The purpose of this essay is to analyse various theories on ageing, death, dying, and end of life issues from different perspectives such as: biophysiological theories, psychosocial theories; and taking in consideration the cultural, historical, and religious implications around the aforementioned life stages. One will also discuss important issues relevant to social work practice such as dignity, autonomy, and their relationship with the concept of a successful ageing and a good death. One considers these areas important since they upheld anti-discriminatory practice and may perhaps promote the development of personalised care pathways, as well as fair and justifiable social policies.
Furthermore, one will attempt to demonstrate the importance of understanding the life course development in context of health and social care by using a case scenario provided.
Theories concerned with ageing are constructed in an attempt to objectively satisfy the inquiries that arise after studying ageing and to provide evidence based clarifications. In the context of this essay, they allow troubleshooting regarding issues around the type of support would be expected to be needed by Betty and her son. Bengtson et al, (1999) accepts the potential pragmatism of the theories nevertheless he argues that they can be generalised and unimaginative. The controversy regarding theorising ageing becomes especially relevant when they are applied in isolation failing to address that “the science and positivism are severely limiting… for understanding aspects of ageing.” Bengtson et al (1999)
In an attempt to define ageing one must take in consideration the biophysiological together with the psychosocial aspects; these two aspects are intertwined.
Ageing is ...
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...pment of a Holistic Model of Spirituality. .
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The first journal article is about advance care planning (ACP) in palliative care. This is of interest due to several clinical experiences and the realization that many families either ignore the patient’s request for end of life (EOL) care or who have no idea of how to plan for EOL care. By reading the research and understanding the methods used, this will allow for insight into how to implement palliative care into clinical practice across different sites. The authors of this original research are Jeanine Blackford PhD, RN, senior lecturer at La Trobe University in Australia, and Annette Street PhD, associate dean of research and professor of cancer and palliative care studies. According to Blackford & Street (2011), this research is important as there are many countries that “report a low percentage of people who have completed an advance care plan” (p. 2022), and ACP is needed upon admission to facilities that offer palliative care.
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
Seymour, J. (2000). Negotiating natural death in intensive care. Social Science and Medicine, 51, 1241-1252.
Peck, M. Scott. Denial of the Soul: Spiritual and Medical Perspectives on Euthanasia and Mortality. New York: Harmony, 1997. Print.
Aging affects every individual and is inevitable, despite our valiant attempts to prevent it. The aging process beings the moment of conception however some can argue it begins at birth. The process of aging is heavily impacted by health, genetics and environmental factors. As people age we have to become accustom to the changes associated with life. The question becomes what changes happen and how? Although we cannot predict what will happen to us we can work to prevent specific things from happening by living healthier lives.
Aging occurs at the biological, psychological and social levels. With numerous theories of aging spanning over many disciplines, no one is truly certain why we age or how we cope with it. Fortunately, our knowledge of how the body regulates or governs the rate of aging is slowly being demystifyied and we now know more about this process. Activity and disengagement are two major psychosocial theories which describe how people develop in old age.
Overall the need for a better based end of life care strategy is warranted globally. More of a focus should be given on care and high quality service for patients. As of now too much decision lies with the healthcare professionals and this can lead to faulty decision making because the health care providers are doing what they believe is in our best interest. In reality the patient or ourselves only have the true idea how we would like our final days to be carried out. By developing and carrying out an end of care plan we can take the decision making out of the family and doctors and place it on the patient. By all counts the need for change is apparent within the healthcare industry in regards to end of life care. By considering this unique change a great deal of improvement can be derived from this decision making process.
There are a number of benefits to be found from thinking about ageing as a lifelong process and not just one that affects older people. This essay will define some of these benefits whilst backing up this reasoning with reference to the K118 material. It will then explain briefly which experiences I have had personally which have led me to responding to the question in this manner.
Ageing is a continuing life cycle, it is an ongoing developmental event that brings certain changes in one’s own psychological and physical state. It is a time in one's own life where an elderly individual reminisce and reflect, to bask and live on previous accomplishments and begin to finish his life cycle. There is a significant amount of adjusting that requires an elderly individual to be flexible and develop new coping skills to adapt in the changes that are common in their new life. (Dhara & Jogsan, 2013).
Euthanasia is one of the most recent and controversial debates today (Brogden, 2001). As per the Canadian Medical Association, euthanasia refers to the process of purposely and intentionally performing an act that is overtly anticipated to end the person’s life (CMA, 1998)
In the body-transcendence versus body-preoccupation stage, one must be able to learn and accept physical changes that happen as we get older, we refer to this as transcendence. If someone is unable to do so, they become preoccupied with the physical deterioration, to the detriment of their personality development. Although the physical capabilities are not the same in the elderly as when they were young, many older people stay regularly fit considering their age. The changes that began in middle adulthood are becoming more unmistakable by the time one finds themselves in late adulthood. The two distinct types of aging are primary aging and secondary aging. Primary aging involves the irreversible changes that occur as people get older due to genetic programming. Secondary aging refers to the changes that are bought on by illnesses and diseases, not increased by age itself. Late adulthood is a very interesting period of life. Since people are now living longer than ever before, late adulthood is increasing in length. Whether we say it starts at 65 or 70 years, the amount of people included in this stage is larger than ever before, due to medicine and technological advances. One of the most obvious signs someone is in late adulthood would be a person’s hair. Most people’s hair become distinctly gray and eventually white, which may thin
The concept of human mortality and how it is dealt with is dependent upon one’s society or culture. For it is the society that has great impact on the individual’s beliefs. Hence, it is also possible for other cultures to influence the people of a different culture on such comprehensions. The primary and traditional way men and women have made dying a less depressing and disturbing idea is though religion. Various religions offer the comforting conception of death as a begining for another life or perhaps a continuation for the former.
We as health care professionals need to work side by side with the families to provide the best care and decisions that are right by our patients. We have to be mindful of the cause and effect our course of treatment depicts for our patients. No individual wants to live in pain or misery, we all want to be healthy and happy and are willing to go great lengths to achieve this goal. Death is the final stage of life, but as we live and get older we start to prepare for death as to not fear death but accept it. Health care professionals may benefit from the opportunity to acknowledge, normalize and integrate death and dying into the continuum of life, both for themselves as well as their patients. (Sinclair, 2011) With advancements in technology and medicine we are living longer and fuller lives, and given time quality of life will only continue to improve.