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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…
America Geriatric Society. (2005). Caring for Older Americans: The Future of Geriatric Medicine. Journal for Aging Geriatric Society, 53(6), S245 -- S256.
Institute of Medicine of the National Academies. (2008). Retooling for an Aging America: Building the Health Care Workforce. Web, Available from: ReportBriefRetoolingforanAgingAmericaBuildingtheHealthCareWorkforce.pdf. 2014 February 03.
The Economist Intelligence Unit. (2009). Healthcare strategies for an ageing society. The Economist, Web, Available from: http://graphics.eiu.com/upload/eb/Philips_Healthcare_ageing_3011WEB.pdf . 2014 February 03.
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…
Sergi, G. Sarti, S. & Manzato, E. (2011). Polypharmacy in the elderly: Can comprehensive geriatric assessment reduce inappropriate medication use? Current Opinion, 28, 509-518.
Jyrkka, J., Enlund, H., Sulkava & Hartikainen, S. (2009). Polypharmacy status as an indicator of mortality in an elderly population. Drugs and Aging, 26. 1039-1045.
Anguita, M. (2011). Polypharmacy: Is it a risk that will cost dearly? Nursing Prescribing, 28.
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…
Community Resources for Older Adults": Chapter 13 Legal Services.
Legal help for senior citizens." Retrieved August 8, 2008 at http://seniors-site.com/legalm/lawyer.html
Legal Services of South Central Michigan." Retrieved August 8, 2008 at http://www.lsscm.org/
What is LSC?." Retrieved August 8, 2008 at http://www.lsc.gov/about/lsc.php
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…
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…
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…
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…
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…
Arterburn, David E. (2004). The Coming Epidemic of Obesity in Elderly Americans. Journal of the American Geriatrics Society. 52(11). 1907-1912
Odilia I; Bermudez; Tucker, Katherine L. (2001). Total and Central Obesity among Elderly Hispanics and the Association with Type 2 Diabetes. Obesity Research (9), 443 -- 451; doi: 10.1038/oby.2001.58
Thompson, Dennis. (2009, December 31). As U.S. Ages, Health Care May Need to Change. HealthDay Consumer News Service.
Dutton, Drake, D; Engelke. K; McAuliffe, M; Rose, M., (2005). Challenges that nurses face in caring for morbidly obese patients in the acute care setting. Surgery for Obesity and Related
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…
Bagel, LM (2011) Designs to Support Aging Acute Care Patients. Elder Care. Health Facilities Management. Retrieved from: http://www.hfmmagazine.com/hfmmagazine/jsp/articledisplay.jsp?dcrpath=HFMMAGAZINE/Article/data/04APR2012/0412HFM_FEA_interiors&domain=HFMMAGAZINE
Gottlieb, S. (2013) Medicare Has Stopped Paying Bills For Medical Diagnostic Tests. Patients Will Feel The Effects. Forbes 27 Mar 2013. Retrieved from: http://www.forbes.com/sites/scottgottlieb/2013/03/27/medicare-has-stopped-paying-bills-for-medical-diagnostic-tests-patients-will-feel-the-effects/2/
Graverholt, B., et al. (2011) Acute hospital admissions among nursing home residents: a population-based observational study. BMC Health Services Research 2011. Retrieved from: http://www.biomedcentral.com/1472-6963/11/126
Healthcare in America: Trends in Utilization (2004) U.S. Department of Health and Human Services. Retrieved from: http://www.cdc.gov /nchs/data/misc/healthcare.pdf
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…
references. (accessed 10-20-2002).
Greenwald, John. (1999, 30 August). Family: Elder Care: Making the Right Choice
Nursing homes used to be the only stop for seniors who need help. Now there are options.
Time. pp. 52+.
(Housing and Living Arrangements of the Elderly. (accessed 10-19-2002).
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…
Bibliography for Chapters One and Two
Barry, Kasl, and Prigerson
Turvey, 1999 (Parkes, 1998).
