...The ELDERLY POPULATION IN AMERICA The elderly population in the America is expected to approximate to rise to 70 million by the year 2030. To make sure our elderly population get optimal health outcome for our older adult, we as health care should be familiar with geriatric health problem and demonstrate proficiency in caring for our older adult clients. If we as health care professional is proficiency in assessing our geriatric client this will reduce their hospitalization rate and from accurate assessment server as the foundation for age appropriate nursing care Obtaining history from elderly clients will most time include a family member this will help in focusing on the areas of concerns doing the assessment...Before obtaining the health assessment you as an health care professional has to develop a rapport with the client. Speak clear, slowly, appropriately, look directly at them, and put at easy by explain what you will be doing, the reason and give a brief over view of the procedure before you proceed. The data collected will have to be subjective which will include the past history and present, which will be their complaint for seeking care .In preceding to collecting the health history and assessment ask the client about past medical and surgical history that require hospitalize in the past. Assessment should include neurologic disorder and medical history like diabetes mellitus, cancer, respiratory, cardiac, injuries, and falls. Be sure to also...
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...Journal Article Critique Problem Solving in Elderly Suicide Attempters Presented by: Robin Brumfield Presented to: Dr. Burnes November 4, 2015 Alcorn State University Journal Article Critique The purpose of the study was to assess whether perceived deficits in problem solving were associated with suicidal behavior in late life depression between depressed elderly suicide attempters, non-suicidal depressed elders, and non depressed controls. It was hypothesized that depressed elderly with past suicide attempts would demonstrate poorer social problem solving compared to non-suicidal depressed elderly. Depression, loss, and physical illness are all associated with suicide in elderly people where poor problem solving is a risk factor in young adults; however the vulnerability of each individual is not fully understood. The participants included 64 individuals aged 60 or older, including depressed suicide attempters, non-suicidal depressed attempters, and non-depressed controls. The 25 item self reporting instruments called SPSI-R: S was used to measure participants perception of their social problem solving ability. Several other instruments were used to assess different aspects of the study. The results revealed that depressed elderly who had attempted suicide perceived their overall problem solving as deficient compared to non-suicidal depressed and non-depressed elderly (Gibbs, 2009). Suicide attempters perceived their problems more negatively and did not differ from...
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...capacity of an individual to perform the activities and tasks that can be normally expected, a given function integrates biological, psychological and social domains.” (Encyclopedia of Public Health p.466, 2017). To be considered of good functional ability, patients/clients are expected to perform typical daily activities, health care facilities and teams call these, activities of daily living (ADL's), these activities can be measured and assist in patient care. Activities of daily living include things like; brushing one's teeth or hair, taking a shower, being able to eat without assistance, etc. There are other activities known as instrumental activities...
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...Assessment Process and Needs Problem Statement BSHS/452 Assessment Process and Needs Problem Statement The population Team C’s community organization, Human Services Association, serves is families, children, and the elderly. The population is in Bell Gardens, CA. The need is evident every day. The children do not have proper daycare and are home alone although their parents work. The cost of daycare is more than low income families can afford. The elderly are home alone without social workers to implement a care plan. Our organization will provide a safe and supervised environment, a nutritious afterschool snack and help with homework Low income adults and families can come to the organization for help with food, clothing, and parenting classes. Our organization will provide; housing, rental, and utility assistance. The elderly in our area live alone. They often do not have proper meals or someone to check in to ensure that medication is taken and physician appointments are kept. Social workers can visit them at home, set up transportation to our center and provide for general medical help at the center. There is a nurse practitioner on site for the elderly clients and the children. Their responsibilities would be to fix booboos because children do fall and assess the elderly clients, blood pressure, sugar level, and mood. The elderly who come into the center would get help and socialization. The elderly clients, who are able, can read...
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...4 Variables: The Elderly and Epidemiology Desarae Fly Florida Agricultural and Mechanical University 01/28/16 4 Variables: The Elderly and Epidemiology Desarae Fly Florida Agricultural and Mechanical University 4 Variables: The Elderly and Epidemiology When it comes to the elderly in terms of epidemiology, there are many variables that come into play. Now, some of these variables are easier said than done. Some variables include pre-screening and regular check-ups once one hits a certain age. Another one would be automatic refills that are personally delivered to the clients. To follow that would be lowered prices on medicine that is known to be prescribed more often than not to those over a specific age. Last but not least is family involvement. These are just a few variables that could have a big impact long term. For starters, pre-screening and regular check-ups could change the epidemiology among the elderly. There are some medical issues that plague a majority of elderly people. With that in mind, a good variable would be to start doing screenings early, thus saving time and any future medical ailments. For example, a lot of elderly people develop arthritis; if tests and x-rays were done over a period of time, the prolonged discomfort for the client would be greatly shortened (McMurray, J.J., Stewart, S). Through regular check-ups, the elderly patient and doctor can stay abreast of any pre-existing or developing health issues...
