Caring for the Old
The End of Life Care
End of life care refers to the total care of a person that has an advanced illness that is incurable and does not equate with death. This end of life care can last for a number of weeks, months or even years depending on the state an individual is.it is usually the care which helps those that have advanced, progressive and illnesses that can not be cured to live life as well as possible until they meet their death. End of life care makes it possible for the patient and their family to get supportive and palliative care needs identified and met throughout the last phase when they are living and into the bereavement period. Supportive care is care which helps a patient and the family to cope with the condition and the treatment of that condition right from the pre-diagnosis period, throughout the diagnosis process and treatment to the cure, the continued illness or the death and to the bereavement. Palliative care refers to the active total care for a patient who is suffering from a disease which is not responding to curative treatment. What is paramount in palliative care is the control of pain as well as the symptoms and giving support when it coms to the management of social, psychological and other problems that come with the illness.
Spirituality and Behaviors
Almost all elderly people consider themselves as being spiritual. Spirituality involves the experiencing of transcendence through an inner peace, connectedness to others and harmony. Spirituality contributes greatly to a higher well-being among old people. Spirituality has a direct correlation with an improvement in both physical and mental health among the elderly. Spirituality creates a positive and hopeful attitude in an elderly person about their life and the illness which predicts an improvement in their health. Spirituality also creates a sense of meaning and purpose in ones life which impacts their behaviors as well as how they relate to their families and the society at large. Healthy lifestyle behaviors among the old are a contributing factor to higher physical well-being. This includes their diet and physical activity which contribute to their physical well being. For the elderly when they are actively involved in religious communities there is a correlation with a better maintained physical functioning and their health. Some of the religious groups advocate behaviors which enhance healthy living among the elderly such as avoiding tobacco and heavy use of alcohol (Boswell, Kahana & Worth-anderson, 2006).
Legal considerations
If an adult gets sick or they are disabled they will need a person who they trust to communicate what they want regarding the care they will get. The goal for healthcare planning for the elderly is to ensure they get the care in a setting they want and make the decision on who they want to express this views or choices if they are not able to do so .a healthcare power of an attorney names the person who will talk with the elderly y's doctor if they are not in the capacity to do so and who can consent to specific medical procedures and treatments advanced directives and healthcare power attorneys, same as a living will assist in ensuring that an individual's wish regarding the care they get is honored and make it easy for their loved ones to know that they are making a correct decision for them when the time comes. If an individual does not have a health power attorney and is unable to communicate or make decision on their well-being, the state regulations assign this responsibility to a close relative of theirs or a guardian of the person is appointed by the court. (U.S. Department of State, 2012).
Family care giver considerations
Caregivers can be members of the family, hired professionals, friends or even community organizations who provide an elderly person with an acute illness.an elderly's caregiving need will change in the course of their disease. There are several caregiver tasks which are done on as needed basis; while others need to be done on a daily basis. Because an individual with an acute illness has varying needs in the course of their illness the responsibilities of a caregiver also change. Depending on the different needs an elderly person who is under care, the responsibilities of a caregiver range from; administering medication, monitoring the symptoms of the illness, advocating for appropriate medical acre, providing them with transport to and from their appointments, treatments and tests, handling issues pertaining with insurance, participation in end-of-life care.in addition to reaching out to family members and the friends of the elderly person, the caregivers can opt to hire medical or non-medical professionals who are in a position of providing quality care. Medical professionals help in providing in-home health care while the non-medical professionals such as home care aides help the caregivers with duties like bathing, errands, grooming and so on. Care facilities like nursing homes or even inpatient hospice facilities that provide support for people with acute illnesses can also be an option (American Society of Clinical Oncology (ASCO, 2014).
Nursing Diagnosis & a Minimum of three interventions
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