Tle 10 3rd Quarter Caregiving
Tle 10 3rd Quarter Caregiving
Topic: Caregiving
Time Frame: Lesson for two weeks
I. Introduction:
Have you ever experienced taking care of your grand mother or grand father or an
elderly relative? Bathing, feeding and giving medications, or taking body temperature? If
you have, and have found the experience worthwhile and interesting, then caregiving is the
right career for you.
Being a home caregiver is a beginning opportunity to have your skills in taking care of
elderly persons.
II. Competency:
Providing care and support to elderly persons
III. Specific Objectives:
1. Discussion of providing health care and support for elderly people.
2. Demonstrate examples of providing assistance with the elderly’s personal care.
3. Explain the importance of providing good care for the elderly people.
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Rights of the Elderly People:
1. Right to be protected, and to safeguard his/her strength and weaknesses.
2. Freedom to make decision about his/her own life.
3. Right to be given quality care.
4. Right to be in a safe and healthy environment.
5. Right to worship, according to his/her religious belief.
In home care, the elderly person or patient feels secured and private; members of the family can
give full attention without restriction on visitors. The manner of giving care is more personal, with love
and concern. Home caregiving encourages a patient to feel competent and independent in making
decisions for himself/herself.
Basic psychological needs of an elderly include the following: the need to be esteemed, the need to
be valued, accepted and recognized as an individual, and the need for security and privacy. One can help
maintain the person’s self-esteem by encouraging as much as possible his/her independence and by
using his/her proper name and title. There are some elderly people who feel annoyed and humiliated by
being referred to us as “grannies” in such cases, there is a need to adjust your approach, take into
account the person’s age, background, physical, and mental condition and depending on how will you
know him her.
The caregiver should be good in conversing with the elderly persons, giving the latter a chance to
express out his/her feelings. Talking about experiences and other interesting topics help the
patient/elderly person feel that he/she has someone to talk to – a friend or a companion. The caregiver
should avoid conversation about bad and unpleasant experiences of the elder person or the patient so
that he/she would not be depressed. In conversing with the elderly persons, the caregiver should be
more of listener than a talker. He/she should make the conversation as pleasant as possible but never
let the elderly person/patient be tired due to long conversation.
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5. Living conditions – elderly person who lived in the home for the aged have recreations provided
for them that are suited for their physical and mental activities. Those who lived in their homes
or with a married child have fewer activities for recreation, especially if their economic status is
poor or if failing health or transportation problems prevent them from participating in
community-sponsored recreation activities.
Recreations covers any activity that is found to be refreshing and renewing. Recreation must be
carefully planned and designed to suit the elderly person’s need. This will depend on the elderlies age
and sex, as well as his/her health. It is important to know his/her interest and what facilities available for
him/her.
Common recreational activities of older people include reading, writing letters, listening to the radio,
watching television, visiting friends and relatives, playing cards, going to theater and movies. Radio and
television demand no physical activity and every effort should be made to avoid interrupting the elder
person during his/her favorite programs. There also older people who loved music and so a record
player should be made available. Others are basketball, football or boxing fanatics. Some find comfort in
participating in broadcast religious services; others take part in civic, political and spiritual activities. As
health condition permits, some elderly people even join cultural and educational activities.
With their advancing age, most people suffer from increasing social loss of social disengagement a
process of mutual withdrawal of the aged from the social environment. This is expressed m a narrowing
down of the sources of social contact and a decline in social participation.
Women, as a rule, retain friendships longer than men, mainly because their friends, for the most
part. come from the neighborhoods, while the men’s friends are largely work associates who lived in
different areas and who are not brought together by their common interest in work after retirement
Many retired men are forced to rely on their wives for companionship and to play “homebody’ roles.
The elderly person can participate in social activities like visiting friends, joining tours, playing
mahjong with friends, attending social gatherings, or family gatherings except when such obstacles as
poor health, economic privations, or family responsibilities prevent them from doing so.
Although it is popularly believed that people turn to religion as life draws to a close, there is little
evidence to support this belief. While elderly people become more religious as death approaches, or if
they are seriously disabled. The average elderly person does not necessarily disable. The average elderly
person does not necessarily turn to religion in the sense that it become a new interest or a new focal
point of attention. Most elderly people carry on the religious beliefs and habits formed earlier in life.
They usually join different religious organization and attend different spiritual activities.
