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    Name: Neil Ian E. BarcoDate: 09-18-08Concept: Coordination and PerceptionArea: of Exposure: Home for the Aged (Visayan Village Tagum City)C.I Cheryl Batislaon R.N.

    PROGRESS NOTES

    Summary:Our first duty at the Home for the aged in Visayan Village Tagum City started at

    5:00am. When the time our C.I arrived we have a short discussion about therequirements and the entire event that must be happen. After the shortdiscussion we prepare our selves and plan for the activities that might happen.After planning the first table started to eat their breakfast and the second groupsare assigned to make the cocoa drinks for the elderly. When 30 minutes haspassed then the other group eat their breakfast, our C.I sermon us and said thatwe dont have any initiatives, so we immediately started the program by the leadof Mr. Alfie Cabunoc. Then the elderly people were requested to give anintermission number, and then they sing, dance and slightly cooperate. When theprogram has been finished the giving of snacks followed. After their appetite areall satisfied they went back to their rooms and have their rest. When the timethey are relaxed we got all their vital signs and record it to obtain baseline data.When the getting of vital signs was finished we went to the kitchen to assist inpreparing their lunch. At 11:30 we started serving their lunch and assist themwhile eating. When their lunch was already ended. We gathered our selves in theconference room for the further announcement and information. Then we plan forthe next days activities to be done. After planning we went home safely andsoundly.

    Reflection:

    My first day of duty in the Home For The Aged I felt both nervous and excitement.I felt nervous because I dont know what kind of personality that I will encounteron this day. I felt also sad because our C. I. tells us that we dont have initiatives.

    But even if early in the morning our C.I. gave as an early award we try our best tomake our job as a student nurse very well. I also felt the happiness because evenif the elder people are slightly active in participating to the said activities I knowand I felt it that we bring joy to them in giving the snacks. There are manygeriatric patients that are very talented. And I know tomorrow we will bring againan enjoyment to them, and I am very happy and whole heartedly offer all I can doto make them happy, God Bless us always.

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    Periodontal Disease onGeriatrics

    Life after turning 60 years of age should not be any different than life in the pastdecade. These years are not called the golden years for nothing! However, in thispast-paced life of ours, we need to keep healthy and alert even after we reach 60.Most of us will be still working and in order to remain as productive as we havedone so, it is all the more important to be able to maintain a healthy diet andlifestyle. Preserving our teeth and gums is the only way to achieve a healthy dietand this series of columns aim to help the older individual realize this aim. Acommon myth is that we will lose our teeth as we age and hence, check ups andregular cleanings are not important as we will lose our teeth anyway. This cannotbe further away from the truth. Caries and periodontal disease are the mostcommon reasons people lose teeth and both can be prevented in most cases.

    What is Periodontal Disease?

    Periodontal (gum) disease is a chronic bacterial infection that affects the gumsand bone supporting the teeth. Periodontal diseases include gingivitis andperiodontitisPeriodontal disease can affect one tooth or many teeth. It begins when thebacteria in plaque (the sticky, colorless film that constantly forms on your teeth)causes the gums to become red or inflamed. Any plaque that has not beenremoved by the toothbrush or floss will harden to become tartar. Tartar can onlybe removed via scaling by a dentist.

    Gingivitis

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    In the early stages, the gums redden, swell and bleed easily. There is usually littleor no discomfort. This condition is called gingivitis and a recent survey done inSingapore indicates that more than 80% of the population shows some signs of it.It is usually caused by poor oral hygiene practices and techniques.

    Periodontitis

    Untreated gingivitis can advance to periodontitis. With time, plaque can spreadand grow below the gum line. Toxins or poisons produced by the bacteria inplaque invade the gums and eventually causes the bone that supports the teethto be broken down and destroyed. Gums separate from the teeth, formingpockets (spaces between the teeth and gums) that become infected. As thedisease progresses, the pockets deepen and more gum tissue and bone are

    destroyed. Often, this destructive process has very mild symptoms. Eventually,teeth can become loose and may have to be removed.

    Common signs of periodontal disease

    1. Bleeding on brushing2. Loose teeth3. Separated teeth or teeth that have moved from their original positions4. Pus or swellings5. Bad breath

    What can be done to prevent periodontal disease?

