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Ageism and health care
Ageism and health care
Stereotyping in healthcare
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Ageism & Sexism Frail and cannot do anything for themselves how assuming affects the care Mrs Field is an 85-years-old female, these characteristics may play a part in protentional barriers to her care from healthcare and discharge planning perspectives (Chrisler, Barney & Palatino 2016, pp. 89-90). Ageism has been significantly researched in healthcare, evidence was found to suggest that ageism and age discrimination is evident in healthcare environments that affect patient care outcomes and their access to treatment (Olive, Foot & Humphries 2014, p. 1 & 27). Ageism is generally referred towards the elderly and “legitimises the way a particular group is treated”, this treatment based from stereotypes, beliefs and from personal experiences …show more content…
2011, p. 1233). Taking into account Mrs Field’s social isolation and non-liking to strangers, it could be identified that a communication barrier may arise impacting upon her health and access to healthcare services (College of Nursing & Health Sciences 2015). Dependent upon her discharge plan, a high level of bidirectional communication between Mrs Field and healthcare professionals is paramount to ensure a high-quality transition from hospital to home care (Coleman & Boult 2003, p. 556). Additionally, communication between the patient and nurse will prove important to form an understanding if the patient has a regular general practitioner and if they have access to transport for appointments. Communication and patient-centred care is fundamental in this case and without can form a barrier to a successful transition, for the nurse to plan an effective discharge plan they need to have an understanding of these outlined barriers and the way they affect hospital avoidance strategies and the patient’s goals (Gouge 2017, pp. 419-20). As an example, the nurse will need to gather an understanding of the patients capital, especially economical, this is to ensure the plan of care proposed …show more content…
Delineated is the complex care Mrs Field requires justified by her low social capital, social isolation, and unwillingness to trust those in the community. With complex care under consideration, the paper firstly identified is the need for an OT to promote safety in Mrs Fields home and to identify the cause of her fall and several past falls. Secondly, the paper recognised the need for an ACAT to provide financial supported restorative care packages, promoting a higher level of independence and health. Thirdly, found was the importance associated with Mrs Field and her malnourishment affecting her health and discharge planning, further supporting the justification of complex care. The paper then entailed potential barriers and underlying assumptions associated with Mrs Fields care. The paper examined barriers of social isolation, ageism and sexism and communication between both patient and interpersonal in the healthcare setting. It summarised that multiple factors effective transitional care planning, encompassing the further complications associated with complex care planning. Lastly, the paper articulated community resources and hospital avoidance identified and recommended in the case of Mrs Field.
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
The author will also discuss the nursing care required in each area (physical, psychological and social health) and some of the evidence that has supported this in relat...
nurses who frequently enhance the communication problems in discharge planning, and who strive to improve the working relationship, collaboration and who use the teamwork approach to patient and family centered discharge planning will greatly reduce patient readmission (Lo, Stuenkel, and Rodriguez, 2009, p. 160). Lo, Stuenkel and Rodriguez (2009) emphasize that an organized and well prepared discharge planning, education of patients with multi-lingual services and use of different methods of teaching greatly improves the patients’ outcome (p.157). These include an experienced and well-taught phone call follow-up sessions after discharge along with ensuring the extension of adequate postoperative care. Another way nurses can deliver a planned discharged teaching is by providing direct checklist for patient and family to follow. One must understand that these approaches will enforce the staff nurses and other health care providers to develop the safe patient transition to home.
The Open University (2010) K101 An introduction to health and social care, Unit 1, ‘Care: a family affair’, Milton Keynes, The Open University.
“all patients have similar needs and experience these needs across wide ranges or continuums from health to illness. Logically, the more compromised patients are, the more severe or complex are their needs. The dimensions of a nurse 's practice are driven by the needs of a patient and family” (Basic Information section, para. 2).
In this essay, the interactions of the nurse, doctor and patient in the video clip will be discussed from a communication perspective. Supported by the Australian Nursing and Midwifery Council (ANMC) standard and scholarly articles, the essay will also highlight how communication can affect the quality of patient care, health outcomes and the ability to meet individual patients' needs.
One of the five key principles of care practice is to ‘Support people in having a voice and being heard,’ (K101, Unit 4, p.183). The key principles are linked to the National Occupational Standards for ‘Health and Social Care’. They are a means of establishing and maintaining good care practice. Relationships based on trust and respect should be developed between care receivers and care givers, thus promoting confidence whilst discussing personal matters without fear of reprisal and discrimination.
Literature Critique This literature critique reviews Catherine McCabe’s article, Nurse-patient communication: an exploration of patients’ experiences (McCabe, 2002). She has obtained many degrees related to health care (Registered General Nurse, Bachelor of Nursing Science, Registered Nurse Teacher, and Master Level Nursing). She has many years of experience and is currently teaching at Trinity Center for Health Sciences. As stated in the title, this study will review the patient’s interactions with nurses in relation to their communication. This study used a qualitative approach, as stated within the article, by viewing the life experiences of the participants.
There are profound effects of ageism that can be harmful to a patient’s overall health. Ageism can cause physicians to consistently treat older patients unequally compared to younger adults. Unequal treatment can be divided into the under-treatment of symptoms and the over-treatment of symptoms. The imbalance in how a physician would treat a geriatric patient is ageist because the older adult is not getting fair treatment in every case. Under-treatment and over-treatment are different; however, they are both equally as harmful to a patients health.
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
The problem of poor communication stems from an environment of high stress levels. After a consulting company scrutinized processes throughout the hospital related to care coordination and patient flow, the evidence was clear. The company identified areas for improvement around communication at many different levels. In order for patients to have a seamless transition from admission to discharge, the lines of communication needed to change. Daily face-to-face meetings were productive for the staff, hospital and overall satisfaction. The consulting firm worked for the hospital for several months, but as they departed, the prior culture of poor communication started to engulf...
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).
According to DeBrew, author of “Can being ageist harm your older adult patients?” stereotypes and discrimination are evident in various aspects of patient care. “Ageism [is] defined as stereotyping or discrimination aimed at older adults and a lack of knowledge about normal changes of aging and presentation of illness in older adults (. . .)” (DeBrew, 2015). DeBrew (2015) states, “research findings suggest that ageism is common in healthcare” (DeBrew, 2015). Ageism is not only an issue in the healthcare setting, but also among older adults as well as their families. When ageism is present in the healthcare setting it poses