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…
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…
Blake, A.J., Morgan, K., Bendall, M.J., Dallosso, H., Ebrahim, S.B., Arie, T.H., Fentem, P.H., & Bassey, E.J. (1988). Falls by elderly people at home: Prevalence and associated factors. Age Ageing, 17(6): 365-72.
Centers for Disease Control and Prevention (2013). Falls among older adults: An overview. CDC. Retrieved from http://www.cdc.gov /homeandrecreationalsafety/falls/adultfalls.html
Yoshida, S. (n.d.) A global report on falls prevention. Epidemiology of falls. World Health Organization. Retrieved from http://www.who.int/ageing/projects/1.Epidemiology%20of %20falls%20in%20older%20age.pdf
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)…
American Psycholgical Association (APA) (2010). Ethical Principles of Psychologists and Code of Conduct. American Psychologists Association.
Abby C. (2010). Physical Activity for an Aging Population. Public Health Reviews, Vol. 32. Retrieved from: http://www.publichealthreviews.eu/upload/pdf_files/8/PHR_32_2_King.pdf
Aklin, W. M., & Turner, S. M. (2006). Toward understanding ethnic and cultural factors in the interviewing process. Psychotherapy: Theory, Research, Practice, Training, 43(1), 50-64.
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…
Butrica, B.A., Murphy, D.P., & Zedlewski, S.R. (2010). How many struggle to get by in retirement?. The Gerontologist, 50(4), 482-494.
Caldera S. (2009). Social Security: Ten Facts That Matter. Washington, DC: AARP Public
Policy Institute. Retrieved 25 July 2015 from http://assets.aarp.org/rgcenter/econ/fs154_socsec.pdf
Cawthorne A. (2008). Elderly Poverty: The Challenge Before Us. Center for American progress.
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…
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…
A., B. (2012). Research methods in health: investigating health and health services. United Kingdom: Open University Press.
Campbell AJ, R. M. (2013). Rethinkingindividual and community fall preventionstrategies: a meta- regression comparingsingle and multifactorial interventions. Age and Ageing, 21(6), 656-662.
JM., H. (2009). Cognitive and Emotional benefits of exercise may mediate fall reduction. British Medical Journal, 128, 325(.
Lord SR, T. A. (2013). The effect of an individualized fall prevention program on fallrisk and falls in older people: A Randomized Controlled Trial. Journal of the American Geriatrics Society, 14(8), 1296-1304.
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,…
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…
Breathe California of Los Angeles County. (2009). Cited in:
California Department of Public Health. (June 2009). "Healthy California -- 2010
Midcourse Review." Executive Summary. Cited in:
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…
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…
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…
Hansen, Jeff. The Birmingham News. "Health Department Wins Double Grants $13 Million to Fight Obesity, Tobacco." Available at: http://www.jcdh.org/misc/ViewBLOB.aspx?BLOBId=270 Retrieved: Sep 29th, 2014
Centers for Disease Control and Prevention. Heart Disease and Stroke Prevention. Addressing the Nation's Leading Killers: At A Glance 2011. Available at: http://www.cdc.gov /chronicdisease/resources/publications/aag/dhdsp.htm Retrieved: Sep 28th, 2014
On the Move to Better Heart Health for African-Americans. U.S. Department of health and Human Services. 2008. Available at: http://www.nhlbi.nih.gov/files/docs/public/heart/aariskfactors.pdf Retrieved: Sep 29th, 2014
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…
ARC. (2013). Financial Fraud and Fraud Susceptibility in the United States: Research Report from a 2012 National Survey. Retrieved from http://www.finra.org/web/groups/sai/@sai/documents/sai_original_content/p337731.pdf
Forum on Global Violence Prevention; Board on Global Health; Institute of Medicine; National Research Council. (2014). Elder Abuse and Its Prevention: Workshop Summary. Washington, D.C.: National Academies Press.