    Most of the time, periodontal disease occurs due to neglect or ignorance. Toprevent gingivitis and periodontitis, the following has to be done by the patient.

    1. Use a soft or extra soft toothbrush.2. Follow the dentists recommendation of an efficient way of brushing twice a

    day. The most common efficient technique used is the Bass technique.3. Floss once a day or use other interdental aids if unable to floss.4. Go for regular professional cleanings to get rid of any calculus that has

    formed under the gum line.

    SUMMARY:

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    Preserving our teeth and gums is the only way to achieve a healthy diet and thisseries of columns aim to help the older individual realize this aim. A commonmyth is that we will lose our teeth as we age and hence, check ups and regularcleanings are not important as we will lose our teeth anyway. Caries andperiodontal disease are the most common reasons people lose teeth and both canbe prevented in most cases.

    What is Periodontal Disease?Periodontal (gum) disease is a chronic bacterial infection that affects the gumsand bone supporting the teeth. Periodontal diseases include gingivitis andperiodontitisPeriodontal disease can affect one tooth or many teeth. It begins when thebacteria in plaque (the sticky, colorless film that constantly forms on your teeth)causes the gums to become red or inflamed. Tartar can only be removed viascaling by a dentist.

    Gingivitis

    In the early stages, the gums redden, swell and bleed easily. Periodontitisuntreated gingivitis can advance to periodontitis. With time, plaque can spreadand grow below the gum line. Gums separate from the teeth, forming pockets(spaces between the teeth and gums) that become infected. As the diseaseprogresses, the pockets deepen and more gum tissue and bone are destroyed.Eventually, teeth can become loose and may have to be removed.

    REACTION:

    We all know that when people reach 60 years in his/her life his/her teeth theirteeth is not strong as when they are on their 40-50 years of age because as wegrow old the calcium in our teeth will be weaker and weaker. So I am veryagreeing on this kind of articles it will help and teach how to prevent this kind ofdisease the periodontitis. Preserving our teeth and gums is the only way toachieve a healthy diet and this series of columns aim to help the older individualrealize this aim. Caries and periodontal disease are the most common reasonspeople lose teeth and both can be prevented in most cases. So if possible go toyour dentist and have a check up every 1 month to prevent periodontitis. Wemust not loss our hope because there are always a way to prevent it.

    Name: Neil Ian E. BarcoDate: 09-19-08Concept: Coordination and PerceptionArea: of Exposure: Home for the Aged (Visayan Village Tagum City)

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    C.I Cheryl Batislaon R.N.

    PROGRESS NOTES

    Summary:

    Our second day of duty in the Home for the aged started at 5:00am, when thetime we arrived we assist the preparation of the Care Giver Students for theirculmination activity, we assist the elder people while exercising and sharing theirtalents. After we finished the morning exercise we prepare our paraphernalia toget their vital signs. After getting their Vital signs the culminating activityfollowed. We gave an intermission number and we assist the care giver students.After the activity we distribute their snacks. Then after an hour they alreadystarted their lunch and we assist in distributing their lunch. After we finisheddistributing we went to the conference room to have a plan of activity fortomorrows culminating activity. Then they invite as to their gastronomic so wealso ate, then we did our after care.

    Reflection:This day is I am very happy because the Fil-Canadian Students are very friendly tous I can feel the collaboration and the cooperation of each group. At first I wasvery conscious of their presence but lately I know they are not the one I have

    thought for. They invite us in their party and we are very2x happy.lol homesomeday in our future destination we will meet again. We do our very best to helpour mam and sir to become successful in their culminating activities. Now Irealized that the geriatric patient still have a very big role to our society and theymust not be discriminated. I know someday if God allowed me in a 100 years tolive I will be also become like them, God bless us always.

    Name: Neil Ian E. BarcoDate: 09-20--08Concept: Coordination and PerceptionArea: of Exposure: Home for the Aged (Visayan Village Tagum City)C.I Cheryl Batislaon R.N.

