What is Quality of Life (QoL) in older adults?
A person’s overall sense of wellbeing across physical, psychological, social, spiritual, and environmental domains, based on what the individual values most.
Name the key domains of QoL.
Physical, psychological, social, spiritual, environmental, and autonomy.
Give examples of physical and psychological QoL factors.
Physical: Pain-free, able to walk/care for self
Psychological: Feeling content, valued, hopeful.
Give examples of social, spiritual, and environmental QoL factors.
Social: Family visits, community participation
Spiritual: Prayer, rituals
Environmental: Safe home, accessible surroundings.
What factors affect QoL in older adults?
Physical health, mental health, social connections, financial security, living environment, cultural/spiritual beliefs, care quality.
What are nursing strategies to promote QoL?
Encourage autonomy, support meaningful activities, manage pain, foster social engagement, respect cultural/spiritual values, ensure safety, provide emotional support.
What is a holistic nursing assessment?
An assessment considering the whole person — physical, emotional, social, cultural, spiritual — to understand overall health, function, and QoL.
Name two common models used for holistic assessment.
Roper-Logan-Tierney (Activities of Living) and Gordon’s Functional Health Patterns.
Give examples of age-related factors in RLT Activities of Living.
Falls risk (environment), hearing loss (communication), reduced lung elasticity (breathing), swallowing issues (eating/drinking), arthritis (personal care), weak muscles (mobilising), insomnia (sleeping).
What holistic factors influence Activities of Living?
Biological, psychological, social, cultural, environmental, spiritual.
Outline the nursing process in holistic assessment.
Assessment → Diagnosis → Planning → Implementation → Evaluation.
Give an example of holistic nursing interventions for an older adult post-fall.
Physical: physiotherapy/pain management
Psychological: confidence-building
Social: arrange social visits
Environmental: home safety mods
Spiritual: encourage community participation.
What is the intended outcome of holistic nursing interventions?
Maintain independence, QoL, and holistic wellbeing.