Holtfreter, K., Reisig, M.D., Mears, D.P., & Wolfe, S.E. (2014). Financial Exploitation of the Elderly in a Consumer Context. Retrieved from https://www.ncjrs.gov/pdffiles1/nij/grants/245388.pdf .
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…
Berardinelli, James. "To Kill a Mockingbird, all time 100" Retrieved From
Accessed 27 October, 2005
Dirks, Tim. "To Kill a Mockingbird (1962). Review by Tim Dirks" Retrieved From
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…
Specter, Michael. "Population Implosion Worries a Graying Europe." New York
Times. July 10, 1998.
Eberstadt, Nicholas. "The Population Implosion.(demographic trends toward decreasing birthrates and declining life spans)(Statistical Data Included)."
Foreign Policy. March 01, 2001.
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…
Bedard, M., Stones, M., Guyatt, G. & Hirdes, J. (2001). Related fatalities among older drivers and passengers: past and future trends. The Gerontologist. 41 (6), 751-57.
Beers, M.H. & Berkow, R. (eds.) (2000) the Merck Manual of Geriatrics. 3rd ed. Whitehouse Station, NJ: Merck & Co.
Central Intelligence Agency (1998). World Fact Book Washington, D.C.: Government
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…
Alvarado-Esquivel, C. et al. (2004). Prevalence of dementia and Alzheimer's disease in elders of nursing homes and a senior center of Durango City, Mexico. BMC Psychiatry, 4:3.
Farone, D.W. et al. (2005). Use of senior centers as a moderator of stress-related distress among
Latino elders. Journal of Gerontological Social Work, 46(1)
Michinov, N. (2007). Social comparison and affect: A study among elderly women. The Journal
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,…
" (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…
Spieker, Michael R. (2000) Evaluating Dysphagia. American Family Physician 14 Jun 2000. Online available at http://www.aafp.org/afp/20000615/3639.html
Marik, Paul E. And Kaplan, Danielle (2003) Aspiration Pneumonia and Dysphagia in the Elderly. Chest. July 2003. Vol. 1224, No. 1. Online available at http://www.chestjournal.org/content/124/1/328.full
Bautmans, I., et al. (2008) Dysphagia in elderly nursing home residents with severe cognitive impairment can be attenuated by cervical spine mobilization. J. Rehabil Med. 2008 Oct;40(9):755-60. PubMed Online available at http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=18843429
Stone, Rebecca S. (2006) Dysphagia in the Elderly. Inpatient Times. October 2006. Online available at http://www.bmc.org/geriatrics/RStone_DysphagiaintheElderly.pdf
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…
Gaugler, J.E. (2005, Mar.). Family Involvement in Residential Long-Term Care: A Synthesis and Critical Review. Aging and Mental health, Iss. 9, vol. 2. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2247412/
Lyness, J.M., Yu, Q., Tang, W., Tu, X., and Conwell, Y. (2009, Dec.). Risks for Depression Onset in Primary Care Elderly Patients: Potential Targets for Preventive Interventions. American Journal of Psychiatry. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2982671/
Simonazzi, a. (2009, Jun). Home care and cash transfers. Effects on the elderly care-female employment trade-off. Retrieved from: http://www.aiel.it/bacheca/SASSARI/papers/simonazzi.pdf
Verbeek, H., Zwakhalen, S.M.G., Van Rossum, E., Ambergen, T, Kempen, G.I.J.M., and Hamers, J.P.H. (2010, Nov.). Dementia Care Redesigned: Effects of Small-Scale Living Facilities on Residents, their Family Caregivers, and Staff. American Medical directors Association. Retrieved from: http://www.unimaas.nl/hcns/websiteVW/publications/Publication%20scans/Verbeek.%20Dementia%20care%20redesigned.pdf
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…
ACA. http://www.hhs.gov/healthcare/rights / Accessed November 6, 2014.
