LICEO DE CAGAYAN UNIVERSITY

BACHELOR OF SCIENCE IN NURSING

LEVEL 3
NCM 114: CARE OF THE OLDER CLIENTS
LECTURE
Clinical Instructor: Irene M. Mina Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER

I. RESEARCH AGENDA IN AGING

National: NIH Publication

• NIH is the steward of medical and behavioral research for the
OVERVIEW OF RESEARCH AGENDA IN AGING Nation.
• Its mission is to seek fundamental knowledge about the
The research agenda in aging encompasses a wide range of topics and nature and behavior of living systems and the application of
areas of study related to the aging population. The goal of this research is to that knowledge to enhance health, lengthen life, and reduce
better understand the aging process, identify factors that contribute to illness and disability.
healthy aging, and develop interventions and strategies to improve the
quality of life for older adults. Aging with disability
• Refers to a person who experiences ongoing functional issues
SOME OF THE KEY AREAS OF FOCUS IN THE RESEARCH AGENDA IN AGING for several years, decades, or even their entire life.
INCLUDE: • Students who have had severe functional issues since birth or
who developed them during childhood or adolescence are
usually the ones who study this subject. However, a disability
• Biological and physiological changes:
can last for many years and typically starts in middle age or
o This area of research examines the physical changes
later.
that occur in the body as individuals age, such as
• This is disability- assisted aging as well. However, for these age
changes in cellular function, organ systems, and the
groups, the focus of the research is on disability change
immune system.
(onset and recovery), not persistence of disability.
• This is the first analysis of midlife and older people with
• Cognitive and brain health:
disabilities utilizing a large-scale survey. Two complementary
o This includes studying the risk factors and protective
approaches are used to identify persons with persistent
factors for cognitive decline, as well as developing
disability, one based directly on observed data and the other
interventions to maintain cognitive health and prevent
on latent classes. Both approaches show that persistent
or delay the onset of dementia and Alzheimer’s disease.
disability is more common for persons ages 65+ than ages 51+
and more common for physical limitations than IADLs and
• Social and psychological aspect:
ADLs. People
o It explores the impact of social support, relationships,
and social engagement on health outcomes and
National: NIH Publication
quality of life. It also examines the psychological
• The National Institutes of Health (NIH) is actively involved in the
determinants of successful aging, such as resilience,
Research Agenda on Aging through publications and initiatives,
optimism, and adaptability.
including the NIA Strategic Plan for Fiscal Years 2023-2028, outlining
strategic priorities and goals.
• Aging and chronic diseases:
o Research in this area investigates the relationship
between aging and chronic diseases such as
The National Institute of Health
cardiovascular disease, cancer, diabetes, and
• Is the national health research center of the Philippines that is
respiratory disorders.
responsible for biomedical and public health research.
• They aim to seek fundamental knowledge to enhance health,
• Age-friendly environments:
lengthen life, and reduce illness and disability.
o This area of research focuses on creating environments
• It is an integral part of biomedical and behavioral research
that are age-friendly, accessible, and supportive of the
ecosystems that includes universities, researchers, private
needs of older adults.
companies, and other government Agencies.
• The knowledge produced by NIH supported research can take
• Aging and technology:
many years and pass through many organizations on its pathway
o Research in this area explores the use of technology to
toward improving health. As part of their initiative to make public
support healthy aging, improve communication and
health research and information accessible, NIH offers a bimonthly
socialization, and enhance the overall well-being of
publication that showcases the research conducted by scientists,
older adults.
clinicians, and trainees at NIH.
• Their research includes but is not limited to AIDS, Behavioral and
• Health disparities and equity:
Social Sciences, Disease Prevention, Women’s health, Aging, and
o This area of research examines the social determinants
more. To touch more lives through research, the University of the
of health and disparities in aging populations. It
Philippines has opened its doors to the first batch of student
investigates the impact of factors such as race,
research grants for 2024. This grant provides funding support for
ethnicity, socioeconomic status, and access to
thesis/research projects of UP Manila undergraduate, masteral,
healthcare on health outcomes and aging trajectories.
phd, and medical students.
The goal is to promote health equity and improve health
outcomes for all older adults.

