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Diversity in the Elderly Population
There is an abundance of diversity of the newest elderly generation. There is a lack of diversity in the health care coverage for the elderly. This would not exist in the future of health care. It is simply not practical nor ethical to ignore this issue of geriatrics as part of the visualization of the future of health care. Subtracting ethics for those who do not care about the elderly, on a practical level, soon there will be too many elderly around to ignore them and their needs. They will likely become an increasing voice of influence on issues such as this one and others, if only because of their great numbers. Those numbers are projected to continue to escalate.
This author imagines a future of health care where all elderly people have access to free, low cost, or subsidized quality health care. In…… [Read More]
Economics / Chapter 14
The elderly population is prone to polypharmacy, or being prescribed multiple medications to treat one or several medical conditions. Although the prescribing provider(s) have good intentions, the practice of polypharmacy can lead to dangerous or even deadly consequences, particularly in the elderly. This trend is becoming more and more common, leading to questions about at what point does prescribing multiple medications more of a hazard than of any help? And perhaps most importantly, how do we as providers effectively intervene in order to address this concern?
ecent figures have shown that 6.5% of in-patient hospital admissions stem from adverse drug reactions. Of those adverse reactions, 72% are identified as ones that could definitely or possibly have been avoided (Anguita, 2011). This is of particular concern in the elderly, who are a patient population with higher incidence of multiple health problems, more prone to drug-drug interactions, errors…… [Read More]
For this reason pro bono services are available.
Many senior citizens also qualify for legal aid. Legal aid is a program for all Americans who live below the poverty line, including senior citizens. Legal Aid is funded by the Legal Services organization, a department of the federal government ("What is LSC?"). This aspect of the federal government was created in 1974 to assist low income individuals with civil litigation issues. According to the official website of the organization most clients are women and the elderly ("What is LSC?"). In many cases legal aid assist people with family issues including guardianship issues. Legal aid is readily available through this program an 138 local programs, and provides services in every Congressional district and county in the country ("What is LSC?").
In addition to federal programs there are also programs throughout the country founded by lawyers to assist the elderly with different types…… [Read More]
The elderly population, like every other population in the world today, can benefit from changes that have occurred in the world thanks to technological revolutions. The Internet, for instance, has allowed a virtual world to emerge that rivals the real world in terms of social opportunities. News spreads instantly thanks to the Internet, and people can communicate with one another and retrieve information more easily today than at any point in human history. Technology can thus be used to address some of the changes and challenges within the elderly population today. Those changes and challenges include changes in environment as the population moves into assisted living and combating isolation and depression, which can occur in this population. Likewise, because of the nature of the globalized world it is more likely that this population will be more diverse than it has been in the past, which means there will be…… [Read More]
The proposal was to work with Dr. Patrick Khoo of HK Cares, a foundation in Hong Kong, China, where I would be on duty for 5 hours a day for a week. The service I aimed to provide was to visit hospitals in order to care for the elderly population in these facilities. By entertaining them, looking after them, reading to them, and helping them with whatever they needed, my goal was to relieve the disease burden on society and provide the elderly population in hospitals with a greater quality care experience through extra attention on my part.
Summary of What Took Place
First, I wrote a letter explaining the needs of the elderly population and why it was important for members of the community to devote some time to helping them with their needs. I cited a study by Landeiro, Barrows, Musson, Gray and Leal…… [Read More]
Ageism, isolation, and misconceptions about gerontology are all issues that the vulnerable elderly population faces (Brojeni, Ilali, Taraghi & Mousavinasab, 2019). As Yamada et al. (2015) point out, however, the issue of healthcare disparity and healthcare inequality of the elderly is one of the biggest issues because it underlines all the others: if the elderly population does not even have sufficient access to care, it is unlikely to be able to battle the effects of ageism, isolation or ignorance about gerontology. Healthcare costs have doubled since the 1990s (Yamada et al., 2015), and this puts an added burden on the elderly population, whose resources are finite. Yamada et al. (2015) put it this way: “as healthcare costs rises, more of the increasing costs are transferred to certain disadvantaged populations, and patients would have to spend a considerable share of their healthcare costs out-of-pocket” (p. 1745). In other words, the…… [Read More]
Most of the drug commercials also show the elderly with health concerns and needing help from others. In addition, it is rare to see an elderly contestant on a game show or interviewed on the nightly news, and most commercials star young, healthy, and very vital and attractive young people. When the elderly are featured, it is mostly with health concerns and problems.
Some situation comedies depict the elderly in a better light. For example, in "Everybody Loves Raymond," the two elderly cast members, Peter Boyle and Doris Roberts, are depicted as cranky and eccentric, like many elderly are depicted on TV, but they are also loving, if annoying, parents. They are also funny and warm, and have a mature relationship on the screen. They are funny, but they also add warmth to the show, and great character. It would not seem they were entirely positive, but they certainly are…… [Read More]
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…… [Read More]
In addition, those who are emotionally troubled and who are overweight -- often a contributing factor to emotional difficulties -- do not receive extra counseling time." Seale, Seale & Zhang (2008, p.425) This is a serious concern and one that must be addressed immediately by physicians who are providing care for obese patients.
A lot of revamping has to be done to meet this increased need of obese elderly and this has to be done fast. The numbers are increasing by the day and unless some initiatives are taken right away, it can blow up into a full-fledged catastrophe in the future. The first and foremost step that is required is to change the present healthcare system to make it more effective and efficient. Changes have to be made in the delivery of service as well as payments to make it more accessible to the elderly.
