11 Geriatric Nursing Care Plans (Older Adult)

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As our population continues to age, the demand for geriatric care continues to grow. Geriatric nursing care plans are an essential component in ensuring the comfort and well-being of our elderly population. With a focus on personalized care and addressing the specific needs of the elderly, geriatric nursing care plans help nurses to provide the best possible care for their elderly patients.

In this nursing care plan guide are 11 nursing diagnoses for the care of the elderly (older adults) or geriatric nursing or also known as gerontological nursing. Learn about the assessment, care plan goals, and nursing interventions for gerontology nursing in this post.

What is Gerontology Nursing?

Gerontology nursing or geriatric nursing specializes in the care of older or elderly adults. Geriatric nursing addresses the physiological, developmental, psychological, socio-economic, cultural, and spiritual needs of an aging individual.

As people age, they require more specialized care and attention to manage the various health challenges they face. Since aging is a normal and fundamental part of life, providing nursing care for elderly clients should not only be isolated to one field but is best given through a collaborative effort that includes their family, community, and other health care team. Through this, nurses may be able to use the expertise and resources of each team to improve and maintain the quality of life of the elderly.

Geriatric nursing care planning centers on the aging process, promotion, restoration, and optimization of health and functions; increased safety; prevention of illness and injury; facilitation of healing.

Nursing Care Plans

Here are eleven (11) nursing care plans (NCP) and nursing diagnoses for geriatric nursing or nursing care of the elderly (older adult):

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  1. Risk for Falls
  2. Impaired Gas Exchange
  3. Hypothermia
  4. Disturbed Sleep Pattern
  5. Constipation
  6. Adult Failure to Thrive
  7. Risk for Aspiration
  8. Risk for Deficient Fluid Volume
  9. Risk for Injury
  10. Risk for Infection
  11. Risk for Impaired Skin Integrity
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Risk for Falls

Falls are a common problem in geriatric care, and they can have serious consequences, including injury, decreased mobility, and decreased quality of life. In this article, we will explore the risk for falls in geriatric care, the key components of an effective assessment, and evidence-based interventions for preventing falls in older adults.

Nursing Diagnosis

Risk Factors

Common risk factors for the nursing diagnosis risk for falls:

Defining Characteristics

  • Not applicable for risk diagnosis. A risk diagnosis is not evidenced by signs and symptoms, as the problem has not occurred and nursing interventions are directed at prevention.

Desired Outcomes

Expected outcomes or patient goals for risk for falls nursing diagnosis:

  • The patient will be free from falls.
  • The patient and caregiver will implement measures to increase safety and prevent falls in the home.

Nursing Assessment and Rationales

Risk for falls assessment is important in geriatric care because it helps healthcare providers identify older adults who are at risk for falls and implement interventions to reduce the risk. By conducting an effective risk for falls assessment, healthcare providers can prevent falls, which can improve patient outcomes and prevent injury.

1. Identify factors that increase the level of fall risk
These factors will help in determining interventions necessary for the patient. Risk factors include age, presence of an illness, sensory and motor deficits, medication use, and inappropriate use of mobility aids.

2. Assess the patient’s environment for factors associated with an increased risk for falls.
A patient who is not familiar with the placement of furniture in an area or who has inadequate lighting in the house increases the risk for falls.

Nursing Interventions and Rationales

Once a risk for falls assessment has been conducted, healthcare providers can implement evidence-based interventions to prevent falls in geriatric care. The following are some common interventions for preventing falls in older adults:

1. Secure a wristband identification to warn healthcare providers to implement fall precautions on the patient.
Healthcare providers need to recognize patients at high risk for falls to implement measures to promote patient safety and prevent falls.

2. Place assistive devices and commonly used items within reach.
Provides easy access to assistive devices and personal care items. Items such as call bells, telephones, and water should be kept close to avoid frequent reaching.

3. Review hospital protocols regarding transferring a patient.
Hospital facilities should have clear policies and procedures during transfers that will ensure the patient’s safety.

4. Keep the patient’s bed in the lowest position at all times.
Keeping the bed closer to the floor prevents injury and the risk of falls.

5. Answer the call light as soon as possible.
This is to prevent an unstable patient from ambulating without any assistance.

6. Use side rails on the bed as needed
Raising the side rails reduces the risk of patients falling out of bed during transport.

7. Advise the patient to wear shoes or slippers with non-slip soles when walking.
Wearing non-slip footwear help prevents slips and falls.

8. Orient the patient to the surroundings. Avoid rearranging the furniture in the room.
The patient should be familiarized with the bed, location of the bathroom, furniture, and other environmental hazards that can cause older patients to trip or fall.