Importance Of Research Agenda In Aging:

The research agenda in aging is of significant importance as the world

population continues to age at an unprecedented rate. With a growing
number of older adults, it is imperative to understand the physiological,
psychological, and social aspects of aging to develop effective strategies for
promoting healthy aging and improving the quality of life for older individuals.

P a g e 1|9
 LICEO DE CAGAYAN UNIVERSITY
BACHELOR OF SCIENCE IN NURSING
LEVEL 3

NCM 114: CARE OF THE OLDER CLIENTS

LECTURE
Clinical Instructor: Irene M. Mina
Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER

II. TRENDS AND ISSUES AND CHALLENGES OF CARE OF OLDER PERSON

HOME CARE: • Hospice facilities play a crucial role in providing end-of-life

care with a focus on comfort and dignity. The trend
involves enhancing palliative care services and creating
A. The Care Provided Should Be Person-Centered
environments that support emotional and spiritual well-
• Catering to the unique needs of older adults might be
being.
difficult however, we must remember that they need
our help.

B. Dignity is important 1.Coordination Care

• Dignity is important especially to them so make it a
point to understand them and be a confidant. • Inpatient facility, doctors, nurses, pharmacists, clergy, and
funeral directors
C. Report all forms of abuse • A group of professionals that helps take care of the
• Older adults may be quick-tempered. One way to individual
help them open is to explore ways to understand
communication disabilities. 2. Respite Care

Advantages/Benefits of Home Care Services: • Provide short-term relief for primary caregivers
• Can be arranged in just one afternoon, several days, or
1. Beneficial choice for many families – weeks
• Always remember that older adults want to be with • Care can be provided at home, in a healthcare facility, or
family. in an adult day center
2. Personalized care • So that the direct caregiver who is a family member can
• It will cater their unique needs. The treatment will be rest
focused on the patient. Tailored care plans based on
individual needs. One-on-one attention from
3. Bereavement Care
caregivers.
3. Faster recover
• Older adults recover faster in the presence of family • The time of mourning after a loss
members. • The hospice care team works with surviving loved ones
4. Comfort and Familiarity and helps them through the grieving process.
• Older adults need comfort from family members as it
can be lonely at their age. Patients can receive care Challenges In Hospice Care:
in a familiar and comfortable environment. Reduced
stress and anxiety associated with institutional care. 1.Inadequate Funding and Resources
5. Peace of mind
• The family will not worry about their older adult family
• hospice care often faces limited funding and
as they can see the care that is being given in their
• Resources, which can restrict access to services and
own home.
affect the quality of care provided
6. Family involvement
• The family will be there every step of the way
regarding their older adult’s care. 2. Public Misconception About Hospice Care
7. Independence
• Allows individuals to maintain independence and • mistaken beliefs about hospice care
autonomy. Supports aging in place for seniors. • Such as the perception that it is only for the very end
8. Cost-Effective of life, can deter patients and
• Home care is often more cost-effective than • Families from seeking timely hospice services.
institutional care. Reduces hospital readmissions.
3. Ensuring Cultural and Diversity In Hospice Care
Services Included in Home Care Services:
• providing culturally sensitive
1. Bedside nursing • And diverse hospice care is crucial to meet the
2. Home health aides needs of patients and families from
3. Physical therapy • Different backgrounds and traditions.
4. Health education
5. Family counselling DROP-IN /DAY CARE CENTRES
6. Medical services

HOSPICE FACILITIES: • are non-residential facilities that offer support for the
functional and social needs of older adults. These centers
provide a safe and stimulating environment for seniors who
• Specialized type of palliative care that focuses on need supervision during the day, or who are isolated and
providing comfort and support to people who are lonely.
terminally ill and their families.

