...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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...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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...medically oriented. While home care typically includes chore and housecleaning services, home health care usually involves helping seniors 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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...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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...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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...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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...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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...Prevent Falls and Fall Injuries In an Adult Acute Surgical Inpatient Care Setting” Huey-Ming Tzeng, Chang-Yi Yin, Allison Anderson, and AtuI Prakash Background: In medical care centers and in hospitals a major concern is falling of inpatients from their bed. This problem becomes more serious while dealing with old age patients in care for acute surgical or post op care. Presented study has addressed these issues and suggested that most of these fall related injuries [Anderson, Boshier and Hanna (2012)] could be prevented by examining the factors which could be controlled and applying measures to control them. Also those factors which could not be controlled measures to prevent them according to need of individual and specific medical setting should be applied. This study is very important and significant to nursing practice as according to Quigley and associates (2007) has pointed out that severity of injuries due to fall could be minimized with the help of an interdisciplinary team of which nurses are most important part. It help the nurse to provide the education how to prevent from fall and any serious injury through the falling time. On other hand it helps the nurse to aware the nurse about the proper bed position to prevent from fall and helps to prevent the injury in old age patients, because staff nurse know about the patient’s condition and who patient’s has the risk for falling so they can provide the best position and prevent the patient from serious injury. Patient’s...
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...Introduction 4 Defining Elderly Abuse 7 Traditional Societies 8 The length of the problem 9 Institutional Settings 9 Risk factor for Elder Abuse 10 Individual factors 10 Factors of Relationship 11 Factors of Community and Society 12 The result of elder abuse 14 Domestic Settings 14 Treatment in institutions 14 Preventing Elder Abuse 15 Feedback from national level 16 Responses from local people 18 Social Service 19 Health Care 20 Legal Proceeding 21 Campaign to generate public awareness 22 Recommendations 23 Greater Knowledge 23 Causes of the abuse 24 Impact of abuse 24 Evaluating the process 24 Stringent laws 24 Basic Rights for Elders 25 Traditions 25 Other preventive measures 26 Conclusion 27 Reference 28 Introduction The history of elderly abuse is not a very new phenomenon. It can be traced back from a very early age if we flip through the sociological status of yesteryear. However with the passage of time and further defining a goal to reform child abuse and domestic violence, the objective of elderly abuse has also been considered in the agenda. Unlike other form violence, the elderly violence has come into limelight with the progress of public health and criminal justice. The issue of these two forms has paved a way to view, analyse and curb the issue on violence towards senior citizens of a society. This paper will focus upon the issues concerning upon the violence that affects the elderly people either in house or...
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...SRI wanted the Gallup name to use on its polls, which gave them more credibility and higher response rates. Today the poll is used to gain visibility. Some of Gallup's key practice areas are employee engagement, customer engagement, talent management, and well-being. Gallup has nearly 40 offices in more than 20 countries. World headquarters are in Washington, D.C. Operational headquarters are in Omaha, Nebraska. Gallup's current Chairman and CEO is Jim Clifton. Gallup delivers forward-thinking research, analytics, and advice to help leaders solve their most pressing problems. Combining more than 75 years of experience with its global reach, Gallup knows more about the attitudes and behaviors of the world's constituents, employees, and customers than any other organization. Gallup consultants help private and public sector organizations boost organic growth through measurement tools, strategic advice, and education. Gallup's 2,000 professionals deliver services at client organizations, through the Web, and in nearly 40 offices around the world. Gallup News reports empirical evidence about the world's 7 billion citizens based on Gallup's continuous polling in 160 countries. The Gallup Business Journal provides hard-hitting articles and insights aimed at helping executives improve...