Another important step…… [Read More]
Future of Healthcare as it Relates to the Geriatric Population
Description and Problem Statement
The geriatric population in the United States is growing and compared to the population of health care providers the geriatric population growth is advancing much more rapidly. This presents a problem in making provision of health care to the future geriatric population. While there is a growth in the demand for geriatric health care services, there is not a matching growth in the population of health care providers and in fact, a shortage presently exists.
The population of geriatric patients is experiencing rapid growth while the population of health care providers specifically trained in geriatric medicine is seriously lagging behind. In fact, of the approximately 650,000 medical doctors who are practicing, only a small percentage receives the training and education required to provide geriatric care. Exacerbating the problem is the fact that only three medical schools…… [Read More]
Living Aangements Among the Eldely
This is an eight page pape concening the divesity in living aangements among the eldely. Thee ae six efeences used.
People today ae living longe, which means thee is a lage eldely population in ou society. Thee ae many concens facing the eldely, one of which is housing. The eldely have seveal options available to them and it's inteesting to see how divese they can be.
Befoe we look at the housing options fo the eldely, we should fist exploe the statistics concening the population of this gowing goup. Thee wee ove 35.0 million pesons ove 65 in the United States in 2000. This accounts fo 12.4% of the population o one in evey eight Ameicans. Since 1990, the numbe of eldely has inceased 12.0% in compaison to the 13.3% incease of those unde 65. The statling fact is those aged 45-64 inceased…… [Read More]
Therapeutic Massage on Elderly, Grieving Widows
The prosperity of a country is in accordance with its treatment of the aged," states an ancient Jewish Proverb ("Massage for the Mature Adult," 2001). This is an honorable and true statement. Too often many of our elderly people's needs are not noticed or attended to by family, friends, or medical practitioners. This is especially true for older women whose husbands have died.
Widowhood can have a tremendous impact on the health of older women (Ferraro, 1989; owling, 1987; Gass & Chang, 1989). The death of a spouse or partner has been described as the most disruptive and difficult role transition that an individual confronts throughout the life course (Lopata, 1987). In the United States, over 49% or 8.4 million women over the age of 65 are widows (radsher, 2000). Houdin (1993) states that "although the literature abounds with subjective pieces concerning bereavement, little…… [Read More]
Difficulties that Elderly People Encounter and Their Life Satisfaction," which was published within the scholarly journal Social Behavior and Personality in 2008, social scientists Kasim Karatas and Veli Duyan analyze the level of life satisfaction experienced by elderly residents of the Ankara region of Turkey, while also exploring the various factors which may negatively influence one's life satisfaction. According to the authors, "the purpose of this study was to examine the sociodemographic characteristics of elderly people and the effects that difficulties they encounter in daily life have on their life satisfaction" (2008), with the dually overriding objectives of determining a causal relationship between life satisfaction and either sociodemographic characteristics or hardships experienced. Relying on the tried and true methodology of administering a detailed survey and questionnaire combination, in this case to a sample of 109 females and 76 males between the ages of 60 and 98 living in the Kocatepe…… [Read More]
Falls in the Elderly
It is no secret that elderly people fall more than people in younger age groups. Each year, approximately one-third of elderly people will experience a fall of some kind (Yoshida, n.d.; Centers, 2013). There are several reasons that this can be the case. The theory here is that balance simply becomes more tenuous as a person ages, and that not all falls in the elderly can be prevented. However, there are racial differences seen in falls, as well. White men experience the largest number of fatal falls, followed by white women, then black men, and black women (Yoshida, n.d.). People who have limited access to health care and other helpful options are also more likely to fall. They may have diseases or conditions that make falling more likely, putting them at risk (Yoshida, n.d.). Additionally, people who live alone and who do not have a lot…… [Read More]
Cognitive Disorder in Elderly
Cognitive Disorders in Elderly
Cognitive Assessment & Lab
Kris Thomas, PhD
The research of this study is related to cognitive, dementia, Alzheimer disease, and depression issues with the elderly populations of the United States and in the world in general. Societies with a large number of elderly people such as the U.S.A. are increasingly focusing their efforts on improving the life standards of these people based on the types of services given to them. The well-being of those on palliative and hospice care is as important as the well-being of the family members of these patients. Although many health issues present themselves during the elder years of any patient, there is a lot of attention paid to cognitive and mood issues in this age group. The disorders and maladies that are relevant to this population include, among others, depression, dementia, mild cognitive impairment (MCI)…… [Read More]
Poverty is defined as having a meager annual income, insufficient for meeting basic expenditure. esearch has confirmed that older adults, from the age of 65 years and above, when poor, confront immense burden in meeting with their basic housing, food, healthcare and other expenses. Poverty in the elderly populations is a persistent and grave issue in America. Almost 10% of elderly individuals (aged 65 years and above) belong to families with annual income below America's official poverty line, also termed as the federal poverty level (or FPL). An older adult (age- 65+) who lives alone was labeled as a 'poor' individual if his/her annual income before tax amounted to less than 10, 326 dollars, in 2008. Elderly couples having incomes under 13, 014 dollars were labeled as poor. oughly one in every six elderly individuals was nearly poor, or poor, with income less than 125% of FPL; nearly a third…… [Read More]
An opportunity has been identified in a growing niche that has been largely untapped to date. The opportunity further can be described as being at a crossroads that exists where many factors come together in an intersection in which many social changes are present. The business model that is being proposed in this report consists of developing prepped meal service for seniors, where prepared, nutritionally-balanced meals are delivered to seniors who have trouble cooking for themselves, at a cost-effective price. The need for a sustainable food service model that focuses on meals that are easy to prepare, nutritionally-balanced, consistent with dietary requirements, and affordable is especially relevant to a vulnerable population like the elderly who, in many cases, has difficulty in maintaining a proper diet. The demand for such a service has quietly build a niche industry that is still developing.