Page 2 of 9
 LICEO DE CAGAYAN UNIVERSITY
BACHELOR OF SCIENCE IN NURSING
LEVEL 3

NCM 114: CARE OF THE OLDER CLIENTS

LECTURE
Clinical Instructor: Irene M. Mina
Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER
• is a planned program of activities in a professional care Issues And Challenges of Care Of Older Person In Drop-In /Day Care
setting designed for older adults who require supervised Centres:
care during the day, or those who are isolated and lonely.
Adult day-care enables seniors to socialize and enjoy 1. Limited availability of centers
planned activities in a group setting, while still receiving 2. Cost of care
needed health services. At the same time, they offer family 3. meeting the diverse needs
caregivers respite from caregiving duties while knowing
that their loved one’s is in a safe place.
RETIREMENT LIVING/HOME VILLAGE:
• Some adult day care centers “offer limited medical and
alternative health” such as; music, art therapy, support
groups of counseling, and nursing care. • Retirement living communities, also known as home
• Financial Strain - The cost of healthcare, long-term care, villages, are planned housing developments
and support services can be a significant burden for older designed specifically for older adults.
individuals and their families. • These communities offer a range of amenities and
services, including independent living units, assisted
Common Services and Amenities Provided In Adult Day Care: living facilities, and skilled nursing care.

1. Supervision and Personal Care Trends:

2. Social and Recreational Activities
3. Meals and Snacks 1. Aging Population
4. Health Monitoring 2. Preference for Aging in Place
5. Therapeutic Services 3. Technology Integration
o Physical Therapy 4. Health and Wellness Programs
o Occupational Therapy 5. Sustainability and Environmental Awareness
o Speech Therapy
6. Medical Services Issues:
7. Counseling and Support Groups
8. Cultural and Educational Programs
1. Affordability
9. Transportation
2. Social Isolation
10. Personal Enrichment Programs
3. Healthcare Access
11. Health and Wellness Programs
4. Ageism and Discrimination
12. Respite Care
5. Mental Health
13. Dental, Vision, and Hearing Care
14. Foot Care
Challenges:
Benefits of Adult Day Care Programs:
1. Caregiver Shortages
2. Regulatory Compliance
1. Respite from caregiving 3. Diverse Resident Needs
• Adult daycare services can help relieve some of the
stress, anxiety, or exhaustion associated with
RETIREMENT LIVING/HOME VILLAGE
caregiving.
2. Remedy and boredom
• Allow them to participate in stimulating activities and • is a type of residential community designed specifically for
stretch through their wings. older adults who are retired or looking to downsize.
3. An antidote to loneliness • These communities offer a range of housing options,
• Seniors who seldom see anyone outside their own including independent living, assisted living, and
family often feel loneliness, this condition is associated sometimes even nursing care.
with depression. • They typically provide various amenities and services to
4. Cure for aimlessness cater to the needs and preferences of retired individuals,
• Retirement can be a curse for elderly adults who no such as security, maintenance, recreational activities,
longer have concrete reasons to leave the house. dining options, transportation, and healthcare facilities.
5. Additional access to crucial services
• They have their social activities and enjoy them.
Advantage Of Retirement Living/Homes Village:

Trends of Day Care Centers:

1. Freedom
2. Added security
1. Diversification of services 3. Deferred payments
• expanding their services to cater to the diverse 4. Guest suites
needs of older adults, including specialized programs 5. Additional care
for individuals with cognitive impairments or chronic 6. Facilities and amenities
health conditions. 7. Social opportunities
2. Integration of technology
• provide cognitive training, facilitate communication,
ISSUES AND CHALLENGES IN RETIREMENT:
and enhance overall engagement.
3. Community partnerships
• is increasing to ensure comprehensive care and 1. Financial challenges
support for older adults. • Many older persons face financial difficulties during
retirement due to inadequate savings or pensions.
Page 3 of 9
 LICEO DE CAGAYAN UNIVERSITY
BACHELOR OF SCIENCE IN NURSING
LEVEL 3

NCM 114: CARE OF THE OLDER CLIENTS

LECTURE
Clinical Instructor: Irene M. Mina
Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER
2. Health and medical care: it important to implement strategies for prevention and
• Aging is often accompanied by an increased risk of intervention.
chronic health conditions and disabilities, requiring
ongoing medical care and support.
3. Social isolation and loneliness:
• Retirement can lead to a decrease in social
6. Cognitive decline and dementia
interactions and a sense of isolation, especially for
• Many older persons experience age-related cognitive
individuals who live alone or have limited social
decline, and some may develop Alzheimer’s disease
support.
or other forms of dementia.
4. Housing and accessibility:
7. Caregiver burden:
• Older persons may face difficulties finding suitable,
• Family members or informal caregivers often assume
safe, and affordable housing options that cater to
the responsibility of caring for older persons in
their specific needs, such as accessibility features or
retirement
proximity to healthcare facilities.
8. Limited access to community resources:
5. Elder abuse and neglect:
• Older persons in retirement may struggle with limited
• Older persons are vulnerable to various forms of abuse,
access to transportation, community programs, and
including physical, emotional, financial, and neglect.
supportive services, impacting their ability to remain
These issues often go unnoticed or unreported, making
active, engaged, and independent.

