Aging and Person Centered Care

This document explores person centered approaches in assessment of aging individuals, review of literature on healthy aging, and best practice strategies to assist older adults in coping with the aging process.

Running head: AGING AND PERSON CENTERED CARE
Aging and person centered care
Name of the student:
Name of the university:
Author note:

1AGING AND PERSON CENTERED CARE
Introduction:
Aging is one of the undeniable aspects of life, and senescence is equivalent to human life.
However, aging is a very complicated process which has a tremendous impact on the physical,
mental, and psychosocial health of an individual (Trombetti et al. 2016). although it has to be
mentioned that living a healthy and meaningful life is one of the most fundamental rights for all
human beings regardless of their age. hence the concept of healthy aging used to address these
challenges that the normal biological process of ageing brings forth in the life of an individual
and design strategies that a personalized and specific to address the specific issues associated
with aging for the person so that they can lead a meaningful and healthy life. this is a will be an
attempt to explore person centred approaches in assessment of aging individuals of their
challenges strengths and weaknesses, review of literature on healthy aging and how to
incorporate the healthy aging procedure into care planning and assistance and a discussion on
best practice strategies to assist the older adults to best cope with the reading process and make
the most of their time.
Critical reflection of the discussion:
As per the principles of patient centred care, communicating with the patience is a very
important part of assessment, Care planning, and implementation (Osborn et al. 2014).
Considering the Australian Healthcare scenario the second standard of the health and safety
Framework also emphasizes on partnering with the consumers, which is fundamental associated
with effective and compassionate interpersonal communication with the patient. Hence, it is
very important to communicate with these aging people to understand their perspective of how
the process of aging affect the lifestyle and living conditions and weather there any restriction
that needs special attention. Hence, for the first part of the assignment, an interview was

2AGING AND PERSON CENTERED CARE
conducted with an elderly person to understand their perspective on aging, its impact and how to
integrate the aspects of healthy aging into the lives of the individuals. Elaborating further as part
of my nursing degree in the University of Technology in Sydney I have to complete nursing care
of older person module focusing on learning how to assist older people to eat healthy and well
and have the best possible quality of life as well. She exhibited the loss of husband to have a
huge toll on her health and she feels very little need for self care and continue to live without
him. Moreover, the social exclusion and withdrawal is affecting her mental state which has the
probability of slipping into depression. Emphasizing on a physical health and the process of
aging that has impacted it it has been mentioned that she reveals herself to be a diabetic and
having to take regular medication to control high blood glucose levels. Although she has
mentioned that she had been diagnosed with this disease for at least five years ago and it has not
been extremely difficult to take full control of disease with regular checkups and strict
medication Regime however after the death of a husband she often finds herself not willing to
take the medication or continue her regular check up due to grief and hopelessness. along with
that Samantha also revealed that she had been suffering from excruciatingly paint since the last
couple of months and find it's very difficult to move around the house on her want you to the
excruciating pain. she also repeat that she had after waking up from deep slumber in the night
due to the pain that had been caused due to tossing and turning during the sleep and even though
she knew she might be getting some bone problem she could not find it within herself to access
healthcare for her issues and she also mentioned feeling the will to live any longer leaving her
gradually. From the entire experience it is clear that eating process had a significant role on the
physical and mental health of the individual interviewed and coupled with the grief of the loss of

3AGING AND PERSON CENTERED CARE
a loved one which is also fundamental aspect of growing age, Samantha is in dire need of
assistance and medical attention.
Literature review:
The case study of Samantha represents the condition for the most of the elderly
population in our society. the older adults that I living alone and are going through bereavement
of the loss of a loved ones are mostly kneading assistant on both physical mental and
psychosocial aspects of living procedure is the reason of all these factors Into one care program
that can help the older adults attend the best possible quality of life. Discussed by Trombetti et
al. (2016), healthy aging is a process which encompasses modifications made on each and every
level of lifestyle that can help address the challenges of teaching and the associated processes so
that the optimal benefits can be incorporated into the living condition of the elderly. As
discussed by Menkin et al. (2018), the older adults are associated with different perceptions and
Expectations after process of ageing and These Expectation Varies significantly with respect to
racial and ethnic differences. in this case as well Samantha belong to in ethnically diverse
cultural background enhance our expectations of ageing and moving on after facing bereavement
of a close one was different which affected her mental state. She firmly believe that after the
death of a husband how life has no meaning and there was no. Going any further with her
existence which is fundamentally associated with her ethnic and traditional principal regarding
life and death. on the other hand authors like Northe and Fiske (2015), healthy eating procedure
is eating an attitude towards the older adults in the aging world. this cross-sectional meta-
analysis suggests that the Eastern cultural the older adults in higher testing than the Western
culturals to due to the collectivist traditions of the cultural backgrounds however in the modern
societies the dramatic rise in the aging population threatens these cultural Expectations and more