The attitude of most older people towards religion is probably most often that which they grew up
or which they have accepted as they achieved intellectual maturity. Women continue to participate in
church activities more than men do because of the opportunities they offer to social contacts. Whatever
the reasons for interest in religion, attendance at church and participation in religious organizations,
there is evidence that these contribute to good adjustment in old age.
Providing Assistance to the Elderly People to Maintain Safe and Healthy Environment
An elderly person or patient cannot select his/her environment unlike healthy people who can
choose their own safe place. Hence, he/she is not in a position to make adjustments or go elsewhere
because of danger and discomfort. He/She has to depend upon others to provide a safe immediate
environment. Whether confined in bed at home or in the hospital, his/her surroundings is of great value
to him/her. The general atmosphere of the room is crucial to the elderly person/patient’s comfort and
recovery.
The location of the room must be in a safe environment especially if the movement of the
elderly person is restricted. The room should be immaculately clean. An elderly person has a low body
resistance to infections and diseases. It is essential to keep the room free from pathogenic organisms or
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germs which may aggravate their health. The room must be comfortable, well-ventilated, and well-
lighted. It must be conducive to rest and relaxation. It should be aired once or twice a day, open the
window to allow fresh air to enter. Place the bed near the window if there is a garden outside. Curtains
and windows hold control on the amount of light entering the room and these provide privacy. A quiet
room gives the elderly person time to rest his/her mind and should be of considerable distance from
noisy street. To a sick elderly person, every sound is magnified and can cause headache or irritability.
The radio and television receiver should be timed down. Too many visitors can be tiring. Limit the
number of visitors and the length of their stay, but be tactful about this.
The location and furniture of the room should be considered for the elderly’s well-being and
convenience for the caregiver. It is better to have a room at the first floor with a toilet or near the toilet.
The bed must be firm, the mattress must not be sagging and must support the soft parts of the body.
The room should have plenty of space around the bed for facility in movement and placement of
essential equipment. The room needs a table drawer within the reach of the elderly or sick person from
the bed. The bedside table must have a lamp with light of moderation brightness. An armchair is needed
for placing the bed linen or for visitor use. Always have a clear pathway between the bed and the door
or between the bed and the toilet (if there is any) to avoid any body tripping over. For a bath, have a
ready chair or stool which the elderly person or patient may use.
Orderliness in the room is a must. It means that needed articles are placed in their proper
places. Things needed by the elderly person or patient must be within his/her reach so that he/she will
not lose his/her balance or fall off from the bed. Never leave unnecessary objects beside the table
except those that will not cause accidents. Remove medicines on the table. The elderly person or patient
may repeat the dosage, forgetting he/she has already taken the same. Medicines are placed in a safe
place separate from other things. It should be labeled properly. If possible, note the prescribed time
when to take them.
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3. Caring for the nails - the caregiver will notice if the person’s nails need attention while bathing
him/her. A nail brush is used to keep the nails clean and should be cut regularly. The fingernails
should be cut or filed to the shape of the finger, while toenails should be cut straight across. It is
common for elderly to have very hard and thick nails. The help of a podiatrist is invaluable in
these cases.
4. Caring for the eyes - in normal health, the eyes are kept moist and clean by an imperceptible
film of fluid, which flows across the eyeball and drains into the nose. During illness, the eyes
may become dry, sore, and even infected. if this happens, you must bathe the eyes to keep
them clean. Help the person into a comfortable position and tell him/her what you are going to
do. Wash your hands, arrange the towel under his/her face. Dip soap into the water or saline
solution, squeeze it gently, and swab the eyes from the nose outwards. Discard the swab.
Repeat the procedure until both eyes are clean. Dry the surrounding skin with clean, dry swabs.
Use each swab once only. This is important in order to prevent cross infection.
5. Caring for the mouth - food particles left in the mouth after each meal begin to decompose if
not washed and cleaned. Harmful bacteria will flourish and multiply having an unpleasant taste
and feeling in the mouth. These bacteria can cause tooth decay or mouth infections. The healthy
person cleans his/her teeth regularly. Patients confined to bed are unable to care for their
mouth without assistance. In these cases, the caregiver has to provide them with the means to
clean their teeth at regular intervals. In the case of a child, get him/her the habit of cleaning
his/her teeth twice a day. Try and restrict his/her intake of sticky and sweet food.
6. Caring for the hair - Elderly ill or disabled people find it enjoyable when they go to a barber shop
or salon for a haircut or shampoo. They find it refreshing to keep hair short in an easy-care style.
