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Ageism and health care
Ageism and health care
Evaluate two major theories of ageing in health provision
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The individual I had the pleasure of interviewing was a German/Mexican 86 year old female patient who was admitted in because of a fall at home resulting in a hip fracture. She is a petite woman with a full set of thin, white hair and she does not wear make-up. She was comfortably dressed in a dark blue/gray stripped t-shirt and a pair of black pajama pants with yellow slip-resistant hospital socks. Although she had some hearing difficulties, she was fully alert and oriented. The room where she was staying was plain. Other than her hygiene products, extra clothes, and purse, she did not have many personal items that personalized the room. She is temporarily staying in the acute facility, meanwhile she receives physical therapy.
The patient
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didn’t want to share much about her childhood. However, she did mention she was born in Chandler, AZ and moved to Encinitas, CA with her family where she attended public school. When she moved back to Chandler, AZ she went to a private Catholic school. According to the patient, Catholic school was very strict and discipline wasn’t frowned upon. When she graduated, she earned money by cleaning offices and housekeeping. She never sought higher education because she felt that it wasn’t necessary during that time. The type of work always revolved around maintenance and warehouses. She married soon after she graduated and adopted a daughter.
She avoided the question of why she never had any biological children. The current family the patient has includes her son-in-law and a very close friend. She lives alone for the moment, but when she gets home her close friend will move in with her to keep her company. She is very close to her son-in-law and said she is lucky to have him in her life. She calls her son-in-law and friend her “angels of mercy.” Unfortunately, her daughter and husband recently passed away about 6 – 7 months ago and she has never met her only grandson. The grandson currently lives with his father who won’t allow her to meet him, she doesn’t understand why. She had 3 siblings, 1 sister and 2 brothers, who have also passed …show more content…
away. Some highlights mentioned about her life were adopting her daughter and traveling with her husband. She never traveled too far, but she did enjoy traveling to California and other states. She also mentioned her family always had fun “jamaicas,” known to the patient as parties. Patient said her hobbies in the past were dancing and socializing with her family and friends. When asked if she has any current hobbies she said she loves to spend time with her friend. She is afraid to engage in activities that might harm her such as gardening. She considers her biggest accomplishment to be raising her daughter and when asked about any regrets she said none.
According to the patient, she wouldn’t change her past because your previous errors make you the person you are today and she wouldn’t change anything in her past. The passing of her daughter and husband has been tough on her. She didn’t want to share much about them because she didn’t want to begin to cry, but she did say she’s trying to keep a positive attitude. From what I gather, she is adapting to a new life without her daughter and husband. Thankfully, she feels happy because she has a great support system with her son-in-law and
friend. The only chronic illness my patient currently has is hypertension. She appeared to be generally healthy and mentally stable. She was admitted to the hospital for a fall at home which resulted in a hip fracture. When I interviewed her she wasn’t wearing a cast or any other supportive equipment. However, she does use a walker and wheelchair. She is capable of ambulating with her walker, but she is afraid due to her recent fall. She is continent and seems to be very independent. Based on Erikson’s psychosocial theory, I believe she in stage 8 due to her age. According to D’Amico and Barbarito, stage 8 is generally people who are between ages 65 to death. Stage 8 is explained as “integrity vs. despair.” Integrity describes individuals who appreciate the uniqueness of life and accept death; whereas despair describes individuals who feel “a sense of loss, despair, and contempt for others” (p. 25). Based on the attitude and life view of my patient, I believe she is in the integrity side of Erikson’s theory. During our interview, my perception of her was that of a positive, cheerful woman who enjoys life and moves forward from tough situations. The interviewing experience was very special to me. I had the opportunity to meet someone who has such a positive outlook in life. I’ve always been the type of person who likes to view life in color. I don’t like to have a negative outlook in life because I believe having a positive outlook will help you develop a better lifestyle. My patient confirmed that for me during our interview. She is currently dealing with a lot of grievances, yet she still manages to keep a smile in her face. I truly admire her courage and I hope to have the pleasure of seeing her again.
A- Value seeing health care situations “through patients’ eyes”. The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur, which happened as a resident in a long-term care facility. Comorbidities include Alzheimer's disease and type II diabetes. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this woman many times prior to this hospitalization.
Being diagnosed with a chronic illness is a life-altering event. During this time, life is not only difficult for the patient, but also for their loved ones. Families must learn to cope together and to work out the best options for the patient and the rest of the family. Although it may not be fair at times, things may need to be centered on or around the patient no matter what the circumstance. (Abbott, 2003) Sacrifices may have to be made during difficult times. Many factors are involved when dealing with chronic illnesses. Coping with chronic illnesses alter many different emotions for the patients and the loved ones. Many changes occur that are very different and difficult to get used to. (Abbott, 2003) It is not easy for someone to sympathize with you when they haven’t been in the situation themselves. No matter how many books they read or people they talk to, they cannot come close to understanding.
