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Loneliness in old age case study
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After a long day at work, I collect my thoughts and review the previous events of the day. An event that clearly stands out in my mind is a conversation I had with an elderly resident at my work. Over the past two years, I have worked at a retirement home called Grand Wood Park as a dietary aide, where it is my job to serve the residents their meals. When I was at work, one of the residents mentioned something to me I had never considered prior to our conversation. She said she feels as though no one cares about her anymore. Her family members do not come and visit her, they have ageist ideas, misconceptions, and often undermine her mental capabilities. I tried my best to reassure her, but I knew this was not enough since my reassurance would …show more content…
It is estimated that 11-78% of residents in nursing homes are suffering from depression, especially those with dementia (Volicer, Frijters, Van der Steen, 2011). Elderly depression can have many causes, however it is widely believed a decline in physical health, and reduced contact with family and friends are two of the most prominent reasons (Llewellyn-Jones, 2007). With limited to no family contact, elderly like the rest of us feel lonely, forgotten and unimportant. On the contrary, a study conducted by researchers Holahan and Moos found with family support, depression in elderly people decreased over a one year time span (Greenglass, Fiskenbaum, Eaton, 2006). Therefore, if more elderly residents of nursing and retirement homes are visited by their family members, their mental and physical well being will likely increase. I have witnessed at the retirement home I work at, some of the residents consistently have family visit them while others I have ever seen them have a visitor. The ones who are visited, often tend to be noticeably happier and healthier, while the ones who usually remain alone tend to be more unhappy and physically unwell. For instance, I worked last Christmas and I was surprised by the amount of residents who remained in the facility on Christmas day. Although the majority of the residents went home, there still were about 25-30 out of approximately 100 residents who remained on Christmas Day. The fact that these residents had no family to spend the holiday with, or were not invited by their family members was heartbreaking, especially since holidays like Christmas are heavily focused on family relationships. Exclusion and isolation, similar to what the remaining residents experienced on Christmas day, can be interpreted by the elderly as a loss of their family 's respect and may feel as though they are a
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
For this assignment we are asked to research the chosen diagnosis that was selected back in Module 1 for this course. For the paper the chosen diagnosis was Major Depressive Disorder. By utilizing a minimum of five sources we are asked to answer the following questions. We are asked to describe the selected disorder, we also need to identify the DSM-IV-TR diagnostic category and as well as distinguish diagnostic and commonly used terminology. We then are asked to give the causative factors, the diagnosis, and the treatment of the disorder. Last we are asked to provide a survey of current research on this chosen disorder. (Argosy University, Module 3, 2014)
Nursing homes offer a wide range of long-term care assistance for older adults to be able to meet their everyday needs. Older adults from different cultural backgrounds experience conflict with their decision to participate in a nursing home therefore, catalyzing the underlying stigma different cultures hold towards nursing homes. In many cultures, older adults look for family as their primary source for care. However, when their needs cannot be met due to disability and mental health issues, it begins to take a toll on the person’s instrumental activities of daily living (IADL). IADLs are complex daily actions that are needed to live (Cavanaugh & Blanchard-Fields, 2015). Thus, bringing the issues that
Alzheimer’s disease affects populations in both cities and rural areas. Although only 19% of older adults live in rural areas, up to one-third of rural populations are comprised of older adults (Sun, Kosberg, Kaufman, & Leeper, 2010). In addition to limited access to and suspicion of healthcare and social services for older adults and their caregivers, social isolation plays a great role in rural areas, where opportunities for engagement and interaction may be unavailable or inaccessible (Sun et al., 2010). Healthcare workforce shortages, while present far and wide, are intensified in rural areas and can severely limit a family’s choices when caregivers struggle to meet the needs of individuals with Alzheimer’s (Sun et al., 2010). Research suggests a high level of depression in both persons with dementia and spousal caregivers in rural populations (Haley et al., 2008). Research also suggests the loss of language capacity among individuals with Alzheimer’s limits the individual’s independence.
Another day sleeping awaywith the minutes slowly passing staring at the ceiling wondering how to escape the outside world.
This paper introduces a 35-year-old female who is exhibiting signs of sadness, lack of interest in daily activities and suicidal tendencies. She has no interest in hobbies, which have been very important to her in the past. Her lack of ambition and her suicidal tendencies are causing great concern for her family members. She is also exhibiting signs of hypersomnia, which will put her in dangerous situations if left untreated. The family has great concern about her leaving the hospital at this time, fearing that she may be a danger to herself. A treatment plan and ethical considerations will be discussed.
