Elderly Culture and Nursing Homes
Nursing homes offer a wide range of long-term care assistance for older adults to be able to meet their everyday needs. Older adults from different cultural backgrounds experience conflict with their decision to participate in a nursing home therefore, catalyzing the underlying stigma different cultures hold towards nursing homes. In many cultures, older adults look for family as their primary source for care. However, when their needs cannot be met due to disability and mental health issues, it begins to take a toll on the person’s instrumental activities of daily living (IADL). IADLs are complex daily actions that are needed to live (Cavanaugh & Blanchard-Fields, 2015). Thus, bringing the issues that
Similarly, in an Australian household their family members depend on their social solidarity and mutual obligation to provide both emotional and practical support when older people are unable to care for themselves independently (Yeboah, 2015). Though, when it comes to seeking assistance, both cultures demonstrate great differences. For instance, Puerto Rican families seek outside help when their elders have severe disabilities due to their assimilation to American culture (Delgado & Tennstedt, 1997). Whereas, Australian families tend to keep assistance to a minimum by having care brought from a culturally and linguistically diverse (CALD) approach, which accommodates older adults based on their cultural background (Yeboah, 2015). A point often overlooked is that regardless of the quality of care the older adult receives, they prefer to be located close to family. More importantly, a nursing home produces an environment that shows little consideration for family values, which is the main aspect older adults strive for when considering a nursing home. Therefore, participating in a nursing home can be disputed because it is the defining line between a good or poor quality of life if the older adult fails to make it their home. Quality of life refers to the perceptions people have of their position
Certain cultures that live at or below the poverty line prefer this type of assistance for their elderly family members because it allows them to have someone meet them at their home. This convenience is a big factor and provides the elderly with a way to fulfill their communal culture by living out their time at home among family, while still receiving any necessary assistance for health checks or IADL’s. This improves their quality of life by meeting their needs in a different way. These alternative methods to older adult care are more popular among minorities and cultural groups (Bookman & Kimbrel, 2011). Bookman and Kimbrel acknowledge the gap between financial status as well as culture and race, they stated, “...because elders are widely diverse by race and socioeconomic status, their families attach differing cultural meanings to care and have widely different resources with which to accomplish their care goals” (2011). Thus, creating the large gap seen in nursing home facilities. Specifically, cultures like the Chinese who maintain traditions like filial piety, in which the adult children must care for their elderly parent (Li & Buechel, 2007). This type of culture defines the line between those who view nursing homes as ideal and those who prefer a separate
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.
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.
Indisputably, all too many families find themselves making the difficult decisions to place their loved ones in a nursing home facility. In that stressful atmosphere, family members may be tense, and conflicts may arise. Occasionally, patients and family members can be burdensome and may place their frustration toward the nursing staff. Consequently, some nurses seek to suppress such tension, only to find that it spills over into other areas of life. Others even suffer emotionally, giving way to frustration and despair. The concept of cultural humility will be discussed throughout this paper as an open and aware mentality, the quality and knowledge necessary for the nursing staff to
Culture change in long-term care is a set of guiding principles based on person-centered care tailored to each elder’s care while treating them with dignity and respect. Core values include relationship, personal choice, self-determination, and purposeful living (“Defining Culture Change”, n.d.). In person-centered care, quality of life is recognized to be as important as the quality of care. It is also recognized that every person has the right to be allowed to make their own decisions, even if those decisions may not always be safe. Finally, at the very heart of person-centered care is the relationship between the elder and their caregivers in which the way a task is done is as important, if not more, than the task itself (Jones, 2011).
Some of these care services are now provided at home. Other caregivers include families, friends, affordable caregivers, medical professional and voluntary care providers. As a result, there has a shift in the provision of the health care. However, in some countries such as Canada, people refer to get healthcare services from the hospitals rather than homes. It is because of the belief that homes provide low quality-services. These cultural aspects have led to a massive burden on the patients and the caregivers who have to offer the services from their
Life seems to get busier and more hectic as each generation passes. As generations continue to age, a common dilemma arises that must be resolved: whether or not to put their aging loved ones into a nursing home. Nursing homes have become excessively more popular as the elderly continue to have longer life expectancies. Nursing homes at first were only for those who were poor and had no family to care for them, but now has become an option for families who simply cannot sacrifice the time and effort to care for their elderly loved ones. Morality and ethics is a huge factor in the difficult decision, which many moral factors are considered. In order to analyze how to effectively decide whether or not to put an elder in a nursing home, two theories
Culture care is grounded within one’s worldview, which is shape by social structure factors such as religion, economics, cultural values, environmental context, ethnohistory, and language (Alligood, 2014; Sitzman & Eichelberger, 2015). Moreover, culture care share similarities and differences related to health and well-being, how individual deal with disability and death, as well as, when to seek relief from illnesses or distress. As culture plays a vital role in health care seeking habits and decision making, it is imperative for nurses to fully understand cultural knowledge. With increase cultural knowledge, nurses are better able to implement care plans that are beneficial to the patient with respect to their beliefs, values, and cultural
The health care industry is positioned for the global market place. It is expected to grow exponentially in health-related services for the elderly. China’s population of individuals over sixty years old is expected to grow to one third in the next twenty-five years. Though their culture view aging somewhat differently than in United States, they are interested in the attractive senior living options established here. Senior care encompasses private care facilities, home health care, products, drugs and medical equipment. As the largest health care market in the world American companies have made significant global inroads over the last two decades. These businesses are positioned to offer additional services directed at retirees, and children who will be responsible for their parents and potentially their grandparents as well.
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
Assisted living is an effective type of care facility programmed towards helping older individuals with their increasing disabilities. “The fit between individual capacity and the availability of satisfying activities within an environment is an important aspect of positive aging and an especially salient issue for ALF [Assisted Living Faculty] management, given the role of activities in the consumer selection of assisted living”.2 This isolation of this quote is “positive aging”. Positive aging is important since it leads individuals to have a happier and more fulfilling life, and it can be supported through everyday activities and through the living environment. In nursing homes, each individual needs help with making sure that they are given care that meets their needs. This varies through different states and also communities. The purpose of the quote is to show that each person should be evaluated individually, meaning everyone needs a different approach to deal with the aging process.
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal Of Gerontological Nursing, 35(12), 9-13. doi:10.3928/00989134-20091103-04
are shown by delayed care due to a lack of cultural and ethnic knowledge of caregivers,
Transcultural nursing requires us to care for our patients by providing culturally sensitive care to a broad spectrum of patients. The purpose of this post is to describe cultural baggage, ethnocentrism, cultural imposition, prejudice, discrimination, and cultural congruence. I will also give an example of each term to help you understand the terminology related to nursing care. I will define cultural self-assessment and explain why it is valuable for nurses to understand what their own self-assessment means. Finally, I will describe the five steps to delivering culturally congruent nursing care and how I have applied these concepts to my nursing practice.
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
Mercer, S. O. (1996, March). Navajo elderly people in a reservation nursing home: Admission predictors and culture care practices. Social Work, 41(2), 181-189.