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Ageism and health care
Ageism and health care
Ageing health and social care provision
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What is the problem? Aging is a natural process that happens to each and every one of us. However, this becomes a challenge for young nurses. What do you think of when you hear that you will be the nurse of a 97 year old patient? Do you automatically think that the patient will be confused, agitated, very frail, very ill, or dependent? It is okay, many us do. There is where we need to be more aware and change our views. Working in a hospital myself, I tend to assume the same. I also hear a lot of people who are surprised when they discover that their patient does not fit into this mold. I believe that geriatric care will emerge to be one of the most sought after specialty in nursing. Unfortunately, “there is a severe and sustained shortage …show more content…
Not just in the hospital, but in any part of their in general. Often the older adult is seen as confused and forgetful, poor, chronically ill, frail or disabled, unfriendly and grumpy, deaf and blind, and dependent. Changing nursing views on this issue and not forming biases towards this population will improve the care provided. It is important to differentiate your personal views while working in the healthcare industry. You must be culturally sensitive and not pass judgement on your patients. Our attitudes are formed by our past experiences in different situations, but as professional nurses, it is time to change and be able to recognize and find ways to improve negative attitudes and stereotypes towards aging. Not only in the acute care setting, but also in the subacute and home setting. “Given the increasing number of older adults in health care settings, forming positive attitudes toward them and gaining specialized knowledge about aging and their health care needs are priorities for all nurses. It is critical for you to learn to respect older adults and actively involve them in care decisions and activities.” (Korem, …show more content…
Ageism is defined as having an attitude that discriminates, separates, stigmatizes, or otherwise disadvantages older adults on the basis of chronologic age (Ageism, 2009). This is an act of singling out a certain population and choosing to providing unequal opportunities and treatment just because of a person’s age. In our situation, “Seniors admitted to acute hospitals are more likely to have multiple chronic diseases, as well as impaired cognition and higher levels of dependency (including mobility) than younger adults. Acute hospitals frequently present a “hostile environment” that leads to functional decline in the frail elderly and a “cascade of dependency” that results in approximately one-third of older patients losing independent functioning in one or more activities of daily living. This decline is not related to acute illnesses but to the adverse effects of modern therapy and current hospital practices, which are designed for younger people.” (Huang, Larente, Morais,
Due to an ageing population , The Francis Report recommends the introduction of a new status of nurse, the “registered older persons nurse”. One of the illnesses linked in with this is dementia, and multiple factors relating to dementia are having an impact on how nurses are trained and their deliverance of services. In 2013, the Royal College of Nursing (RCN) began a new development program to transform dementia care for hospitals. There aim is to develop skills and knowledge related to dementia, the roles of all those who are involved, understanding the development of action plans that identify key changes.
Taking care of dementia patient one should have a lot of patience as in the story the author says to herself, “why I have forgo my own lunch to try and feed this woman” ( ). The author has to wait for Miss Julianne to eat her lunch first before she could go and eat her own meal. Nurses have to be very cooperative, well behavior, and caretaker. You should show empathy to your patient instead of showing sympathy like the author was concerned about Miss Julianne, and the assistant nurse tells Miss Julianne that the author “ wants to know, if you’re okay. Honey” and should be firm in your decision by using critical thinking. You should communicate with your patient and should have convincing power. The changes that I have faced are before I used to think, its easy to treat older adults but its one of the most challenging job. My mindset is completely changed and I am preparing myself how to deal with tough
Who is going to care for our aging population when they are unable to care for themselves? A Certified Nursing Assistant, also referred to as a CNA will. A CNA has many responsibilities in the healthcare field. CNAs are the primary caregivers to residents in long-term care facilities and hospitals. CNAs help residents perform activities of daily living. A few examples of activities of daily living are feeding, bathing, dressing and toileting. With all the responsibilities CNAs have, their job can be stressful. The night shift for CNAs requires getting patients ready for supper and put to bed. Some people may think this is simple, but it is not. On average a CNA is responsible for twelve residents while toileting every resident, assessing their needs, and watching for the other residents call lights, CNAs need to have every resident to supper by six o’clock. Once all residents are at the table for supper, CNAs must give each resident their trays and then feed them. Once they are done feeding the residents, CNAs start taking residents to bed. While giving bedtime care CNAs toilet the resident, wash the resident, brush their teeth, put pajamas on them, and transfer them into bed. While giving night time care CNAs need to listen for the alarms of fall risk residents, answer call lights, and be patient with the resident they are giving care to. CNAs need to give quality care
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
In the medical field, the workers are highly trained to be able to make a distinction between what is right and what is wrong. Elder abuse is becoming a serious issue in the health environment. As defined in the website, MedicineNet.com, elder abuse is: “the physical, sexual, or emotional abuse of an elderly person, usually one who is disabled or frail”. The older population consists of people over sixty-five years old. They are very fragile and sometimes they are forgotten or abused. The elderly can be victims of mistreatment in nursing homes, hospitals, or even in their own house. Nursing is the act of promoting health for others, and of providing care and security with the skills nurses have acquired. However, those who are nursing can also harm, or hurt people by advising them. Elder abuse can take many forms such as financial abuse, physical abuse, sexual abuse, and emotional abuse.
