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Theory in action. The geriatric assessment team
Journal of Gerontological Nursing
|October 1, 1989
Summary
Homeodynamics explains older adults as whole, interactive beings. Functional status assessment requires evaluating the person and environment, using self-comparison over norms for accuracy.
Area of Science:
- Geriatric nursing science
- Homeodynamics theory
- Functional status assessment
Background:
- Older adults are viewed through homeodynamics, emphasizing unique wholeness, continuous interaction, and growth.
- Assessing functional status necessitates evaluating the individual and their environment.
- Comparing an older adult to their own baseline is often more accurate than using population norms.
Purpose of the Study:
- To clarify the role of the clinical nurse specialist within geriatric assessment teams.
- To demonstrate how theory-based nursing actions enhance geriatric care.
- To underscore the importance of a holistic and individualized approach to geriatric assessment.
Main Methods:
- Application of homeodynamics principles to geriatric assessment.
- Holistic evaluation of the older adult, encompassing person and environment.
- Utilizing self-referential comparison for functional status evaluation.
Main Results:
- Homeodynamics provides a framework for understanding the older adult as a dynamic, whole entity.
- Individualized assessment, comparing the patient to themselves, yields more accurate functional status evaluations.
- Theory-based nursing actions, guided by homeodynamics, clarify the clinical nurse specialist's role in geriatric teams.
Conclusions:
- Homeodynamics offers a robust theoretical basis for geriatric nursing practice.
- Individualized and environmental assessments are crucial for understanding older adult functioning.
- Theory-guided nursing is essential for effective geriatric team collaboration and specialist roles.
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