FAQ: What retirees and seniors need to know about the ACA? NPR. October 11, 2013.
http://www.npr.org/2013/10/11/231101137/faq-what-retirees-and-seniors-need-to-know-about-the-affordable-care-act Accessed November 6, 2014.
Goodman, John. What seniors have to fear from Obamacare? Forbes. October 28, 2014.
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…
One important aspect of nursing home living is that most of the time the people living there are helpless to accomplish many tasks that are part of everyday living. The employees are trained (for the most part) and as one study found it is "important to assess whether nursing staff levels and skills are meeting nursing home resident care needs" (Zhang, Unruh, Wan, 2013, p. 290). For example, incontinence is a significant risk factor for skin breakdown. The moisture changes the chemical balance of the skin, and often without adequate ventilation and care, a route for bacterial infection. In either case, pressure on the wound area, increased bacteria and moisture, all contribute to the lesions becoming rather serious (Gefen, 2008).
Many of the employees are taught to turn the elderly in their beds to relieve pressure, presumably thereby lowering the incidence of pressure ulcers. According to Fossum et al., "pressure ulcers can be prevented if residents at risk are identified early and relevant preventive measures are implemented" (Fossum, et al.,, 2011, p. 2429).
Current research shows that, at least in nursing homes, employees have a cognitive nature concerning pressure ulcers (amongst other things) and the positive results from taking preventive measures. Much of the current literature espouses the fact that nurses are trained to do so, but there is not really a lot of specific information on
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…
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.
Brandl, Bonnie. (2000). Power and Control: Understanding Domestic Abuse in Later Life.
Generations. 24(2), p. 39-45.
Elder Abuse and Neglect. (2009). Retrieved February 11, 2010, from Helpguide.org Web site:
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…
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…
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…
1. Baker, Susan Gonzales. Demographic Trends in the Chicana/o Population: Policy Implications for the Twenty-First Century.
2. Shrestha, Laura B. Changing Demographic Profile of the United States. Congressional Research Service Report for Congress, May 5, 2006. http://www.fas.org/sgf/crs/misc/RL32701.pdf
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…
Binstock, Robert H., and George, Linda K. (2010). Handbook of Aging and the Social
Sciences. Maryland Heights, MO: Academic Press.
Black, Jane A. (2008). Notes: The Not-So-Golden Years: Power of Attorney, Elder Abuse, and Why Our Laws are Failing a Vulnerable Population. St. John's Law Review, 82(1), 289-314
Collier, Elizabeth. (2005). Latent age discrimination in mental health care. Mental Health
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…
Bassuk, S. (2002). "Socioeconomic status and mortality among the elderly: findings from four U.S. communities." American Journal of Epidemiology, Vol. 155, No. 6.
Blekesaune, M. And P. Solem. (2005). "Working conditions and early retirement: a prospective study of retirement behavior." Research on Aging, Vol. 22.
Kilminski, a. (2007). "Cumulative index of health disorders as an indicator of the aging-associated processes in elderly." Mech. Ageing Development, Vol. 128, No. 3.
Maciejewski, P. (2007). "An empirical examination of the stage theory of grief." Journal of American Medical Association, Vol. 297, No. 7.
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…
CARROLL, N., SLATTUM, P., & COX, F. (n.d.). Academy of Managed Care Pharmacy. The Cost of Falls Among the Community - Dwelling Elderly. Retrieved December 13, 2015, from http://www.amcp.org/data/jmcp/research_307_316.pdf
(n.d.).Public Health Agency of Canada (PHAC) -- Agence de la santepublique du Canada (ASPC).Seniors' Falls in Canada: Second Report - Public Health Agency of Canada. Retrieved December 13, 2015, from http://www.phac-aspc.gc.ca/seniors-aines/publications/public/injury-blessure/seniors_falls-chutes_aines/index-eng.php#s1-1
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…
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…
Faculty of Occupational Medicine. 2 March 2007. http://www.facoccmed.ac.uk/library/docs/ppageemp.pdf
Health and Safety Executive. 2 March 2007. http://www.hse.gov.uk/
Parker, Chris, Merryn Gott, Sarah Barnes, Sheila Payne, David Seamark, Salah Gariballa, and Neil Small Predictors of the quality of life of older people with heart failure recruited from primary care Age Ageing (2006) 35: 172-177..
