RESEARCH STARTER
Gerontological nursing
Gerontological nursing is a specialized field focused on the care of elderly individuals, typically those aged 65 and older. This discipline recognizes the unique medical and emotional needs of aging patients, who often face multiple health challenges, including chronic illnesses and cognitive disorders such as Alzheimer's disease and dementia. Gerontological nurses work in diverse settings, including hospitals, assisted living facilities, and private homes, where they provide direct care and support to both patients and their families.
These nurses are trained not only in general nursing but also in navigating the complexities of geriatric care, including medication management, patient mobility assistance, and end-of-life discussions. The demand for gerontological nursing is increasing due to the growing elderly population, particularly influenced by the aging baby boomer generation. This trend has highlighted a shortage of nurses with specialized training in gerontology, emphasizing the importance of this field in meeting the healthcare needs of older adults.
In addition to clinical care, gerontological nurses often serve as advocates for patients, helping families understand treatment options and healthcare systems. They play a vital role in promoting positive aging and chronic disease management, encouraging elderly individuals to actively participate in their own care and well-being. Overall, gerontological nursing is essential in addressing the complex health care needs of an aging population with sensitivity and compassion.
Authored By: Harmon, Angela 1 of 3
Published In: 2024 2 of 3
- Related Articles:Association between the incidence of functional disability and frequency of eating together among older adults living alone: a 6-year follow-up study from the Japan Gerontological Evaluation Study.;Cultivating interest in gerontological nursing among nursing students: evaluation of an educational initiative.;Depression and the Risk of Dementia and All-Cause Mortality Among Japanese Older Adults: A 9-Year Longitudinal Study From JAGES.;Measuring gerontological nursing competencies among aged care nurses: Cultural adaptation and psychometric validation.;Navigating Religious Refusal to Nursing Home Care for LGBTQ+ Residents: Comparisons Between Floor Staff and Managers.
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Full Article
As individuals age, their bodies undergo many changes and may require medical care to treat various conditions associated with the aging process, such as vision loss, heart problems, cancer, Alzheimer’s disease, and dementia. Gerontological nursing, formerly known as geriatric nursing, is a field of healthcare in which nurses specialize in the care of elderly individuals (people over the age of sixty-five) and recognize their unique needs. These nurses also work with the families of aging individuals to ensure that patients receive adequate care. Gerontological nursing continues to expand in the United States because of the growing population of aged individuals. Gerontological nurses work in a variety of settings, including hospitals and medical centers, assisted living facilities such as nursing homes, and private homes.
Overview
Gerontological nurses are trained in general nursing duties, but they also have specialized training in caring for older patients who are more likely to suffer from multiple ailments. These nurses spend time with both aging individuals and their families or care workers. They interact with patients, families, staff at hospitals and care facilities, therapists, social workers, pharmacists, and others. They can advise families on long-term care options and connect them with the services they may need. Because the elderly population typically takes multiple medications, gerontological nurses need to be aware of possible drug interactions, be able to monitor patients for any issues, and work with physicians to adjust medications as needed.
All nurses must be able to handle the busy and demanding field of caring for people. Elderly individuals require more care than younger patients do and may need assistance with simple self-care tasks. This requires physical strength to help a person stand up, walk, dress, bathe, and perform other activities. Further, since many aging adults suffer from health conditions, many gerontological nurses specialize in caring and treating conditions, such as osteoporosis, heart disease, arthritis, Alzheimer’s disease, and diabetes. Many gerontological nurses are also versed in insurance plans and premiums to help patients understand their coverage and work with their insurance companies.
Gerontological nurses must prepare themselves for the emotional toll that caring for aging individuals takes not only on them but also on families and other caregivers. Many elderly patients are near the end of their lives; some are in pain or feel frustrated, sad, or angry, while others are content or happy. Therefore, gerontological nurses should be caring, patient, empathetic, sensitive, compassionate, and understanding. These personality traits are necessary to help them deal with patients’ varying moods. Gerontological nurses also must be prepared to discuss sensitive issues, such as end-of-life options and rights, with both patients and their families. They should be aware that sometimes people are not prepared to discuss these issues or may not agree with what a nurse has to say. In addition, gerontological nurses have to be able to deal with patients’ deaths.
