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Geriatric assessment case study
The geriatric assessment is a multidimensional, multidisciplinary diagnostic instrument designed
Disparities in assessment for the geriatric population
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The aim of this study was to determine the needs of geriatric care in older women with breast cancer. It is an epidemiological cross-sectional study by self completed survey that included 60 women with breast cancer treated at a cancer hospital. The variables included were, besides comorbidities present, various parameters sociodemographic and health status characteristics. ............ .The Analysis showed comorbidity in older women with cancer may involve a greater degree their physical and emotional health, affecting their quality of life. It is important to assess the state of physical, functional, social and mental of all women with breast cancer health. The scientific studies show that the comprehensive geriatric assessment (CGA) can
Spiegel, D., Bloom, J. R., Kraemer, H. C., & Gottheil, E. (1989). Effect of psychosocial tr@ent on survival of patients with metastatic breast cancer. Lan@t, 88:8-891.
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
In unit 10 we discussed the ins and outs of regulation and enforcement in long-term care. The main reasons for health care regulation are that the government is a major payer and majority of the clients are often frail and vulnerable. In this post, I will discuss some of my take-ways.
Breast cancer is the most common cancer in women. In 2008, more than one million women underwent a diagnostic evaluation for suspected breast cancer. Approximately 182,500 women of the more than one million that received an evaluation also received a positive diagnosis (Montgomery, 2010). Risk factors linked to Breast Cancer include: gender, age, family history, prior breast cancer, previous biopsy, race and ethnicity, breast density, and long menstrual history because of prolonged hormonal stimulation. Modifiable related risk factors also include hormone replacement therapy, alcohol, weight, and physical activity (Giurescu, Hu, Obembe, 2010). The period between the initial discovery of a breast lump until diagnosis is known to cause considerable suffering and distress among patients (Liao, Chen, Chen, Chen, 2009). Patients need to receive care during this period as “unresolved distress may lead to future mental health and adjustment difficulties” (Lally, 2010). Patients with suspected breast cancer who received informational and psychological supportive care during their diagnosis period have an improved psychological status when compared to patients who did not receive supportive care. The care received should be both culturally sensitive and individualized for each patient. In addition, patients care should be coupled with continuous evaluation of psychological and emotional status. A study was conducted to investigate the effect of supportive care on anxiety levels of women during the diagnostic period. Supportive care included evaluation of the participants health care and support nee...
Within the U.S. Healthcare system there are different levels of healthcare; Long-Term Care also known as (LTC), Integrative Care, and Mental Health. While these services are contained within in the U.S. Healthcare system, they function on dissimilar levels.
Three approaches that a practitioner could use to teach ADL skills to a client with perception or memory deficits are grading, adjusting environment and efficient demonstrations that are accompanied with verbal instructions. Grading will allow the selected task to be adapted to the client so they can achieve the objective. Adjusting the environment will permit the client to concentrate on the skill and feel more comfortable. In addition, demonstrating the task to the client allows them to see the steps necessary to complete the task to achieve the desired
Successful Aging Elderly (SAE) Introduction In the elderly population most of the research carried out so far emphasizes on the functional problems and diseases. When it comes to successful aging elderly (SEA), it has been recommended that health status should be used to distinguish between elderly subgroups and disease-free people who can describe successful aging elderly (SAE). The research papers aims to describe a transitory overview of successful aging elderly research, illustrated in their chief sections: cognitive aspects, psychological and social aspects. It is proposed that future studies will unemployment an extensive demonstration of SAE, where the emphasis will be more on biological, health and cognitive perspectives.
The long term care course was very interesting and helped me learn more about what is involved. In the LTC are not only nursing homes, but also adult day care, hospice and home health service. Long-term care is service and supports that a person would need for their own care. A lot of long-term care is not medical care and is considered assisting on everyday personal tasks. I learned that long-term care services are determined by chronic disease and disability. There will always be a need for long-term care.