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    PROGRESS NOTES

    Summary:

    Our lat day of duty started art 6:00 am, when we arrived to our designated areaour group divided into 2 the other is making the decoration, the other groupleading the morning exercise. After their exercise we requested the elder peopleto share their talents to us because they are very talented. At 7:45 pm the Fil-Canadian Students arrived as well as the group A2 and the social workersstudents from Holy Cross of Davao. We coordinate from each other. We preparedour paraphernalia for the checking of their Vital signs. After we finished the Vitalsigns taking and all the preparation we started already our short presentation tothem. And the Fil- Canadian Students are saying goodbye to us, and now thefloors are only ours. We sing, we dance and also our very talented Lola and Loloalso present their talent. When the time that everyone is tired we take a rest anddistribute their snacks. After the activities we got ready for their lunch anddistributed it. After their lunch we do after care then we also ate our lunch. Thenwe do after care in the whole area. At 1:00pm we deported from our designatedarea to our respected home safely and soundly.

    Reflection:

    Today is our last and our culmination day so we do our best to serve our belovedLoLa and LoLo. Today also is the last day of the Fil- Canadian students ourfriends. Till We Meet Again . I am very sad while singing the Handog ni Florantesong cause I know I will miss them all. I learned a lot of Lesson while I am withthem. I'm 18 for a moment caught in between 10 and 20 and I'm just dreaming18, there's never a wish better than this when you only got 100 years to live. Halftime goes by suddenly you're wise another blink of an eye 67 is gone the sun isgetting high were moving on. So I know life is very precious I must do well to

    others and enjoy my life as long as I can live.

    Neil Ian E. Barco09-22-08

    DEVELOPMENTAL THEORY

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    PSYCHOSOCIAL DEVELOPMENT:By: Erik Erikson

    A number of theories explain psychosocial aging. According todisengagement theory , aging involves mutual withdrawal between older person

    and other in the elderly persons environment

    According to Erikson, the developmental task at this time is egointegrity versus despair. People who attain ego integrity view life with senseof wholeness and derive satisfaction from past accomplishments. They viewdeath as a acceptable completion of life. According to Erikson (1963), people whodevelop integrity accept ones and only life cycle. By contrast, people whodespair often believe they have made poor choices during life and wish theycould live life over.

    Acknowledging the young adult: and old-old differ not only in physical

    characteristics but also in psychosocial response, many people have difficultywith Eriksons singular developmental task.

    .

    COGNITIVE DEVELOPMENT:By: Jean Piaget

    Piagets phases of cognitive development end with formal operations phase.However, considerable research or cognitive abilities and aging are currentlybeing conducted. Intellectual capacity includes perception, cognitive, agility,

    memory, and learning.

    Perception, or the ability to interpret the environment, depends on theacuteness of the senses. If aging persons senses are impaired, the ability toperceive the environment and the react appropriately is diminished. Changes inthe nervous system may also affect perceptual capacity.

    In older adults, changes in cognitive abilities are more often a difference inspeed than in ability. Overall the older adult maintains intelligence, problemsolving, judgment, creativity, and other well practice skills. Intellectual lossgenerally reflects a disease process such as atherosclerosis, which causes the

    blood vessels to narrow and diminishes perfusion of nutrients to the brain. Mostolder adults do not experience cognitive impairments.

    MORAL DEVELOPMENT:By: Kohlberg

    According to Kohlberg, moral development is complemented in the earlyadult years. Most old people stay at Kohlbergs conventional level of moraldevelopment and some are at the preconventional level. An older person at

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    the preconventional level obeys rules to avoid pain and the displeasure of others.At stage.

    1. A person defines good and bad in relation to self, whereas olderpeople at stage 2 may act to meet anothers needs as well as theirown. Older adults at the conventional level follow societys rules of

    conduct in response to the expectations of others.

    SPIRITUAL DEVELOPMENTBy: Fowler

    Older adults can contemplate new religious and philosophical views and

    try to understand ideas missed previously or interpreted differently. The olderperson also derives a sense of worth by sharing experiences or views. In contrast,the older adult who has not matured spiritually may feel impoverishment ordespair as the drive for economic and professional success wanes.

    Carson (1989) states that religion takes on new meaning for theelderly, who may find comfort, solace, and affirmation in religious activities. Theolder persons knowledge becomes wisdom, inner resources for dealing with bothpositive and negative life experiences.

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