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The effect of an aging population
Ethical dilemmas in healthcare
Impacts of ageism
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Recommended: The effect of an aging population
In recent years, Australia’s population is aging due to increased life span and lowered reproduction rate (McMahon & Fleury, 2012). According to the Australian Bureau of Statistics (2012), there are three million adults aged 65 years and older residing in Australia. As a consequence, the focus of health care services and healthcare professionals, particularly nurses should be on addressing the physiological, functional and cognitive changes experienced by older adults (McMahon & Fleury, 2012). In line with this, the purpose of this assessment is to demonstrate how the provision of nursing care supports the elderly patient’s dignity. The direction of care will be based on the Functional Consequences Theory which roots patient’s care on understanding …show more content…
She is a renowned writer and enjoys volunteer work. Unfortunately, because of her illness, Kathleen suffers from shortness of breath, difficulty of standing or walking for prolonged durations and distance, and unexpected weight loss. The other concern that should be considered in providing patient care is the diversity of Kathleen’s character. For a 75-year-old woman, she has another book due in three weeks. She actively participates in volunteer work and makes sure she eats good food. Likewise, she does not like being restricted at home where she lives alone in a two-bedroom flat close to the …show more content…
The focus of care would not only be her disease nor the age-related changes in her body but it would be the interweaving of her ‘mind, body and soul’ (Hunter, 2012) while promoting and maintaining patient dignity. The goal would be to improve the quality of her life through proper support, encouragement and supervised independence. Holistic interventions would be the means of applying a ‘rights based care’ that incorporates the principles of respect, dignity and autonomy. All interventions shall be relevant to the needs, desires and autonomy of the patient (Tolson, Booth and Schofield, 2011). The approach for the interventions will be better guided through the “patient-centered connections” recommended by Register & Herman, as cited by Hunter
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.
Ehrlich, Carol H., and Carolyn Jaffe (1997). All Kinds of Love: Experiencing Hospice. Amityville, New York: Baywood Publishing Co., Inc.
The Royal College of Nursing (RCN, 2009) defines dignity as treating someone as you or your family would want to be treated, when they are feeling vulnerable. According to ( Matiti & Baillie,2011) in modern world the word dignity has lost its meaning, whether it is intentionally or unintentionally, nurses have become very mechanical, trying to give care for dummies rather than human beings, who have emotions, feelings and self-respect, and not realising what impact patients will have when nurses show this kind of attitude. Patient centred care is vital for all nurses, without, discriminating against colour, gender, race, and religious beliefs. Following the code of conduct which is expected of the nurse, working according to the needs of the patients, being a good listener and respecting them. When the nurse shows dignity and respect, she/he tends to develop a therapeutic relationship with patient which in turn results in good health and rehabilitation (NMC, 2008).
Whereas, Australian families tend to keep assistance to a minimum by having care brought from a culturally and linguistically diverse (CALD) approach, which accommodates older adults based on their cultural background (Yeboah, 2015). A point often overlooked is that regardless of the quality of care the older adult receives, they prefer to be located close to family. More importantly, a nursing home produces an environment that shows little consideration for family values, which is the main aspect older adults strive for when considering a nursing home. Therefore, participating in a nursing home can be disputed because it is the defining line between a good or poor quality of life if the older adult fails to make it their home. Quality of life refers to the perceptions people have of their position in life based on their goals, expectations, values, and concerns (Cavanaugh & Blanchard-Fields, 2015).
Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford: Buterworth-Heinemann.
The author as a healthcare assistant working in the nursing home will present a scenario of Mrs. Keller (not her real name) who is confined in the dementia u...
Dignity and respect for patients is important in adult nursing because without it, it dehumanises them, and creates opportunities for abuse and ill treatment to occur. Lack of dignity and respect can also cause emotional problems for patients, as they are already in a vulnerable state.
The healthcare system can be difficult for clients to navigate and they are often unsure how to access information which puts them at the mercy of others and can lead to feelings of helplessness (Erlen, 2006). Nurses can provide resources to educate patients when they becomes dependent on a health care provider and no longer feel in control of their own body which can lead to fear, hopelessness, helplessness and loss of control (Cousley et al., 2014). The change in roles individuals face can further increase their stress and feelings of powerlessness (Scanlon & Lee, 2006). According to the CNA code of ethics, nurses are responsible for protecting patients from objective risks that place them in an increased level of vulnerability (Carel, 2009). They can do this by providing the resources necessary for patients to educate themselves and be better able to cope with the health challenges they
Poor care does not only result in bad press and public perception but also break the trust between the patient and nurse. Utilising the theoretical framework developed by Todres et all (2009) which explores eight central aspects of what it is to be human. Todres et al (2009). This model can be used to improve nursing care. Referring to the term ‘being treated as human beings’ not being treated as a number or object.
Mona Counts works in the village of Mt. Morris, Pennsylvania. It is a medically underserved area and a HPSA (health professional shortage area). The town has an extremely poor economic base and majority of Mona’s patient population are poverty level. Mona is not worried about the money and will tell a patient to come in for a check up, regardless of whether or not they have health care. One patient said, “she is old-fashioned, she talks to you and tells you what you nee...
Gabrielle Saveri. "An ethicist insists patients need help living, not dying." People May 1995. Vol. 43
This author met with a patient named JB to assess her current health status as well as her needs to ensure her health and well being or as she put it to “make sure she is her in the future for her children”. JB was an engaging and honest patient that had the eagerness and desire to improve her curren...
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
This is more holistic approach in the sense that it ‘involves the promotion of health, preventing of disease, the treatment of illness, the care for those who are disabled and continuous developm...
we support our clients right to make their own decisions and secure their healthcare rights. Also informing them about the “speakup “ campaign in cases where they are being cared for in an unsafe manner. “Doing for” involves the nurse’s responsibility to do for the patients, what they would normally do for themselves but cannot do it at that time due to limited ability; either because they are in pain or disabled in any way as a result of their present illness, accident, or similar situations that results to, or is related to, activity impairment(s). Doing this helps them physically and emotionally. Meanwhile, it is important to maintain their dignity while doing things for them because their limitations can elevate their risk of emotional and psychological problems.