There are a number of elements characteristic of
geriatric disease processes that determine the specificity of the care and
nursing professionals should be aware.
Nursing is the professional who spends more hours with
patients, so you must constantly evaluate the patient, we should not overlook
the elderly complaints manifest by the fact that only are elderly.
The concept of geriatric syndrome is relatively
recent, as this terminology was first used in the late 60s. At first, under the
name of geriatric syndromes referred to features that had more frequently the
elderly hospitalized in Geriatrics, compared to other services. Currently, this
term is used to refer to a set of tables, caused by the combination of a number
of diseases that reach a large prevalence in elderly patients, and are common
origin or social functional disability.
Geriatric syndromes are superbly defined by Kane, in 1989 in his book Essentials of Clinical
Geriatrics and geriatric problems, allowing through a mnemonic memorization by
the rule of the "i´s":
Immobility
|
Inestability
|
Incontinence
|
Intellectual impairment
|
Infection
|
Inanition
|
Impairment of vision and hearing
|
Irritable colon
|
Isolation
|
Iatrogenesis
|
Immune deficiency
|
Impotence
|
PAIN
Eva
Scale, to evaluate de pain:
When I started studying nursing I didný t know the
pain could be measured. I thought it was something purely subjective. With this
scale we can assess the level of pain suffered by the patient at that time to
take steps to prespecto. It consists of a straight line, horizontal or vertical
10 cm, their ends are delimited expressing marks: no pain and worst pain
possible or imaginable.
DEPRESSION
Depression is known as "the grand masked
geriatric patients". Late-life events such as chronic and debilitating
medical disorders, loss of friends and loved ones and the inability to take
part in once-cherished activities can take a heavy toll on an aging person's
emotional well-being. This is a great article from the American Psychological
Association: Aging and Depression
REFERENCES
Campbell AJ, Buchner DM. Unstable and the fluctuations
of
frailty. Age Ageing 1997; 26: 315-8.
Macias Núñez JF, Guillén Llera F, Ribera Casado JM.
Geriatría
desde el principio. Barcelona: Glosa; 2001.
No hay comentarios:
Publicar un comentario