Transcript
Geriatric Need hierarchyDr. D. Dutta Roy
Psychology Research UnitIndian Statistical Institute, Kolkata –
700108Web:http://www.isical.ac.in/~ddroy
E-mail: ddroy@isical.ac.in
History Modern geriatrics in the United Kingdom really began with the
"Mother" of Geriatrics, Dr. Marjorie Warren. Warren emphasized that rehabilitation was essential to the care of older people. She developed the concept that merely keeping older people fed until they died was not enough- they needed diagnosis, treatment, care and support. She found that patients, some of whom had previously been bedridden, were able to gain some degree of independence with the correct assessment and treatment.
Another "hero" of British Geriatrics is Bernard Isaacs, who described the "giants" of geriatrics: incontinence, immobility, impaired intellect and instability. Isaacs asserted that if you look closely enough, all common problems with older people relate back to one of these giants
Geriatric Need hierachy
PHYSIOLOGICAL NEEDS
Geriatric nutrition It includes foods that are
tasty, but at the same time have a higher energy and nutrient content. Food should not elevate blood pressure, develop constipation. It should normalize level of cholesterol.
Massage
Massage
Massage
Safety needs
Home Assessment I) Social Information
II) Caregiver InformationIII) Patient's HealthIV) Head InjuryV) Activities of Daily LivingVI) History of FallsVII) VisionVIII) HearingIX) DentitionX) Bowel/BladderXI) SexualityXII) NutritionXIII) CommunicationXIV) Usual daily activities (with exercise)XV) Sleeping XVI) FinancesXVII) Home Safety ChecklistXVIII) Current MedicationsXIX) Care resources/agencies
Geriatric utensils
Geriatric rooms
Geriatric commode
Geriatric commode
Social Needs
Social need assessment
Use projective test
Marital Counseling Analyze love pattern: Love as
dependency, sadistic love,love as a rescue fantasy, compulsive love,love for the unattainable object, celibate love,critical love,loving for partner’s parents, revengeful love – any of which lead to extramarital affairs and marital breakdown.
Assess the degree to which the prpblem is due to ignorance about sex, cultural taboos, myths, poor communication, sexual failures, unrealistic concepts of success or undue performance pressure.
Social need fulfillment
PERFORMING ART THERAPY
Role of Performing Art
Performing art acts as the tool for Diagnosis Restoring (condition at control) Preventing and Promoting physical, mental, social and
spiritual health. It is the process of achieving three layers
of consciousness.
A creative age to make body fit
Experience your bodily changes during laughing
Make others laugh
Facilitate your imagination
Self-engagement
Performing Art Therapy
Social dancing Social dancing increases feeling of generativity and reduces stagnation in life;
It reduces feeling of loneliness; It provides social support and
care; It encourages life expectancy It contributes to the longevity of
the dancers, giving them something to enjoy and focus upon - to live for.
it alleviates social isolation and quite literally helps take away the aches and pains associated with older age."
http://www.worldhealth.net/news/research_shows_that_social_dancing_in_ol/
Sculpturing
Farming and gardening
Individualism VS Collectivism
Yoga
Performing art therapy
Movement therapy
Animal assisted therapy
Esteem Need
Computer games
Games
Self-actualization
Old age is the age of self-realization
Performing art enhances Self-realization.
Performing art has different forms – Dance, drama, song
and music ; Drawing, painting,
sculpturing ; Gardening; Yoga; Games, Sports;
Meditation
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