· Use emollient creams and avoid violence when dealing with the skin
· Encourage the elderly to bathe daily using a good, non-irritating soap.
· Massage pressure points on the body every two to three hours for elderly patients and examine these areas to avoid ulcers or injuries.
· Take care of foot hygiene and place them in lukewarm water].
· Advise the elderly not to be exposed to extreme heat or cold weather fluctuations and to wear clothing appropriate for the weather conditions.
· Use hearing aids in some cases that require it according to the doctor's instructions.
· Speak slowly to the elderly while facing them when speaking, and speak at a moderate volume.
· Reduce sound effects or noise in the patient's environment.
· Avoid talking about more than one topic at a time.
· Assist the elderly in eating sufficient, balanced, easy-to-digest, and soft meals.
· Consume fiber-rich vegetables and fruits to help avoid constipation, and encourage drinking a cup of warm water in the morning and drinking fluids to reduce dryness and assist with swallowing.
· Quit smoking for smokers.
· Reduce physical activity so as not to increase the effort on the heart.
· Protect them from contact with any source of infection due to their weak resistance to disease and avoid gathering places.
· Encourage changing positions, not sitting for a long time, and moving the legs from time to time.
· Encourage using chairs of appropriate height with a straight, comfortable back.
· It is preferred not to use mattresses with springs or soft ones; cotton mattresses and wooden boards on beds are preferred.
· Encourage the elderly to take care of their body and clothing hygiene and take necessary measures to care for the groin area in women.
· Assist the elderly in performing exercises to strengthen bladder control.
· Assist the elderly who suffer from getting up several times at night to urinate to get enough rest during the day.
Nurse's Role in Educating the Elderly
· Nutritional needs
· Safe environment
· Accident prevention
· Dealing with chronic diseases such as diabetes and hypertension
· Cardiovascular diseases
· Personal hygiene
Geriatrics Assessment
|
FRAILTY |
Yes |
No
|
|
Weight loss |
||
|
Weakness |
||
|
Poor endurance |
||
|
Slowness |
||
|
Inactivity |
|
FUNCTION |
Yes |
No
|
|
Transferring |
||
|
Bathing |
||
|
Toileting |
||
|
Dressing |
||
|
Eating |
||
|
Doing housework |
|
INSTRUMENTAL FUNCTIONS |
Yes |
No
|
|
Driving |
||
|
Cooking |
||
|
Shopping |
||
|
Managing medications & finances |
||
|
Using phone |
||
|
Doing housework |
|
ADVANCED ADLs |
Yes |
No
|
|
Social |
||
|
Occupational functions |
||
|
Employment |
||
|
Hobbies |
||
|
Caregiving |
|
MOOD |
Yes |
No
|
|
Depression |
||
|
Anxiety |
||
|
Other |
|
MOBILITY |
Yes |
No
|
|
Stooping or kneeling |
||
|
Reaching overhead |
||
|
Writing |
||
|
Lifting 10 pounds |
||
|
Walking 2 to 3 blocks |
||
|
Gait speed |
||
|
Vision |
||
|
Hearing |
||
|
Urinary incontinence |
||
|
Nutrition |
||
|
Hypertension screening |
||
|
Osteoporosis screening |
|
CANCER SCREENING |
Yes |
No
|
|
Colon Cancer |
||
|
Breast/prostate cancer |
||
|
Lung cancer |
|
IMMUNIZATIONS |
Yes |
No
|
|
Influenza vaccination |
||
|
Pneumococcal immunization |
||
|
Tetanus & Diphtheria |
|
HEALTHY LIFESTYLE |
Yes |
No
|
|
Tobacco cessation |
||
|
Exercise |
||
|
Seat belt |
||
|
Mini cog test |
|
Signature |
Day |
Time |
|
|
|
|