There are many social factors that have been identified…… [Read More]
Fall Among the Elderly Age Group
Falls among the Elderly Age Group
Expected falls and unexpected falls
isk Elements for Falls
Outline of Several Different Strategies
Counseling and Health Education Strategies
Exercise and physical activity 8
Interventions of Unidentified Effectiveness
Developed Based on your Understanding of the Public Health Problem
Schedule an appointment with your Medic
Wear sensible shoes
According to JM (2009), "As people get older, falls turn out to be a typical and often hurting issue that occurs among those that are in the elderly category, producing a huge quantity of illness, death and use of health care services as well as premature nursing home admittances ( p. 42)." However, falls are a difficult, multi-faceted problem that comprises of social, medical, and financial elements. Medically, the mixture of a high occurs of falls and an increased…… [Read More]
The Aging Population and Dementia
Dementia is generally defined as a problem that impacts the elderly population and includes “impairments in cognitive and intellectual ability, memory, language, reasoning, and judgment that interfere with everyday functioning” (Agency for Healthcare Research and Quality, 2014). The two leading types of dementia in the world are Alzheimer’s and vascular dementia (Livingston et al., 2017). Dementia is a problem for the elderly population because it is so prevalent and still somewhat poorly understood. As Jayadev et al. (2010) point out, the cause of the disease is still relatively unknown, which makes treating it difficult for care providers. An average of 25 million elderly people suffer from some form of dementia in developed nations—and that number is double in developing nations (Livingston et al., 2017). The best that care providers can hope for in this situation is to treat it by using preventive care interventions,…… [Read More]
" (Congressional udget Office Testimony, 2001) Complicating the problem is the fact that Social Security is not only a retirement program but in fact approximately 2/3 of Social Security beneficiaries are retired workers" with the remaining being disabled workers, survivors of deceased workers, and workers' spouses and minor children." (Congressional udget Office Testimony, 2001)
III. REMEDIES TO HELP ALLEVIATE IMPLICATIONS
There are various strategies that could be pursued by policymakers to assist in preparing for the aging population coming of retirement age and these are stated by the Congressional udget Office to include options such as: (1) paying down federal debt; (2) creating private retirement accounts; and (3) changing the benefits or revenues of the Social Security program. (Congressional udget Office Testimony, 2001) However, it is clear that each of these remedies contain both advantages and disadvantages. Furthermore, in light of recent government spending the option of paying down the…… [Read More]
Elderly in Monrovia, CA
The population of people aged 65 years or greater is steadily escalating, as baby boomers come of age. It is estimated that this age bracket accounts for 10% of the total world population, and is statistically increasing. As this sector of the population steadily increases, there are of course, accompanying health care issues: osteoarthritis, cardiac and kidney issues, Alzheimer's or dementia, and an ever-growing problem with depression. For this essay, we will concentrate on several health issues that plague seniors nationally, but will specifically focus on the aging population over 65 in Monrovia, California.
Monrovia is a smallish city located at the foothills of the San Gabriel Mountains in the San Gabriel Valley, Los Angeles County. Monrovia was settled in the late 1800s as a central hub for the growing orange grove industry, but has now become more of a bedroom community that supports the urban…… [Read More]
population (or data) you plan to sample for your study. There are a variety of sampling methods from which to choose. Your choice of sampling method will depend on your research design and method. For instance, if you are using a qualitative method you might use purposive or snowball sampling. If you are using a quantitative method, you might use simple random sampling or systematic random sampling. Like research methods, sampling methods each have specific strengths and limitations in terms of reliability and validity. There are also ethical considerations when using sampling methods with certain populations such as children, the elderly, the developmentally disabled, and individuals who are institutionalized.
Write a brief description of the population or type of data you plan to sample for your dissertation. Then describe the sampling method you plan to use and explain why you plan to use it. Finally, describe at least two issues…… [Read More]
This exists in the military, where quality of service and dedication is more important than one's status as a civilian. Similar haircuts, similar uniforms, and similar duties are a great leveler: while there is a hierarchy, the hierarchy is respected because it is based upon merit, not upon the financial status of one's parents. Rank must be earned, respect cannot be bought.
Perhaps this sense of equanimity is why the fact soldiers must live in such close quarters is tolerated with relative ease. Also, the small spaces we do possess must be kept clean and orderly. Although we may personalize things to some degree, we do not have the freedom of someone living in a college dorm to create an entirely individualized space. In many ways, this is a relief. There is none of the rage and resentment that often results when someone with morning classes must struggle to deal…… [Read More]
eart Failure in African-Americans
Cardiovascular diseases (CVD) are among the top killers in the world population and number one in the U.S. eart failure is the number one killer in the U.S. And stroke, number three. The African-American Population has even higher numbers that fall victims to these killers. The main factors that lead to heart failure and stroke are: "high blood pressure, high cholesterol, cigarette smoking, diabetes, poor diet and physical inactivity," with their natural consequences: "overweight and obesity" (http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=21).
