.4 HOW TO PREVENT FUNCTIONAL DECLINE The hazards caused by functional decline can be prevented and minimised during hospitalization of the elderly by implementing effective strategies to minimise it. • Addressing functional assessment (baseline and current) in the interdisciplinary rounds by evaluating potentially restrictive devices and agents and provide a plan for progressive motility • Commitment by leadership to rehabilitative values that support a social climate conducive to the promotion of function • Function focused care intervention of the elderly 2.4 FACTORS CONTRIBUTING TO HOSPITAL-ACQUIRED DISABILITY • Pre-illness determinant of functional reserve like cognitive function, depression, or poor mobility • Severity of acute illness …show more content…
The following tip can enhance communication: • Face an elderly when talking and try to maintain the same eye level or lower with the patient to avoid intimidation. Avoid speaking from the side or behind. • Ask the elderly for their preferred language and use it consistently. If it is a language you are not familiar with get a translator. • Check if patient have hearing difficulties and tactfully check for the good ear • Speak a bit louder and slowly in the direction of good ear. Avoid shouting. • Use short phrase and check to make sure the patient understands you regularly. Avoid jargons or abbreviation. • Use simple closed-ended questions and short which the answer will be yes or no especially when talking with elderly with cognitive impairment. • Encourage patient to ask questions and be supportive • Involve family members and other caregivers in the conversation in order to make sure that patient understood the
From watching video one “Gladys Wilson and Naomi Feil”, I learned a few things, for example there is more than one way to communicated with and elder who has lost their ability to communicate with words. From the link of “Alzheimer’s Foundation of America” under the category of symptoms Aphasia which is inability to communicated. The older people grow the more health issues they grow as well, which may lead them to feel lonely, and afraid. From video one Naomi Feil taught me to understand that by being with an elder and communicating more often can reduce their fear and depression. Having friends and family or even volunteer’s spend a few minutes or hour of their time can be live changing to an elder.
Falls in nursing homes residents are associated with morbidity, mortality, and healthcare costs. The centers for Medicare and Medicaid indicate falls as the quality indicator. (Leland, Gozalo, Teno, Mor, 2012). Factors such as new environment, medication, cognition, and non-compliance contribute to falls. A significant number of falls occur from wheelchairs. (Willy, 2013). Newly admitted residents to long-term care facilities are confused with the change. The new environment and the new unfamiliar faces increase the level of anxiety. Pain may also contribute to falls. In order to take tailor made preventative measures, fall risk factors for each resident should be evaluated periodically. Tools scoring risk factors can be utilized.
The National Patient Safety Goal (NPSG) for falls in long term care facilities is to identify which patients are at risk for falling and to take action to prevent falls for these residents. (NPSG.09.02.01). There are five elements of performance for NPSG: 1. Assess the risk for falls, 2. Implement interventions to reduce falls based on the resident’s assessed risk, 3. Educate staff on the fall reduction program in time frames determined by the organization, 4. Educate the resident and, as needed, the family on any individualized fall reduction strategies, and 5. Evaluate the effectiveness of all fall reduction activities, including assessment,
This document’s purpose is to assist nurses to identify elderly patients at risk for falls and to implement interventions to prevent or decrease the number of falls and fall related injuries (RNAO, 2005). The target population are elderly adults in acute or long-term care. The recommendations are to help practitioners and patients make effective healthcare decisions, support nurses by giving educational recommendations, and to guide organizations in providing an environment receptive to quality nursing care and ongoing evaluation of guideline implementation and outcomes. These guidelines stress and interdisciplinary approach with ongoing communication and take patient preferences into consideration.
Dementia can make it difficult for the Dentist to communicate with the patient since they could have
Despite the idea of humans functioning on a dysfunctional system, there may still be some objections arguing for the goodness of these factors or how we are looking at the problem from an incorrect lens. One such a response could be that the mind and dysfunctional system are two separate things, and rather than this situation being purely mental processes, it could be a physical response. By thinking of the mind as a racecar driver and the system as a racecar with a blown-out tire it can be shown that humans are still perfectly functional, but the problem exists in the vehicle. While the driver may desire to steer the car in one direction, that broken wheel causes the car to go into a different direction. Therefore, the whole situation can
A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and the danger of falling rises with escalating age or frailty. Falls of hospitalized older adults are one of the major patient safety issues in terms of morbidity, mortality, and decreased socialization (Swartzell et al. 2013). Because the multi-etiological factors contribute to the incidence and severity of falls in older society, each cause should be addressed or alleviated to prevent patient’s injuries during their hospital stay (Titler et al. 2011). Therefore, nursing interventions play a pivotal role in preventing patient injury related to hospital falls (Johnson et al. 2011). Unfortunately, the danger of falling rises with age and enormously affect one third of older people with ravages varying from minimal injury to incapacities, which may lead to premature death (Johnson et al. 2011). In addition, to the detrimental impacts on patient falls consequently affect the patient’s family members, care providers, and the health organization emotionally as well as financially (Ang et al. 2011). Even though falls in hospital affect young as well as older patients, the aged groups are more likely to get injured than the youth (Boltz et al. 2013). Devastating problems, which resulted from the falls, can c...
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.
(2007) found that at six months decline of independence was significantly less likely in a community hospital setting because they elderly has round the clock access to rehabilitation. Some of the main advantage the researchers found was advanced care and timely access. Timely access is important for the elderly who have varying illnesses and injuries because the faster they can get help, the faster the recovery. Young et al. stated that many elderly are discharged before they are fully recovered and that can lead to a decline of personal well-being.
adapt your communication. Talking to children with ASC, for example, you may have to use very
In the final stage of Alzheimer’s disease, the individual makes little or no effect at communication, and their verbal responses are limited, often one word or just a sound. You must continue to be attentive to how your patient communicates their needs and especially careful to communicate care and concern through touch, facial expression and tone of voice.
Finally, communication, an important Activity of Daily Living (ADL) is explored and patient/carer advice is presented so as to maintain good health conditions in the patient. Analysis of Dementia According to Miller, 2009, dementia is the most accurate expression which illustrates the development of cognitive impairment. It exemplifies the diverse brain anarchies which ultimately lead to severe brain dysfunction (Alzheimer Australia, 2011). Dementia is the leading cause of disability in older adults in Australia, accounting for 17 percent of the cases (Australian Institute of Health and Welfare, 2004). Alzheimer’s disease (AD), Vascular Dementia (VD), Frontotemporal Dementia (FD) and Dementia with Lewy Bodies (DLB) are the well-known forms of this disease.
Communication is a simple process and known by everyone as it is an inborn activity. Yet, there are people suffering from language disorder, who cannot deliver speech normally. Therefore, especially for nurses, it is important for us to learn different communication skills to talk with different people.
Stagnation Era was a period of time when the economic and political development was not going any further. The period started in 1964 during the rule of Leonid Brezhnev and ended with Mikhail Gorbachev’s glasnost and perestroika policies, which led to the Revolution of 1989 and finally to the collapse of the Soviet Union. The time period can be described as wastfulness.
Although language remains fluent and in proper syntax, the overall amount of talking decreases. Patients have difficulty maintaining conversations and some even become mute. Motor functions are often uncoordinated and patients often have difficulty constructing three