If you find it difficult to wash hair in a tub or shower, you can use the kitchen sink. Brush and
comb the hair at least twice a day and arrange it in a simple style that is easy to manage and
pleases the person. Check the hair if it is not infected with lice. Lice multiply quickly by laying
eggs. The eggs are called nits and stick to strands of hair. Lice can spread from one person to
another, especially in crowded conditions. Ask the other members of the family for permission
to examine their heads. Once you found an infected head, treat the condition, then examine
their hair regularly to check that there is no recurrence.
7. Choice of clothing - choice of clothing is a very personal thing. Let a person who has some level
of confusion, arranged two or three choices of clothes and let him choose what to wear. if
illness or disability makes it necessary to adapt clothing for a specific need, most people
appreciate help. The caregiver should also know what special clothing is available for his/her
particular disability. In helping the person select the right clothing for his/her condition, tact is
just as important as the choices itself. Be careful not to cause embarrassment by suggesting
items which are out of the person's personal choices.
8. Dressing and undressing - it is wise to encourage the person to do as much for himself/herself as
he/she can. This may be a lengthy process if he/she is blind, has lost a limb or is paralyzed as a
result of an injury or stroke. Dressing and undressing are an important part of the elder‘s days.
Every achievement is a step towards independence. Allow the person plenty of time for dressing
and undressing and encourage him/her to rest at intervals.
9. Eating and drinking - food and drink are necessary to life and health. Everyone enjoys good food
attractively served and gives a great deal of pleasure. Even the sick person whose appetite is not
great will often respond to the right kinds of food served to him/her in the right quantity and at
the right time. The caregiver should understand the basic principles of good nutrition. He/she
should know the basic nutrients needed in a balanced diet and in what food they are found. If
the caregiver is concerned with preparing and serving food to an elderly person, this knowledge
will help him/her to prepare balanced meals according to their needs. If the meals are presented
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attractively so they look appetizing, then the caregiver has a good chance of overcoming any
reluctance of the elderly to eat caused by the loss of appetite. The nutrients in food are used by
the body –
a. to provide energy movement
b. to provide heat so that the body temperature remain stable
c. to provide for normal growth
d. to replace cells as they wear out or are destroyed by illness
It is important for everyone to get enough fluids each day. Adults need at least 6 to 8 glasses
of fluids each day in different forms such as water, fruits, vegetables, juices, milk, and soups. The
kidneys of an older person may need more fluids to function properly if he/she is taking some
medications that can dehydrate a person.
10. Comfort and mobility - helping the person to move and maintain a comfortable position Is one
of the most important tasks of a caregiver, If the person Is unable to move or if his/her
movements are restricted, it is up to the caregiver to choose the most suitable position in bed
for him/her. The caregiver should know how to lift and move him/her without causing him/her
any pain and without straining the caregivers back. The elderly who gets up and moves around
should be encouraged to do so, but do not forget that even the relatively mobile person may
need help. Many patients recovering from a serious illness or an operation need help at first
with walking and moving about. Elderly person may also need help to a greater or lesser degree,
like the paralyzed and handicapped. It is important to try and judge how much help the
individual person needs, and to make it possible to him/her without making him/her more
dependent than necessary. Whenever an elderly needs to be moved, the caregiver must think
carefully about both the needs of the elderly and of his/her own needs.
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1. Changes in appearance - seen in the head, trunk, and limbs region.
2. Changes in Physiological functions - changes in the functioning of the organs, decrease
vascularity of the skin, reduced metabolic rate, and lessened muscular vigor.
3. Changes in sensory function - decline in ability to see, hear, smell; marked changes In taste,
sense of touch become less as the skin becomes drier and harder; and decline in the sensitivity
to pain.
4. Decrease in mental alertness - mental decline accompany physical deterioration.
5. Changes in motor abilities - move more slowly, become awkward and clumsy, and decrease in
strength and energy.
6. Decline in social activities - less active role in social and community affairs as well as in the
business and professional world.
7. Role change - feeling useless and unwanted so they develop feelings of inferiority and
resentment.