III. ADVOCACY PROGRAMS RELEVANT TO THE CARE OF OLDER PERSON SUPPORT SERVICES AND ADVOCACY FOR OLDER PERSON

• Advocacy is the support of an individual to promote guarantee a friendly livelihood employment that can help
his or her own well-being, as understood by that them with their basic needs.
individual.
• The goal of advocacy is to promote changes in 3. Public Policy and Governance
attitudes, policies and actions.
• Older people and issues have been a low priority for
• Inclusion Coalition of Services of the Elderly works with the
government and non-government bodies at a time
local government to implement a promotion and
when older people have become increasingly
acknowledgement of the older people’s rights.
marginalized from their families, communities, and
the development process for a variety of reasons. This
means that advocacy with older people needs to 4. Emergency Inclusion
promote changes to a variety of audiences - the
public, service providers, NGO. • In terms of natural disasters, everyone should understand
• Some examples of goals of advocacy with older that older adults are the most vulnerable people in society.
people: They are one of the people who have difficulty in reaching
for food and aid during this time. But the Aging and
o Raise the priority of aging issues for government, Disability Task Force (ADTF) has an emergency response
NGO and international bodies. that will prioritize the elderly.
o Develop strong and effective older peoples
organizations which facilitate their 5. Campaigns and Policy
empowerment and the development of a
powerful, coordinated voice for older peoples • Advocacy Confederation of Older Persons Associations of
issues. the Philippines will prioritize older person and their agenda
o Develop and disseminate information and includes;
images of older people that raise awareness of
their capacities and contributions, as a means of A. Social Pension for Older Person
challenging stereotypes of older people as B. Older people will be free from any violence and abuse
disabled, unproductive and dependent. C. Older people will receive a long term care program
D. Comprehensive Anti-discrimination Bill
SUPPORT SERVICES AND ADVOCACY FOR OLDER PEOPLE INCLUDES. E. National Commission on Older Persons Welfare
F. Giving older people an Age-friendly Communities
1. Protection and Inclusion
ADVOCACY OF DSWD FOR THE ELDERLY PERSONS:
• This will protect the older people because they believe
that old people are the ones at risk and are vulnerable but
even in this case it is important for them to be included in 1. Social Pension Program Advocating for the inclusion and
the society. expansion of social pension programs aimed at providing
financial assistance to indigent senior citizens.
2. Economic inclusion 2. Community Based Programs Encouraging the development of
community-based programs that cater to the needs of the
• Having a low amount of pension for the older people elderly, such as day care services, health and wellness
cannot sustain them in their everyday needs and health activities, and recreational programs.
needs. In this advocacy older people will help to 3. Rights and Welfare Protection Advocating for the protection
of the rights and welfare of senior citizens, including measures
against abuse, neglect, and discrimination.

Page 4 of 9
 LICEO DE CAGAYAN UNIVERSITY
BACHELOR OF SCIENCE IN NURSING
LEVEL 3

NCM 114: CARE OF THE OLDER CLIENTS

LECTURE
Clinical Instructor: Irene M. Mina
Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER
4. Healthcare Access Advocating for improved healthcare 2. Education and Awareness:
services and accessibility for the elderly, including regular
check-ups, health education, and programs addressing • Provide educational resources and workshops for older
specific health issues common among seniors. individuals, their families, and caregivers to raise
5. Awareness Campaigns Conducting awareness campaigns to awareness about common mental health issues
promote a positive and respectful image of aging, associated with aging.
challenging stereotypes, and fostering understanding and
empathy toward the elderly.
3. Social Connection:

ADVOCACY OF COALITION OF SERVICES OF THE ELDERLY (COSE)

