Universitat Internacional de Catalunya - Barcelona

Caregiving for the Elderly

• code 09087
• course 3
• term Semester 2
• type OB
• credits 4

Module: Module Nursing Care from Birth to Death

Matter: Nursing Care for Elder

Main language of instruction: Catalan

Other languages of instruction: Spanish

Head instructor

Dra. María Ángeles DE JUAN - mdejuan@uic.es

Other instructors

Dra. Carmen QUIÑOA - cquinoa@uic.es

Office hours

• At the end of the lesson and by e-mail

The aging population in developed countries has led to major changes in health policies adopted by different governments. Coinciding with the increased life expectancy, are also generated increased demand for health care increase, while the quality of life in this life stage. Because physical and psychosocial changes accessed at this stage of life, nurses are required to understand the complexity of health needs that are generated in this population.

• Not required

1. The program presented is to develop the skills necessary for nurses to assume warranty, care for elderly people, situations of dependence, and families / caregivers, either in the home environment or institutionalized.

• 12. B - Know and observe the ethical code of conduct of Spanish nursing, understanding the ethical implications of health in a changing global context.
• 13. G - Know the principles of health-care funding and use resources appropriately.
• 1. G - Ability to provide technical and professional health care appropriate to the health needs of the people they treat, with full technical and scientific autonomy, according to current and available scientific knowledge and to the quality standards and safety requirements set forth in the applicable legal standards and code of ethics.
• 2. E - Plan and provide nursing care for individuals or groups, taking health outcomes into account and their impact, through guidelines for clinical practice and care, which describe the four processes by which a health problem is diagnosed or treated.
• 7. B - Understand people without prejudice, considering their physical, psychological and social aspects, as autonomous and independent individuals, ensuring respect for their opinions, beliefs and values, ensuring their right to privacy through confidentiality and professional secrecy.
• 9. E - Promote healthy lifestyles, self-care, as well as the maintenance of therapeutic and preventive behaviors.

• Expressed understanding for the aging process as global, complex and contextualized.
• Demonstrate knowledge of the scientific basis underpinning the aging process.
• Identify relevant demographic indicators of the population of older people.
• Applying different instruments for comprehensive geriatric assessment (VGI)
• Develop care plans with reference to information from the older person and their family and socio-scientific evidence about care for the elderly.
• Exercise the care taking into account the ethical and legal issues that arise in clinical practice.
• Respect the physical distance is not documented in the literature to invade the space of the patient.
• Set an adult-adult relationship.
• Listen carefully to the speeches of the patient and / or family.
• Demonstrates understanding and respect for the views of the patient and / or family.
• Organize and synthesize information about the patient
• Explains the fundamental ethical principles to consider in the care of the elderly person: autonomy, non efficiency, beneficence and justice.
• It shows discrete management information on the patient.
• To Identify situations for applying these principles to real life situations and to have been omitted.
• Recognize ethical and legal dilemmas own 2 of the geriatric patient care.
• Design a care plan that includes the values, desires and decisions of the geriatric patient and / or your family when that is not competent to make decisions.
• Discuss your professional commitment to ethical decision making, regarding patient care nursing home, and on the constant updating of their knowledge.
• Select multiple sources of information to supplement their learning on the subject, in addition to those recommended by the teacher.
• Rate the state of health of the elderly / geriatric patient in terms of capacity for self-care, personal autonomy and adaptation healthier.
• Refers to knowledge about the comprehensive geriatric assessment / global.
• Use of the Barthel scale, Minimental Lobo, index of Katz index of Norton and MNA (Assessment of nutritional status).
• Interprets the results of these instruments.
• Perform 3 nursing diagnoses.
• Establishes a care plan that promotes maximum independence for the patient and is consistent with the assessment made.
• Describes and discusses the life crises of aging.
• 3 recognizes signs of normal aging and 3 indicate that changes in health status, pain and / or dependency.
• Relate the concepts of autonomy and self reliance.
• Quote 3 factors involved in aging populations.
• Describes 4 geriatric syndromes.
• Identify 5 characteristics of the aging process.
• List the levels of social and health care in Catalonia
• Discusses his professional contribution to the interdisciplinary team in geriatrics
• Collected in the care plans the contributions of recent research on care in geriatrics.
• Schedule 3 activities of health promotion and geriatric patient autonomy and family
• 3 proposes activities to prevent, delay or reduce the dependence on the geriatric patient and family.