Although heart diseases are the number one cause of death in the U.S. today, they are also among the most preventable diseases. An unprecedented opportunity to prevent heart disease and stroke exists today in the United States. "We know what causes these conditions and how to prevent them, largely because of the decades of research supported by NI, the American eart Association, and others" (http://www.cdc.gov/dhdsp/action_plan/pdfs/action_plan_full.pdf ). The African-American Population…… [Read More]
Fraud and the Elderly
Elderly Fraud Victimization
Prevalence and Predictors of Fraud Victimization among the Elderly
Prevalence and Predictors of Fraud Victimization among the Elderly
Applied esearch and Consulting (AC, 2013) conducted a recent national online survey for the FINA Investor Education Foundation, with the goal of quantifying the prevalence of fraud victimization among the American adult population. Any American over the age of 40 was invited to participate, but for the purposes of meeting the 2010 Census distribution for age, ethnicity, and geographic location the sample was limited to 2,364. The primary focus of the study was financial fraud, including red flag persuasion tactics, cold calls, free lunch seminars, oil and gas scams, promissory note scams, pump and dump, pre-IPO scams, multi-level marketing, digital currency, lottery scams, and affinity (relatives) fraud. On a scale of one to ten, with one representing the most risk averse, persons over the age…… [Read More]
This means that society as a whole needs to consider both aspects of the problem. It would be wrong to simply consider problems associated with an aging population in the context of a young population that experiences little to no change. The number of young people is smaller today than it has been in the past and the government needs to invest fewer finances in providing for this community. This is not going to solve the overall problem, but it is nonetheless an important concept when discussing with regard to how an aging population is going to affect the world as a whole and young people in particular. "Reductions in expenditures for the youngest and middle age groups will not result from robbing resources from the young to care for the old. Instead, these reductions reflect the fact that these age groups represent a smaller portion of the population than…… [Read More]
Exercise 5: Population Survey
It was in October 1997 that the Office of Management and Budget or the OMB announced that the standards for the gathering of federal data on race and ethnicity in the United States of America would be changed from thenceforth, and that the minimum categories for race would be form then onwards, divided into the following categories: American Indian or Alaska Native; Asian; Black or African-American; Native Hawaiian or Other Pacific Islander; and White. This meant that any individual, when choosing to self-identify himself, would not have to place himself according to the multi-racial perspective that had been in use earlier, but rather; he could select one or more races when he would have to identify himself for any purpose. In addition, the OMB has today made an added provision, which is known as the 'Some Other ace'. (acial and Ethnic classifications used in Census…… [Read More]
Population Implosion in Europe
Roughly thirty years ago, a global think tank declared that population pressures would devastate the world by the mid-1990's, however, they did not foresee that women in the developed world would be producing fewer children (Specter 1998).
ith life expectancy rising as the fertility rate drops, most developed countries may find themselves with lopsided societies, a large number of elderly and not enough young people working to support them (Specter 1998). Thus, every program that requires public funds, such as health care, education, pensions and military spending will be affected (Specter 1998).
Due to prosperity and freedom, millions of women are staying in school longer, putting more emphasis on work and marrying later, resulting in a rapid birth rate decline in many countries (Specter 1998). In Italy, women produce on average fewer than 1.2 children, the lowest figure every recorded among humans (Specter 1998). It is…… [Read More]
For instance, a decline in peripheral vision may impact the ability to pass approaching vehicles safely, and the decreased range of motion in an older person's neck may impair the ability to look behind when backing up. Also, reaction time decreases by almost 40% on average from age 35 to 65 (Jackson, 1999).
It also appears that the aging process may affect cognitive skills. Short-term memory loss, for instance, can decrease driving skills by interfering with an individual's ability to process information effectively when merging onto a highway into traffic or changing lanes. Such issues are magnified when driving under stressful situations. The higher incidence of cognitive impairment, particularly dementia, among older men and women leads to an increased risk of accident involvement (Jackson, 1999).
According to AAP, as a group, persons age 65 and older are relatively safe drivers. Although they represent 14% of all licensed drivers, they are…… [Read More]
This difficulty does not just stop at causing dietary deficiencies but may also lead to acute dental and non-dental diseases. With early detection and intervention such diseases can be prevented thus the health professionals in senior centers can take a step of screening the seniors for oral problems and take the necessary steps. They can also train the seniors on practicing preventive health and also refer them to appropriate nutritional and dental professionals.
It is common for seniors to rate their health, the good news is that most of them rate their health status as good, very good, or excellent. There is a relation between self-rated health and mortality and expectations for dying, it is therefore necessary to encourage those having positive self-rating so that they can maintain and improve their health. Those with negative self-ratings should also not be ignored but should be assisted to develop a positive attitude…… [Read More]
Restraining the Elderly
The Project Management path for this research proposal will follow the path of quantitative research in a 'quasi-experimental' environment. Adhering as closely as possible to quantitative experiments designed to establish the causal factors or interdependent links between grouped variables, the researcher will follow a natural course of progression in administering dependent and independent variables, designing the sampling set, determining the optimal time(s) and location(s) for conducting the research, developing the measures and instruments necessary for evaluation of non-empirical evidentiary conclusion (i.e., the thought processes and reasoning of medical staff), measuring the response to education and procedural methodology, documentation to include evaluation materials, response forms, and restraint logs, preparing the education program, delivering the lectures, and evaluating the results in change or lack of change in care providers attitudes toward patient restraint.
