Evidence Based Quality Improvement For Older Adults Essay

Evidence Based Quality Improvement For Older Adults Essay

Length: 1876 words (5.4 double-spaced pages)

Rating: Better Essays

Open Document

Essay Preview

Evidence-Based Quality Improvement for Older Adults
For this paper, I will discuss five current evidence-based articles to examine several aspects that impact quality improvement for older adults. I will discuss age-related physical and emotional changes and how they challenge quality improvement in the elderly, barriers and solutions to quality improvement programs, and how these will impact the quality outcomes for the aging adult.
Age-Related Changes
There are many theories that describe the aging process, but current thought is that physical changes begin as early as the 20s and 30s in most adults. Normal aging affects every system in the body because organs become more inefficient. Heart muscle thickens, and oxygen uptake lessens. Arteries become less elastic, and it becomes more difficult to circulate blood. Lung and bladder capacity declines and kidneys cannot excrete waste products as well. Muscle mass declines and mineral loss occurs in bones. Vision close-up and at a distance becomes difficult. Low light environments and glare from headlights can compound this issue and make driving at night challenging. Hearing can diminish but is more prevalent in men than women (Toblaski, 2014-a).
Literature Review
Keeping the elderly patients safe is the most critical and challenging aspect of gerontological nursing due to generalized diminishing function. I reviewed five research articles to look at various improvement programs and how they relate to QAPI (Quality Assurance and Performance Improvement). QAPI is a framework of government guidelines for quality improvement programs in nursing homes (Centers for Medicare & Medicaid Services, 2014).
Training Model Effects on Oral Care in a Long-term Care Facility
The first ar...


... middle of paper ...


...ents increase strength and mobility.

In conclusion, the aging process presents many challenges to providing safe, high-quality care for elderly patients in long-term care facilities. Nursing homes should focus on engaging and involving all departments and staff in quality program initiatives. QI leaders should make staff education an integral piece of improvement efforts and should model their programs using the elements of the QAPI process. While resources are scarce, QI staff need to look at creative ways to encourage staff to adopt EBP. Researchers should increase data collection from real world settings to develop evidence-based practices. As the elderly adult population rapidly increases, the areas of research, nursing care, and quality improvement need work together to find ways to deliver the safest health care available to this vulnerable population.

Need Writing Help?

Get feedback on grammar, clarity, concision and logic instantly.

Check your paper »

Prevention of Falls in Hospitalized Older Adults Essays

- Falls prevention of hospitalized older adults in acute medical Units: Evidence based nursing interventions. Introduction 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....   [tags: Vitamin D Supplementation, Call Bell]

Better Essays
2941 words (8.4 pages)

Essay on Substance Abuse And The Older Adults

- Substance abuse or misuse in the Older Adult population is a growing problem. As our population ages this problem will increase. Alcohol is reported to be the primary substance of abuse for persons aged 50 or Older. Opiates are the second most common one. Common drugs are prescribed for anxiety, pain, and insomnia. Older Adults can become addicted as do their younger counterparts due to taking medications first for pain management. Treatment resources for pain management and addictions are limited for Older Adults....   [tags: Opioid, Drug addiction, Addiction, Pain]

Better Essays
1803 words (5.2 pages)

Essay about The Population Of Older Adults

- The population of older adults is growing rapidly due to an increased number of physically active members of society. A consequence of this is the increased likelihood of the elderly becoming witnesses/victims of crime (Bornstein, 1995). Obtaining forensically relevant testimony from elderly eyewitnesses has therefore become a cause for concern. This concern results from a range of studies which emphasise the potential disadvantages that elderly witnesses may face when identifying perpetrators. Studies consistently show the deleterious effects of aging on memory....   [tags: Gerontology, Ageing, Old age, Face perception]

Better Essays
1777 words (5.1 pages)