• Facilitate social activities and support groups to combat
feelings of loneliness and isolation
1. Economic Inclusion The lack of inclusion of older people in
current livelihood programs and employment undermines their
ability to meet their needs or contribute to family income. Older 4. Physical Health Integration:
people’s access to livelihoods and income opportunities is
restricted due to physical decline that comes with ageing. • Recognize the connection between physical and mental
2. Public Policy and Governance inclusion COSE works in ensuring health in older adults.
the participation of older people and inclusion of their issues in
the development of public policies and programs. In the local
5. Cognitive Stimulation:
level, they work in encouraging local authorities to promote and
acknowledge the rights of older people and consider them
when planning and implementing development projects. • Develop programs that stimulate cognitive function, such
3. Emergency inclusion Older people are one of the most as memory games, puzzles, and educational activities.
vulnerable sectors of society when natural disasters strike or
armed conflict erupts. Yet, because of physical decline that 6. Therapeutic Interventions:
comes with ageing (e.g. poor health, mobility, sight, hearing and
their general isolation from others), they often do not receive the • Provide access to psychotherapy or counseling services
humanitarian aid and services they need. Older people may tailored to the needs of older individuals.
face great difficulty in reaching food and aid distribution points,
communicating their needs to others, and registering for services 7. Caregiver Support:
in evacuation camps.
4. Campaigns and Policy Advocacy Together with Confederation
• Offer support and resources for family members and
of Older Persons Associations of the Philippines (COPAP) in
caregivers of older individuals, recognizing the impact of
drafting and advocating policies that have far-more reaching
caregiving on mental health
and long-term impact on the lives of not just of the country’s
ageing population but on all age levels.
8. Telehealth Services:
❖ The Advocacy Consortium for the Elderly (ACE) of the
Philippines deals with programs that focus on elderly rights • Implement telehealth services to ensure accessibility,
and development. The purpose of their programs is to aim especially for those who may face mobility or
at improving the wellbeing of the older people. The transportation challenges.
proposed project generally aims at improving the welfare
of the older people through advocacy for the following 9. Crisis Intervention:
mechanisms.
• Establish protocols for identifying and responding to
mental health crises in older individuals.
Mental Health program: Strengthening Our Response:
10. Cultural Competence:
• Mental health is more than the absence of mental
disorders. • Consider cultural factors and diversity in designing and
• Mental health is an integral part of health; indeed, there is delivering mental health programs.
no health without mental health.
• Cost-effective public health and intersectoral strategies 11. Regular Evaluation:
and interventions exist to promote, protect and restore
mental health • Periodically assess the effectiveness of the mental health
program through feedback from participants, caregivers,
Key Components: and healthcare professionals. By incorporating these
elements into a mental health program, you can better
1.Assessment and Screening: address the specific needs of older individuals and
contribute to their overall.
• Conduct comprehensive mental health assessments to
❖ By incorporating these elements into a mental health
identify existing conditions, such as depression, anxiety,
program, you can better address the specific needs of
dementia, or other cognitive impairments.
older individuals and contribute to their overall well-being.

Page 5 of 9
 LICEO DE CAGAYAN UNIVERSITY
BACHELOR OF SCIENCE IN NURSING
LEVEL 3

NCM 114: CARE OF THE OLDER CLIENTS

LECTURE
Clinical Instructor: Irene M. Mina
Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER

IV. GRANDPARENTS AS TREASURE: HISTORY, VALUES, TRADITION AND WISDOM, MY LOLO AND LOLA; OUR HERITAGE HERO

• HISTORY: • grandparents. The involved grandparent has frequent

o Comprises past events as well as the memory, contact with and authority over the grandchild.
discovery, collection, organization, presentation,
and interpretation of these events. Builds ROLES OF GRANDPARENTS
empathy through studying the lives and struggles
of others. The diversity of human experience
helps us appreciate cultures, ideas, and traditions A.) Mentor
that are not our own – and to recognize them as
meaningful products of specific times and • Grandparents can offer their grandchildren guidance and
places. advice on a variety of topics, from personal relationships
and career choices to coping with difficult emotions and
• VALUES: making responsible decisions. While their grandchildren
o Values are individual beliefs that motivate people may not always follow their advice, knowing that they
to act one way or another. They serve as a guide have a trusted confidante who can offer support and
for human behavior. encouragement can be invaluable.
o Examples: Hiya (Shame), Utang na loob,
Hospitality, Ningas Cogon) B.) Historian
• TRADITION:
o An inherited, established, or customary pattern of C.) Companion
thought, action, or behavior (such as a religious
practice or a social custom). A belief or story or a • Grandparents can share their wisdom and life lessons with
body of beliefs or stories relating to the past that their grandchildren, offering guidance and advice on
are commonly accepted as historical though not navigating life’s challenges and opportunities. They can
verifiable. help children develop their social skills, problem-solving
o Examples: Bayanihan, Fiesta, Pagmamano abilities, and moral compass.

• WISDOM: D.) Child-care Provider

o Combination of experience, knowledge and
careful judgment. Wisdom is also about knowing • Grandparents provide a sense of stability and security for
when and how to use your knowledge, being children, especially during times of parental absence or
able to put situations in perspective, and how to stress. Their consistent presence and familiar routines can
impart it to others. help children feel safe and loved. Strong intergenerational
connections can result, giving grandchildren a sense of
❖ Grandparents security of belonging to the extended family. The degree
• the parents of a person’s father or mother - of the involvement of grandparents varies from one
paternal or maternal. household to the next, often depending on a variety of
circumstances such as proximity to grandchildren,
TYPES OF GRANDPARENTS relationship to parents, type of family structure health of
grandparents, and interests.

1. Remote
Inspirational Testaments on Older Adults

• These grandparents rarely see their grandchildren. Usually,

they live far away from the grandchildren, but may also 1. Life’s Masterpieces:
have a distant relationship. Contact is typically made on
special occasions such as holidays or birthdays. • Older adults are living masterpieces, each wrinkle and line
telling a story of resilience, love, and triumph over
2. Companionate challenges.

• These grandparents do things with the grandchild but 2. Embracing Imperfections:

have little authority or control over them. They prefer to
spend time with them without interfering in parenting. They • With the acceptance of imperfections comes a profound
are more like friends to their grandchildren. sense of freedom, and older adults teach us that
embracing oneself fully is a journey worth taking.
3. Involved
3. Unseen Strength:
• These grandparents take a very active role in their
grandchild’s life.. The children might even live with their • Behind every aging face lies an unseen reservoir of
strength, a testament to the endurance cultivated through
years of facing life’s trials.
Page 6 of 9
 LICEO DE CAGAYAN UNIVERSITY
BACHELOR OF SCIENCE IN NURSING
LEVEL 3

NCM 114: CARE OF THE OLDER CLIENTS

LECTURE
Clinical Instructor: Irene M. Mina
Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER
4. Timeless Beauty: Preparing For Telehealth Appointments with Older Adults Involves
Several Steps to Ensure a Successful Visit:
• The true beauty of older adults transcends physical
appearance, radiating from the depth of their character 1. Walk-through of Home Setup:
and the grace with which they navigate the passage of
time • Have a staff member guide the patient through the
process before the telehealth appointment, ensuring their
5. Laughter’s Echo: home setup is appropriate for the visit.

- Amid challenges, the laughter of older adults echoes 2. Check Technology:

resilience, reminding us that joy and humor are timeless
companions • Ensure the patient’s device is functional, connected to the
internet, and adequately charged for the appointment.
TELEHEALTH AND THE OLDER PERSON: Confirm if it supports video calls.

3. Review Technology Basics:

• Telehealth is often used by healthcare professionals to
provide care and support virtually.
• This can be done through a variety of means, but • Assist the patient in understanding how to join the
predominantly virtual visits tend to be held via online video telehealth visit, position the camera, manage lighting,
calls, phone calls, and online messages. adjust audio settings, and unmute if necessary.
• For older persons who might have significant healthcare
needs or mobility and transportation issues that make 4. Consider Audio-only Appointments:
visiting a doctor’s office challenging, telehealth provides a
practical and affordable means of providing medical • If video isn’t feasible due to device limitations or a slow
services. internet connection, consider audio-only calls for certain
appointments like follow-ups, reviewing results, or
Telehealth offers numerous Benefits to Older Person: discussing medication changes.

