...Running head: OLDER ADULTS PATIENT EDUCATION ISSUES ESSAY AND Older Adults Patient Education Issues Essay and Interview Older Adults Patient Education Issues Essay and Interview As healthcare professional, caring for the older adult as a patient is an important and sensitive matter, which requires respect and tolerance because of the generational differences that usually exist between the health professional and the patient. In this 20th century the number and proportion of older persons living in the United States has increased dramatically (Falvo 2011 p.297) representing more than 26% of the United States population. These older adults, including baby boomers place tremendous demands on healthcare due to aging and pathological changes, but they also require lots of support from their professional caregivers and their own children. Studies have shown that the incidence of illness and associated disability increase with age and that over 80% of older adults suffer from multiple chronic illnesses such as diabetes, cardiovascular diseases, arthritis or chronic obstructive pulmonary diseases. In addition to these diseases the older adult is confronted to the normal physiological changes that occur with aging such as cognitive and sensory changes. The older adult who is challenged with visual or hearing problems but is sick will promptly require medical attention and treatment thus the involvement of a healthcare professional with the help of a third party such as a family...
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...Older Adults Patient Education Issues Essay and Interview HLT 306 There are many issues that arise when teaching older patients. These barriers include; chronic illness, sensory changes, cognitive changes, medications and third party teaching. A patients life experiences can also affect patient education. It is up to the clinician to make adjustments to best suit each individuals needs and provide the best outcome possible. I conducted an interview with Mr. Bonds, a 79-year-old war veteran, and his daughter. Mr. Bonds was diagnosed with small cell lung cancer 2 weeks prior and was at the hospital to have a Super Dimension bronchoscopy for fiducial marker placement. After starting the bronchoscopy, the physician discovered Mr. Bond’s tumor had progressed and was constricting the left lower lobe. We ended up having to use argon, cut back the tumor and place an endobronchial stent in the airway to keep it open. The fiducial markers were unable to be placed at that time. Mr. Bonds’ simple outpatient procedure became an ICU admission with ventilator support. The following statement became very true in this situation. The patient’s initial condition may lead to a cascading effect of a secondary complication or problem, which then contributes to yet a third problem (Falvo, 2011, p.307). The physician had to readdress his teaching to the daughter and explain the severity of Mr. Bonds’ illness. Mr. Bonds’ fiducial markers were placed two days later, he was then extubated and started...
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...I did not know how since I was just a child. It wasn’t until I moved here in the United States that I realized health care is truly the right path for me. Moving here made me realized how other countries like Cameroon are in great need of health services. It made me more aware of the situation and now that I am older, I know that I could do my part in those in needs in all over the world and Africa especially. Seeing the poverty and lack of good health care gave me more than the desire to become a nurse, it gave me the passion and determination to achieve that carreer. I believe that passion and determination are important elements in becoming a nurse which I posses all skills Once I stared researching a career in nursing I realized that there were a lot more types of nurses than I had originally thought. This confused me because there was a nurse for almost everything! Then I finally decided on one and that was being a Registered Nurse (RN). Most Registered Nurses work directly with the patients and their families. They are the families’ contact with the medical world, in the hospital and at the patients’ home. A nurse does frequent evaluations of the patient and check vital signs to make sure everything is going as planned, perform procedures such as IV placement, phlebotomy...
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...governments. HR has therefore become a huge investment for medium and large companies across industries. This paper will define human resource management and describe the changing roles of Human Resource (HR) management in response to trends in globalization, technology, diversity, e-business, and ethics. The function of the Human Resources Management (HRM) includes a variety of actions required by the Human Resource Department. The key goal of HRM is deciding what staffing needs, whether to use independent contractors or hire employees to fill the needs of the company by recruiting and training the best employees and ensuring they are high performers. HRM also deals with performance issues and ensure personnel and management practices conform to the various regulations when rectifying issues. Other activities include managing the approach to employee benefits and compensation, employee records and personnel policies. Small businesses (for-profit or nonprofit) usually have to carry out these activities themselves because they cannot afford part- or full-time help (McNamara, C., 1999). However, small businesses should always ensure that employees have and are aware of the personnel policies which conform to the current regulations. These policies are often in the form of employee manuals, which all employees should have a copy...
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...Running head: Adult Patient Education Issues Essay and Interview Adult Patient Education Issues Essay and Intervie June 29, 2012 There are many issues that arise when teaching older patients. These barriers may consist of barriers such as chronic illness, sensory changes, cognitive changes, and medications. A patient’s life experiences may also affect patient education. It is up to the educator to make adjustments to best fit each individual’s needs and provide the best outcome possible. I conducted an interview with Mrs. L., a 89 year-old homemaker, and her daughter, Ms. L, a 63-year old mortgage broker. Mrs. L. was being admitted for congestive heart failure after her daughter noticed a marked increase in weight gain over a period of one week. Mrs. L’s BNP was 863 and neither the patient nor the mother understood the significance of this level; moreover, they did not understand the nature of the blood test or what it represented. They were told in the emergency room that the BNP was 863 and “your mother is going to be admitted to the telemetry unit.” Mrs. L.’s hemoglobin was 7.2 and both women understood the meaning of hemoglobin level as the patient suffers from chronic anemia. Not being satisfied with the information they received in the emergency room and the lack of the physician to address the issue and potential complications, the daughter opted to wait until mom was situated on the telemetry unit. At this time she stated, “the teaching began.” The...