Gerontological nurses can work in numerous settings, such as doctors’ offices, medical centers, hospitals, and nursing homes. They may serve as aides in private homes to care directly for elderly individuals or to teach families how to care for their elderly relatives. Some may work as liaisons or advocates for patients or their families, especially those who need help understanding medical jargon and treatment plans. These nurses may help patients and families make health decisions and can calm fears regarding certain procedures and treatments.
Various degrees and certifications are required for a career in gerontological nursing. Degrees include an associate degree in nursing (ADN) or associate of science in nursing (ASN), a bachelor of science in nursing (BSN), and a master of science in nursing (MSN). Other educational paths include licensed practical nurse (LPN) or registered nurse (RN) programs. Individuals may pursue clinical nurse specialist (CNS) or nurse practitioner (NP) programs. Several certifications exist, but they require the attainment of certain degrees, such as a BSN; completion of programs, such as an RN program; specific hours of practice and continuing education; and years of experience in the general nursing/gerontological nursing fields.
Topic Today
In the twenty-first century, the baby boomer generation makes up a substantial part of the US population. Members of this generation, born between 1946 and 1964, were the result of a surge in births following World War II (1939–45). This generation greatly influenced the country’s economy; however, as its members have begun to age and require more care, they have put a strain on the healthcare industry. In addition, medical advances and technology have helped people to live longer—but not necessarily healthier—lives, which is also straining healthcare.
The longer individuals live, the greater the chances are that they will need assistance with day-to-day living activities, such as bathing, toileting, eating, getting out of bed, dressing, managing medications, handling finances, driving, and shopping. Elderly people are more likely to acquire certain chronic physical and mental illnesses or other cognitive conditions associated with old age. Some of these medical conditions include vision or hearing loss or changes, arthritis, sleep changes/disorders, cancer, diabetes, osteoporosis, cardiovascular disease, stroke, Alzheimer’s disease, and dementia. While some of these conditions may be managed by the patient and require only minimal care, others require around-the-clock care. Older people also tend to take multiple medications to treat their ailments and depend on medical services more than younger patients do.
Trends and Issues
According to the 2010 US Census, the number of people over the age of one hundred increased by 65.8 percent since 1980, while the general population increased by only 36.3 percent. Similarly, according to the data released in 2024 by the US Census bureau, there was a 89.3 percent increase in people over the age of one hundred from 2010, with the count extrapolated to increase more than four times over the next 30 years. In addition, the World Health Organization has estimated that the world’s population over the age of sixty will increase from 11 percent to 22 percent by 2050. The growing elderly population has increased the demand for healthcare professionals trained in gerontology. This job field will continue to rise in the future because aging individuals will continue to require special care to treat their unique needs. However, although the need for gerontology nurses is growing, there continues to be a nursing shortage in the US, with only less than 1 percent of registered nurses and 3 percent of advanced practice registered nurses certified in gerontology in 2018. This shortage is exacerbated by a high turnover rate for gerontology nurses. Policy debates surrounding long-term care staffing regulations in the United States have highlighted ongoing workforce shortages and the need for sustainable staffing models in nursing homes and other geriatric care settings.
The growing aging population will also have an impact on families, whose members may be forced to take on caretaker roles. In the 2020s, a growing number of elderly patients were choosing to age in their homes instead of moving to retirement or assisted living facilities. In these cases, gerontological nurses are trained to work with family members on how to best care for elderly loved ones. This also creates the need for gerontology nurses to be able to adapt to different settings. Trends in gerontology nursing have also been changing toward positive aging and chronic disease management, which includes helping patients be active in their own care and creating personalized, proactive care plans. Healthcare reforms and demographic trends have accelerated the adoption of integrated geriatric care models, such as the Program of All-Inclusive Care for the Elderly (PACE), hospital-at-home initiatives, and community-based long-term care programs, which aim to coordinate medical, nursing, and social services to support aging in place and reduce institutionalization among older adults. Advances in artificial intelligence, remote patient monitoring, and assistive technologies have begun to transform gerontological nursing by enabling continuous health monitoring, improving chronic disease management, and supporting older adults in aging safely within their homes.
Bibliography
“Aging in Place: Growing Older at Home.” National Institute on Aging, 12 Oct. 2023, www.nia.nih.gov/health/aging-place/aging-place-growing-older-home. Accessed 7 Mar. 2026.
“Baby Boomer.” Investopedia, www.investopedia.com/terms/b/baby_boomer.asp. Accessed 7 Mar. 2026.
“Becoming a Geriatric Nurse.” EveryNurse.org, everynurse.org/becoming-a-geriatric-nurse. Accessed 7 Mar. 2026.