A chronic nursing shortage has been a reoccurring problem that impacts the future of our health care system and, even more so, the future quality of long-term care in this country. Currently, there are several federal and state initiatives, organizations, and agencies dedicated to solutions of the shortage. However, we continue to lack the necessary number of RNs needed to deliver quality care to a population with growing health care demands.
workers (Weston, 2006). They value participative management, personal growth, and recognition in the work place (Murray, 2013, p. 38). Baby Boomer nurses view professionalism in nursing as an important aspect (Murray, 2013, p. 38). They are driven to succeed, willing to work long hours and they are good team players (Murray, 2013, p. 38). They are committed to their place of employment and enjoy meaningful work (Murray, 2013, p. 38). Boomers are often judgmental of those who see things differently, overly sensitive to feedback, uncomfortable with conflict (Murray, 2013, p. 38). Furthermore, they believe new staff members should pay their dues before moving up the career ladder (Murray, 2013, p.
Attitudes are the foundation of quality of care for older adults. Among health care professionals, discrimination and stereotypical behaviors are very prevalent, even though more often than not these individuals do not realize their actions are ageist. “Ageism hinders people from seeing the potential of aging, anticipation their own aging, and being responsive to the needs of older people” (McGuire, Klein & Shu-Li, 2008, p. 12). Attitudes are directly correlated with how individuals age and whether individuals stay health and live longer (McGuire, Klein & Shu-Li, 2008, p. 12). The care that older adults receive from healthcare professionals is directly influenced by that provider’s attitude about growing older. All too often, health care providers rely on a patient’s chronological age rather than their functional age when determining their needs and what interventions are prescribed. Another issue lies in providers viewing the complaints of older patients as a part of “normal aging”, therefore potentially missing life-threatening problems that may have been easily resolved. “Age is only appropriate in health treatment as a secondary factor in making medical decisions, and it should not be used as a stand-alone factor” (Nolan, 2011, p. 334).
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
In today’s society, what was once said to be true and taken as fact regarding older people is no longer the whole story. As Laslett states, “At all times before the middle of the twentieth century and all over the globe the greater part of human life potential has been wasted, by people dying before their allotted time was up.” (1989a), and to a great extent a lot
Ageism is a concept that has been around for a very long time. According to a philosopher named Seneca who lived sometime between 4 BC and 65 AD, “Senectus morbidus est” which has been translated to say, “old age is a disease”. However, when Seneca said this the idea of “ageism” was not a thing. It did not get the name ageism till 1969, after Robert N. Butler coined the term. The act of ageism is something we all try to avoid, however most of the time we don’t see something or someone who is doing or saying something that could be considered to be ageism. All though we don’t always see it, ageism is something that happens almost every day of our life; it is that beer commercial with a “sexy” young female in it. Ageism is when a coworker is forced to retire at a specific age. There are even studies that show the ageism stereotypes becoming more common on our social media outlets. The problem with these stereotypes becoming more common in social media is that more and more people are being exposed to something that is starting to have a very big impact in our country, ageism.
Kick, Ella. "Overview: Health Care and the Aging Population: What Are Today's Challenges?" The Online Journal of Issues in Nursing. N.p., n.d. Web.
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
My mother Evaun, was sharp as a tac, she woke up at 5am every morning and went to work at her business she owned for 40 years. She had health issues, open-heart surgery 9 years ago, failing kidneys, rheumatoid arthritis, she had always had health issues, but she never failed to get up at 5am every morning and go to work where she greeted her 15 employees every day up until her early 80?s. The day came though, when her little body became frail, getting up to work was harder (she always still did business paper work at home), she needed me to take her to appointments, which in certain circumstances agitated me, because some doctors would dismiss her as incoherent. Well, let just say she was always the one who had appointments written down, plus the correct medication at the right time of day. It is such a stereotype to keep a majority of senior citizens thought of as mental or frail and should live in nursing homes. There is going to be a time, not so far from now, when the population of seniors is going to be far more, our society is going to have to embrace ageism, respect it, learn, and realize elderly have a place in their community to help, enlighten, and
Having worked in the field of geriatrics, in a nursing home setting, I have had the opportunity to be involved in the direct care of the elderly. Over a period of time, I have come to accept living one's last years in a nursing home as an eventual "normal" response to the aging process. As a result of this study, I anticipate having an enlarged perspective and an enhanced sensitivity to the psychosocial aspects of aging.