Nursing Requirements for Older People with Complex Health Conditions

NURSING REQUIREMENTS (PART 1)
1. Recommend and justify the nursing requirements for older people for complex health
conditions diagnosed with or at risk
Getting older can seem discouraging, greying hair, forgetting thinks, wrinkles, increasing diseases etc. There
are various disease that takes birth when people grow old. According to National Council on Ageing, more
than 90% of old people have at least one chronic disease and more than 75% people suffer from at-least two
chronic diseases. These diseases disturbs the entire heath conditions of a person. There are very dangerous
diseases as well as its treatment is also very costly. Stroke, heart diseases, diabetes and cancer are some of the
most common chronic health conditions. Older people also face mental health issues. Thus, care of older
people need not only at right levels of staffing but special and advanced knowledge and skills are required
for the care of older people.
In Australia, more than 90% of older people are suffering from diabetes and heart diseases. The government
of Australia is very concerned about skills and knowledge of nurses mainly for the care and treatment of
older people. There are high risk involved in both, diabetes and heart disease. Here are some symptoms that
show that person is diagnosed with the particular diseases or at risk to be happen.
These are the symptoms that show that person is either diagnosed with or at risk of having complex health
diseases. Thus, it is very important that proper and systematic care or treatment should be provided to patients
suffering from chronic heath disease. Special care should be given older people as passing with age, the immune
system becomes weak. In order to manage the level of diabetes in older people, special care as well as proper
tools and equipment are required to operate their disease. In ageing population, diabetes and health disease is
common health condition as more than 90% of people have it and about 48% people have pre-diabetes.
Symptoms of Diabetes Symptoms of Heart diseases
Increased thirst.
Increased Hunger.
Dry Mouth.
Frequent urination.
Urine infections.
Unexplained loss of weight (Feel hungry).
Weaknesses, tired feeling.
Headaches.
Discomfort radiating to the back, throat, arm or
jaw.
Chest Pain, Arm pain
Sweating, nausea, vomiting.
Dizziness.
Pain below the breastbone.
RECOMMENDATIONS
Here are some precautions that nurses as well as old person should need to follow, either they are suffering from diseases or there
are chances to be suffered:
To prevent Diabetes To control Diabetes
Diabetes is genetic, so if any family members is having diabetes than
others should take precautions before only.
In order to prevent diabetes, it is very important for nurses and old
person to take precautions like they should stop consuming sugar
first.
Nurses ensure that they should go for walk for at least 3-4 km in a
day.
Nurse and family members as well as patients should ensure that they
stop taking stress.
Nurse and family members as well as patients should make sure that
they have a healthy diet.
In order to control diabetes, it is very important that nurse
should give special care or treatment to them.
Nurses should ensure that old person has taken insulin or
tablets in proper time.
Nurse and family members as well as patients should ensure
that they stop taking stress.
Family members and Nurse well as patients should make
sure that they consume healthy diet.
To prevent Heart Disease To control Heart Disease
In order to prevent heart disease, it is very important that old
person should eat healthy food.
After the age of 40, it is very important that a person should go
for yearly check-up.
If they are sweating very much, they should go for check-up.
Feeling pain in arms, jaw or below the breastbone are the
symptoms of heart diseases so they should urgently go hospital.
If an old person is suffering from heart disease, it is the duty of
nurse that they should check their level of blood pressure,
cholesterol level within one month.
Nurses should ensure that they eat healthy food like green
vegetables, fruits daily and avoid the consumption of oily food
and fast food.
Nurses ensure that they should go for walk for at least 3-4 km in
a day.
2. Evaluate implications for nursing care that are related to the environmental changes that influence the health of older people
Nursing is a systematic process that is totally based on solving the issues that are used to identify, prevent, treat health as well as to promote wellness. Environmental changes are the changes that leads to the great impact on the nursing care. There
are various factors that are included in environmental changes like natural, social and governmental factors. It has great impact on the health of older people. These factors have excessive impact on nursing practices or care. Nurses and patients
both have to suffer with the changes in these factors. There are some standard of practice that they followed but these factors affect their work practice that influence the health of older people.
Governmental factors
Nursing practices are based on some norms and
standards that they have to abide with.
Governmental factors like policies, rules,
regulations affect the nursing care. Any change
in these policies bring alteration and
modification in nursing care. These rules and
regulations that are set by government are very
essential as it defined the whole procedure of
practices. It provides standardization in daily
operational activities which is fruitful for older
patients as they get cure as per the standards.
Policies and procedures are very essential in the
nursing practice as it assists in clarify and
strengthen standards as well as it helps in
managing staff of nurses more effectively.
Social Factors
Social factors include lifestyles or living
standard of people and it leads to great
impact on the health of older people. In many
hospitals, treatment is provided according to
religion or wealth which shows inequality
and it affects the health of older people. On
the other hand, wealth is also the biggest
element that has great impact on the health of
older people, sometimes they did not have
sufficient money to take proper care and
treatment. Thus, social factor sometime leads
to positive and sometime negative impact on
their health. Poor economic and social
circumstances affect health of older people
throughout their life as well as practices of
nursing.
Natural Factors
Natural factor includes both internal and external
environment. It affects the nursing practices as well
as the health of patients. There are various natural
factor that influence nursing practices such as noise;
it has been observed that nurses are highly affected
by high noise level that creates annoyance, stress
and emotional exhaustion which affect activities
performed by nurses. Caring for old people need
focused and critical care which can be negatively
affected by noisy environment. There are more
natural factors such as light, with various setting in
which healthcare setting gets developed by
combination of natural and artificial lights. It has
been observed that light affects the mood of people
working in healthcare and can also influence their
working practices.
REFERENCES
Butcher, H.K. and et.al., 2018. Nursing Interventions classification (NIC)-E-Book. Elsevier
Health Sciences.
Day, J and et.al., 2017. Exploring the best practices of nursing research councils in Magnet®
organizations: findings from a qualitative research study. Journal of Nursing Administration, 47(5),
pp.253-258.
Han, K. and et.al., 2017. Variation across US assisted living facilities: admissions, resident care
needs, and staffing. Journal of Nursing Scholarship, 49(1), pp.24-32.
Khanade, K. and et.al., 2017. September. Deriving Information Requirements for a Smart Nursing
System for Intensive Care Units. In Proceedings of the Human Factors and Ergonomics Society
Annual Meeting (Vol. 61, No. 1, pp. 653-654). Sage CA: Los Angeles, CA: SAGE Publications.
Lissauer, T., Duke, T., Mellor, K. and Molyneux, L., 2017. Nasal CPAP for neonatal respiratory
support in low and middle-income countries. Archives of Disease in Childhood-Fetal and Neonatal
Edition, 102(3), pp.F194-F196.
McCoy, J.L. and Anema, M.G., 2018. Fast Facts for Curriculum Development in Nursing: How to
Develop & Evaluate Educational Programs. Springer Publishing Company.
Smythe, A. and et.al., 2017. A qualitative study investigating training requirements of nurses working
with people with dementia in nursing homes. Nurse education today, 50, pp.119-123.
Chronic Diseases, 2017. [Online]. Accessed through:
<http://www.idph.state.il.us/idhp/idhp_ChronicDisease.htm>.