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...recover from an illness or injury(Eldercare.gov, 2012). That is why the people who provide home health care are often licensed practical nurses, therapists, or home health aides. Most work for home health agencies, hospitals, or public health departments that are licensed by the state. When purchasing home health care directly from an individual provider (instead of through an agency), it is even more important to screen the person thoroughly. This should include an interview with the home health caregiver to make sure that he or she is qualified for the job. You should request references. Also, prepare for the interview by making a list of any special needs the senior might have. For example, you would want to note whether the elderly patient needs help getting into or out of a wheelchair. If so, the home health caregiver must be able...
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...increase healthcare costs as chronic disease management increases and transitions are made from private insurance carriers to Medicare. I interviewed a baccalaureate nurse who works on the geriatric medical surgical unit in my hospital and asked her to identify the special needs of the Baby Boomer Generation. She has been a nurse for 25 years and has worked on that unit for the past 12 years. Looking back on her experience and the current trends of problems she encounters with this generation, specifically with the lower income minority population that we work with, she was able to point out five issues that she sees as lingering problems in this population. The first one would be their ability to care for themselves and lack of a support system. Next she noted their decreased mobility and its potential negative effects. The third issue she noted was their poor nutrition. The fourth issue was their financial inability to access proper medical care....
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...Diabetes and the Older Adult Christine McDermott Metro State University of Denver DIABETES AND THE OLDER ADULT General description of the Gerontological care issue The ageing population is unusually increasing in the history of humanity. With increase in number of the older persons, there is a decline in that of the younger people and it is estimated that by 2050 the percentage of the older persons would have increase by 10% from the current 15% (Cisneros & Hickie, 2012). These changes come with major challenges not only to the health sector, but also to the pension and welfare system in both the first and second world countries. Diabetes mostly among the old people is continuously being diagnosed in an epidemic magnitude. It is estimated to affect 592 million people in 2035 compared to 382 million people in 2013 (Guariguata et. al 2012). Type 2 diabetes is mainly more prevalent in the ageing population compared to type one diabetes, which affects mostly the going thus creating burden to the society as the sick mostly depend on the society. China is the leading country with the largest number of people with diabetes, followed by India, the United States, brazil and Mexico in the fifth position. These statistics bring about a considerable concern for the national healthcare system which come with various challenges in provision of focused diabetes management to the ageing population. This problem becomes complex by the different modalities of managing diabetic patients in the different...
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...A CLINICIAN’S HANDBOOK Talking With Your Older Patient NAT I O NA L INS TITU TE O N AGING NATIONAL I NS TI TUTES OF HEA LTH DEPARTM EN T OF HEA LTH A ND HUMA N S ERV I CES Contents Foreword 1 1. Considering Health Care Perceptions “I’m 30 . . . until I look in the mirror.” 3 2. Understanding Older Patients “Tell me more about how you spend your days.” 6 3. Obtaining the Medical History “What brings you here today?” 13 4. Encouraging Wellness “I’d like you to try this exercise routine.” 19 5. Talking About Sensitive Subjects “Many people your age experience similar problems.” 23 6. Supporting Patients With Chronic Conditions “Let’s discuss living with . . .” 36 7. Breaking Bad News “I wish I had better news.” 40 8. Working With Diverse Older Patients “Cultural differences, not divides.” 44 9. Including Families and Caregivers “What would you like your family to know?” 48 10. Talking With Patients About Cognitive Problems “You mentioned having trouble with your memory.” 51 11. Keeping the Door Open “Effective Communication” 58 Publications At-a-Glance 60 Services At-a-Glance Tear-Off Card Foreword Good communication is an important part of the healing process. Studies find that effective physician-patient communication has specific benefits: patients are more likely to adhere to treatment and have better outcomes, they express greater satisfaction with their treatment, and they are less likely to bring malpractice suits. Research also shows that...
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...University New Orleans Outcomes Management Project Defined Issue or Problem of Interest The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. Several patients enter the hospital and soon after discharge are catapulted back into the seemingly revolving doors of the hospital. Readmission rates affect all areas of healthcare. Center for Medicare and Medicaid (CMS) has targeted readmissions as a guideline of poor quality of care. Engaging patients during their inpatient admission as they transition to alternate levels of care may reduce readmission by 50% (Service, 2008). The intent of this proposed paper is to take a look at hospital readmissions rates in correlation with the patient being elderly and having a diagnosis of heart failure and assess what can be done to positively change these statistics, which increase the quality of care we as healthcare professionals provide to our patients. A Rationale for Selecting the Issue or Problem of Interest Hospital readmissions can occur throughout the patient’s transition through the healthcare system. Many times readmissions occur among those who are frail and have chronic conditions. Readmissions account for approximate 18% of Medicare patients, of this 13%, are suspected to be avoidable and are directly linked to poor quality. Quality is affecting outcomes, which impacts reimbursements and patient safety. Core Measures initiatives are part of every hospital’s...