Any project that measures the process of learning, comprehension, acceptance or denial,…… [Read More]
" (Stone, 2006) Treatment is stated by Stone (2006) to be "diagnosis dependent and may be medical or surgical." Practical modifications include simple steps such as crushing of pills or opening of capsules to ease and facilitate swallowing.
The work of Leibovitz, et al. (2007) entitled: 'Dehydration Among Long-Term Care Elderly Patients with Oropharyngeal Dysphagia" states that long-term care (LTC) residents in the nursing home "especially the orally fed with dysphagia are prone to dehydration. The clinical consequences of dehydration are critical. The validity of the common laboratory parameters of hydration status is far from being absolute, especially so in the elderly." (Leibovitz, et al., 2007) it is related however that "combinations of these indices are more reliable." (Leibovitz, et al., 2007) the study reported by Leibovitz et al. is one that assessed hydration status among elderly LTC residents with oropharyngeal dysphagia and in which a total of 28 orally…… [Read More]
The emphasis is on normal, everyday activities provided for residents. According to the authors, however, little research has been conducted to investigate the actual effect of such activities and settings upon residents. The assumption is that such settings have a better effect that traditional institutions, but there is little empirical research to support this.
Hence, Verbeek et al. (2010) conducted a study to compare small-scale living with regular care in nursing homes in the Netherlands. Interestingly, they found no significant difference between the quality of life experienced by residents in traditional institutional settings and those in small-scale living facilities. Furthermore, there was also no significant difference in the job satisfaction levels of nursing staff between both types of institution was found. Another important aspect, namely neuropsychiatric symptoms and agitation were also significantly similar for both institution types. According to the authors, a difference was found in the satisfaction level of…… [Read More]
affordable Care Act (also known as the ACA or Obamacare) on the elderly
Obamacare: Its impact upon the elderly
The impact of the Affordable Care Act (ACA) (often called 'Obamacare') upon America is often discussed by politicians as if it had a uniform impact upon all citizens. However, the ACA's effects have been relatively disparate, depending upon the nature of the population. This paper will specifically focus upon the impact of the ACA on the elderly of a variety of socio-economic categories.
One of the criticisms of the American healthcare system before the passage of the ACA was the spiraling cost of entitlement programs such as Medicare, the federally-provided health insurance program for seniors. "One good result of all this [ACA] is that the burden of Medicare for taxpayers in future years has been drastically lowered. In fact, the day Barack Obama signed the ACA into law he cut the…… [Read More]
Pressure Ulcers in the Elderly
Dr. Judi Kuric
DNP Project Question
Will Every Two Hourly Turning and Positioning Decrease Pressure Ulcers in the Elderly Bed Bound Population in Nursing Home.
Will Every Two Hourly Turning and Positioning Decrease the Pressure Ulcers in the Elderly Bed Bound Population in Nursing Homes.
Pressure ulcers are a common cause of immobility among the elderly, which results in immense pain, suffering, and substantial costs with charges because of increased length of stay in the nursing homes. Prior studies suggest that patients who receive care in accordance to evidence-based guidelines are not at risk of developing pressure ulcers. However, the empirical evidence on the effectiveness of the measures is inadequate. Nevertheless, frequent manual repositioning of patients is a firmly established standard of care for the elderly; although there has been no much evidence on the same, experts suggest that…… [Read More]
The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation.
The research showed that many elderly patients who suffer from congestive heart failure also suffer from a wide range of comorbid conditions, including diabetes and hypertension. These patients can be reasonably expected to require periodic or even frequent treatment in emergency departments and/or hospitalizations for these conditions, making the need for effective and seamless post-discharge planning especially important. In this regard, the research also showed that there are some valuable evidence-based practice guidelines available, though, that can help clinicians better coordinate post-discharge…… [Read More]
Q4. Participants at treatment facilities might be disproportionately affluent and white, given that historically, individuals of color suffering from addictions have more often been relegated to prisons, rather than received support and assistance. Public as well as private treatment facilities may need to be compared, to ensure a more representative sampling.
Benshoff, John J., Laura K. Harrawood, & Darwin Shane Koch. (2003, April-June). Substance
abuse and the elderly: unique issues and concerns. Journal of Rehabilitation. 69.
In this study, the authors used a literature review format to examine a variety of previous studies of substance abuse amongst the elderly. In general, while individuals tend to age out of illicit drug use, alcohol abuse remains a risk throughout an individual's lifespan, given the lack of social and cultural taboos. Broad-ranging studies have found that alcohol abuse amongst the elderly is a silent epidemic, and both late and early-onset…… [Read More]
In a study of the prevalence of elder abuse in the United States, financial difficulties on the part of the abuser did appear to be an important risk factor (Krug, 2002, pp. 130-131).
elationship factors - in the early theoretical models, the level of stress of caregivers was seen as a risk factor that linked elder abuse with care of an elderly relative. While the accepted image of abuse depicts a dependent victim and an overstressed caregiver, there is growing evidence that neither of these factors properly accounts for cases of abuse. Although researchers do not deny the component of stress, they tend now to look at it in a wider context in which the quality of the overall relationship is a causal factor. Today, the belief is that stress may be a contributing factor in cases of abuse but does not by itself account for the entire phenomenon.