1. Preventing Unnecessary Hospital Visits: 5. Involve Caregivers or Family:

• By providing the opportunity for remote consultations, it • Ask the patient if they’d like a family member or caregiver
reduces the need for seniors to make frequent visits to to join the appointment. This person can help troubleshoot
hospitals, especially in emergency situations, by allowing technology issues and assist during the visit.
consultations from the comfort of their homes.
Barriers to telehealth.
2. Cost and Time Savings:
Telehealth presents a number of difficulties for older persons. These
• Telehealth minimizes travel expenses and the time spent difficulties frequently have to do with;
commuting to and from appointments. It’s particularly
beneficial for accessing specialized services that might not 1. Language barriers
be readily available locally. 2. Hearing impairments
3. Technology literacy
3. Support for Caregivers: 4. Preference for in-person meetings over virtual ones.
5. Problems with resources (device availability, incompatible
• It eases the burden on caregivers by saving time on hardware)
transportation and waiting at medical facilities, enabling
them to manage their responsibilities more effectively.
ENTREPRENEURIAL OPPORTUNITIES
4. Enhanced Patient Satisfaction:
Entrepreneurial “Retired but not tired”. Retirement used to mean the
• Seniors often feel more connected, heard, and have end of an era and was solidified by a person’s complete exit from
increased access to various healthcare options, ultimately the workplace. Venturing into a business venture at an old age is an
leading to higher overall satisfaction with their care. interesting phenomenon. Retirees seem to consider this decision as
imperative as it provides them with a source of earnings and keeps
Benefits of Telehealth as Perceived by Healthcare Providers: them active post-retirement. Retirement is becoming a transition to
greater lifestyle choices versus a complete severance from a
1. Allows older adults to receive care while aging in place career.
2. Eliminates the need for older adults to travel to and from
appointments Mobile Nursing Services
3. Reduces potentially harmful exposures
4. Allows more connection between provider, patient, and • Create a business that provides on-demand mobile
family nursing services specifically tailored to the elderly
5. Reduces the stress on family/caregivers population. This could include in-home health assessments,
6. Enables convenient access to providers medication management, and preventive care, catering
7. Reduce costs for patients to the convenience and comfort of seniors.

Page 7 of 9
 LICEO DE CAGAYAN UNIVERSITY
BACHELOR OF SCIENCE IN NURSING
LEVEL 3

NCM 114: CARE OF THE OLDER CLIENTS

LECTURE
Clinical Instructor: Irene M. Mina
Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER
Telehealth Platforms for Geriatric Care Home Health Care Can Lead To:

• Develop a telehealth platform that connects elderly • Improved patient health and quality of life,
individuals with experienced geriatric nurses for remote • shortened hospital stays,
consultations, advice, and monitoring. This addresses the • lower hospital costs, and
need for accessible healthcare while minimizing the need • prevention of unplanned readmissions.
for physical travel.
VISITING NURSE GROUPS
Geriatric Nursing Training Programs

• A visiting nurse is a type of healthcare professional who

• Establish specialized training programs for nurses focused
visits patients in their homes to provide care and support.
on geriatric care. With the aging population, there is an
The benefits of hiring one are that they can provide care
increasing demand for healthcare professionals with
for patients who are unable to get to the doctor or clinic
expertise in addressing the unique healthcare needs of
on their own, they can help people with chronic illnesses
seniors.
take better care of themselves, and they can assist with
family members who need help with caregiving.
Elderly Care Coordination Services • Visiting Nurses are an excellent option for people who live
far away from a medical facility and cannot easily make it
• Create a service that coordinates and manages to their doctor’s office. They can also be helpful for
comprehensive care plans for elderly individuals, ensuring patients who have chronic illnesses that require frequent
seamless communication between healthcare providers, treatment but don’t need to be hospitalized.
caregivers, and family members to optimize overall health • Visiting nurses can also help with things like wound care,
outcomes. blood pressure monitoring, and medication management.