Dementia is a common syndrome found among elderly over the globe. Talking about dementia, the first word emerge from mind is “loss”. Learning about the disease manifestation, it is known that dementia does bring a huge impact to the affected senior so as the caregiver. Many of us used to focus on the losses of dementia client which indeed causing a labeling effect. Remembered in the first lesson, a question “As a case manager, what will you do to help the client with dementia and the family?” was asked. I realized my answer is “Refer the client to suitable care unit”. It seems that my original thought deprived the elderly as I failed to think of other better solution like assisting them to age in the community. Although dementia leads to certain kinds of loss to people with dementia, their needs and strengths should not be neglected. Institutionalization thus may not the best solution. To serve the elderly, I need to modify my thought by adopting a strength-based approach. Practice should not mutually focus on the losses, but to explore more on the possibilities. Boosting the quality of life is also an important issue, empowering the client by bear in mind that “we are not only work for the service users, but work with them”.
In recent history, women have one of the highest death rate due to breast cancer is than any other cancers. According to the article Breast Cancer Trends Among Young Women In The United States, there is a one in eight (12%) that women will acquire a type of breast cancer in their lifetime. Just in 2013 an estimated of 232,340 new cases of breast cancer was diagnosed in women all over the United States. These recent studied also shows there is a larger percentage of women getting breast cancer at an earlier age in life. Many researchers and doctors believe this is due to increase industrialization exposure, negative lifestyle choices and thei...
Historically speaking breast cancer has been around for hundreds of years. Thankfully the treatment has improved. Patients who get the cancer removed and take care of themselves after, for example, by exercising and eating healthy, will live longer. There are many risks that increase the likelihood of developing breast cancer, for instance, age, family history, and race. A women who made history with breast cancer was Betty Ford, Betty was one of the first lady’s to speak openly about her disease. Betty encouraged women who have been affected with the disease to go to their doctor as soon as possible and told women who had shared that they didn’t have breast cancer to do self breast exams regularly and get mammograms. She also said when women get diagnosed with it don’t be embarrassed. Treatments in the past were pretty good and quite the same compared to the treatments given to people now, for instance, mastectomy’s which was the primary...
Almost 50 percent of breast cancer cases are women 65 and older. In the research of those women, only eight percent of those women received chemotherapy. Ageism has been the main cause of the Elderly not receiving adequate treatment. Age discrimination prevents the very treatment that kills cancer cells so the person can survive. Age discrimination is killing people who need the treatment.
Breast cancer is a malignant tumor that starts in the cells of the breast. A malignant tumor is a group of cancer cells that can grow into (invade) surrounding tissues or spread (metastasize) to distant areas of the body. The disease occurs almost entirely in women, but men can get it, too (What is Breast Cancer, 2015). The purpose of this evaluation is to introduce the audience to breast cancer; discuss risk factors, symptoms, diagnosis; address the mind- body connection of breast cancer and suggestions for prevention and treatment; and provide an overview of breast cancer in social cognitive theory framework. Lastly, one alternative intervention for breast cancer will be highlighted in accordance with the social cognitive
Breast cancer affects nearly fifty thousand women each year in the UK. Breast cancer in women is more common over the age of fifty however in recent years there has seen a spike in younger women falling victim to breast cancer (Macmillan.org, 2012). Cancer Research (2012) states that there are a large mixture of emotions for someone being diagnosed with Breast Cancer and this also may directly impact the families and friends of those diagnosed. Furthermore Macmillian (2012) said that the feelings and emotions that come with a diagnosis of ...
Caring for older people highlights many special and difficult issues for nurses and carers, such as separation, illness, loneliness, death and how to provide continued care (Morrissey et al, 1997). This essay discusses the strategies of care delivered for an older person with dementia during my recent clinical placement. Discussions will focus on normal ageing process taking into account the relevant biological, sociological and physiological perspectives and the impact this had on this individual’s life experience. Ropers’ model is used as a frame work in which cae is delivered. Other related issues to be considered include the role of informal carers and the impact this had on him. Confidentiality is maintained in conjunction with NMC 2010 code of conduct. Thus a pseudonym (Scot) is adopted where the client’s name is mentioned.