Tips for nurses working with elderly patients

By | 2022-10-12T11:52:38-04:00 May 27th, 2016|3 Comments


Regina Mason

Regina Mason, RN

From the moment Regina Mason, MSN, RN, GNP-BC, started nursing school, she knew she wanted to work with the elderly.

“The impetus for my career in nursing was assisting my family in caring for my godmother, who had Alzheimer’s disease,” Mason said. “She was 91 years old when she died in her home while receiving hospice care. The experience changed my life in that I was no longer afraid of the dying process, but realized I could help others have a peaceful death with their loved ones by their side.”

Working with elderly

The experience, she said, carried her through nursing school and through her 30-year nursing career, and to gain the clinical expertise needed to become a gerontological nurse practitioner. Mason knew it “was a perfect fit” when she had the opportunity to join the nursing team at Mercy LIFE – West Philadelphia. Administered by Mercy Health, in affiliation with the University of Pennsylvania School of Nursing, the LIFE Program, an acronym standing for “Living Independently For Elders,” provides comprehensive medical, health, recreational and social services designed specifically for each person in an effort to promote independence at home, according to the LIFE Program’s website. Mason said she serves as a contracted advanced practice nurse, recruited through healthcare staffing service Supplemental Health Care, to provide primary care to older patients at various stages of life.

How can other nurses know a similar career is right for them? How can nurses now working in the field not only continue, but thrive? Mason offered some tips.


To find the right destination on their career journeys, nurses need to develop an innate understanding of what prompted them to get into nursing in the first place and what keeps them coming back.

“I believe that in order to find the right career path, one must search deep within to find what motivates them and most importantly what one is passionate about,” Mason said. “For me, I was motivated by my childhood experience. In my youth I was always surrounded by older adults and valued the wealth of knowledge and wisdom they had to share.

“Whatever motivates and drives you will keep you on course to fulfilling your goals.”

Beyond motivation to succeed in gerontological care, nurses should also possess an acute level of “patience, compassion and good active listening skills.” These traits, she said, will not only come in handy, but are “critical for successfully caring for older adults.”


The primary challenges facing those who care for older adults will typically arise from end-of-life issues.

“Being proactive and having discussions regarding end-of-life care is difficult for older adults, their families and healthcare providers alike,” Mason said. “I’ve dealt with the challenge of end-of-life issues with older adults with Alzheimer’s or dementia by having discussions prior to a crisis,” she said.

“When individuals are in the midst of a crisis, it is very difficult to make decisions.”


Caring for older adults can be trying even for the most experienced nurses at times, Mason said. To succeed in elder care, nurses need to realize they don’t have all the answers.

“Nurses cannot carry the load alone,” Mason said. To provide older adults with the care they need and deserve, every role and discipline is required to move together. She noted how important it is that all of the specialties involved in elder care work in unison to achieve a common goal.

“Geriatric care is very complex and demanding,” Mason said.


While caring for older adults can be challenging, Mason said the experience also carries great rewards for those willing to dive in.

At the LIFE program, for instance, she said she often will interact with those new to the program and gets to watch them bloom after their first pensive days.

“They are usually apprehensive and withdrawn,” Mason said. “However, it is not long before they’re engaged in activities and thrive again.”

She said working in the LIFE program also helps her know the care she provides assists older adults and their families maintain a higher quality of life, and often at home, living out their final years in peace and dignity.


About the Author:

Jonathan Bilyk is a freelance writer.


  1. Jane September 5, 2016 at 10:10 am - Reply

    A fantastic piece on looking at how nurses, both newly qualified and veteran practitioners, to give the most for their patients.

  2. Carolina Orosa June 9, 2017 at 4:59 am - Reply

    Thank you for sharing. It’s a nice blog. Many nurses start their career thinking nursing is a manageable profession. But, burnout and stress can take a toll on their minds while nursing. Some nurses are better at managing everyday hectic situation whether at a hospital or a care living facility. If nurses are working with seniors then the task becomes more challenging. It is better for nurses to take time for them to restore their energy from time to time.

  3. Banny Dairard June 27, 2017 at 9:02 am - Reply

    Thank you for sharing such a useful blog.As old adults can experience difficulty expressing their needs, nursing home staff has to cultivate a manner of compassionately and effectively communicating with their residents.Nurses should Eliminate assumptions and take good care.

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