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Care of the Older Person (5N2706) –
Question One:
Ageing is the process of physical and mental growth through the years, including physiological deterioration, psychological adjustment and changes in social identity. It includes deterioration in physical function as well as cognitive changes, but also wisdom and resilience through experience.
Question Two:
Ageing is a physiological and psychological process of predictable change. Physiologically, low bone density, low muscle mass, and sensory impairment are present, which, together with low vision, make up the fall risk and poor mobility. The efficiency of the cardiovascular system is reduced, thus lowering energy. Cognitive slowing: Cognitive slowing affects recall and processing. The provision of emotion regulation is often associated with adjustment to loss, albeit often in an adaptive manner. The person affected by this change has a right to be treated with dignity and respect for her autonomy.
Question Three:
Age-related diseases affect older persons from a physical, emotional, social, recreational, and spiritual point of view. Dementia, for example, progressively causes the loss of memory and the ability to make decisions, and causes confusion, agitation, and loss of mobility and coordination. Communication problems and memory loss have also been shown to lead to isolation socially, and there is a tendency towards anxiety, depression, or frustration emotionally. Spiritual comfort is comforting at times, but spiritual activities may be neglected, and recreational activities such as reading or group games may not be present. Arthritis is another condition that is common in old age and causes chronic pain, stiffness, and immobility of the joints. Arthritis may lead to physiological dependence due to the cause of the pain and reduced mobility. Still, the withdrawal due to the lack of interest in group activities is the cause of the social factor. Cardiovascular disease causes physical limitations such as severe weakness, shortness of breath that can make very simple daily tasks and social participation overwhelming, and, as a result, lead to becoming unintentional isolated. Often accompanied by feelings of utter frustration and helplessness, the depressive experience manifests itself like an emotional de-motivation, preventing one from taking part in activities one beloved in the past. Apart from the effect on your joints, there is also the untold psychological stress which the person undergoes: aside from the daily aspirin consumption, people go through a lot of anxiety over the possibility of having an unforeseen accident such as suffering a heart attack or stroke. However, it is a mindset that, over time, becomes a fetter that pervades even mental health and quality of life for all of us. The loss of independence and perceived loss of self which work together to perpetuate a complex spiral of psychophysiological pain are further amplified in individuals coping with the experience of emotional stress. Still, in spiritual terms, it can stimulate existential thoughts about death and religion. From these cases it can be seen that age-related illnesses are not only physical, but are devastating too emotionally, socially and spiritually. Thus a multi-faceted approach is needed to deal with their multi-faceted impacts.
Question Four:
I have chosen a Nursing Home for old-age people. A Multidisciplinary Team is a process to deliver comprehensive person-centred care, and all members of the MDT have distinct and critical roles in the process. A nursing home Multidisciplinary Team includes professionals with unique and supplementary functions focus on the holistic care of residents. Doctors provide health care, diagnosis, treatment planning and management of complicated health conditions. Nurses provide clinical care and the administration of medications, monitoring of vital signs and acute reactions to changes in health status. Health care assistants also provide the essential personal care of bathing, dressing and assistance with moving or turning. Physiotherapists will develop specific programs of exercises that improve strength, balance, and activity so hazard reduction for falls can be achieved. Occupational Therapists provide assistive technology for environmental and task adaptations to facilitate eating and grooming. Social Workers deal with the psychosocial wellbeing by counselling, helping family communication, and defending the rights of residents. This integrated and collaborative team will provide a comprehensive approach that focuses on the dignity, safety, and general quality of life of all residents.
Question Five:
The main cultural differences in the care of older people are identified by comparing Ireland and Japan in four key areas. First, although greater independence and professionalized care are becoming a social norm in Ireland, in Japan, the values of filial piety have created a strong expectation that providing care at home is a family responsibility that can hardly be refused. Secondly, there are significant differences in healthcare systems: while Ireland has a mixed public-private model relying heavily on residential care facilities, Japan’s universal system relies heavily on community-based integrated care, with an aim to support ageing in place. Thirdly, a stage of leisure is recognised as distinct in Ireland, beginning at the official age of state pension at 66 years old. Social work or contribution to society in old age is still a way of life in Japan, and its existence is promoted. Additionally, social attitudes to dependency vary hugely; in Ireland, for instance, it may be a realistic prospect; in Japan, it may be a family disgrace or loss of face. Still, the applications of technology in elder care are not uniform across the board, with Ireland’s application of digital care solutions growing, and Japan leading the way in the development of assistive robotics, which can work alongside older adults and caregivers alike in the home. Finally, in Ireland, family participation is often facilitative and shared with the state, while in Japan, it is often direct, comprehensive, and seen as a moral responsibility.
Question Six:
Age Action, ALONE, and Active Retirement Ireland are three major organisations that improve the well-being of older people in Ireland. Age Action promotes ageing by offering community services such as Care and Repair which allows individuals to feel more confident and connected. Such services assist in maintaining independence as they enable individuals to stay safely at home, be socially active, and maintain dignity by empowering them to learn continuously and be independent. The critical supports provided by ALONE include befriending services which reduce loneliness, housing services that enhance safely, and advocacy which enable older people to be heard in policy and care decisions. These services are empowering – they allow older people to make their own choices about where to live, to ensure that they have social contact through regular visits from carers, and to maintain their dignity through the provision of personalised care. Through the creation of local groups that encourage social activity, exercise classes, and education workshops, Active Retirement Ireland can help to promote wellbeing. This helps facilitate social engagement and decrease isolation, enabling members through lifelong learning and enabling positive ageing by appreciating the continued contribution to the life of the community.
Question Seven:
The role of the healthcare assistant in end-of-life care is complex and very human, centred around holistic care of the older person and their family. First, HCAs are involved in maintaining physical comfort by performing careful personal hygiene, assisting with turning to prevent pressure sores, and assisting in pain management under the direction of the nurse. Secondly, they are emotional pillars, a comforting and consoling presence, who listen to the fears and concerns of the patient and the family, and give companionship at a time of weakness. Third is spiritual and cultural care: It is the respectful offering of rituals, coordination with chaplains or faith representatives, and the need to ensure that the environment is respectful of the individual’s beliefs and preferences. Fourth, they act as representatives or advocates for the wishes of the patient communicated to others in the multidisciplinary team, in order to ensure that the wishes of the individual regarding care and comfort are respected and adhered to. Finally, Healthcare Assistants provide invaluable hands-on support to families by offering respite care, pedagogical input on pediatric care techniques, and referral points for other services; all of this extends the occurrence of end-of-life care with profound dignity, compassion, and respect.
Question Eight:
After an elderly person has died, a healthcare assistant works with respect and sensitivity. First, they respect the dignity of the dead by washing, dressing, and placing the body into a position or style that the culture, religion, or family wishes, in a caring and professional way. Second, by offering sincere condolences, listening, and allowing the HCAs to be a safe place for the family to grieve the loss and participate in the dying process while they are not panicked, HCAs can provide that emotional protective buffer for the family. Third, they happen because of religious or cultural meanings here; they are such as teaching the ceremony, prayers or other belief rituals or performances, or setting up an environment for interment of his or her body as pleasant to respect his or her religious views and values or just his or her family religious views or simply to respect the values.. Fourth, they assist in practical arrangements, complete the documentation background, ensure all legal procedures are followed with nurses, and make the room comfortable and private for the family members. Finally, they act as respectful agents of the grieving family towards the multidisciplinary team, ensuring that the will of the deceased can be honored to the fullest, and all their actions are grounded in compassion and dignity.
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