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Geriatric Need hierarchyDr. D. Dutta Roy
Psychology Research UnitIndian Statistical Institute, Kolkata –
700108Web:http://www.isical.ac.in/~ddroy
E-mail: [email protected] at CMIG, Kolkata
22.12.2010
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History Modern geriatrics in the United Kingdom really began with the
"Mother" of Geriatrics, Dr. Marjorie Warren. Warren emphasized that rehabilitation was essential to the care of older people. She developed the concept that merely keeping older people fed until they died was not enough- they needed diagnosis, treatment, care and support. She found that patients, some of whom had previously been bedridden, were able to gain some degree of independence with the correct assessment and treatment.
Another "hero" of British Geriatrics is Bernard Isaacs, who described the "giants" of geriatrics: incontinence, immobility, impaired intellect and instability. Isaacs asserted that if you look closely enough, all common problems with older people relate back to one of these giants
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Geriatric Need hierachy
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PHYSIOLOGICAL NEEDS
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Geriatric nutrition It includes foods that are
tasty, but at the same time have a higher energy and nutrient content. Food should not elevate blood pressure, develop constipation. It should normalize level of cholesterol.
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Massage
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Massage
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Massage
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Safety needs
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Home Assessment I) Social Information
II) Caregiver InformationIII) Patient's HealthIV) Head InjuryV) Activities of Daily LivingVI) History of FallsVII) VisionVIII) HearingIX) DentitionX) Bowel/BladderXI) SexualityXII) NutritionXIII) CommunicationXIV) Usual daily activities (with exercise)XV) Sleeping XVI) FinancesXVII) Home Safety ChecklistXVIII) Current MedicationsXIX) Care resources/agencies
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Geriatric utensils
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Geriatric rooms
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Geriatric commode
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Geriatric commode
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Social Needs
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Social need assessment
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Use projective test
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Marital Counseling Analyze love pattern: Love as
dependency, sadistic love,love as a rescue fantasy, compulsive love,love for the unattainable object, celibate love,critical love,loving for partner’s parents, revengeful love – any of which lead to extramarital affairs and marital breakdown.
Assess the degree to which the prpblem is due to ignorance about sex, cultural taboos, myths, poor communication, sexual failures, unrealistic concepts of success or undue performance pressure.
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Social need fulfillment
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Performing Art Therapy
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Performing art therapy
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Movement therapy
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Animal assisted therapy
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Esteem Need
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Computer games
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Games
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Yoga
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Self-actualization
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Meditation