between individuals and species.

One very important thing to consider is that our country has decreased the birth rate, but have increased life expectancy, which creates a challenge to society: to optimize health and functional capacity of the elderly patients, participation and security of them.

Bibliography

1.      Noriega Borge MJ, Garcia Hernandez M, Torres Egea MªP. Proceso de envejecer: cambios físicos, cambios físicos, cambios psíquicos, cambios sociales. Disponible en: http://www.arrakis.es/~seegg/documentos/libros/pdflibro/Cap2.pdf

2.      OMS. Envejecimiento. Disponible en: http://www.who.int/topics/ageing/es/index.html