For instance, our doorway assessment led to a heightened awareness of the other components involved in a patient’s care. Upon an individual assessment of my assigned patient and the clinical surroundings, I noticed a note on his door explaining the importance of good hand hygiene. The note also alerted those entering the room to not enter if they felt sick or if they have been sick recently; the note was had written so it could be assumed it was written by a family member. Additionally, on the patient’s dry erase board, there was a short narrative about the patient and his life prior to his illness. The more critical issues observed was that the patient’s brain injury resulted in complete paralysis, which placed him at a risk for falls; thus all four side rails of the patient’s bed were raised. All of these observations prompted me to be engaged with the patient, his mother and baby sister, his nurse, and the speech and physical
They play a major role in health care field. Their goal is to make all patients feel a friendly and welcome environment therefore, they greet and welcome patients so that the facility builds a good reputation in patients. Medical receptionists perform professional duties from the front desk that way they can interact with several patients, make several phone calls, answer patient questions within the scope of their practice, schedule new and follow-up appointments, register all new incoming patients and update records if necessary (Lisa Davila, 2010). The receptionist should know how to interact and treat people with different personalities and in different circumstances (Lisa Davila, 2010). Medical receptionists work
Client is a 78-year-old Haitian Creole-speaking male with a history of diabetes, edema, hypertension and seizures. Client was treated for respiratory failure at an inpatient hospital facility. Client was transferred from the inpatient hospital facility to Miami Jewish Health Systems for inpatient short-term care rehabilitation. Client appears average height, slender and weighs approximately 178 lbs. Client has a clean-shaven head, facial stubble, and appears to be stated age. Client is dressed in a hospital gown, with normal grooming and hygiene. Client appears relaxed
The patient is a Caucasian female of catholic religion. She is married with two other children, and has just given birth to her third child. The other two children are both two and four. This particular family does fit into the traditional nuclear family model, as there are two parents in the family structure both of whom have a stable and steady occupation and live together in the same house. The patient did not mention whether ...
I wished I could have helped her more, if just to better her last moments on Earth. With all my hours in clinical shadowing or volunteering, with all my coursework as a graduate student in biomedical engineering—I was not preparred for this. I was not ready to cope with the sense of powerlessness I felt that day.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
For this assignment I had the pleasure sitting down with Emily Petermeier and getting an insight on what the real nursing world is like. Emily graduated from the University of Minnesota School of Nursing in May 2015, and got a job at Fairview East Bank Hospital. This interview really helped me understand what it is like to be a new nurse and the dedication that I have to have going through nursing school and throughout my career. In the interview you will see the perspective of Emily’s endeavors after college and insight for future nurses or nursing students.
The intake interview assists in establishing and diagnosing any problems the client may have. The therapist may then explain to the client what to expect during the interview, including the time duration. A good assessment/ or intake will focus on the individual situation, strength and coping mechanism. The intake form is for the client, it gives the therapist more information and an idea of who you are. The intake process that is considered of a series of questions and consent form that the client has to sign and agree to. A professional relationship between a counselor and a client begins with an intake interview.
Patient participation has been poorly defined especially in nursing practice due to lack of freedom from indistinctness or ambiguity in health care (Sahlsten, Larsson, Sjostrom, & Plos, 2008). The concept of patient participation plays an important role in health care nationally and globally. The meaning of patient participation varies greatly based on individual patient and nurse’s perception. This concept analysis it to gain clarity through Walker and Avant concept analysis method by identifying and presenting the purpose, attributes, model case, antecedents, consequences and empirical referents of the concepts.
More than 5 years ago, I found myself in the exact same position that Susan Wolf had found herself in with her father. In my case, it was the end of life care for an elderly aunt who had no other family and as such, became a part of mine. She was my ward in a way, fully reliant and dependent on me in so many ways due to her advanced age. I thought that she was a very healthy person and could possibly go on living forever since she was under constant medical care. But all the medical care that the doctors could provide for her could not remove the nagging pains that seemed to be ravaging her fast aging body.
directed her to question what lies behind. Many people in her family were suffering from cancer and
Overall today was extremely busy. There was a total of 21 patients seeking therapy. For each patient that was seen throughout the day, I prepared hot packs and ice packs and monitored them throughout each exercise session. Aside from supervising patients, I was able to start my Needs assessment with patients. I selected 8 patients based on their age and frequency of visit, in order to gather accurate and efficient information overtime. I was able to interview patients during their 8 minutes hot pack session, and then I introduced myself and stated the purpose of this study/intervention. Each patient was very engaged and responded to each question appropriately. I did not hand out brochures on this day because I felt it would be beneficial to
example, patients who are going in for major abdominal surgery, or even normal childbirth. Nurses