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Aging policy analysis essay
Roles of stakeholders in healthcare
Roles of stakeholders in healthcare
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In 2014, my grandfather was diagnosed with Alzheimer’s. At the time, I didn’t realize how much of an impact that diagnosis would have on me. Shortly after I graduated from college, my family moved him to the United States to live with us, and I became his caregiver. It was difficult to watch a man who was once so active, frustrated to have his body and mind betray him. Without the help of temporary relief from respite services and family support, I would have likely given into the “caregiver burden”. While navigating the healthcare system, I had unknowing become his voice because he could not speak for himself. It was this experience helped me to see caregivers an access to care intervention, and led to my interest in aging-related policy. Through the experiences that followed, I began to see caregivers as stakeholders in the healthcare, which led to my …show more content…
I was drawn to the organization because they framed caregivers in a way I had not heard before, as “stakeholders” in the healthcare system. PCORI, who was authorized by Congress through the Affordable Care Act, funds patient-centered outcomes research, which addresses the questions and concerns that are most relevant to patients. In my role as Program Associate for Stakeholder Engagement, I evaluate all of the Engagement Department’s activities, conduct environmental research on healthcare stakeholder communities, and find gaps in our interactions with stakeholders. My most recent responsibility involves managing elements of the recruitment process for our Advisory Panels, which aims to bring together voices from stakeholder communities to advise staff and our Board of Governors on engagement efforts and relevant research questions. This opportunity to improve our selection process reminded me of diversity’s importance in the decision-making process and, subsequently, the policy
Alzheimer’s disease affects populations in both cities and rural areas. Although only 19% of older adults live in rural areas, up to one-third of rural populations are comprised of older adults (Sun, Kosberg, Kaufman, & Leeper, 2010). In addition to limited access to and suspicion of healthcare and social services for older adults and their caregivers, social isolation plays a great role in rural areas, where opportunities for engagement and interaction may be unavailable or inaccessible (Sun et al., 2010). Healthcare workforce shortages, while present far and wide, are intensified in rural areas and can severely limit a family’s choices when caregivers struggle to meet the needs of individuals with Alzheimer’s (Sun et al., 2010). Research suggests a high level of depression in both persons with dementia and spousal caregivers in rural populations (Haley et al., 2008). Research also suggests the loss of language capacity among individuals with Alzheimer’s limits the individual’s independence.
Pah-Lavan, Z. (2006). Alzheimer's disease: the road to oblivion. Journal of Community Nursing, 20(5), 4. Retrieved from EBSCOhost.
To begin to understand an individual must start to understand the current status of care for the elderly people with dementia. In the twenty-first century there are differences that occur that are unlike past elderly care (Bookman & Kimbrel, 2011). One difference that is looked at is the six key groups that people look for in outsourcing are health care providers, nongovernmental community-based service providers, employers, government, families, and elders themselves (Bookman & Kimbrel, 2011). Roberto and Jarrott (2008) discuss one of the key groups that Bookman and Kimbrel (2011) talk about. In Roberto and Jarrott’s (2008) article they explain that older adults have to rely on family member for instrumental support and more intense care activities.
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
While the outcomes of the effects of newer efforts are unclear, the assessments address specific issues that stand in the way of Honor Health’s mission. Honor Health is effectively using its vision statement to fulfill its mission; to an extent, as its mission and vision are so vague. By identifying data and socioeconomic barriers to care in each individual community it serves; each community is identified by zip codes that surround each hospital and health clinic in the organization, it can purpose and implement initiatives to address specific needs (Honor Health, 2015). While the vision statement is vague, it does provide a broad goal for the organization that can allow a variety of strategies, allowing operational flexibility and room for leadership to implement a diverse definition of organizational mission
(Davidson, F. G.) Due to the nature of dementia being a neuropsychological disorder, those affected by the disease tend to look like they will not require much care, which, in reality, they often require more care than the caregiver originally expected, leading to stress and burnout. Another effect caused by this can be the caregiver blaming themselves by feeling like they are failing to give proper care, which, in reality, can often be very far from the truth. If the caregiver does not receive help from anyone else, the task of watching over the victim becomes a daunting twenty for hour task. Sometimes, the caregiver won’t be allowed quality sleep. Over 66 percent of home caregivers suffer from some form of psychological or physical illness. The most common illness that is resulted from giving care to Alzheimer’s disease is depression. The caregiver needs to monitor their emotional well-being as well as the well-being as the person that they are giving care to. Usually, giving care to those with dementia is actually more stressful than giving care to those with cancer. When the caregiver is a family member and not a professional, the emotional toll is often even greater. It is important for caregivers to remember that they need to take care of themselves first and
Health care providers not knowing their surrounding community impacts the way they provide health care to a patient. I hope to use my background in community work with underrepresented populations and the qualities I gained to hopefully reduce and someday diminish the concern that health care isn’t keeping up with the demographics of the surrounding community. The third health care concern I will talk about is another near and dear to me which is the severely low quality health care women in developing countries receive.