4AGING AND PERSON CENTERED CARE
and more adults are accepting the healthy aging procedure to live a better and meaningful life
which modern attitudes towards aging life and dealing with death or bereavement. Hence for
Samantha as well there is need for counseling and psychotherapy to help her realize that even
though she had lost her beloved husband there is more to her life and she can engage herself in
serious social activities and utilize her time left in a greater cause.
considering hair major issues, Samantha had been suffering from borderline depressive disorder
as per our interview and it had been facilitated by the loss of her husband 6 months ago, the
socially isolated state of Living, age related restrictions, and finally the lack of regular contact
with her children. Depression is a very common psychosocial health issue that the older adults
experience and as mentioned by Ludvigson ET Al. (2015), subsyndromal depression which is the
onset of major depressive disorder is very common in the older adults. This onset stage of
depression is associated with exceeding lack of self care habits implementation of hopelessness
and fast beat iterating will to live any longer, and all of these symptoms were exhibited by
Samantha as well. Lastly another of her crucial it shows have been osteoarthritis which is also a
very common health problem that the aging individuals experience. Hasegawa ET Al. (2016)
suggests altered function of the fibulin 3 in the joints of the older adults lead to osteoarthritis.
similarly, the article by Toh ET Al. (2016) states that cellular senescence is the major
contributor to osteoarthritis in ageing adults presented by the biological challenges in cartilage
repair with growing age. hence both depression and osteoarthritis are common aging issues and
hence Samantha needs personalized care for these issues.
Discussion:
Exploration of the Literature suggest that depression and osteoarthritis which are the two
major concerns that Samantha West facing a very common among older adults however she

5AGING AND PERSON CENTERED CARE
needs personalized patient centered care to combat these issues and continue living the best
quality of life possible. from the Australian perspective there are 5 interrelated principles of
patient centred care, including share decision making, respective individual preferences in
diversity, recognizing the uniqueness and choices, effective communication and Information
sharing, and lastly personalized approach to planning and implementation (Banerjee 2015). In
this case as well for both depression and osteoarthritis Samantha and her personal choices has to
be given priority while planning and implementing care. First and foremost she would be needed
to communicate about her present concerns and how proper Healthcare can help address the
issues effectively and revert back to her previous lifestyle. Depression will require
psychotherapy and pharmacological interventions however Samantha would be needed to
communicate about the need for psychological assistance and her preferences while designing
therapies and treatment regimen should be considered as a priority. Similarly, osteoarthritis
which require pharmacological and non pharmacological treatment such as physiotherapy and
acupuncture or yoga and exercise (Betterhealth.vic.gov.au 2018). in this case as well have
personal choices and preferences along with her cultural needs would be needed to given first
priority while designing and implementing care and only with her consent these treatments
would need to commence.
Conclusion:
On a concluding note, aging is a complex procedure and there are a lot of different
external and internal factors that are associated with the whole process of Agent which impact
elegant combination and lifestyle of the individual going through the process. in this case
Samantha executed very common age related issues that she had been facing. As a result please
exercise give me a excellent opportunity to implement my personal knowledge and evidence

6AGING AND PERSON CENTERED CARE
based practice in to understand in her issues, their prevalence in older age and how to integrate
person centred approaches to addresses these issues. It can be hoped that I will be successfully
in. The knowledge skills and experience gained from this exercise into my future practice when I
am given the opportunity to care for older adults with similar issues and can integrate healthy
aging and person centred care to improve their life and living conditions