8. Changes in interest - decrease in personal interest, self and appearance, clothes and in money.
In addressing the concerns and needs of the elderly, it is important to assess how much
assistance they need and make the help available without encouraging needless dependence. The
caregiver should help the elderly be as independent as his/her health permits. Involving the elderly in
his/her own care reassures him that he/she is in control of his/her own life. This is important when
much of his/her physical life may be severely altered or limited. If the elderly is unable to participate in
his/her own care, the caregiver can help him exert some control over his/her life by mutually arranging
procedures which reflects the elderly’s wishes regarding his/her care. This perspective is best achieved
at home, where the elderly can gain confidence in his/her physical and mental abilities and learn to cope
with the limitations of his/her condition.
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1. Aids to Bathing
a. A handrail or a bath seat may help a frail or elderly person to bathe alone. For a heavy
disabled patient, a hoist can be used. This is a device to lift people into the bath. The Correct
type must be recommended by a competent therapist who will also teach how to operate it.
Bath seats help a person who finds it hard to get down to the bottom of the bath.
c. The elderly who find it hard to sit down in the bath may prefer a shower with a seat or a
shower attachment.
2. Aids to Dressing
a. An elderly person who is weak or arthritic can continue
dressing by using a dressing stick made from an old
coat hanger. The V-notch pulls straps over the
shoulder; the rubber thimble clings to
fabrics.
b. A stocking aid has a plastic frame and the stocking is slipped over it. This allows
the toes to be inserted while the handle enables stocking and the frame to be
pulled up the leg.
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c. The long-handled shoehorn helps people who cannot bend down to
their feet.
b. For a person with arthritic hands, light but thick handled cutlery is easier to grasp It can be
improvised by padding ordinary cutlery with foam rubber,
c. A spike board makes Possible for someone with the use of only one hand to butter bread of
peel potatoes.
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d. Far people without the strength to open stiff jar lids, special gadgets exist which only
requires e little pressure.
e. For e feeding cup for a helpless patient, you may improvise with a baby s feeding cp. @
teapot, or a glass with an angled straw.
f. A non-slip tray with a handle makes It possible for a frail
person with the use of one arm to carry several items at
once without spilling everything
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c. Tripods and quadrupeds are adjustable in height. They provide balanced support for those
who need it.
d. In a case of permanent disability or condition such as breathlessness. It may be possible
to install a stair lift which the person can stand or sit to ride up and down the stair.
e. The wheelchair is used by disabled person. A temporarily incapacitated person or a frail
elderly person may have to use it for a while.
9. Aid to incontinent
a. Urinals for men are used at night when the patient cannot be moved.
Female urinals are small and light. They can be slipped between a patient's legs without her
hips needing to be raised off the bed.
b. Fitted Incontinence pants are made of a soft material with @ waterproof pouch on the
outside and suitable for men and women. The urine passes straight through the pants to be
absorb ad placed in the pouch, so leaving the skin dry.
c. Stretch incontinence pants are light, open stretch Pants designed to fit any patient. Across
the pants are two woven - in blue bands which hold a plastic backed pad firmly in place,
These pants can be used at night.
d. Under-pads are made of layers of absorbent material backed by waterproof material. Pads
are especially used at night.
e. The protective sheet is a waterproof sheet to cover the mattress. It should be placed
beneath the bottom sheet, and securely tucked around the bed to completely protect it
against moisture. The sheet may be left for 12 hours. It never feels really wet, just dump
when saturated. It looks and feels pleasant and can be frequently laundered.
f. A catheter may be used to give the patient more independence it may be inserted into the
bladder and left in position. The urine drains into a bag strapped to the leg or supported by
a wrist belt. The bag is emptied periodically.
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The care giver has the responsibility to attend to the personal hygiene of the older person in
order to make him/her feel comfortable, The proper hygienic living has an effect upon the body itself
and on the personality of the person.
Hygiene includes many good benefits:
1. Always keep oneself clean and presentable
2. Having a good night sleep (7 to 8 hours sleep)
3. Eating a well-balanced diet
4. Taking a bath daily
5. Wash hand frequently especially when taking food
6. Brush teeth and floss dally
7. Regular dental check-up
8. Having a regular elimination
9. Exercise dally to keep oneself fit
The caregiver must attend to the personal necessities of the elderly. Although personal care is
personal, the caregiver must assist the elderly person in doing his/her personal activities. Use as much
as possible the same routines he/she is used to.
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V. Learning Activity:
Match column A with column B. Write the letters of your answers on the space before each number.
A B
VI. Assessment:
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Explain
1. Why is home care important to some elderly people?
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2. How can an elderly participate in social activities?
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Prepared by:
Jayson D. Quierra
T.L.E. Teacher
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