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...Aging Population on the Health Workforce in the United States The expected growth of the older adult population1 in the U.S. over the next 50 years will have an unprecedented impact on the U.S. health care system, especially in terms of supply of and demand for health care workers. The supply of health care workers may decrease as they age and large numbers retire and/or reduce their working hours. At the same time, older adults consume a disproportionately large share of American health care services, so demand for health services will grow. The aging of the population will also affect the nature of the skills and services the health care workforce must be equipped to provide, and the settings in which this care is provided. The so-called “baby boom” generation (people born between 1946 and 1964) is already having an effect on the health care system and it is expected to grow as the century progresses. The number of Americans age 65 and older (35 million in 2000) will rise by more than 19 million to 54 million by 2020. From 2000 to 2050, the number of older adults will increase from 12.5% to 20% of the U.S. population. The New York Center for Health Workforce Studies at the SUNY School of Public Health recently completed a report that assesses the implications of the aging of the population on the supply and demand for a variety of health professionals needed to serve older adults. The report, which was funded by the National Center for...
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...Lilly’s Insulin Pump Healthcare Nursing Short paper Having type 1 diabetes is a major comorbidity in young and older adults. Diabetes education is the mostly taught by the healthcare providers, nurses, and nutritionists. In the case of Lilly who has an Associate Degree in Computer Drafting, needs more education on the insulin pump usage. Lilly and her husband have reported to the community health clinic that there was malfunctioning of Lilly’s insulin pump and having difficulty of following the manufacturer’s instructions. According to the health clinic personnel, the insulin pump was functioning normal. Lilly and her husband need to have reinforced insulin pump education that will satisfied their needs and for Lilly’s safety. Lilly’s age and her husband is unknown in this case study. In this paper, various communications, teaching methods and tools will be used to help and to assist Lilly and her husband about the safety uses of the insulin pump in three different possible age groups to fit their learning needs. Physical and mental assessments are need to give clear understanding what needs to be address before teaching the insulin pump for both Lilly and her husband. Is Lilly capable of using the insulin pump? Do Lilly or her husband have any history of cognitive disabilities such as dementia, Parkinson’s disease, Alzheimer’s disease and other neuro impairments? Does Lilly check her glucose finger sticks accordingly as prescribed by the healthcare provider...
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...25, 2012 Georgetta Baptist A vulnerable population is defined as “those at risk for poor physical, psychological, or social health” (de Chesney, 2012). There are many vulnerable populations and this paper will concentrate on the elderly. According to Walsh (2009), the Center for Disease Control and Prevention (CDC), states the elderly are considered anyone 65 years old or older. With the increased lifespan of elderly, there have become new demographics of young old (65-74), old (75-84), and oldest old (85 & over), and the frail old (anyone over 65 with physical or cognitive disabilities). The US census bureau estimated in 2011, the population of elderly persons 65 and over living in the U.S. to be 311,501,917. Between 2000 and 2010, the population 65 and over grew at a faster rate than any other population in the United States, 15.1% compared to 9.7% of the rest of the US population. Thirteen percent of the population is elderly; 55.2% are married, 32% live with family members, 51.7% are female, 48.3% are male, 60% are white, 17% are black, 18% are Hispanic, and 5% are other races. Education wise, 10.9% have less than a 9th grade , 10.3% have attended between 9th and 12th grade but did not receive a diploma, 36.4% are high school graduates, 20.6% have some college, and 22.5% have Bachelor’s degree or greater. It is estimated that elderly between the ages of 65-84 are doubling as the baby boomers age, with 85 and over being the fastest growing group due to elderly people...
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...CLINICAL ISSUES Acute care management of older people with dementia: a qualitative perspective Wendy Moyle, Sally Borbasi, Marianne Wallis, Rachel Olorenshaw and Natalie Gracia Aim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach...
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...Elderly and Vulnerability Vulnerability is an idea which means susceptibility and its relationship to health care delivery system. This paper will indentify a vulnerable population; describe the population demographics based on research of professional literature and websites including locals, state or national levels. It will also describe a personal awareness of the population, attitudes, biases, and serotypes; it will state the effect of research on personal attitudes and how it might affect health care delivery. Finally, it will use self reflection to evaluate our perception before after learning about the population. Background of Focal Point Gil Martin in the ‘neighborhood’ is a fifty two year old Hispanic male married to Helen. They have been married for eighteen years. He had a son Mark from the previous marriage and a step daughter Tracy. Gil’s father recently passed away and he has been helping his elderly mother manage her home. While at the mother’s house, Gil suggested to his mother (Mary) to consider moving in with them. Mary accepted the suggestion with happiness but to Gil’s surprise. When Gil got home, he told his wife and was met with a negative reaction. Vulnerable Population The elderly in America are considered to be a vulnerable population in regards to health, wellness and provision of healthcare. While this consideration may sometimes be based on assumptions related to age and wellness, there are increased risk factors that do place a...
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