Wednesday, March 11, 2009

Psychiatric Care For Elderly

. Wednesday, March 11, 2009

In many country more and more people are becoming of age, the extended family way of living is changing in to a more individual way of living and family members don’t live in the same village or city anymore. Family planning ,finding jobs, different ways of living and tradition and culture are making that people have to look for a new balance in life.In a few decades there has been a very big change in the way people are living, and the life expectancy is increasing . It also means that people will have health problems, need information about health promotion and guidance to stay healthy.
As a nurse we have different roles:
you are a nursing professional, a director, designer, coach and professional practitioner.

It means you have to combine theory, experience, social skills and personal qualities to make sure that your psycho geriatric patient is feeling well, has a safe environment . You have to be able to work in a multidisciplinary way, work evidence based, patient centered and cope with family members, stress, change psychogeriatric is becoming a very important issue, and for nurses a big challenge.
People becoming of age can develop problems:

Caused by aging, stress, health and coping:
  • problems with hearing and vision
  • short term and long term memory
  • loneliness
  • suspicious behavior

Caused by psychogeriatric disorders:
  • dementia
  • Restless behavior
  • Disorientation
  • Memory disorders
  • Aggression
caused by mental health disorders:
  • Aggressive behavior
  • Hallucination
  • Wondering
Caused by anxiety disorders:
  • panic disorders
  • phobias
  • obsessive compulsive disorders

This behavior can be observed when a person is still at home, living with the family, in day care centers, homes for the elderly, nursing homes, hospitals and psychiatric hospitals. So nurses must develop skills to observe and diagnose to come to the right diagnoses and guidance of the patient and the family. Keeping your patient in his own environment for as long as possible is an important goal, guidance, helping family to cope with the situation can prevent that the patient must go to a nursing home or hospital

Nursing therapeutic climate:
There are different approaches in psychogeriatric.
For patients that need guidance use the reality and orientation training
For patients that need care we use Validation therapy
For patients that need nursing we use Activating senses and relaxation. Snoozling developed for mentally retarded persons is also very effective for patients with psychogeriatric problems.
At the moment the emotion oriented approach is introduced because it gives patients the feeling that they are accepted, feel safe and the approach follows the needs of the patient

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