UK Building Surveyors (UKBS). Planning Supervision.. 1 March 2007. http://www.ukbsl.co.uk/PlanningSupervision.aspx
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…
Center for Substance Abuse Treatment. (2012). Substance abuse among older adults: Treatment improvement protocol (TIP) series, No. 26. HHS Publication No. (SMA) 12-3918. Rockville, MD: Substance Abuse and Mental Health Services Administration.
Finkelstein, E., Prabhu, M., & Chen, H. (2007). Increased prevalence of falls among elderly individuals with mental health and substance abuse conditions. The American Journal of Geriatric Psychiatry, 15(7), 611-619.
Folkman, S., Bernstein, L, & Lazarus, R.S. (1987). Stress processes and the misuse of drugs in older adults. Psychology and Aging, 2(4), 366-374.
Garland, E.L., Schwarz, N.R., Kelly, A., Whitt, A., & Howard, M.O. (2012). Mindfulness-oriented recovery enhancement for alcohol dependence: Therapeutic mechanisms and intervention acceptability work. Journal of Social Work Practice in the Addictions, 12, 242-263. doi:10.1080/1533256X.2012.702638
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…
Garland, E.L., Froeliger, B., & Howard, M.O. (2014, November 11). Neurophysiological evidence for remediation of reward processing deficits in chronic pain and opioid misuse following treatment with Mindfulness-Oriented Recovery Enhancement: exploratory ERP findings from a pilot RCT. Journal of Behavioral Medicine. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/?term=25385024
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…
Colon-Emeric, C., Schenck, A., Gorospe, J., McArdle, J., Dobson, L., Deporter, C., & McConnell, E. (2006). Translating Evidence-Based Falls Prevention into Clinical Practice in Nursing Facilities: Results and Lessons from a Quality Improvement Collaborative. Journal of the American Geriatrics Society, 1414-1418.
Renteln-Kruse, W., Krause, T., & Georgr, D. (2007). Incidence of In-Hospital Falls in Geriatric Patients Before andAfter the Introduction of an Interdisciplinary Team -- BasedFall-Prevention Intervention. The American Geriatric Society, 2068-2076.
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…
Bertolote, J., Flieschmann, A. (2002). A global perspective in the epidemiology of suicide. Suicidologi, 7(2): 6-8.
Collins, P., Patel, V., Joestl, S. et al. (2011). Grand challenges in global mental health.
Nature, 6(475): 27-30.
Pallini, A. (n.d.). Health Care and Health Challenges Facing the Elderly in Latin
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…
Ferrell, O. C., Hartline, M. (2014). Marketing Strategy. Ohio: South Western Cengage Learning.
Pride, W., Ferrell, O. C. (2010). Marketing. Ohio: South Western Cengage Learning.
Hanssens, D. M., Pauwels, K. H., Srinivasan, S., Vanhuele, M., & Yildirim, G. (2014). Consumer attitude metrics for guiding marketing mix decisions. Marketing Science, 33(4), 534-550.
Henry, A. (2011). Understanding Strategic Management. New York: Oxford University Press.
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…
Bryman, a. (2012). Social research methods. New York: Oxford university press.
Robson, C. (2011). Real world research: a resource for users of social research methods in applied settings. Chichester, UK: Wiley.
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…
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…
Bliwise, D.L. Bliwise, N.G. Partinen, M. et al.(1988). Sleep Apnea and Mortality in an Aged Cohort. Am J. Public Health.78:544-547.
