In this nursing care plan guide are 11 nursing diagnosis for the care of the elderly (older adult) 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.
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.
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 which 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 11 nursing care plans (NCP) and nursing diagnosis for geriatric nursing or nursing care of the elderly (older adult):
- Risk for Falls
- Impaired Gas Exchange
- Disturbed Sleep Pattern
- Adult Failure to Thrive
- Risk for Aspiration
- Risk for Deficient Fluid Volume
- Risk for Injury
- Risk for Infection
- Risk for Impaired Skin Integrity
Disturbed Sleep Pattern
- Disturbed Sleep Pattern
The following are the common related factors for Disturbed Sleep Pattern nursing diagnosis:
- Unfamiliar surroundings and hospital routines/interruptions
Here are the common subjective and objective data or nursing assessment cues (signs and symptoms) that could serve as your “as evidenced by” for this care plan:
- Verbal complains of difficulty falling asleep
- Decreased ability to function
- Dissatisfaction with sleep
The commonly used expected outcomes or patient goals for Disturbed Sleep Pattern nursing diagnosis:
- Within 24 hours of interventions, the patient will reports attainment of adequate rest. The mental status will remain intact for the patient.
Nursing Interventions and Rationale
The following are the nursing interventions and rationale (or scientific explanation) for the nursing diagnosis Disturbed Sleep Pattern for geriatric nursing or gerontological nursing care plans:
|Assess and record the patient’s sleeping pattern, gathering information from the patient’s significant others or caregiver.||Elderly people usually sleep less than they did when they were younger and often awaken more frequently during at night.|
|Gather inquiries regarding activity level and nap.||Persons with a low level of activity and who take naps frequently sleep only 4 to 5 hours per night.|
|Monitor the patient’s activity level.||If the patient complains of being tired after activities or displays behaviors such as irritability, yelling, or shouting, encourage napping after lunch or early in the afternoon. Otherwise, discourage daytime napping, especially in the later afternoon, because it can interfere with nighttime sleep.|
|Identify the patient’s typical nighttime routine and try to follow it.||Emulating the typical nighttime rituals may promote sleep.|
|Try to arrange activities together such as doing vital signs, taking medication, and toileting.||This lessens the frequency of interruptions and promotes rest and sleep.|
|Refrain the patient from drinking caffeinated coffee, cola, and tea after 6 pm.||The effect of stimulants includes increase alertness, insomnia and frequent nighttime awakenings to urinate.|
|Provide a calm and quiet environment and lessen interruptions during sleep hours.||Exposure to bright lights, unnecessary noises, snoring roommates, and loud talking can result in sleep deprivation. Use of white noise sound generators may facilitate sleep.|
|Administer pain medications as ordered, provide back rub, and pleasant conversation at sleep time.||These interventions promote comfort thus enhance the sleep.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
More care plans related to basic nursing concepts:
- Cancer (Oncology Nursing) | 13 Care Plans
- End-of-Life Care (Hospice Care or Palliative) | 4 Care Plans
- Geriatric Nursing (Older Adult) | 11 Care Plans
- Prolonged Bed Rest | 8 Care Plans
- Surgery (Perioperative Client) | 13 Care Plans
- Systemic Lupus Erythematosus | 4 Care Plans
- Total Parenteral Nutrition | 4 Care Plans
References and Sources
Here are the references and sources for this Geriatric Nursing Care Plan:
- Boltz, M., Capezuti, E., Fulmer, T. T., & Zwicker, D. (Eds.). (2016). Evidence-based geriatric nursing protocols for best practice. Springer Publishing Company.[Link]
- Carpenito-Moyet, L. J. (2009). Nursing care plans & documentation: nursing diagnoses and collaborative problems. Lippincott Williams & Wilkins. [Link]
- Gilje, F., Lacey, L., & Moore, C. (2007). Gerontology and geriatric issues and trends in US nursing programs: a national survey. Journal of Professional Nursing, 23(1), 21-29. [Link]
- Mauk, K. L. (Ed.). (2010). Gerontological nursing: Competencies for care. Jones & Bartlett Publishers. [Link]
- Wold, G. H. (2013). Basic Geriatric Nursing-E-Book. Elsevier Health Sciences. [Link]