Caplan, Zoe, and Megan Rabe. “The Older Population: 2020.” U.S. Census Bureau, May 2023, www2.census.gov/library/publications/decennial/2020/census-briefs/c2020br-07.pdf. Accessed 7 Mar. 2026.
“CMS Repeals Nursing Home Minimum Staffing Standards.” LeadingAge, 2 Dec. 2025, leadingage.org/cms-repeals-nursing-home-minimum-staffing-standards/. Accessed 7 Mar. 2026.
Culli, Lindsey. “New Study Explores the Need for Expanded Long-Term Care Services to Support Aging-in-Place.” Johns Hopkins Bloomberg School of Public Health, 10 Apr. 2025, publichealth.jhu.edu/2025/new-study-explores-the-need-for-expanded-long-term-care-services-to-support-aging-in-place. Accessed 7 Mar. 2026.
“Day in the Life of a Geriatric Nurse Practitioner.” Nurse Practitioner Schools, www.nursepractitionerschools.com/blog/day-in-life-geriatric-np. Accessed 7 Mar. 2026.
Donaldson, Rebecca. “Challenges of Geriatric Care Nursing.” Relias Academy, 4 Oct. 2016, blog.reliasacademy.com/challenges-of-geriatric-care-nursing/. Accessed 7 Mar. 2026.
“How to Become a Geriatric Nurse.” All Nursing Schools, www.allnursingschools.com/articles/geriatric-nurse. Accessed 7 Mar. 2026.
Meyer, Julie. Centenarians: 2010. U.S. Census Bureau, 2012, www.census.gov/content/dam/Census/library/publications/2012/dec/c2010sr-03.pdf. Accessed 7 Mar. 2026.
“The Nursing Workforce.” National Library of Medicine, 2021, www.ncbi.nlm.nih.gov/books/NBK573922. Accessed 7 Mar. 2026.
Schaeffer, Katherine. “U.S. Centenarian Population Is Projected to Quadruple over the Next 30 Years.” Pew Research Center, 9 Jan. 2024, www.pewresearch.org/short-reads/2024/01/09/us-centenarian-population-is-projected-to-quadruple-over-the-next-30-years/. Accessed 7 Mar. 2026.
Zhang, S., et al. “Artificial Intelligence in Gerontology: Data-Driven Health Management and Precision Medicine.” Biophysics, vol. 14, 2024, pp. 97–110, doi:10.1134/S2079057024600691. Accessed 7 Mar. 2026.
Full Article
As individuals age, their bodies undergo many changes and may require medical care to treat various conditions associated with the aging process, such as vision loss, heart problems, cancer, Alzheimer’s disease, and dementia. Gerontological nursing, formerly known as geriatric nursing, is a field of healthcare in which nurses specialize in the care of elderly individuals (people over the age of sixty-five) and recognize their unique needs. These nurses also work with the families of aging individuals to ensure that patients receive adequate care. Gerontological nursing continues to expand in the United States because of the growing population of aged individuals. Gerontological nurses work in a variety of settings, including hospitals and medical centers, assisted living facilities such as nursing homes, and private homes.
Overview
Gerontological nurses are trained in general nursing duties, but they also have specialized training in caring for older patients who are more likely to suffer from multiple ailments. These nurses spend time with both aging individuals and their families or care workers. They interact with patients, families, staff at hospitals and care facilities, therapists, social workers, pharmacists, and others. They can advise families on long-term care options and connect them with the services they may need. Because the elderly population typically takes multiple medications, gerontological nurses need to be aware of possible drug interactions, be able to monitor patients for any issues, and work with physicians to adjust medications as needed.
All nurses must be able to handle the busy and demanding field of caring for people. Elderly individuals require more care than younger patients do and may need assistance with simple self-care tasks. This requires physical strength to help a person stand up, walk, dress, bathe, and perform other activities. Further, since many aging adults suffer from health conditions, many gerontological nurses specialize in caring and treating conditions, such as osteoporosis, heart disease, arthritis, Alzheimer’s disease, and diabetes. Many gerontological nurses are also versed in insurance plans and premiums to help patients understand their coverage and work with their insurance companies.
