Nursing Care for Older People Assessment 2022

NURSING CARE FOR OLDER PEOPLE
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Table of Contents
Table of Contents.......................................................................................................................2
Introduction................................................................................................................................3
Critical reflection of discussion.................................................................................................3
A critical review of existing literature.......................................................................................4
Discussion..................................................................................................................................5
Conclusion..................................................................................................................................6
Reference list..............................................................................................................................7
Appendix 1.................................................................................................................................9
Discussion of interview..............................................................................................................9
Summary of conversation..........................................................................................................9
Appendix 2: Summary of literature review..............................................................................10
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Introduction
Person-centered assessment helps in integrating different services that can help to understand
and fulfill different complex needs of old persons above 75 years. This type of care can be
provided by collecting data regarding different activities of the person (Allen et al. 2014,
p.346). This approach is different from conventional care as it enables the clients and their
families to get involved in decision-making process. Hence, it is essential to design person-
centered care for providing support. In this study, data was collected from an older person
whose age is 75 and discussion is done accordingly. He is suffering from dementia and
arthritis and he is getting care in homecare setting. Relevant literature has been collected for
review, which can help to increase understanding about the topic. Older people prefer to have
autonomy in case of getting healthcare services. But their mental and physical condition does
not allow them to make appropriate decision (Clegg et al. 2014, p.269).This kind of people
needs special attention from care givers and family members. Due to this reason, person-
centered care is important for older patients.
Critical reflection of discussion
From the discussion, it has been found that principles of person-centered assessments are
being considered partially buy caregivers while they are handling the case of this old person.
These people are suffering from mental and physical illness and it is important to provide
care to this person with proper consideration of principles of person-centered care. As opined
by Kinget al. (2013, p.272), key principles of person-centered care include autonomy,
valuing people, life experience, environment and understanding relationships. In the case of
this person, he is not getting autonomy all the time and he is facing stress due to this reason.
As per the statement of this older person, two issues have been identified. Among which
positive key issue is that that the interviewee is getting opportunity to see and
communicate with his closest ones as the care is being given in homecare setting. It
means that he is getting more attention of his family members at all time. This aspect is
helping him to think positively regarding old age. However, negative issue mentioned by
this older person is that he is being mentally and physically dependent on others, which
is not acceptable by this person. Sometimes, this person is not being able to make decisions
of his own and he thinks that lack of communication with nurses and family members are the
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main reasons behind his mental stress. However, the nurses must respect the autonomy of this
person to make him realize his importance. However, as this person is suffering from
dementia, his family members must take responsibility for making decisions on behalf of this
oldest man in some areas.
A critical review of existing literature
In this case, it can be seen that the older person is not achieving proper care and support and
he is mentally and physically dependent on others. He is not able to make decisions
independently and properly, which is a negative issue. This issue can be solved by
increasing education of caregivers regarding person-centered care. Knowledge regarding
providing of proper care to an old person suffering from dementia is essential. As opined by
Goodman et al. (2016, p.5), desired health outcomes can be achieved through tailoring of
education of caregivers. If a person is mentally and physically dependent on others then
different side effects like depression may occur. In this article, it is also mentioned that the
family of the patient must make proper contract and pay financial incentives to the service
providers like doctors for ensuring proper care. Moreover, Koganet al. (2016, p. 5) argued
that proper care can be provided by including patient and their families during decision
making regarding complex interventions. Different evidence like daily activities of patients,
beliefs, and values must be collected before designing the process. In addition, information
about the preferences of the person and previous medical history needs to be collected. This
is because older patients have complex needs due to several functional disabilities and it
differs in different patients.
On the other hand, proper person-centered care to an aged individual can be provided through
good behavior. This can help to provide mental support to the old patient and the negative
issue can be minimized. In a study, conducted by Liu et al. (2013, p. 4), it was seen that
attitude of nurses towards older individuals is inconsistent. Nurses show positive, negative
and neutral attitudes towards different older patients. This impacts on satisfaction rate of
patients and they feel hesitation to share any information with caregivers. In a healthcare
setting, nurses need to show a positive attitude that can help to increase effectiveness of the
treatment. Thus the patient can be involved positively and mental depression of the patient
can be minimized. Positive behavior of the caregiver in home setting can increase the
impact of positive issue. His acquaintance with closest one can increase and mental
support can be provided. He is getting mental satisfaction while his family members getting
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