Physical mobility is something we rely on from day to day to be able to live independently and at ones discretion. However, many older adults going through the aging process may encounter a decline in their physical mobility. This decline in mobility can range from moderate to profound, but no matter what will have a significant influence on the elder adult’s lifestyle. A decrease in physical mobility can be caused by many different life aspects such as inadequate hospital care, a lack of physical activity, and vitamin D intake. A decline in physical mobility with older age is usually inevitable. However, a substantial decrease in physical mobility can be prevented by simple lifestyle changes. Frequent exercise, proper nursing/hospital care …show more content…
As we grow older, our bones may become more fragile and weak. No two adults live the same lifestyle or age the same; thus the onset and severity of a decline in physical mobility may occur at varying ages. When researching this topic I choose to narrow down on some of the main causes of a decline in physical mobility as well as the preventions to prolong the onset of a decline in physical mobility. Some of these major factors include Vitamin D intake, hospital care, and …show more content…
Proper nursing and hospital care is an essential part of so many elder adult’s lives. By implementing nursing interventions such as the one in the article mentioned above; we can ensure that all elderly adults are being treated with proper care and respect. A lack in physical mobility for long periods of time can lead to muscle and bone weakness and will make it increasingly difficult for the elder adult to return back to their normal mobility (Lyons, 2014). Thus, it is important for nurses under the care of hospitalized elder adults to encourage as much mobility as possible that is tolerable for the patient. Elder abuse under caregivers is something that we have learned often goes unnoticed (Hiller and Barrow, 2011). In many cases the elder may be unaware of how much mobility they should be getting and the type of services that should be provided to them. Therefore, it is crucial that nurses and caregivers of these elder adults are made aware of the importance of encouraging physical mobility and proper care to the
There have been problems within Long-Term Care and many of these abuses were turned over to the patients, there was hardly any direction on how to handle Long-Term Care. “Poor houses and Almshouses and developed in response to an impoverished, aging, and mentally and physically disabled population who lacked informal caregivers.” (Sarah Thompson, 2008 ) When Long-Term Care was in the infancy stage of developing there were many problems, issues that were created because there was not much direction. In developing in taking care of the elderly there were poorly trained nurses, medical workers and many of them were not qualified to work within the medical field. There were problems, many issues and multiple levels of abuse because of poorly trained medical workers where there was no direction.
Aging is a natural part of human life. With modern technologies and medical innovations, the society has been able to prolong life and thus increase the number of older adults in the society. Normal part of aging are inevitable physiological and psychological changes, which need to be understood and addressed by nurses in order to provide appropriate care for older adults. Presenting patient’s description with appropriate data, I will utilize Watson’s Caring theory (2008) to assess the lower order need of activity-inactivity relative to this older adult patient cared for in the hospitalized environment. The integration of theory, research and best practice guidelines will be used to plan nursing interventions and strategies to meet the health needs of older adults in health care. Watson’s (2008) fourth caritas process of developing and sustaining a helping-trusting caring relationship will be used to describe the nursing implementations which were utilized in providing safe and competent care for older adult.
According to Daly, Schmeidel Klein, & Jogerst, (2012), when dealing with abuse issues, nurses need to be aware of reasons why an older person may not want to report abuse and take this into consideration when soliciting information. Then, nurses can provide adequate information and resources to the older adult that may help them deal with the abuse. In addition, since elder abuse is perpetrated by family members, caregivers, and other individuals, the most effective method to eliminate elder abuse is to promote elder abuse awareness in private homes and nurse care setting to education individuals about elder abuse, signs of elder abuse and hence improve their relationship with the older individuals. Patients should also be educated on elder abuse, their civil rights and how to seek help when they experience abuse. Nurses play a huge role in detecting elder-abuse especially during patient assessment. Furthermore, in support of nursing education, Muehlbauer & Crane argues
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
There are changes in the demographic as the population grows older, the number of older adult’s increases and thus, there is an increase of proportion of patients that are older adults for nurses to take care of (Wells, Y., Foreman, P., Gething, L., & Petralia, W., 2004). The nurses are there to assist and support the older adults in achieving wellness within their situation through empowering the clients (Touhy, et al (2012). Caring for older adults is important as there is an increase in population with deteriorating health. When caring for a client it is important to incorporate Jean Watson’s caring theories and Carative Factors to help influence and support the care. She encourages nurses to co-participate within the caring process by establishing unity and trust between the nurse and client. First, this paper will explain a situation in where I cared for an older adult and it will then introduce Jean Watson’s lower order needs, specifically the need for activity and how it relates to the older adult I cared for. Lastly, this paper will explain the nursing interventions I implemented to meet the lower order need, with a discussion of Carative Factor #4 relating to the client.
