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(PDF) Positive Approaches to Care

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Added on  2021-05-31

(PDF) Positive Approaches to Care

   Added on 2021-05-31

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Running Head: OLDER PERSONS’ POSITIVE NURSING CARE APPROACHES1 Older Persons’ Positive Nursing Care Approaches: The Case of a Depressed Older PersonName InstitutionDate
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OLDER PERSONS’ POSITIVE NURSING CARE APPROACHES2 Older Persons’ Positive Nursing Care Approaches: The Case of a Depressed Older Person IntroductionEmpirical research has established that older persons are active and independent (Rebok, et al., 2014). However, for some, aging brings with it old age health complications and chronic illnesses. To this end, older people are active consumers of health services and as the Singapore population balloons, older persons will demand more healthcare services in the long term [Ageing Planning Office, 2014]. Old age and the demand for healthcare services are positively correlated with research indicating that older persons above the age of 70 utilize 46% of multiday patient stays in public hospitals which significantly pushes healthcare costs up. Singapore is fast aging with only 340,000 people being aged 65 and above in 2010. It is focused this number might reach 900,000 people by the year 2030 [Singapore Department of Statistics, 2012]. A majority of these older persons will demand assistance in almost all the activities of daily living (ADL)( Millan-Calenti, et al., 2010) Moreover, shrinking family sizes and an increasing trend of empty nester households and elderly single is bound to elevate the number of elderly Singaporeans’ requiring both social support and healthcare services. These are grave challenges if positive nursing care approaches that cater for the needs of older persons are not instituted especially those that cater for psychiatric disorders like depression (Seitz, Purandare, &Conn, 2010). This paper will focus on examining the theoretical and legislative perspectives of positive approaches to nursing care that by and large support older persons. In doing so, the paper will draw insights from the Six Senses Framework, aging theories, and Mrs. Jennifer’s depression case. Mrs. Jennifer is 87 years of age.Singapore’s Aged Resident Population
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OLDER PERSONS’ POSITIVE NURSING CARE APPROACHES3Singapore like a couple of other developed countries is seriously undergoing the challenge of an increasingly aging population. This is caused partly by increasing life expectancies and reducing fertility rates. The Singapore Department of Statistics (2012) estimated that the aged population increased from 3.4% in 1970 to approximately 9.9% in 2012, the aged population is residents who are 65 years and above. This is increment is projected to reach 18.7% by 2030. Surprisingly, the old-age support ratio declined from 13.5 in 1970 to 6.7 in2012. Moreover, life expectancy has dramatically increased from only 65.8 years in 1970 to 82.0in 2011[Singapore Department of Statistics, 2012]. This withstanding, the aged are faced with unique health requirements including depression.Legislation and Policy ImplicationsFollowing these statistics, there is a need to institute positive nursing approaches and policies that holistically address the nursing requirements of older persons. The specific healthcare requirements of older persons demand a global paradigm shift from the usual episodic, hospital-centric care nursing approaches towards long-term care policies effected at thecommunity level (Chin, & Phua, 2016). Over the last several decades, the Singaporean government has strived to come up with effective strategies and policies to aid Singaporeans age gracefully. This is realization follows the clinical fact that aging comes with it socioeconomic challenges that not only adversely impact older persons themselves but also implicates families, the society and the government. As early as 1999, the Singaporean government had instituted efforts to coordinate the preparation for an aging population through an inter-ministerial committee. Initiatives such as National Wellness Programme, Re-Employment Act and senior-friendly home modification scheme were seen as effective to cater for the healthcare and socioeconomic needs of older persons [Ageing Planning Office, 2014].
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OLDER PERSONS’ POSITIVE NURSING CARE APPROACHES4Long-Term Care PoliciesThe Singaporean health care system has long adopted the long-term care system in whicholder persons with wanting long-term healthcare demands can be taken care of in residential and non-residential care settings to improve their health conditions. The long term care initiative majorly targets older persons who require further nursing care after being discharged from a health facility (Chin & Phua, 2016). Moreover, it caters for older persons with various severe healthcare conditions living in community residences and who may need constant supervision or support in their daily undertakings. The Aging Planning Office, (2014) described long-term care as:"A range of social and health care services to support the needs of people who are unable to care for themselves for an extended period of time due to their chronic health conditions. Long-term care is mainly for persons who need further care and treatment after being discharged from an acute hospital as well as community-dwelling seniors who may be frail and need supervision or assistance with their daily activities”To underpin the functionality and advancement of quality long-term care nursing services, accessibility, and affordability are critical to the older persons, families and/or caregivers (Francesca, Ana, Jérôme, & Frits, 2011). As such, the development of individualized long-term care services and the integration of the same with systemic and social services is critical at advancing more holistic patient-centric care services to older persons in care centers. This calls for the need to increase the capacity of nurses and caregivers to respond to the different health care needs of older persons. Increasing the number of nursing homes and senior care centers can help bridge accessibility gaps beside elevating the quality of nursing services especially for patients with mental illnesses.
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