Gerontological nurses must prepare themselves for the emotional toll that caring for aging individuals takes not only on them but also on families and other caregivers. Many elderly patients are near the end of their lives; some are in pain or feel frustrated, sad, or angry, while others are content or happy. Therefore, gerontological nurses should be caring, patient, empathetic, sensitive, compassionate, and understanding. These personality traits are necessary to help them deal with patients’ varying moods. Gerontological nurses also must be prepared to discuss sensitive issues, such as end-of-life options and rights, with both patients and their families. They should be aware that sometimes people are not prepared to discuss these issues or may not agree with what a nurse has to say. In addition, gerontological nurses have to be able to deal with patients’ deaths.
Gerontological nurses can work in numerous settings, such as doctors’ offices, medical centers, hospitals, and nursing homes. They may serve as aides in private homes to care directly for elderly individuals or to teach families how to care for their elderly relatives. Some may work as liaisons or advocates for patients or their families, especially those who need help understanding medical jargon and treatment plans. These nurses may help patients and families make health decisions and can calm fears regarding certain procedures and treatments.
Various degrees and certifications are required for a career in gerontological nursing. Degrees include an associate degree in nursing (ADN) or associate of science in nursing (ASN), a bachelor of science in nursing (BSN), and a master of science in nursing (MSN). Other educational paths include licensed practical nurse (LPN) or registered nurse (RN) programs. Individuals may pursue clinical nurse specialist (CNS) or nurse practitioner (NP) programs. Several certifications exist, but they require the attainment of certain degrees, such as a BSN; completion of programs, such as an RN program; specific hours of practice and continuing education; and years of experience in the general nursing/gerontological nursing fields.
Topic Today
In the twenty-first century, the baby boomer generation makes up a substantial part of the US population. Members of this generation, born between 1946 and 1964, were the result of a surge in births following World War II (1939–45). This generation greatly influenced the country’s economy; however, as its members have begun to age and require more care, they have put a strain on the healthcare industry. In addition, medical advances and technology have helped people to live longer—but not necessarily healthier—lives, which is also straining healthcare.
The longer individuals live, the greater the chances are that they will need assistance with day-to-day living activities, such as bathing, toileting, eating, getting out of bed, dressing, managing medications, handling finances, driving, and shopping. Elderly people are more likely to acquire certain chronic physical and mental illnesses or other cognitive conditions associated with old age. Some of these medical conditions include vision or hearing loss or changes, arthritis, sleep changes/disorders, cancer, diabetes, osteoporosis, cardiovascular disease, stroke, Alzheimer’s disease, and dementia. While some of these conditions may be managed by the patient and require only minimal care, others require around-the-clock care. Older people also tend to take multiple medications to treat their ailments and depend on medical services more than younger patients do.
Trends and Issues
According to the 2010 US Census, the number of people over the age of one hundred increased by 65.8 percent since 1980, while the general population increased by only 36.3 percent. Similarly, according to the data released in 2024 by the US Census bureau, there was a 89.3 percent increase in people over the age of one hundred from 2010, with the count extrapolated to increase more than four times over the next 30 years. In addition, the World Health Organization has estimated that the world’s population over the age of sixty will increase from 11 percent to 22 percent by 2050. The growing elderly population has increased the demand for healthcare professionals trained in gerontology. This job field will continue to rise in the future because aging individuals will continue to require special care to treat their unique needs. However, although the need for gerontology nurses is growing, there continues to be a nursing shortage in the US, with only less than 1 percent of registered nurses and 3 percent of advanced practice registered nurses certified in gerontology in 2018. This shortage is exacerbated by a high turnover rate for gerontology nurses. Policy debates surrounding long-term care staffing regulations in the United States have highlighted ongoing workforce shortages and the need for sustainable staffing models in nursing homes and other geriatric care settings.
The growing aging population will also have an impact on families, whose members may be forced to take on caretaker roles. In the 2020s, a growing number of elderly patients were choosing to age in their homes instead of moving to retirement or assisted living facilities. In these cases, gerontological nurses are trained to work with family members on how to best care for elderly loved ones. This also creates the need for gerontology nurses to be able to adapt to different settings. Trends in gerontology nursing have also been changing toward positive aging and chronic disease management, which includes helping patients be active in their own care and creating personalized, proactive care plans. Healthcare reforms and demographic trends have accelerated the adoption of integrated geriatric care models, such as the Program of All-Inclusive Care for the Elderly (PACE), hospital-at-home initiatives, and community-based long-term care programs, which aim to coordinate medical, nursing, and social services to support aging in place and reduce institutionalization among older adults. Advances in artificial intelligence, remote patient monitoring, and assistive technologies have begun to transform gerontological nursing by enabling continuous health monitoring, improving chronic disease management, and supporting older adults in aging safely within their homes.