Assistive Technology Integration Visiting Nurses as a Medical Home for Seniors

• Explore entrepreneurial opportunities in developing and • Nursing homes are not always the best place to live for
implementing assistive technologies aimed at supporting seniors. They may feel isolated and lonely. Visiting nurses
nurses in elderly care. This could include devices or can provide them with the care they need, without having
software that enhance communication, monitor vital signs, to be in a nursing home. They can also help them with their
or assist with mobility. day-to-day tasks and provide emotional support

Home Health Agencies In-Home Care

• A company approved by the state and Medicare to • Visiting nurse groups offer a range of in home healthcare
provide healthcare in your home services tailored to the specific needs of older adults. This
may include nursing care, medication management,
HOME HEALTH AGENCIES wound care, physical therapy, and assistance with
activities of daily living (ADLs).

• An HHA is a public or private organization that delivers Promoting Independence

skilled nursing and other therapeutic services to a patient’s
personal residence, rather than in a more traditional
• Visiting nurse groups aim to help individuals, particularly
healthcare facility setting.
older adults and those with disabilities or chronic illnesses,
• Home health agencies provide skilled nursing and therapy
maintain their independence by providing medical care
related services to ill, disabled or vulnerable persons in their
and support in their home environment.
homes, assisting them to recover and rehabilitate from an
illness or recent surgical procedure, or to maintain their
highest possible level of health and independence. Recovery and Rehabilitation

The Importance Of Home Health Agencies (Hhas In Healthcare: • Visiting nurse groups offer services to aid in the recovery
and rehabilitation process. This includes post-operative
care, physical therapy, and wound care, among other
• Home health agencies are utilized by those who have
services.
been recently discharged from a long-term care facility or
from a hospital after receiving acute care.
Chronic Disease Management
HHA Provided Services May Include:
• For individuals with chronic medical conditions such as
diabetes, heart disease, or COPD, visiting nurses assist in
1. Home Health Aide Assistance
managing these conditions by monitoring health status,
2. Social Work
administering medications, and V providing education on
3. Nursing
self-care.
4. Occupational Therapy
5. Physical Therapy
6. Speech Therapy Medication Management

• Ensuring that patients take their medications correctly and

on time is a critical aspect of the services provided by
Page 8 of 9
 LICEO DE CAGAYAN UNIVERSITY
BACHELOR OF SCIENCE IN NURSING
LEVEL 3

NCM 114: CARE OF THE OLDER CLIENTS

LECTURE
Clinical Instructor: Irene M. Mina
Finals A.Y. 2023 - 2024
Transcribe by: MECTL8~ Term: 1ST SEMESTER
visiting nurse groups. This helps prevent medication errors Services offered may include the following:
and promotes optimal health outcomes.
• Preparing meals
Preventative Care • Light housework
• Assistance with personal care and hygiene
• Visiting nurses often provide education and support for • Companionship
preventing illness or injury, such as fall prevention measures • Shopping for groceries and essentials
for older adults or teaching patients about healthy lifestyle • Transportation to doctors’ appointments, activities, etc.
choices. • Medication reminders

Health Education

• Patients and their families receive education on managing

their health conditions, understanding medications, and
making informed healthcare decisions.

Regular Monitoring

• Healthcare professionals in these groups conduct regular

assessments and monitor patient’s health, making
necessary adjustments to care plans V and treatment as
needed.

Hospice and Palliative Care

• In cases where older persons have terminal illnesses or

require end-of-life care, visiting nurse groups may provide
hospice or palliative care to ensure comfort and dignity.

Companionship

• Visiting nurse groups often provide emotional support and

companionship, which can help combat feelings of
isolation and loneliness that some older adults experience.

Two Main Types of Home Care Businesses:

1. Medical home care services

• Employs or contracts licensed medical professionals, such

as registered nurses, licensed practical nurses and physical
therapists to deliver therapeutic services to patients in their
home. Sometimes called a home healthcare agency.

Services offered may include the following:

• Nursing care
• Wound care
• Patient and caregiver education
• Blood pressure checks
• Palliative care
• Physical therapy
• Occupational therapy
• End-of-life care
• Medication administration and management

2. NON-Medical home care services

• Geared towards seniors without serious medical needs

who require assistance with daily routines and activities
and generally employs caregivers, aides or other non-
medical professionals who offer the services necessary for
clients to live independently.

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