9. Ensure the patient’s room is well-lit. Consider the use of a bedside lamp that is turned on at night.
Providing lighting in key places can reduce fall risk and avoid obstacles during mobility.

10. Encourage the family and other significant others to stay with the patient at all times.
Prevents the patient from accidentally falling or pulling out tubes.

11. Ensure the patient’s eyesight is regularly checked and explain the importance of wearing eyeglasses if needed. Make sure glasses and hearing aids are always worn.
Hazard can be lessened if the patient utilizes appropriate aids to improve visual and auditory orientation to the environment. Visually impaired patients are at high risk for falls.

12. Instruct the patient how to ambulate at home, including using safety measures such as handrails in the bathroom.
Help relieve anxiety at home and eventually decreases the risk of falls during ambulation.

13. Encourage the patient to engage in a program of regular exercise and gait training.
Exercise can improve muscle strength, balance, coordination, and reaction time. Physical conditioning reduces the incidence of falls and avoids injury that is sustained when a fall happens.

14. Collaborate with other healthcare teams to assess and review patient’s medications that can contribute to the risk for falls. Identify the peak effects of the medications that can alter the consciousness of the patient.
A review of the patient’s prescribed medications will recognize side effects and drug interactions that may enhance fall injury risk. The more medications a patient takes, the greater the risk for side effects and interactions such as orthostatic hypotension, dizziness, confusion, urinary incontinence, and altered gait and balance. Polypharmacy in older adults is a significant risk factor for falls.

15. Evaluate the need for physical and occupational therapy to assist the patient with gait techniques and provide the patient with assistive devices for transfer and ambulation. Initiate a home safety evaluation as needed.
The use of gait belts provides a more secure means to safely assist patients when transferring from bed to chair. Assistive aids such as wheelchairs, canes, and walkers allow the patient to have stability and balance during ambulation. High toilet seats can facilitate safe transfer on and off the toilet.

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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023
The definitive guide to nursing diagnoses as reviewed and approved by the NANDA International. In this new version of a pioneering text, all introductory chapters have been rewritten to provide nurses with the essential information they need to comprehend assessment, its relationship to diagnosis and clinical reasoning, and the purpose and application of taxonomic organization at the bedside. A total of 46 new nursing diagnoses and 67 amended nursing diagnostics are presented.

Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care
We love this book because of it’s evidence-based approach to nursing interventions. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning. Includes step-by-step instructions show how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking.

Nursing Care Plans – Nursing Diagnosis & Intervention (10th Edition)
Includes over two hundred care plans that reflect the most recent evidence-based guidelines. New to this edition are ICNP diagnoses, care plans on LGBTQ health issues and on electrolytes and acid-base balance.

Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales
Quick-reference tool includes all you need to identify the correct diagnoses for efficient patient care planning. The sixteenth edition includes the most recent nursing diagnoses and interventions from NANDA-I 2021-2023 and an alphabetized listing of nursing diagnoses covering more than 400 disorders.

Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care 
Identify interventions to plan, individualize, and document care for more than 800 diseases and disorders. Only in the Nursing Diagnosis Manual will you find for each diagnosis…. subjectively and objectively – sample clinical applications, prioritized action/interventions with rationales – a documentation section, and much more!

All-in-One Nursing Care Planning Resource – E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health 
Includes over 100 care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric and mental health. Interprofessional “patient problems” focus familiarizes you with how to speak to patients.

See also

Other recommended site resources for this nursing care plan:

More care plans related to basic nursing concepts:

  1. Cancer (Oncology Nursing) | 13 Care Plans
  2. End-of-Life Care (Hospice Care or Palliative) | 4 Care Plans
  3. Geriatric Nursing (Older Adult) | 11 Care Plans
  4. Prolonged Bed Rest | 8 Care Plans
  5. Surgery (Perioperative Client) | 13 Care Plans
  6. Systemic Lupus Erythematosus | 4 Care Plans
  7. Total Parenteral Nutrition | 4 Care Plans

References and Sources

Here are the references and sources for this Geriatric Nursing Care Plan:

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Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.
  • I’m an LPN for 30 years of med surg, rehab, surg, geriatric care, addiction, and psych care. I love my career of caring for people. I want to join a team that wants to continue to improve nurse care. Please keep me a part of your network. I also like to be called Penny.

  • It is very useful lesson for improving geriatric patient health care provision.
    I like it to have more.
    Or the whole course, if possible.

  • I utilize your web page/info on all of my care plans, thank you
    I am an LVN Case Manager for mostly geriatric and disabled members in managed care.

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