Living…… [Read More]
Evidence-based nursing interventions that will provide quality care to vulnerable populations
There is evidence in innovative health programs whose outcomes are Hospice care with increased patient and caregiver satisfaction costs lower than the conventional care; programs with community-based care reduces the severity of symptoms and results in a rapid functioning; for the frail elderly, it results in improved satisfaction; Patient empowerment, especially with the frail elderly and disabled adults, brings satisfaction and knowledge about their care; for the mentally ill, it lowers the rate of homelessness and for patients with diabetes or congestive heart failure, it decreases the morbidity. Usually, the beneficial effects were limited to the duration of the intervention (Aday, 2001).
There is evidence for enhanced patient satisfaction in the health care that emphasize continual care, multidisciplinary approaches, patient empowerment, and innovative approaches. Health care providers should also practice evidence-based care as it demonstrates the effectiveness. Patients with…… [Read More]
S. Census ureau statistics, which disproportionately omit U.S. Latino-residents and, as a result, understate the population bases on which congressional representation and decisions on program funding are made. This kind of resistance has repeatedly resulted in an incomplete policy agenda and the formation of the appropriate and responsive management of demographic change. The fast-aging character of the American population places the burden of caring for the elderly on minorities and immigrants. Current and projected demographic patterns indicate that the economic success of the nation depends more and more on the fate of the growing Chicano population. Their education and welfare can, therefore, not be ignored by policymakers (aker).
Confronting and realistically addressing the significance of the education and welfare of the growing -and mostly young - Chicano population in America is a primacy concern in policymaking for the 21st century (aker). The focus and direction of policies must be the…… [Read More]
Management Performance Within Elderly Care Homes in Gibraltar
The elderly nursing community in Gibraltar is dispersed and characterized by different institution specific challenges and particularities. The current project assesses the general level of leadership competencies within three pre-selected institutions, the management performance assessments of employees, the basic leadership skills required and formulates a series of recommendations as to how these competencies could be obtained. The approach is predominantly a quantitative one, combining various research methods, such as the questionnaire, the case study and structured interviews.
With the aging of the population, more pressure is placed on the health care system throughout the world, and Gibraltar is no exception. As 15.41 per cent of its population is aged over 65 years (Website of the Central Intelligence Agency, 2015), a question arises regarding the country's ability to provide adequate care for its aging population. In this sense then, the current project sets…… [Read More]
It is also wise to have it reviewed by a doctor or attorney, the Family Doctor eb site suggests; that way you can be assured that what you wish to have done with you and to you if you become incapacitated is "understood exactly as you intended" (Family Doctor).
The advance directives are sensitive and private, and they are very important for seniors. But the advance directives can be controversial, so it is wise for older people to know the law and understand the facts. To wit, there have been rumors and falsehoods spread on the orld ide eb and elsewhere about the advance directives that are spelled out in the recent overhaul of the healthcare system. Former governor of Alaska Sarah Palin made news in the summer of 2009 by asserting that the advance directives in the healthcare overhaul created a "death panel" of bureaucrats who will "decide, based…… [Read More]
The gradual decrease in income, eventual dependency on other people and the government for financial resource, lack of activities to do, and the onset of physical and/or physical limitations as a result of aging are known causes of frustration, stress, and even depression among elderly people who have retired (Blekesaune and Solem, 2005, p. 80). In the case of Mrs. a, she has not experienced these negative feelings or emotions as she had been flexibly and intermittently engaging herself in house-, family- and community-related pursuits. However, she did admit that her husband's death had been a pivotal point in her life, when she felt that she, too, must be with her husband because, as far as she is concerned, she has already accomplished what she was supposed to do as a "wife, mother, and woman."
Interestingly, with Mrs. a, work and retirement is not the conventional kind of retirement one…… [Read More]
health issue of falls among the elderly in Canada.
Community Health Problem
The major reason behind the Canadian seniors' hospitalization is fall-related injury. Approximately 20% to 30% seniors fall in a year. For instance, Canadian Community Health Survey statistics shows mostly over 80-years older seniors, 20% living in the community are fall (Seniors' Falls in Canada: Second eport - Public Health Agency of Canada, n.d).
Extent of the Problem
256,011 older Canadians suffered from fall-related injuries in 2009/2010. Comparing with injured people, other than fall-related, percentage was higher in females over 74-year age (63.6% as compared to 54.3%). Statistically, difference based on marital status was also notable. 55.9% fall-related injured people were married as compared to other injured that were 63.6%. Furthermore, 31% of the fall-related injured people were widows as compared to 23.6% other injured people. In this education group, 30% people had fall related injury as compared to…… [Read More]
Mental therapy using non-intense video games and how it affects brain health among the aged population showing early symptoms of dementia.
The deterioration of cognitive abilities and brain tissue due to age could have several adverse effects on mental systems and could even lead to dementia. Thus, researchers are trying to discover methods which could help keep brain function, independence, health and cognition among aged people in its best shape. Usually, with age, the white and gray matter of the brain shrivels with this action seen more in its prefrontal cortex than other regions. Other affected brain parts are the cerebellum, the prefrontal cortex on the side as well as the central temporal lobe structure which includes the hippocampus. Despite this, the occipital cortices and the entorhinal do not experience any form of shrinkage (Ballesteros et al., 2015). Common symptoms of this shrinkage include reduced memory strength, lower mental processing…… [Read More]
Disabled employees are protected by the Disability Discrimination Act 1995. Employers must make reasonable adjustments to working conditions to ensure that disabled people are not treated less favourably than other employees. The HSE regulations 2002 require employers to ensure that doors, passageways, stairs, lavatories and workstations are suitably arranged for disabled workers' needs.