Item 1 Aging Process Item. Introductory aspects

1.1 General related to aging

1.2 Demography and aging

1.3 Epidemiology on aging

1.4 Theories of aging

Item 2 Health policies and health and social care for the elderly population

2.1 The rights of the greats. Guidelines on aging. National guidelines.

2.2 Plan national gerontology. Program "Life to Years"

2.3 Levels of gerontology. Formal care. informal care

2.4 Resources and geriatric services. Law promoting personal autonomy and care for people in situations of dependency

Item 3 changes inherent in the individual aging process. differential aging

3.1 Structural and functional changes. Emotional and psychological changes

3.2 Changes of individual roles, family and community

3.3. Crisis of Aging

Item 4 The comprehensive geriatric assessment (CGA)

4.1 3.4 The comprehensive geriatric assessment (CGA)

Item 5 The older person with health problems. The major geriatric syndromes

5.1 Disorders of mobility and pressure sores. Nursing

5.2. Chronic pain. Nursing

5.3 Acute confusional state and malnutrition. Nursing

5.4 sensory disorders and social isolation

5.5 Fast and Vascular Dementia Syndrome. Alzheimer-type dementia. Nursing Care

5.6 Urinary incontinence and falls. Nursing Constipation

5.7. Nursing

Item 6 Ethical considerations in the care of older people

Item 7 The elder to palliative care

Item 8 Death in the elderly

• Cooperative Learning
• Interviews
• Role-playing
• Discussion
• Videos
• Critical reading of articles
• Cases

Relative weight of each instance of evaluation in the overall evaluation :

The matter will be evaluated during the semester by continuous assessment systems with a percentage of 40 % and a final exam worth 60%. This will be a multiple choice exam and / or short questions. Continuous assessment will have:

    Photo Slideshow Photo and exercise on an elderly person (10 % )
    Self study is not virtual : interview an elderly person and exercise on same (20 % )
    Questionnaire on moodle 10%.

General evaluation criteria :

    To make half of all the assessment methods you will have to pass the final exam .
    Final Exam 60 %

Second evaluation :

The matter will be evaluated with a final exam worth 60% and continuous assessment , with a value of 40%. It can recover the continuous assessment as follows :

    Contents of new work on the interview and photograph to the elderly, with a value of 20% , in any case the mark obtained will never be more than 5 .
    The rest of the note will not be recoverable continuous assessment (questionnaire on moodle) .

The final course grade will be calculated by applying the average of the subject. No registrations will be awarded in honor 2nd call .

Third and fourth assessment ( and extraordinary )

Stuff will be evaluated with the same system as in first and second call , and in any case no note of a course for one to be kept .

• BAYÉS, R. (2006). Afrontando la vida, esperando la muerte. Madrid: Alianza.
• FRANKL, V.E. (1946). El hombre en busca de sentido (18ª ed.). Barcelona: Herder, 1996.
• M.M.BURKE; M.B. WALSH. Enfermería gerontológica. Mc.GRAW HILL. Interamericana. 1998
• KASCHAK NEWMAN, D.; JACOVAC SMITH, D. Planes de cuidados en Geriatría. Barcelona: Doyma, 1994
• GRUPO DE TRABAJO DE ATENCIÓN AL MAYOR. Atención a las personas mayores. Barcelona: semFYC, 2005
• Llibre Blanc de les Activitats preventives per a la gent gran. Departament de Sanitat i Seguritat Social. Generalitat de Catalunya. 1999
• ROACH, SALLY. Introductory Gerontological Nursing. Philadelphia: Lippincott, 2001.
• ROGERS-SEIDL, FRANCES F. Planes de Cuidados en Enfermería Geriátrica. Barcelona: Masson, 1995.
• STAAB, A.S. and HODGES, L.C. Enfermería Gerontológica. Mexico D.F. : McGraw-Hill, 1996
• Revista GEROKOMOS. Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica. Barcelona: SPA, S.L.
• FERNANDEZ- BALLESTEROS, R. Mitos y realidades sobre la vejez y la salud. Fundación La Caixa. Barcelona: SG ediciones SA: 1992
• KANE, ROSALIE.; and KANE , ROBERT. Evaluación de las necesidades de los ancianos. Fundación La Caixa. Barcelona: SG ediciones SA: 1993
• LAFOREST, J. Introducción a la Gerontología. Barcelona: Herder, 1991
• MARTÍNEZ, Mª B., MONLEÓN, M., CARRETERO, Y., GARCÍA-VAQUERO M.T. (2012). Enfermería en Cuidados Paliativos y al final de la vida. Barcelona: Elsevier.
• NEWMAN and SMITH. Planes de cuidados en Geriatría. Barcelona: Paradigma, 1994
• NULAND, S.B. (1993). How we die: reflections on life's final chapter. Traducción castellana: Cómo morimos: Reflexiones sobre el último capítulo de la vida.  Madrid: Alianza, 1995.
• PINILLOS, J.L. y col. Una aproximación pluridisciplinar al entorno de la vejez. Fundación La Caixa. Barcelona: SG ediciones SA: 1994

E: exam date | R: revision date | 1: first session | 2: second session:

• E1 18/05/2015 10:00h
• E2 26/06/2015 08:00h
• R2 08/07/2015 11:00h