Bruce, S.D. & Hendrix, C.C. (2006). Palliative Sedation in End-of-Life Care: The Role of The Nurse in Palliative Sedation. Journal of Hospice and Palliative Nursing.8(6):320-327.
Canadian Nurses Association (2008). Providing Nursing Care at the End of Life. Ottawa Canada.
Davies, E. & Higginson, I.J. (2004). Better Palliative Care for Older People. World Health Organization.
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…
Administration on Aging. (2010). A Statistical Profile of Black Older Americans Aged 65+.
Retrieved April 2, 2014, from http://www.aoa.gov .
Bookman, A. (2008). Innovative models of aging in place: Transforming our communities for an aging population. Community, Work & Family, 11(4), 419-438.
Centers for Disease Control and Prevention. (2007). The State of Aging and Health in America
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…
The University of Phoenix has offered me a firm foundation for my education and career. I appreciate the instructors and the hard work they have put into developing the courses that are suitable for adults like me who need to learn about how to apply skills and training to the marketplace. With my University of Phoenix degree, I will become the qualified professional I envisioned for myself, will continually improve my skills, and will dedicate my life to helping others.
National Association of Professional Geriatric Care Managers (2013). Retrieved online: http://www.caremanager.org/
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…
Brunner, L.S., & Day, R.A. (2009). Brunner & Suddarth's textbook of Canadian medical-surgical nursing. Philadelphia: Lippincott Williams & Wilkins.
Dawson, D.R., & Stern, B. (2007). Reflections on facilitating older adult's participation in valued occupations. Occupational Therapy Now, 9(5), 3-5. Retrieved from http://search.proquest.com/docview/229614344?accountid=35812
Loue, S. (2008). Encyclopedia of aging and public health: With 19 tables. New York, NY: Springer.
Whitbourne, S.K., & Whitbourne, S.B. (2011). Adult development and aging: Biopsychosocial perspectives. Hoboken, NJ: Wiley.
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…
Administration on Aging (AoA). (2003). A profile of older Americans. Washington, DC: Administration on Aging.
Administration on Aging (AoA). (2005). A profile of older Americans. Washington, DC: Administration on Aging.
Gelfand, D.E. (2003). Aging and ethnicity: Knowledge & services. New York: Springer Publishing.
Niles-Yokum, K. And Wagner, D.L. (2011). The Aging Networks: A Guide to Programs and Services. New York: Springer Publishing Co.
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.…
Messier, SP. (1994). Osteoarthritis of the knee and associated factors of age and obesity: effects on gait. Medicine & Science in Sports & Exercise, 26(12):1446-1452.
This article is a literature review which examines old age and obesity in relation to osteoarthritis (OA) and how it affects walking mechanics. It was found that there is a strong association between knee OA and obesity among the elderly. It is unclear whether or not the reduced physical function of elderly people living with obesity and OA would improve by treating the obesity; thus, the researchers suggest further study in the area.
This article pertains to my research because it discusses the increased mobility and joint issues faced by obese elderly people.
A list of all of the residents was obtained from the two facilities as well as their admission dates. All of the necessary charts of eligibility were reviewed ads well as the data obtained from the Minimum Data Set (MDS) which were recorded by means of the Chart eview Form as well as the Minimum Data Set Cognitive Performance Scale (MDS-CPS).
The Minimum Data Set Cognitive Performance Scale (MDS-CPS) is a scale which is generated from the 5 MDS elements (comatose status, ability to make decisions, short-term memory, ability to make oneself be understood as well as eating).The scores from the scale ranged from 0 (for, no impairment) to 6 ( for, very severe impairment) as pointed out by Hartmaier et al. (1995).
The residents who scored two or less on the MDS-CPS were then asked in a kind way to willingly be part of the interview.