7AGING AND PERSON CENTERED CARE
References:
Banerjee, S., 2015. Multimorbidity—older adults need health care that can count past one. The
Lancet, 385(9968), pp.587-589.
Betterhealth.vic.gov.au. 2018. Patient-centred care explained. [online] Available at:
https://www.betterhealth.vic.gov.au/health/servicesandsupport/patient-centred-care-explained
[Accessed 31 Dec. 2018].
Hasegawa, A., Yonezawa, T., Taniguchi, N., Otabe, K., Akasaki, Y., Matsukawa, T., Saito, M.,
Neo, M., Marmorstein, L.Y. and Lotz, M.K., 2016. Fibulin-3 in joint aging and osteoarthritis
pathogenesis. Arthritis & rheumatology.
Kogan, A.C., Wilber, K. and Mosqueda, L., 2016. Person‐centered care for older adults with
chronic conditions and functional impairment: A systematic literature review. Journal of the
American Geriatrics Society, 64(1), pp.e1-e7.
Ludvigsson, M., Milberg, A., Marcusson, J. and Wressle, E., 2014. Normal aging or depression?
A qualitative study on the differences between subsyndromal depression and depression in very
old people. The Gerontologist, 55(5), pp.760-769.
Menkin, J.A., Guan, S.S.A., Araiza, D., Reyes, C.E., Trejo, L., Choi, S.E., Willis, P., Kotick, J.,
Jimenez, E., Ma, S. and McCreath, H.E., 2018. Corrigendum to:“Racial/Ethnic Differences in
Expectations Regarding Aging Among Older Adults”. The Gerontologist.
North, M.S. and Fiske, S.T., 2015. Modern attitudes toward older adults in the aging world: A
cross-cultural meta-analysis. Psychological Bulletin, 141(5), p.993.

8AGING AND PERSON CENTERED CARE
Osborn, R., Moulds, D., Squires, D., Doty, M.M. and Anderson, C., 2014. International survey of
older adults finds shortcomings in access, coordination, and patient-centered care. Health
Affairs, 33(12), pp.2247-2255.
Toh, W.S., Brittberg, M., Farr, J., Foldager, C.B., Gomoll, A.H., Hui, J.H.P., Richardson, J.B.,
Roberts, S. and Spector, M., 2016. Cellular senescence in aging and osteoarthritis: implications
for cartilage repair. Acta orthopaedica, 87(sup363), pp.6-14.
Trombetti, A., Reid, K.F., Hars, M., Herrmann, F.R., Pasha, E., Phillips, E.M. and Fielding,
R.A., 2016. Age-associated declines in muscle mass, strength, power, and physical performance:
impact on fear of falling and quality of life. Osteoporosis international, 27(2), pp.463-471.

9AGING AND PERSON CENTERED CARE
Appendix A:
In this conquest I have to interview an elderly individual and I took the Liberty of
interviewing my own neighbor, A 65 year old widow lady named Samantha who had been
living alone in her two storied house in our locality ever since the death of her husband 6 months
ago. In order to ensure that the interviewee can be I took the effort of interview her in her own
house and when I entered her humble Abode I noticed slightly Katra Church physical
environment which has the potential to be extremely detrimental for Her health and safety.
Although she greeted me with a warm welcome and she understood the cause behind this
interview and responded with each of my questions very warmly. While conversing with her I
understood that, the death of a husband had a huge emotional toll on her and her life style and
living condition is largely affected by the loneliness and lack of any human connection. When
enquire for the Samantha revealed that both of her daughters are settled in the nearest cities and
yet rarely visited her due to their busy schedule. Due to the gaping loneliness she often finds
herself hopeless and without any need for caring for her or cooking a nice meal. Lastly she
mentioned that she is attempting to turn around from the challenges that she is facing due to the
agent process and the loss she has sustained after the death of her husband and she never wants
to let her beloved husband down created to see her lose, although her depression and
osteoarthritis continues to be challenges she needs assistance with.