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...1 Home Healthcare The business is all about providing non-medical aged care to the elderly, so that they can hopefully stay in the comfort of their own home, rather than have to move to an aged care facility. Our services will be kept pretty simple, but will be tailored individually to each customer. The structure of the business will be pretty simple to start with, I’ll be the main boss overseeing everything, and doing a bit of work myself, with a couple of employees, and that will increase as the business grows. The business will be innovative in the way that it connects with other groups and businesses. We will also be the first private South Australian company that receives Health and Community Care funding from the government. Currently, only private businesses in Perth and Victoria are receiving this funding. 2 As I said before the business will focus on helping the elderly in everyday activities. Our services will include things like • Support services such as gardening, lawn mowing, cooking, cleaning, transport, food shopping, phone up service • Mental/physical stimulation sessions • and we can fit out the house out with equipment needed in order for person to stay at home This will all be individually tailored to the customer and what they want or need. As you can see on the screen the age profile of the Australian population is set to become a lot older. There is going to be need for a lot more aged care in our country. This generation have...
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...During my first year I had the opportunity to work with children, families, and elderly populations. My first internship started at California Children’s Academy where I provided families with services such as behavioral and speech therapy for children, legal aid, and housing. Through these referrals, I provided concrete information as to where to apply for these services. I also conducted psychosocial assessment on children with developmental, speech or behavior disabilities by providing individual play therapy for children age two to four. After working with this agency for the semester, I noticed that I wanted to work with a population that has a stake in their wellbeing rather than working with parents of the children. I wanted to work with clients that took responsibilities with their own lives. So, second semester I transitioned into interning at City of Pasadena Public Health Department. Within this organization, I assisted the program director in developing and strengthening the new healthy aging and wellness program for clients visiting the Jackie Robinson and Villa Parke Community Centers. As an intern, I conducted Department of Mental Health psychosocial assessments for older adults seeking individual counseling and organized and co-facilitated a support group in stress management and coping skills. Through this process, it was a challenge...
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...concepts in relation towards the inequality and discrimination expressed towards this group of the population. I will examine how the health service and social care professionals conduct themselves towards care of the elderly, and the actions they take to resolve discriminatory practices to reduce social inequality in respect of the elderly. Patch1 After reflecting on my own attitudes regarding my understanding of the elderly, I found that I held similar views in that once an elderly person had reached a particular age they can be easily disregarded as a useful member of society, however my views were not based on any known facts or any valid experience that I had encountered, but rather on my personal interpretation and general stereotype towards the elderly, after our group discussion and after reading relevant literature concerning ageism my opinion has changed. Ageism was introduced by Robert Butler (1969) suggesting it was a process whereby an older person was systematically stereotyped with prejudicial attitudes directed towards them. This was deemed as discrimination. According to (McGlone and Fitzgerald 2005) views ageism similar to Robert in that they believed that negative beliefs were embodied deeply in society towards elderly people, as result this process gave rise to age discrimination. Society has created this belief and it is reinforced on a daily basis and can sometimes be seen or observed through various types of media, resulting...
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... The major risk factors for hip fracture are osteoporosis, cardiovascular and fall in the elderly. The client usually reports a sudden onset of hip pain in the groin, after a fall, and pain radiating to the lateral hip, buttock, or knee. Many clients lose the ability walk, but in some instances the client with a minimally impacted facture may continue to bear weight. If a displaced fracture is present, the client will not be able to bear weight and the leg may be externally rotated and shortened, and because the facture is intracapsular, there will be some bruising (Foster, 2017, p. 1) What would be three nursing management considerations for this patient pre-operatively? Patient should be evaluated prior to surgery A comprehensive history, a detailed physical examination, and a laboratory workup (chemistry, blood count coagulation, and electrocardiogram) are some of the interventions that the nurse has to obtain prior to the patient going to surgery. A general history of the client will help to meet the client's health care needs. The nurse...
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...moment, and situation, and informs the future experiences of practitioner and patient.” Watson (2006, p. 51) contends that through these caring-healing moments, the patient’s human dignity is preserved, and the relationship between patient and nurse is marked by integrity. The application of Watson’s theory has resulted in remarkable successes in terms of healing patients, but it is problematic because of the difficulty in measuring intangible qualities such as mental and spiritual dimensions of healing. It is important for nurses to have access to assessment tools that can assist them in evaluating clients in various stages of health, illness, stress, and life so that Watson’s theory can be applied accordingly and its results can be aptly measured. Two such tools are the Spiritual Involvement and Beliefs Scale and the Hassles and Uplifts Scale. Each tool will be described, explained in terms of its enhancement of the assessment phase of the nursing process and the quality of care that the nurse delivers, and applied to the vulnerable population of Medicaid patients. The Spiritual Involvement and Beliefs Scale (SIBS) is an easy-to-use tool designed to assess spiritual involvement and beliefs regardless of religious tradition, so it is...