The interview involved…
A good example of this can be seen with popular Chinese talk show host Yang Lang donating $72 million, to start his own foundation to: help support and develop the health care system. This is important, because it shows how both international and domestic-based non-profits are addressing these underlying problems facing the health care sector. (Dobryzski, 2010)
Clearly, the biggest challenges facing the health care systems in the United States and China are vastly different. Yet, they are also wrestling with similar problems, as they face the issue of increasing numbers in the elderly population. In the case of the United States, this is challenging because there are a variety of disadvantages that must be addressed to include: they have access to some of the most cutting edge procedures, there is large number of choices about health care providers and the elderly can be able to receive effective treatment for…
Advanced Practice Nurses. (2010). Bukisa. Retrieved from: http://www.bukisa.com/articles/352958_advanced-practice-nurses-a-global-role
Health Systems. (n.d.). WHO. Retrieved from: gis.emro.who.int/HealthSystemObservatory/.../Conceptual%20frameworks. Ppt Health Care in China. (2006). IBM. Retrieved from: http://www-05.ibm.com/de/healthcare/downloads/healthcare_china.pdf
More About RN's. (2011). ANA. Retrieved from: http://www.nursingworld.org/especiallyforyou/studentnurses/rnsapns.aspx
Opportunities in the Health Care Sector. (2006). Grail Research. Retrieved from: http://www.grailresearch.com/pdf/ContenPodsPdf/Opportunities_in_the_China_Healthcare_Sector.pdf
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).
Identify the milestone you chose in the history of quality improvement in…
1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81
2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.
3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press
4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1
Predicting the future is not easy, but using past and current trends is the right way to go. At least that will allow those who are making the decisions to be sure that they have considered everything in the best light possible before they choose which direction to take.
Planning and Change in Rapid Development
One of the main issues with change management and future planning for long-term care facilities right now is that the changes are taking place so rapidly. If the changes were slower, there would be more of a chance to adapt. Since that is not the case, more has to be addressed regarding how to change quickly. That is something that has not been required of these managers before, so they are in new territory to some extent. While that is not necessarily a bad thing, it does mean that more mistakes could be made because…
Anderson, D. & Anderson, L.A. (2001). Beyond Change Management: Advanced Strategies for Today's Transformational Leaders. San Francisco: Jossey-Bass/Pfeiffer.
Chin, P.L. (2008). Integrated theory and knowledge development in nursing (7th ed.). St. Louis, MO: Mosby.
D'Antonio, P. (2010). American Nursing: A History of Knowledge, Authority, and the Meaning of Work. New York: The Johns Hopkins University Press.
Dossey, B., Keegan, L., & Guzzetta, C.E. (2000). Holistic nursing: A handbook for practice. 3rd ed. Gaithersburg, MD: Aspen.
One need only read the newspaper "Classified" ads to realize that employers are trying many clever marketing tactics to attract prospective nurses into their organizations. Many are offering sign-on bonuses, extra benefits and other amenities to attract a limited supply of nurses. As both the general population and the elderly population grow, the number of nurses needed to care for them increases proportionally as well. The number of people choosing to pursue nursing as a career has been on the decline, mainly due to long working hours, low pay, high job stress and other factors. These factors will not resolve themselves if the nursing deficit continues to increase. In addition, graduate nurses find it difficult to enter the workforce due to their lack of experience and a shortage of mentors to teach them. The solution is simple, more nurses are needed, and soon. Novice nurses are fresh graduates who…
Durkin, Barbara.(2002) Reliving Hospital Mistake: Mom recalls overdose case February
24, 2002. Newsday, Inc.
Lang, Susan. (1996) Lack of nursing assistants is an impending crisis, says Cornell gerontologist. Cornell University. Cornell University. http://www.news.cornell.edu/releases/May96/nursingassistants.ssl.html . Accessed June, 2002.
National League for Nursing (NLN). (2000). Unpublished Data. New York, NY. http://nursing.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fwww.nln.org%2Faboutnln%2Fnews_tricouncil2.htm. Accessed June, 2002.