In order to ensure that work sites will be suited for employees of all ages and special needs, the role of the Planning Supervisor was created under the Construction egulations 1994 to monitor and improve Health & Safety issues related to building and construction works. This is an important role, since it focuses solely on health and safety needs when buildings are being designed or renovated (UKBS website).
The population changes will also impact society as a whole and it will be just as important to build homes and other facilities to prepare for individuals as they…… [Read More]
Substance / Alcohol Abuse among the Elderly
Substance/alcohol abuse among the elderly 60 years and older
Alcohol and substance abuse among the elderly is a significant social problem, not only because people in this age group tend to have very permissive attitudes towards social drug and alcohol usage but also because the stressors that accompany aging may result in increases in drug or alcohol usage to problematic levels. While people may begin experiencing age-related problems in their 40s and 50s, it is not generally until their 60s that most people begin to experience significant physical or emotional challenges related to age. These challenges are often accompanied by major life changes, such as retirement, the death of a spouse or friends, relocation, and diminished physical and intellectual capabilities. These changes may mean a lack of access to the coping mechanisms that have traditionally served the individual, leading to a rise in…… [Read More]
ongaarts (2004) reports that since 1950 the median age in North America, Europe Japan and the rest of the developed world has increased from 29 years to 37 years. In addition by 2050 the median age is expected to increase to 45 years old. However in the developing world, including North America and Africa, the median age is 24 years. Although the median age is lower in the developing world these nations are also experiencing declines in both mortality and fertility rates will increase the median age to 36 by 2050. These facts concerning median age in societies around the world are important to understand because they dictate the public policy decisions.
How does the presence of an aging population affect public pension programs?
How do current immigration laws dictate how replacement immigration might be impacted by immigration laws?
Problem addressed by proposed study
The aging of the population…… [Read More]
Substance Abuse in the Elderly
The increase in substance abuse among people over 60 years of age is understandable from several perspectives. The boomer generation grew up in a society that was experimenting with controlled substances, and in -- or on the margins of -- a culture that viewed the use of drugs as normative. Indeed, much of the rhetoric about drugs and alcohol was that these substances could enhance life experiences, provide deeper insights into one's life -- transcendence, if you will -- and ease the suffering brought about by life transitions and quotidian pressures. This generation found self-medicating for personal angst and genuine disorders such as depression or post-traumatic syndrome was acceptable.
While many life challenges are universal and do not occur in higher percentages according to particular demographics, other challenges are linked to demographics. People in their 60s and beyond do experience an uptick of physical and…… [Read More]
educe Patient Falls in a Hospital Environment
Method of Obtaining Necessary Approval(s)
Description of Current Problem
Explanation of Proposed Solution
esources equired for Implementation
isk and quality management is a fundamental and important aspect to many health care organizations and patient lives are often at stake. This is especially true in nursing facilities or hospitals that house elderly patients because of the level of direct patient interactions that occur on a daily basis and the specific needs of this population. There are many potential risks that can emerge from this population. Three common risks were identified from a literature review based on evidence-based practices. One common risk deals medication error and making sure patients receive the right dosage of the correct medication at the right time. Another risk that is becoming increasingly common is the risk of the spread of infection and in severe cases infections that are…… [Read More]
Active Aging and the Burden of Disease
Some countries differ in life expectancy from others for a number of reasons. Some of the reasons are cultural, economical, political and social. For instance, in advanced nations, the cultural lifestyles are bound up in the economic, political and social factors of the country; cleanliness and hygiene are considered high priorities primarily because society has made them more possible through advancements in technology. Wealth is evenly spread around so that the majority of the population in such nations can enjoy greater access to health and prosperity. In other, less developed countries, however, disease can be widespread and social unrest can be a problem that leads to much violence and many deaths.
Yet, even in advanced nations, life expectancy can deteriorate as people become too civilized that they fail to realize the benefit of an active lifestyle. They become complacent and eat foods that…… [Read More]
New Marketing Plan
Overview of Company
Dawn is a startup company that plans on making the most of the prospect that is the entrance into retirement age of the Baby Boomer generation. The company perceives this as a business opportunity to offer services to this population. In particular, the company will serve as a housing community that offers the product package or services to active seniors who have attained 55 years of age and above. This will encompass assisted living that could be partial or full-time, depending on the needs of the client. Dawn intends to not only offer these services, but also other amenities that will make life comfortable for the adult patients. The company plans on setting up its premises in Boston. The following is a marketing plan that is purposed on creating a profitable business model for the company.
Market esearch Strategies
The company will make use…… [Read More]
The downside is that if the samples arranged in some organized manner there is a great potential for bias in the sample selection. Moreover, because this method limits the potential for every target participant to be included in the study the external validity of the results will be limited (obson, 2011).
