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    Geriatric OPD and Grand Rounds Journal

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    Orlea Francisco-Sisio
    This document summarizes a clinical practicum journal from a training program on gerontology and geriatric nursing. It notes that as the world population ages, access to healthcare for the elderly is increasingly important. However, the elderly often underuse needed services due to economic constraints. It also describes observations from the practicum at a geriatric clinic, noting limitations in capacity and an unsuitable waiting environment. Finally, it discusses the benefits of a comprehensive geriatric assessment and multidisciplinary approach to holistic elderly care.

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    Geriatric OPD and Grand Rounds Journal

    Uploaded by

    Orlea Francisco-Sisio
    125 views2 pages
    This document summarizes a clinical practicum journal from a training program on gerontology and geriatric nursing. It notes that as the world population ages, access to healthcare for the elderly is increasingly important. However, the elderly often underuse needed services due to economic constraints. It also describes observations from the practicum at a geriatric clinic, noting limitations in capacity and an unsuitable waiting environment. Finally, it discusses the benefits of a comprehensive geriatric assessment and multidisciplinary approach to holistic elderly care.

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    pgh JOURNAL

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    This document summarizes a clinical practicum journal from a training program on gerontology and geriatric nursing. It notes that as the world population ages, access to healthcare for the elderly is increasingly important. However, the elderly often underuse needed services due to economic constraints. It also describes observations from the practicum at a geriatric clinic, noting limitations in capacity and an unsuitable waiting environment. Finally, it discusses the benefits of a comprehensive geriatric assessment and multidisciplinary approach to holistic elderly care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    125 views2 pages

    Geriatric OPD and Grand Rounds Journal

    Uploaded by

    Orlea Francisco-Sisio
    This document summarizes a clinical practicum journal from a training program on gerontology and geriatric nursing. It notes that as the world population ages, access to healthcare for the elderly is increasingly important. However, the elderly often underuse needed services due to economic constraints. It also describes observations from the practicum at a geriatric clinic, noting limitations in capacity and an unsuitable waiting environment. Finally, it discusses the benefits of a comprehensive geriatric assessment and multidisciplinary approach to holistic elderly care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Department of Health Academy (DOHA) Gerontology Nurses Association of the Philippines (GNAP)

    TRAINING PROGRAM ON GERONTOLOGY AND GERIATRIC NURSING


    4 July to 7 October 2016

    Clinical Practicum Journal


    Philippine General Hospital
    Geriatric OPD and Grand Rounds
    September 27, 2016
    Reflections/ Insights:
    As the world population is getting older, health care for elderly becomes
    important. Access to needed medical care has become increasingly important in
    today's rapidly changing world. Traditionally, vulnerable populations including
    the older persons have a higher risk of being sick and whose access to care is
    below average. Some of the elderly underuse needed services due to economic
    constraints. They have a lower likelihood of seeing a physician, higher
    emergency department use, a greater likelihood of delaying care, and lower use
    of preventive care services. Thus, these populations also have poorer health
    outcomes and higher mortality rates. Keeping in mind that aging process is
    increasing recently, access to health care needs and services including the
    number of nurse specialists and physicians caring for elderly should also
    increase.
    Republic Act 9994 stipulates that all government hospitals should have a
    Geriatric Ward. Also, the Department of Health is preparing for the high
    population projection of older persons in the future by equipping nurses from
    DOH hospitals in the country to specialize in the care of the elderly. With such
    scenario, it is a prerogative of hospitals to put up a Geriatric Outpatient Care
    Clinic not only to decrease health care costs but also to address all aspects of
    care of the older persons. With such, a trained multidisciplinary team is
    necessary to understand each healthcare professionals' role in the general
    assessment, care coordination and improvement of care of the older persons.
    As I observed during the clinical practicum exposure at the geriatric clinic,
    the facility can only cater 15 patients every Tuesday of the week as scheduled by
    the geriatric nurse. I also recognized that the queuing of the older persons are
    not organized and the environment is not suitable for waiting. Considering some
    of the older persons have disabilities and other concerns, a comfortable, serene
    and quiet environment will most likely help the older persons, as some of them
    traveled so far just to have a checkup.
    Our institution specializes in rendering care for patients with infectious and
    tropical diseases. It is expected that most of the clienteles are afflicted with
    communicable and infectious diseases. As most of the older persons have a
    lower immune system, standard and universal precautions must be strictly
    observed in putting up a wellness center for the elderly. Thus, a strategic plan on
    proper location of the geriatric ward and outpatient clinic must be done.
    During the grand rounds, we nurses are fortunate to attend such lecture
    conducted by specialists. Dr. Alba reiterated that the use of Comprehensive
    Geriatric Assessment will bring out significant findings on all aspects of care.
    Thus, a holistic care approach should be rendered by a multidisciplinary team. He
    also emphasized the physiologic changes in aging that we might encounter
    during assessment of the older persons. Dr. Silva, a geriatric dermatologist
    discussed noteworthy clinical findings on integumentary system diseases that

    Department of Health Academy (DOHA) Gerontology Nurses Association of the Philippines (GNAP)
    TRAINING PROGRAM ON GERONTOLOGY AND GERIATRIC NURSING

    4 July to 7 October 2016


    are common in the elderly. She also conferred malignancies,
    tackled on alopecia and medical management of such diseases.

    Submitted by:
    Orlea A. Francisco, R.N. M.A.N.
    Nurse II - San Lazaro Hospital

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