Geriatrics Nursing

Geriatrics Nursing - Why Geriatrics Presentation to...

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Unformatted text preview: Why Geriatrics? Presentation to Community Nursing Class February 23, 2010 A. Paul Eleazer, MD, FACP, AGSF Professor of Medicine, Director Division of Geriatrics University of South Carolina School of Medicine (Columbia) Three Part Talk • Why Geriatrics? • An overview of PACE [ the Program of All Inclusive Care of the Elderly • An overview of the SeniorSMART Center Why Geriatrics? Visualize a Patient • She is: Usually in bed or trying to crawl out of bed Incontinent of bowel and bladder Has garbled speech Falls often Intensely loved by her caregivers Other questions ? Katz Index of Independence in Activities of Daily Living (“ADLs”) or “BADL” (Basic ADL) • Bathing • Dressing • Toileting • Transferring • Continence • Feeding Katz, S. (1983). JAGS, 31 (12), 721-726. and Katz , et al (1970) The Gerontologist, 10(1), 20-30. • Roughly Hierarchical Dependence in Bathing implies Dependence in the others Katz Index of Independence in Activities of Daily Living (“ADLs”) or “BADL” (Basic ADL) • Bathing • Dressing • Toileting • Transferring • Continence • Feeding Katz, S. (1983). JAGS, 31 (12), 721-726. and Katz , et al (1970) The Gerontologist, 10(1), 20-30. • Roughly Hierarchical Dependence in Bathing implies Dependence in the others So Why Don’t People Go Into Geriatrics? Why Does Everyone Love Mr. Perez? 32 Native of Columbia South America Interstitial Pneumonia AIDS Why Does Everyone Love Mr. Perez? • “Cute” • “Vulnerable” • “Innocent” • “He seems alone” Why Does No One Love Mr. Smith? • 88 Year old Male • Dementia • Pneumonia Why Does No One Love Mr. Smith? Or…..Why Geriatrics???? • “Difficult” • “Can’t talk with Me” • “Incontinent, smells” • “He seems like a vegetable” • “He’s Boring” • “He has sooooo many problems!” “Why Would Anyone Ever Go Into Geriatrics???” Dr. Eleazer as a Third Year Resident to Dr Terry Kinsel , First Geriatrics Fellow at the University of Kentucky 1983 Currently, About 13% of the US Population is Over 65 The 85+ Segment is the most Rapidly growing in the US SC State Plan on Aging 2005-2008 Growth of Seniors in South Carolina South Carolina Remains in the Top 10 for Rate of Growth of Older Adults South Carolina Leads the Southeast in Rate of Growth of Seniors!Rate of Growth of Seniors!...
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This note was uploaded on 02/16/2011 for the course NURS 231 taught by Professor Hickey during the Spring '10 term at South Carolina.

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Geriatrics Nursing - Why Geriatrics Presentation to...

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