Seniorcare and Frailty Frailty was not always a medical diagnosis. While there have always been frail people, it has not been considered a medical issue until fairly recently. The majority of individuals who are considered "frail" are seniors, but aging does not make one frail and some seniors will never be frail. According to Linda Fried, a geriatrician, and dean of the Columbia University Mailman School of Public Health, "Frail people usually suffer from three or more of five symptoms that often travel together. These include unintentional weight loss (10 or more pounds within the past year), muscle loss and weakness, a feeling of fatigue, slow walking speed and low levels of physical activity." The primary cause of frailty is chronic disease. According to the Centers for Disease Control, the …show more content…
However, there are many serious problems linked to frailty. For example, seniors with unsteady gates and a loss of muscle mass are significantly more likely to suffer a fall than those who are not. Worse, the consequences of falls for those who are frail are much more serious than for seniors who are not frail. Seniors who are frail typically have difficulty with one or more daily living task and require assistance to live independently. For frail seniors who choose to live at home, seniorcare services are often essential. From light housekeeping to laundry, dishes, and help with pets, seniorcare personnel offer support for many daily living activities that seniors would not otherwise be able to accomplish. Some of the symptoms of frailty can be caused by medication side effects. In these cases, a change in medication can lead to dramatic improvements in a senior's physical condition. Sadly, many of these side effects are not noticed. While seniorcare personnel cannot catch every medication side effect, when they are overseeing medication management plans, they are more likely to notice changes than the casual
...teract. Many of the medications are very powerful in and of themselves. This article also presents additional approaches to medicating the elderly, including focus on reduction of number of medications prescribed. Both articles present the importance of considering the normal physiological changes within geriatric patients.
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.
According to the World Health Organization (WHO), the aging population will continue to grow due to the falling fertility rates and the increases in life expectancy. However, this population has distinctive, demographic factors that may influence their adherence to medication necessities. Dynamics that affect medication regimen in the elderly can be related to “memory and cognition (forgetting to take medication), dexterity (unable to open medication or break pills in half), low literacy, concern about side effects
One consequence of a caregiver having an ageist attitude can be the overmedication of geriatric patients. Overmedication can occur if medical providers offer misguided health recommendations based
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
All in all, administering medications takes a great deal of responsibility and care to prevent errors from occurring. It is also important to know that administering medications to the elderly can be significantly different because of their physiological changes. Finally, it is important to have a system like the six rights and three checks to consonantly screen against medication errors.
It is a fact; the older adult population is living longer. While many older adults are fit and healthy, others are frail and weak requiring necessary medication. It is more important than ever for all of the healthcare community to be conscious of safe prescribing and the proper use of medicine when taking care of older adults.
Ageism is defined as having an attitude that discriminates, separates, stigmatizes, or otherwise disadvantages older adults on the basis of chronologic age (Ageism, 2009). This is an act of singling out a certain population and choosing to providing unequal opportunities and treatment just because of a person’s age. In our situation, “Seniors admitted to acute hospitals are more likely to have multiple chronic diseases, as well as impaired cognition and higher levels of dependency (including mobility) than younger adults. Acute hospitals frequently present a “hostile environment” that leads to functional decline in the frail elderly and a “cascade of dependency” that results in approximately one-third of older patients losing independent functioning in one or more activities of daily living. This decline is not related to acute illnesses but to the adverse effects of modern therapy and current hospital practices, which are designed for younger people.” (Huang, Larente, Morais,
...th professionals, were significantly more cynical toward and distrustful of older adults” (p. 63). The findings in Meisner’s (2012) conveyed that physicians demonstrated attitudes about older patients including feelings of these individuals being “disengaged and unproductive” while assuming that these characteristics applied to all of the older patients regardless of each person’s actual abilities (p. 63). Combing all older adults into one category defined by disability and dysfunction is detrimental to the well-being of each patient. Chronological age is not the determining factor relative to treatment; functional age is a better testament to expected outcomes for a patient. It is imperative that physicians understand what is “normal aging” rather than searching for pathologies based on symptoms that are just part of this aging process. According to Meisner
As the life expectancy in the United States rises, the number of elderly in the population has also expanded. These increases have led to the oldest-old (people aged 90 and older) to become the fastest growing age group in the country. The oldest-old face many unique challenges because of their age, one of which is disability. Disability in the elderly has major impact upon society 1 and will continue will be a growing burden in years to come.
Elderly, 1991. American Journal of Public Health, 84(8), 1265. Retrieved from Academic Search Complete database.
Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Patients who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. There is a great need for nursing interventions in conducting a patient medication review also known as “brown bag”. As nurses obtain history data from patients at a provider visit, the nurse should ask “what medications are you taking?” and the answer needs to include over-the-counter medications as well. If the response does not include any medications other than prescribed meds, it is incumbent upon the nursing professionals to question the patient further to ensure that no over-the-counter medications or supplements are being consumed. This is also an opportunity for the nurse to question about any adverse reactions the patient may be experiencing resulting from medications. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients continuing to take medications that have been discontinued by the physician. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.
Polypharmacy among the elderly is a growing concern in U.S. healthcare system. Elderly who have comorbities and take multiple medications are at a higher risk for potential adverse drug reactions. Elderly who take over-the-counter medications, herbs, and supplements without consulting their physician are at risk for adverse reactions associated with polypharmacy. Polypharmacy can result from patients having multiple prescribers and pharmacies, and patients who continue to take medications which have been discontinued by the physician. There is a great need for nursing interventions regarding polypharmacy, including medication reviews also known as “brown bag”. As nurses obtain history data and conduct a patient assessment, it is essential to review the patients’ medications and ask open-ended questions regarding all types of medications in which the patient is taking. In addition, the patient assessment is also an opportunity for the nurse to inquire about any adverse reactions the patient may be experiencing resulting from medications. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions.
According to DeBrew, author of “Can being ageist harm your older adult patients?” stereotypes and discrimination are evident in various aspects of patient care. “Ageism [is] defined as stereotyping or discrimination aimed at older adults and a lack of knowledge about normal changes of aging and presentation of illness in older adults (. . .)” (DeBrew, 2015). DeBrew (2015) states, “research findings suggest that ageism is common in healthcare” (DeBrew, 2015). Ageism is not only an issue in the healthcare setting, but also among older adults as well as their families. When ageism is present in the healthcare setting it poses
A term used for elders is aged, which is having reached a specific age (McKenzie & Pinger, 2015, p.273). Another term used for elders is aging, which means getting older. Some elders live in assisted-living facilities, which provides an alternative to long-term care in a nursing hoe. They also can live in retirement communities, which are areas that have been specifically developed for those in their retirement years (McKenzie & Pinger, 2015, p.288). For elders, health care is a major issue for them. Since they are older, they develop more health problems and that causes them to use the health care system