We all know someone who has been placed in a health care setting such as a rest home or hospital because their needed care is out of their families own ability; whether it’s our own grandma or the neighbor’s great aunt. Many people in this day and age are getting care from health care workers on a daily basis and need constant watch and care. Many of those in the older population are put into rest homes where they can spend the rest of their lives in comfort, while others are placed in hospitals to recover from a stroke or a mental illness. At times, many patients become abusive or unresponsive by choice or not. Because of this abuse and also less control over thoughts and feeling restraints are used to keep them safe. Many believe that last statement; that they are completely safe. With my knowledge, the use of physical and chemical restraints in geriatric health care settings, such as rest homes, should be lessened because they cause injury, require patients to need more care and they take away necessary freedoms.
Elder Abuse is defined as any activity performed by an individual whereby these actions cause suffering of the older adult, intentionally or not (Touhy, Jett, Boscart & McCleary, 2012, p. 378). Unfortunately, the incidents of elder abuse continue to rise with the increasing number of people entering older adulthood. It is interesting to note that although elder abuse is highly under reported its occurrence increased three fold over a ten-year period (Friese & Collopy, 2010, p. 61). Certainly, it is a nurse’s duty to provide holistic care to his or her patients, which must include protection from abuse. Elder abuse can take on many forms including physical, emotional, sexual, neglect and financial. It is important to note that for the purposes of this paper, this writer will focus solely on financial abuse. When one considers the definition of financial abuse, it is deemed to be a misuse of another individual’s finances for ones own monetary gain. Thus, this type of abuse has become the most common and fastest growing form of all. As such, it is important for all nurses to understand financial abuse and who is at risk, how it presents, and what can be done to prevent it in order to protect the elderly.
Elder abuse in nursing home is a social problem that has had more and more attention in these recent years. “Elder abuse is the most recent domestic violence issue to gain the attention of the public and the medical community.” (Elder Abuse: A Review) According to the Senate Special Committee, about 5 “million older Americans are abused and neglected every year.” Abuse for the elderly can be considered a social problem due to the people who are in denial of it actually occurring, for example, the caregivers and nurses who do not consider themselves to be actually performing the abuse. It is a problem because the elders are put into these nursing homes by loved ones and ones who
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,
Again, a diet that is rich in calcium and vitamin D is essential to prevent bones from becoming thin and brittle, thus making them easier to facture. If consuming the proper vitamins and nutrients becomes difficult, a variety of dietary supplements can be useful to ensure recommended daily intake. According a research study, it is more cost effective to recommend these two dietary supplements to the elderly because if doctors treat early onset osteoporosis with calcium and vitamin D, by the time these same elderly individuals reach the age of 80, the cost of treatment is much more cost effective. Those that receive no type of treatment for early onset osteoporosis are more prone to factures, internal injuries due to fractures, and hospitalization costs with pain medication increase for the elderly by the time they reach 80. In contrast, those that treated osteoporosis earlier in their lifetime have an increased physical ability because of adequate daily
The number of elders who are abused in this country and around the world each day is growing at an astonishing rate be it from individuals or institutions. As many as one in ten older adults and one in two people with dementia are victims of elder abuse. Unfortunately, for every case that gets reported there are 23 that go unreported. ("Get Info," 2014) as you can see from the statistics elder abuse is not uncommon in the United States. Any elder has the potential of being physically, emotionally, sexually, or financially abused by another individual. Elders can also cause harm to themselves by neglecting their daily needs. At St. Rita’s nursing home, during Katrina, thirty-five elderly residents were trapped inside all eventually drowning in their wheelchairs and beds.
Elderly adults face an abundant amount of abuse in many healthcare settings. According to the National Center on Elder Abuse (NCEA), elder abuse is defined as, “intentional or neglectful acts by a caregiver or “trusted” individual that lead to, or may lead to, harm of a vulnerable elder” (NCEA, 2017, p. 2). Elder abuse can possess many forms, including physical abuse, neglect, emotional or psychological abuse, financial abuse or exploitation, sexual abuse, and abandonment. (NCEA, 2017, p. 2). This abuse can take place in many settings that house seniors, age 65 years old and up regardless of age, sex, or race. These senior care facilities can include, rehabilitation centers, long-term care facilities, nursing homes, and/or senior day care
Elder abuse consists of physical abuse, neglect of food or shelter or abandonment (PSYC 426: Holstein & Waymack, 2011). American older adults are being abuse by their caregiver as well staff in a nursing home. An example of a protective service about elder abuse was stated on the National Council on Aging to help prevent elder abuse in the aging population through the Elder Protection and Abuse Prevention Act of 2013. However, as the older adult population continues to live longer, there will be a problem with elder abuse and neglect (PSYC 426: Stone,
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
The author has reviewed the previous studies on the barriers of regular physical activity in the community living older people (Jones and Nies 1996, Conn 1998, Heesch et al 2003, Lin et.al 2007). But the review shows that little study was done among older adults living in LTC about the barriers they face in their physical activity. The areas of nursing practices are to identify the barriers in older people that keep them away from their physical activity. Developing a plan of care and interventions depend on the individual problems.