I worked with Dementia and Alzheimer patients as a Certified Nursing Assistant for almost three years. Working with the elderly has been one of my greatest achievements. I assisted my residents with bathing, grooming and making them feel comfortable. I was able to create a favorable environment for my residents while working with them. I had the opportunity to see patients go from early stage to their last stage of dementia. This gave me an opportunity to want to do more for people who are in need of my care. From my experience, I learnt that nursing is not just a job; it’s a responsibility and a calling, and it requires that you derive joy in what you are doing even in the toughest moment of caring for your
Mollie is the patient in our case study. Mollie lives with her daughter and son in law, both in their 70’s. A home health aide assists Mollie five days a week for three hours each day. At age 94, Mollie is an older adult, considered to be part of a vulnerable population, at risk for hearing, visual and mobility deficits. This at risk population can experience changes in cognitive or physical status making the activities of daily living difficult to perform (Meiner, 2011). As people like Mollie age, gradually becoming less able to function independently, their grown children, potential caregivers, may be preoccupied with the demands of their own lives and not prepared to care for an older
In most facilities an initiative lifestyle has been organized to give people with dementia a voice in how and where they are cared for (White). This is how things should be everywhere in the world when it comes to people with dementia. People affected by this disease don’t need people to tell them what to do or make decisions for them, they need the freedom to do it themselves so they don’t give up. Although incapacity is common, many persons with dementia are capable of making their own medical and research decisions (Kim, Karlawish, and Caine). At the early stages of dementia, a will needs to be made so medical wishes can be granted. When people are given the freedom of choice, they are much happier, they live longer, and they have a better attitude about the disease they are suffering from. Individuals that get dementia did not get it by choice, but they live through it day by day with strength and the ability to live
Healthcare is intriguing. The health and wellness of people always has been intriguing and always will be. My background in healthcare came as an environmental pass down with a father as a Registered Nurse and a mother in healthcare management. It was inevitable that the journey of healthcare started being instilled without my knowledge of it, as a young child. A constant learning in the health sciences and management directed my way. By the start of college, the intrigue lead to compassion, lighting a fire for the administration of healthcare. This calling spurred by a great woman, my mother, who is a national redesign award winner by the Bureau of Primary Healthcare in Health Disparities. These footsteps down her similar path with careful guidance, but not to be confused with an easy path.
Sturdy, D. (2007) Indignity in care: are you responsible? Nurs Older People. 2007; 19(9): 9.
There is a 5 million estimate of the carers in the UK and figures are foreseen to upscale for the next 40 years to 9 million (O’ Dowd, 2007). With this high number of carers, for whom the carers can ask for support during times when difficulty arises in relation with taking care of people with dementia.
Dementia is a major neurocognitive disorder that interferes with the independence of the elderly by inhibiting memory and thinking skills. Fifty to eighty percent of dementia cases constitute of Alzheimer’s diagnoses; consequently Alzheimer’s disease is the most common type of dementia and currently affects 5.2 million Americans. Most of these cases are patients above the age of 65 and by 2050; 13.8 million Americans in total will suffer Alzheimer’s due to aging of the general population, specifically the baby boomers. Total cost to society ranges from $157- $215 billion (Associated Press). Some would assume the cost of Alzheimer’s to be incurred by pharmaceuticals or medical costs, however RAND Corp suggests dementia cost to society is from care rather than treatment. Therefore, assistance provided by informal providers and directs caregivers incur a majority of the financial and social cost. Currently, the workforce does not have the capacity or training to care for these unique patients; the delivery system needs to address Alzheimer’s as the population ages and more and more fam...
"Who does a son turn to, when his 78 year-old mother, newly admitted to a nursing home’s rehab unit, is experiencing delusions and screams through the night? Or where does a daughter turn to for help when she notices a rapid decline in her mother’s health and her mother refuses to seek medical care? Or the gentleman who believes it is time to a continuing care retirement community, but has no one to advise him on the myriad of financial and lifestyle implications of such a move? (Lederman, 2012)." Within in the field of home health care, ecological system creates an outline for defining what it means to provide quality care to the elderly.