Medication Management for Older Adults Essay

- Proper medication management among older adults can be challenging. Older persons may not fully understand the purpose of the medication and the importance of following the prescription as directed. Over the counter medication, herbs and supplements may not be considered medication; therefore, they do not inform their health care provider that they are taking them. Multiple health care providers can result in duplication of orders or adverse drug reactions. Improper management of medication may lead to adverse drug events ultimately extending a hospitalization or decreasing an older adult’s ability to function safely....   [tags: nursing, medication, prescription, health care]

Better Essays
960 words (2.7 pages)

Plan to Utilize Motivational Interviewing to Improve Fruit and Vegetable Intake

- The essentials for the Doctor of Nursing Practice (DNP) dictate that DNP’s utilize “organizational and systems leadership for quality improvement and systems thinking” (AACN, 2006, pg. 10). Because of this essential, it is critical that DNP students engage with organizations in various settings in order to improve the quality of healthcare nurses deliver to their patients. This paper intends to outline a plan for implementing a protocol to utilize motivational interviewing (MI) to improve fruit and vegetable intake in older adults who are patients in a primary care setting....   [tags: DNP, healthcare, nursing, older adults]

Better Essays
2649 words (7.6 pages)

The Importance Of The Older Adults Weight Loss Essay

- 1. Determination of scientific and technical merit A research proposal will assess the feasibility and acceptability of the older adults weight Loss (OWL) weight loss intervention in a group of obese older people. There is no title of the proposal which should be added. Then during the introduction, the proposal illustrated that health condition of older people in Scotland. The obesity is a severe risk factor for many diseases. However, there are few interventions designed for older people to lose weight....   [tags: Obesity, Middle age, Weight loss, Health]

Better Essays
1426 words (4.1 pages)

Evidence Based Nursing in Geriatrics Essay

- Nurses who work in the field of geriatrics, also known as gerontology, focus on caring for older adults. This is a high-demand practice area, because older people are more likely to require health services. Half of all hospital admissions are for patients over age 65, but only 1% of nurses are certified in geriatrics (ExploreHealthCareers.org, 2013). Geriatric nurses are educated to understand and treat the often complex physical and mental health needs of older people. Nurses try to help their patients protect their health and cope with changes in their mental and physical abilities, so older people can stay independent and active as long as possible....   [tags: Nursing Essays]

Better Essays
902 words (2.6 pages)

Alzheimer 's Evidence Based Practice Essay

- Alzheimer’s Evidence Based Practice The National Institute of Aging (NIA) defines Alzheimer’s disease as “an irreversible, progressive brain disorder that slowly destroys memory and thinking skills, and eventually the ability to carry out the simplest tasks” (2016). There is currently no cure for Alzheimer’s disease, however there are several medications that can help with the symptoms of the disease (Duke, 2016). The symptoms of Alzheimer’s disease can be classified as mild, moderate, or severe....   [tags: Alzheimer's disease, Acetylcholine, Memantine]

Better Essays
725 words (2.1 pages)

Impact of Child Maltreatment on Growth and Development Essay

- For our evidence based practice project, we chose the topic of child maltreatment. We wondered if child maltreatment affects the growth and development of school-age children. “The broad term child maltreatment includes intentional physical abuse or neglect, emotional abuse and neglect, and sexual abuse of children, usually by adults” (Perry, Hockenberry, Lowdermilk & Wilson, 2010, p. 1066). Child Protective Services agencies in the United States estimated that there were 900,000 children who were victims of child maltreatment in 2005....   [tags: evidence based practice project]

Better Essays
2480 words (7.1 pages)

Posturing to Promote Respiratory Function Essay

-  Respiration is vital for all physiological systems to function and is especially important for patients that are recovering from disease and invasive medical procedures. Respiration is contingent on how much pressure is exerted on the internal organs and how much resistance these organs meet when trying to relieve this pressure. In this regard, posture has a great influence on how well the respiratory system functions. It has been found that standing and lying in an augmented prone position are the best postures for promotion of respiratory function, as these positions allow more room for respiratory muscles to move and decrease resistance....   [tags: Evidence Based Practice]

Better Essays
1096 words (3.1 pages)