The older adult population consists of people 65 and older (Miller, & Stoeckel, 2011). Depression is greater in women than men, however, the cause is unknown (Public Health Agency of Canada, 2010). Both, males and females who have been previously depressed or have a biological relative with depression, have an increased risk of depression (Public Health Agency of Canada, 2010). Seniors in long-term care facilities have a higher rate of being diagnosed with depression (14-42%) than those who continue to live within the community (1%-5%), therefore, levels of diagnosed depression fluctuate depending on location of residence (Public Health Agency of Canada, 2010). A recent Canadian study shows 44% of older adults living in residential care have been diagnosed with depression or have symptoms of depression (Public Health Agency of Canada, 2010). Depression can cause higher mortality rates, even when supplementary risk factors are considered, however, the reasons are not entirely understood (Public Health Agency of Canada, 2010). Studies have shown that older adults with depression are one and a half to two times more likely to pass on than those without depression (Public Health Agency of Canada, 2010).
Over the years, the amount of research has increased especially for individuals in nursing home dealing with depression. Current research has demonstrated that the prevalence of depression in nursing homes has been consistently high (Llewellyn-Jones & Snowdon, 2007, p. 629). However, current research has been done in order to determine the perception of the nursing home resident on depression. Even though healthcare workers fail to recognize depression in nursing home residents, nursing home residents with depression should seek treatment such as cognitive-behavioral-therapy for the sake that nursing home residents with depression who do not seek treatment will have an effect on their
Late adulthood should be a time in a person's life where they feel fulfilled. They can look back on their memories and be happy with the way they have lived their life. Now, too many elderly people are not satisfied and look at this stage as depressing. Most fear death of either a loved one or for themselves. This topic is interesting to me because elderly people should make the best of their last stage of life. This topic discusses about getting older, the life changes that they go through physically, emotionally, and mentally. We should know more about it so that we can help our family and friends get through one of the best, yet toughest part of our mortal life.
An analysed qualitative study of 120 active elderly subjects found out that marital status, income and leisure activities as well as psychological factors assessed by the Geriatric Depression scale had an impact on the quality of life of the seniors citizens (Alexandre, Cordeiro, & Ramos,
The elderly represents a large amount of the population in our society and continues to grow each day. As the population grows, it is important to meet the demands and resolve the challenges that we encounter in regards to the overall quality of health and well-being of the elderly. Mental health of the elderly is a major issue but majority of the time goes unnoticed and untreated by caregivers and loved ones. About 20 percent of adults 55 and older are suffering from some type of mental health disorder, and one in three elderly adults do not receive any type of treatment (The State of Mental Health, 2008). Those suffering from mental illness are hesitant to seek out help or any type of treatment because of the stigma, services and cost for care that then comes with mental health disorders. Mental health issues that affect elderly include dementia, delirium, and psychosis. Some of the most common conditions include anxiety, mood disorders such as depression and bipolar disorder and cognitive impairment such as Alzheimer’s disease. Mental health is essential to the
Social worker that practice in the rural environment should understand the importance of their client’s community. People who live in rural areas are viewed as “country”, unfortunate, and illiterate people not living the “normal” standards. In other words, these characteristics of the rural lifestyle are people who are comfortable living in the low populated environment are restricted to different resources compared to the urban communities. Furthermore, to understand the rural lifestyle I conducted interviews of three elderly African American women who lived their entire lives in the rural part of Alabama: Ms. Orange, 85 of Millry, Ms. Molly, 83 of Camden, and Ms. Washington, 77 of Fruitdale.
The sociology of mental illness is an extensive topic, one in which various complex, diverse, and intellectual theories interrelate. However, Annette Lane focuses upon the issues associated with older adults who are suffering from a mental illness. Furthermore, these issues are related directly to the process these adults go through when they need to be transferred from a hospitals mental health unit, into a nursing home or assisted living facility (Lane 2010:1). Lane believes that the stigma associated with mentally ill older adults, alters the way many workers within these institutions decide on whom to accept into their facilities. Rather than these employees being open minded, and accepting of older adults with mental illnesses, Lane informs
While being social has many benefits to the health of a person, it can have a negative effect if there is any financial stress, increased burdens, or ailing family member or partner (Annear et al., 2012). Caring for others as an elderly person can have both negative and positive effects while providing companionship and a sense of purpose, it can also make the elderly carers life more stressful and can sometimes make the carer feel emotionally isolated (Annear et al., 2012). Joining social groups will get encourage participation and interaction with other members of their social group; this will help in minimising the potential for social isolation and detachment. Barriers to having an active social health are living in rural or remote areas, long distances to services and social networks. It is important for elderly people to feel they still have some form of connection with their friends and family and feel that are still connect to
The importance of family and friends is critical in for mentally ill patients. This is especially true for women with low income (Ichiro Kawachi, Lisa F. Berkman, 2001). Promoting more counseling and support group can increase the quality of mental health because individuals are able to talk their problems and express themselves without any restraints. Home counseling for families with children under the age of five can help train parent to become more efficient parents by enhancing their interaction with their children to increase mental health for their children and by improving family and work balance. Senior also benefit from social interaction. Seniors are at risk for many mental illness because of social isolation, death of family member and loss of some rights like driving. So being able to talk to someone decreases their chances of developing