10AGING AND PERSON CENTERED CARE
Appendix B:
Authors Studydesign Sample Interventio
n
Findings Implication
s
List authors
according to the
UTS Referencing
Policy (Harvard
Style)
Eg,
Randomised
controlled
trial, cohort
study,
descriptive,
non
randomised
trialsetc
Eg, Sample
description
(number of
participants
, age,
gender etc),
inclusion
and
exclusion
criteria
What did
the study
do and why
did they
choose this
approach?
What did
the study
find
following
their
intervention
?
What
evidencedo
es this
study
provide to
inform and
support
your care
planning
for this
older
person?
Trombetti, A., Reid,
K.F., Hars, M.,
Herrmann, F.R.,
Pasha, E., Phillips,
E.M. and Fielding,
R.A., 2016. Age-
longitudinal
study
Twenty-six
healthy
older
subjects
and 22
mobility-
To
understan
d the
impact of
age
associated
declining
muscle
mass,
strength,
power, and
physical
Shows the
impact of
aging on
life and the
challenges
from a

11AGING AND PERSON CENTERED CARE
associated declines
in muscle mass,
strength, power,
and physical
performance:
impact on fear of
falling and quality
of life. Osteoporosis
international, 27(2),
pp.463-471.
limited
older
subjects
decline of
muscle
mass and
power on
living
performanc
e are
independen
t
contributin
g factors to
increased
fear of
falling,
while
declines of
muscle
mass and
physical
performanc
e
contribute
to
deterioratio
n of quality
of life
biological
perspective
Hasegawa, A.,
Yonezawa, T.,
Observation
al study
Human
knee joints
To observe
the
Found that
fibulin-3 is
Osteoarthr
itis and the

12AGING AND PERSON CENTERED CARE
Taniguchi, N.,
Otabe, K., Akasaki,
Y., Matsukawa, T.,
Saito, M., Neo, M.,
Marmorstein, L.Y.
and Lotz, M.K.,
2016. Fibulin-3 in
joint aging and
osteoarthritis
pathogenesis. Arthri
tis & rheumatology
were
obtained at
autopsy
with
approval of
the Scripps
Human
Subjects
Committee
relation of
Fibulin 3
to
osteoarthri
tis
specifically
expressed in
the SZ of
articular
cartilage
and its
expression
is reduced
in aging.
Fibulin-3
regulates
survival and
differentiati
on of adult
progenitor
cells and its
aging-
related
decline is an
early event
in OA
pathogenesi
s
related
aging
process

13AGING AND PERSON CENTERED CARE
Ludvigsson, M.,
Milberg, A.,
Marcusson, J. and
Wressle, E., 2014.
Normal aging or
depression? A
qualitative study on
the differences
between
subsyndromal
depression and
depression in very
old people. The
Gerontologist, 55(5),
pp.760-769.
qualitative st
udy
27
individuals
of 87–88
years of
age, who
were
categorized
in the 3
strata of
nondepress
ive, SSD,
and
syndromal
depression
To
understan
d
experience
s of being
in very old
people
with
subsyndro
mal
depression
(SSD)
SSD in very
old people
is not
related to
pathology
but to
normal
aging
The
connection
between
aging and
subsyndro
mal
depression
was
identified
North, M.S. and
Fiske, S.T., 2015.
Modern attitudes
toward older adults
in the aging world:
A cross-cultural
meta-analysis. Psyc
hological
Narrative
review
samples
from 23
countries
and 21,093
total
participant
To
discover
modern
vies
changing
cultural
ideas of
The
findings
suggest the
importance
of
demograph
ic
Helped in
understand
ing how
modern
techniques
can change
perspective

14AGING AND PERSON CENTERED CARE
Bulletin, 141(5),
p.993
s older
adults of
life and
living
challenges
in shaping
modern
attitudes
toward
elders—
presenting
considerati
ons for
future
research in
ageism,
cross-
cultural
psychology,
and even
economic
developme
nt, as
societies
across the
globe
accommod
s of older
adults on
life and
aging

15AGING AND PERSON CENTERED CARE
ate
unpreceden
ted
numbers of
older
citizens
Toh, W.S.,
Brittberg, M., Farr,
J., Foldager, C.B.,
Gomoll, A.H., Hui,
J.H.P., Richardson,
J.B., Roberts, S.
and Spector, M.,
2016. Cellular
senescence in aging
and osteoarthritis:
implications for
cartilage
repair. Acta
orthopaedica, 87(su
p363), pp.6-14
Review study No such
sampling
observed,
just a
narrative
review
To
understan
d the
relation
between
cellular
senescence
and
osteoarthri
tis
consequenc
es of
cellular
senescence,
and the
associated
biological
challenges
in cartilage
repair
leads to
issues like
osteoarthrit
is
Helped
understand
the
biological
process
associated
with aging
and its
impact on
osteoarthri
tis

16AGING AND PERSON CENTERED CARE