Climate of caring
Involves the people in the environment and the environmental atmosphere
Relocation trauma
The movement from one environment to another can be extremely disruptive to the older adult: this disruption has been termed relocation trauma
Settings of Care
Older persons may receive health-care services in a variety of settings. Most commonly used settings of care: -Adult Day Services -Home Care -Community Based Care -Hospice -Assisted Living Environment -Nursing Home -Acute Carr
Ways a nurse can help an older person adjust to a new environment after relocation
- Limit the situation and the introduction of new people on the older persons first day in the setting
- Orient the older person to the environment slowly so he or she can incorporate new areas and routines gradually
- On the first day only introduce them to people and places that are absolutely necessary
- Look for ways to provide links between the old environment and the new one
- elder needs to be involved in moving plan
Relocation Trauma (symptoms)
Symptom of Decompensation:
- Disorientation
- Hallucinations
- Agitation
- Acting out
Relocation Trauma (nursing care)
- Temporary condition
- Familiar items such as furniture and photos
- Involve family and friends
- Be caring
- Limit stimulation
Aspects included in Climate of Caring
- The people in the patients environment are extremely important for improvement and optimal function
- Families, staff, and visitors can be positive and uplifting or depressing and discouraging
- Includes person who presents a positive but realistic outlook
- Personal space is respected
- opportunities for privacy, encourages activity and involvement, and facilitates independence
Settings in which nursing care for older adults is provided
- Adult Day Services (ADS)
- Home Care
- Community-Based Care
- Hospice
- Assisted Living Environment
- Nursing Homes
- Acute Care
Physical environment
assessment of physical environment includes all of the following aspects of the older adults living situation that can be seen, heard, touched, or smelled
Components of the physical environment that nurses need to consider
- How well does the older person function in the living areas?
- Is the environment as barrier-free as possible?
- Can a person walk or wheel through the environment without trouble?
- Are there features in the environment to promote physical function?
Objective 4
pg 217 to 222