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...Proper oral health of those 65 and older is not being adequately met. Oral health is a key component in overall health. If care is not met, then it puts the patient at risk for diseases such as dental carries and gingivitis, which can affect his or her quality of life. Lack of oral hygiene also causes a decrease in self-esteem, social interaction, and dignity. It is therefore important that caregivers are provided the correct education, as well as the resources to implement oral hygiene practices, during the at home care and long-term care settings. Importance of Oral Health Oral health is, “the state of being free from chronic mouth and facial pain…tooth decay and tooth loss and other diseases and disorder that affect the oral cavity” (Cadet). For many, oral health is an everyday activity, however, the oral hygiene of those living in long-term care or have at home care provided, are being neglected. Proper oral health affects ones’ overall health. Those dependent upon another’s care are at risk for oral complications such as tooth decay/loss, periodontal disease, and mucosal lesions (Delgato et al., 2016). Due to these complications, Stowers, Giblin, Laspina, and Perry (2017), state that areas being affected are digestion, speech, nutrition, and even social interactions. Lack of oral care decreases patient satisfaction as well as increases morbidity, cost, and mortality to those at risk....
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...Nursing (Adult) 92510 Adult Nursing The Problem-solving Approach Monday 15th September, 2014 Word Count: 4111 Introduction: In care and nursing, problems arise all the time which need to be resolved in order for effective care to take place. This assignment will discuss the nursing process of the APIE (Assessing, Planning, Implementation and Evaluation) approach to solving issues, and how effective it can be. A nursing process is a systematic approach which focuses on patients as individuals and ensures all their holistic needs are met. It needs to address ‘the individual’s full range of needs, taking into account their health, personal, family, social, economic, educational, mental health, ethnic and cultural background and circumstances’ (Margereson and Trenoweth, 2010). Throughout the assignment there will be references to authors and theories relating to Sociology, Psychology and Biology, where applicable, to add support to the discussion. It will demonstrate how the stages of the problem-solving approach deal with problems that are encountered; it will describe how theoretical knowledge is used to enhance the problem-solving approach when dealing with encountered problems; and finally, it will demonstrate ways in which to plan using the problem-solving approach to enhance future practice. This discussion and assignment will be based on the audio-visual clip from the Nursing and Midwifery Council, (NMC), (NMC, 2010). Assessing: Assessing a patient looks at...
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...from the patient perspective (subjective). 1. What is the volunteer most concerned about? a. While meeting with my volunteer I was very surprise on how independent she was. She expressed to me that she has no concerns about her health at this time. She says she is just in her because I give her something to do each day after the death of her husband. 2. Is there any identified problem that the volunteer is having? a. Patient stated that she had nothing bothering her. No issues with her current health. 3. Have the volunteer explain their current level of health and wellness and/or illness. a. Patient states that she is only one pill and that is to help to control her blood pressure but she has been on that for years...
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...Running Head: Dementia in older adults The issue of dementia in older populations is a very prevalent and growing issue. Memory loss and dementia are increasingly prevalent issues that affect older adults and their spouses (McClive-Reed 2010). Due to the fear that surrounds dementia in older patients, a prognosis could lead to a diminished sense of self and reduction in the quality of life, not just for said patient but also for the families or caregivers. In order to better understand dementia and those who suffer from it, let’s look at potential strategies and challenges to engage dementia clients, how to conduct a biopsychosocial assessment of dementia clients, and take ethical consideration into account in respect to a single client that I have chosen, EP. EP is a sixty-nine year old African American female who was previously diagnosed with dementia as well as depression. I met EP after she was admitted to the short-term involuntary psych unit at the hospital to which I am employed as a mental health associate, making me one of her immediate caregivers. She was admitted after proving to be a danger to herself during screening, where it became known that the patient stopped taking appropriate dosages of her medication and became unable to appropriately care for herself as a result. When EP is doing well with her medications, she is able to live a very independent and healthy lifestyle, but this lasts only temporarily as this is not the first time that she has been...
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...Diabetes is a devastating disease that causes chronic problems globally. Diabetes comes in different forms; type 1 diabetes is caused from the pancreas inability to produce insulin. Insulin is a hormone that acts as a key that opens the cell to allow sugar inside to process into energy. Type 2 diabetes is caused from an insulin resistance, the cell becomes misshapen from an increase in adipose tissue that will not allow the key insulin to open the cell and allow glucose inside. This causes the glucose to be trapped in the blood stream. The blood of humans is thin like water, but as the glucose builds up in the blood stream it becomes thicker making it harder to transport through the various body systems. Diabetes is a vascular disease. It...
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