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...Psychiatric Mental Health (PMH) Nurse is a speciality of nursing which includes caring for individuals, families, and communities with mental illnesses as well as those in mental distress based on their assessment of mental health needs. It involves not only understanding the basis of neurobiological processes and its relation to mental health but also focusing on developmental health and how it affects an individual. The nurse must also be able to integrate physical components of nursing while using holistic approaches to care which focuses on an individual’s needs as a whole and appeals to social, physical, environmental, and psychological aspects The nurse is capable of assessing, diagnosing and treating individuals with mental illness or those with the potential of having an illness. The core of this particular field is to develop therapeutic relationships and communication with the clients while interventions based on needs of the clients. The concept of nursing began in the pre-historic times during 5th Century BC where people believed spirit had possessed one’s body, and as result, had to be “driven out”. During the middle ages, individuals with mental illness were confined to mental asylums as superstitions circulated that they possessed mysticism or were involved...
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...Galveston-Houston Jill Brasher Elizabeth Haberer Mini Joseph Reena Mathew Karen Villareal Kirk Workman Craig Wondergem University of Houston Abstract One hundred seventy four individuals participated in a study to measure satisfaction of services received. The study hypothesized that at least 80 percent of the clients surveyed would report satisfaction with the services they received from the Associated Catholic Charities of the Diocese of Galveston-Houston (ACC). The study also hypothesized that there would be no significant differences between gender and reported satisfaction. It was further hypothesized that there would be no significant differences between ethnicity and reported satisfaction. Moreover, it was hypothesized that there would be a positive correlation between age and reported satisfaction scores. A ten question three point Likert scale instrument to survey clients satisfaction with convenience, timeliness, language, treatment, and overall help received by worker, program, and agency. Data was collected through telephone and written survey format on an immediate feedback or mail-out basis. The results indicated that 89 percent of the clients surveyed were satisfied with the services they received from ACC. Furthermore, the results indicated there was a difference in the satisfaction levels of men and women with women reporting more satisfaction with services. There was no significant difference across ethnicity. Further analysis demonstrated a significant...
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...Wounds are injuries that break the skin or other body tissues. They include cuts, scrapes, scratches, and punctured skin. The skin of the elderly may degenerate on its own and sometimes even without the presence of an injury. Elderly wound care is a significant and important part of the duties for nursing staff. Bedsores, ulcers and other types of wounds require lots of treatment and attention, which is a major responsibility for licensed nursing staff (Bock, M. (2003). However, there are instances when improper elderly wound care can result in further health complications or even early death. There are a number of types of chronic wounds that may require to be treated in a nursing facility. The different types of wounds are lacerations, abrasions, contusions, and avulsions. There are a lot of factors that determines wound closure, the type of wound, size, the location of wound, how long-standing the wound is, condition of the patient, whether infection is present, and urgency of closure. Pressure ulcers often occur because of limited mobility and confining physical structures such as wheelchairs and bed rails. With elimination of pressure, a good blood supply, and adequate nutrition, the pressure ulcers will generally heal. With our aging population, chronic diseases that compromise skin integrity such as diabetes, peripheral vascular disease (venous hypertension, arterial insufficiency) are becoming increasingly common. Skin breakdown with ulcer and chronic wound formation...
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...therapy employs the use of assessments and treatments to enable individuals with physical, mental, or cognitive disorders to perform activities required in daily life. In the process, it aims to promote empowerment and social justice through occupation-based and client-centred approaches. It is divided into different practice areas including those related to children, youth, the elderly and mental health. In Canada, it is practiced in settings found in both urban and rural areas, such as hospitals, private clinics, rehabilitation centres, nursing homes and private households. An occupational therapist works with clients of all ages whose difficulties may have been present since birth or as a result of an accident, illness, aging...
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...not exactly fresh in my memory, but I did love the class so I recall on a lot of the information during classes today. Human Growth & Development has helped me a lot in Fundamentals of Nursing but has popped up not just in the class setting for me but I’ve also been more observant of it all around me and even in myself. I’ve become my own case study as well as for psychology. When it comes to psychology, I’m still learning new things on that subject, it’s allowed me to better understand myself, other people, and their rationale for the things they say and do. The nursing sciences helped me to develop a critical thinking pattern when it comes to assessing not just in the clinical setting but more recently, in everyday life. Wholistic Assessment 2.2 There was plenty ethnic and cultural diversity in the nursing home in which I did my clinicals. From medical diagnoses to their personality and gender, I dealt with black, Hispanic, white, Brazilian, and Asian patients. Every patient was different in their own way and was from different backgrounds, different family structures, and different world views. I was even “fortunate” enough to fun into a prejudiced patient. She refused to be fed by me because I was black. I couldn’t help but chuckle when she said, “If my parents were here,” being fed by me, “they’d die...’cause...
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