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
Adult Failure to Thrive
- Adult failure to thrive
The following are the common related factors for Adult Failure to Thrive nursing diagnosis:
- Loss of independence, loss of functional ability, cognitive impairment, impaired immune function, malnutrition, depression, and the impact of a chronic disease
The following 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:
- Inadequate nutritional intake-eating less than the requirements
- Weight loss
- Difficulty in performing self-care activities
The commonly used expected outcomes or patient goals for Adult Failure to Thrive nursing diagnosis:
- The patient will exhibit or verbalizes improvement in at least one of the following: increased functional ability, sense of hopefulness, weight gain, increased appetite, peaceful death.
Nursing Interventions and Rationale
The following are sample nursing interventions and rationale (or scientific explanation) for Adult Failure to Thrive that you can use for your nursing care plan for the elderly (geriatric nursing):
|Conduct a comprehensive physical assessment. Evaluate the condition of chronic disease.||A thorough system assessment provides a baseline for succeeding comparison.|
|Examine laboratory and other studies such as CBC with differential, albumin, pre-albumin levels, thyroid-stimulating hormone (TSH), and basic metabolic panel (BMP).||A study of laboratory information determines nutrients and electrolytes imbalances important for basic body function, protein status and thyroid function, and presence/absence of infection.|
|Gather essential information about the patient’s history; involve the caregiver as needed. Assess critical factors such as the death of a spouse or family member.||Taking a patient’s history that concentrates on the timing of the change in behaviors and appetite, medications, and a reduction in activities of daily living (ADLs) and instrumental activities of daily living (IADLs) will help determine contributing factors to the drop in function. Examples of these factors include depression, dementia, pain and decreased sense of taste or smell.|
|Allow the patient to vent feelings of fear, anger, despair, frustration, and concerns about hospitalization and health.||Supporting the patient and acknowledging that these feelings are normal often help lessen feelings of despair.|
|Explain age-related changes to the patient and significant others.||When an individual normally ages, their physiologic reserve declines and affects multiple systems. Failure to thrive can occur from the interaction of three components: physical frailty, disability or decline in functional ability, and impaired neuropsychiatric function.
|Collaborate with other health care provider as needed.|
||They can help address issues such as swallowing or inadequate food and fluid intake.|
||They can help assess physical strengths/limitations and the potential for improvement with a program or assistive tools.|
||They can help assess support networks and readiness for end-of-life possibility.|
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]