Stratified sampling is a technique that can be used when there are subgroups within the target population that have attributes that may be relevant to the outcome such as different genders, different ethnic backgrounds, different levels of education, etc. (Bryman, 2012). The researcher divides the target population in the subgroups and then randomly samples from each subgroup according to some quota that has been previously identified. This allows for more realistic overall sample and can help enhance external validity; however, it is often difficult to get the information ahead of time, there may not be sufficient amounts of participants…… [Read More]
Community Resources for Older Individuals
Volunteers and political officials in local communities often campaign to improve conditions and provide services to increase the well-being of individuals and families living in those communities. If you are the parent of young children, you might focus on improving the local school or creating safe places where children can play. If you are an individual in later adulthood or a caregiver for an individual in later adulthood, what community resources might be important to you? For this week's Assignment, you evaluate the resources that your local community provides for its older members.
To prepare for this Assignment, research the resources available in your local community to support the issues and concerns of the older population. Note any gaps in these services and consider what improvements might be made to existing services as well as what services should be added.
Submit by Day…… [Read More]
GEONTOLOGICAL & GIATIC NUSING
Nursing Paper-Gerontological & Griatric Nursing
End of Life Issues and the Elderly
(2) "Identify and discuss the role of the nurse in providing family centred care to an elderly client who is palliative and living at home with his/her spouse or another family member."
Palliative care is an approach to provide a coordinated medical, nursing, and allied health service to address the patient's physical, social emotional and spiritual needs for people with progressive incurable illness. Palliative care seeks to deliver allied health service within the environment of person's choice to improve quality of life for both an ill person and the family or friends. In the United States, Europe and other part of the world, number of people reaching the advanced age and having the need of specialities for the management of pain control continues to increase. (oyal College of Nursing, 2004).
Meanwhile, a nurse plays…… [Read More]
Diversity of Aging Population -- Innovative Healthcare
Over the past several decades there has been an avalanche of research and scholarly narratives focusing on the aging of millions of Americans -- among them the "baby boomers" that were born between 1946 and 1964 -- including their numbers and their health vis-a-vis the impact on the sometimes struggling healthcare system. But there has been a dearth of research on how American healthcare services will respond -- and is currently responding -- to an increasingly diverse older population when it comes to racial, cultural and ethnic identities. This paper points to the numerous issues and challenges that not only face an increasingly diverse older American population when it comes to healthcare, but also the challenges that the healthcare system itself faces as these Americans move into the twilight of their lives.
hat should be the Vision and Mission of Healthcare Professionals in…… [Read More]
education, and how my education has transformed my life by improving my self-confidence, upgrading my skills, and expanding my opportunities for personal and career success. his reflection and evaluation paper analyzes critically the value of my education at the University of Phoenix. I will discuss where I was before commencing the program, where I was during the program, and where I expect to be after graduation. In addition to discussing the peculiarities associated with receiving an online degree, I will outline my short-term and long-term goals as they relate to my course of study.
Before I began my studies at the University of Phoenix, I received most of my life skills, professional training, and character building through the American military. he military helped me to discover my talents and preferences with regards to a career, and brought out both my strengths and weaknesses. My professional career was steeped in military…… [Read More]
Loss of Function on the Quality of life and Independence, and Quality of life for the elderly Population
Although living longer comes with a price, having a good social relationship, support system, social relationships, and residing in their own abode is what could give seniors independence, happiness, and quality of life. Before discussing how a given loss of function influences the quality of life and the independence of an aging person, it is crucial to define some concepts. These concepts are the quality of life, independence, and activities of daily living, as they will be used in this discussion. Quality of life has varying meanings for different individuals particularly to the elderly population. Quality of life could mean good pension or income, family and friends, being active, being independent, good and safe living conditions, opportunity to learn latest concepts, developing new things, religion, and social relationships among others. Quality of…… [Read More]
What is the nature of these service shortfalls and how do these service limitations potentially impact older adults' "quality of life" outcomes in both the short- and long-term?
1. Lack of elderly population abuse prevention mechanisms
2. Lack of elder population neglect prevention mechanisms
3. Lack of culturally relevant elderly care programs
4. Lack of enough physicians to take care of the elderly population
5. Lack of elderly-population empowerment programs
Lack of elderly population abuse prevention mechanisms
A review of literature indicates serious "gaps" in the mechanisms used in the prevention of elderly population abuse cases. Even though the Elder Abuse and Neglect Act clearly indicate that all suspected cases of abuse directed against the elderly population be reported, very little efforts exist at the establishment of hotlines to be used in reporting these cases. This means that very few cases of abuse are reported. This gap in the aging-related…… [Read More]
Alonso, J., Banegas, J.R., Graciani, A., Guallar-Castillon, P., Gutierrez-Fisac, J.L., Lopez-Garcia, E., & Rodriguez-Artalejo, F. (2007). Relationship between obesity, hypertension and diabetes, and health-related quality of life among the elderly. European Journal of Cardiovascular Prevention & Rehabilitation, 14(3): 456-462.
This study examined health-related quality of life among elderly people living with obesity, hypertension, and diabetes. The results found that obesity in elderly women and diabetes in elderly men are the two factors that were most closely and dramatically related to a reduced health-related quality of life. Obese elderly women with hypertension and diabetes should the greatest decline in health-related quality of life. The researchers conclude by stating that these high-risk groups are in need of special attention and further research.
This article pertains to my research because it discusses the impact obesity has on the elderly population. As well, it discusses the implications of this epidemic for health care professionals.…… [Read More]