Bibliography
“Aging in Place: Growing Older at Home.” National Institute on Aging, 12 Oct. 2023, www.nia.nih.gov/health/aging-place/aging-place-growing-older-home. Accessed 7 Mar. 2026.
“Baby Boomer.” Investopedia, www.investopedia.com/terms/b/baby_boomer.asp. Accessed 7 Mar. 2026.
“Becoming a Geriatric Nurse.” EveryNurse.org, everynurse.org/becoming-a-geriatric-nurse. Accessed 7 Mar. 2026.
Caplan, Zoe, and Megan Rabe. “The Older Population: 2020.” U.S. Census Bureau, May 2023, www2.census.gov/library/publications/decennial/2020/census-briefs/c2020br-07.pdf. Accessed 7 Mar. 2026.
“CMS Repeals Nursing Home Minimum Staffing Standards.” LeadingAge, 2 Dec. 2025, leadingage.org/cms-repeals-nursing-home-minimum-staffing-standards/. Accessed 7 Mar. 2026.
Culli, Lindsey. “New Study Explores the Need for Expanded Long-Term Care Services to Support Aging-in-Place.” Johns Hopkins Bloomberg School of Public Health, 10 Apr. 2025, publichealth.jhu.edu/2025/new-study-explores-the-need-for-expanded-long-term-care-services-to-support-aging-in-place. Accessed 7 Mar. 2026.
“Day in the Life of a Geriatric Nurse Practitioner.” Nurse Practitioner Schools, www.nursepractitionerschools.com/blog/day-in-life-geriatric-np. Accessed 7 Mar. 2026.
Donaldson, Rebecca. “Challenges of Geriatric Care Nursing.” Relias Academy, 4 Oct. 2016, blog.reliasacademy.com/challenges-of-geriatric-care-nursing/. Accessed 7 Mar. 2026.
“How to Become a Geriatric Nurse.” All Nursing Schools, www.allnursingschools.com/articles/geriatric-nurse. Accessed 7 Mar. 2026.
Meyer, Julie. Centenarians: 2010. U.S. Census Bureau, 2012, www.census.gov/content/dam/Census/library/publications/2012/dec/c2010sr-03.pdf. Accessed 7 Mar. 2026.
“The Nursing Workforce.” National Library of Medicine, 2021, www.ncbi.nlm.nih.gov/books/NBK573922. Accessed 7 Mar. 2026.
Schaeffer, Katherine. “U.S. Centenarian Population Is Projected to Quadruple over the Next 30 Years.” Pew Research Center, 9 Jan. 2024, www.pewresearch.org/short-reads/2024/01/09/us-centenarian-population-is-projected-to-quadruple-over-the-next-30-years/. Accessed 7 Mar. 2026.
Zhang, S., et al. “Artificial Intelligence in Gerontology: Data-Driven Health Management and Precision Medicine.” Biophysics, vol. 14, 2024, pp. 97–110, doi:10.1134/S2079057024600691. Accessed 7 Mar. 2026.
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- Association between the incidence of functional disability and frequency of eating together among older adults living alone: a 6-year follow-up study from the Japan Gerontological Evaluation Study.Published In: Age & Ageing, 2024, v. 53, n. 7. P. 1Authored By: Shimizu, Akio; Ikeda, Takaaki; Miyaguni, Yasuhiro; Takeda, Sho; Tamada, Yudai; Aida, JunPublication Type: Academic Journal
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- Depression and the Risk of Dementia and All-Cause Mortality Among Japanese Older Adults: A 9-Year Longitudinal Study From JAGES.Published In: Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 2024, v. 79, n. 7. P. 1Authored By: Wu, Shan; Zhong, Xiangbin; Gong, Yajie; Yao, Yao; Shirai, Kokoro; Kondo, Katsunori; Wang, Xinlei; Guan, Liqi; Chen, Qiqing; Liu, Keyang; Li, YutingPublication Type: Academic Journal
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- Navigating Religious Refusal to Nursing Home Care for LGBTQ+ Residents: Comparisons Between Floor Staff and Managers.Published In: Journals of Gerontology Series B: Psychological Sciences & Social Sciences, 2024, v. 79, n. 9. P. 1Authored By: Perone, Angela KPublication Type: Academic Journal