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The Older Person & Supportive Care Assignment

Added on - 27 Dec 2019

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The Older Person &Supportive Care
Table of ContentsINTRODUCTION...........................................................................................................................3Risk factors of dementia.............................................................................................................8Impact of dementia on patients...................................................................................................9CONCLUSION................................................................................................................................9REFERENCES..............................................................................................................................11
INTRODUCTIONThe growing numbers of older people are living with the chronic health and theircondition are being advert to hospitals with their actual care needs (Boltz and et. al., 2014).There are so many approaches which have been made to bridge the practice gap between thepalliative and curative models of care. In present report, Port Haven Care Homes are considered.In this, the role of registered nurse has been discussed to optimise the functional outcomes.Role of nurse in enacting coordination, supervision and delegation of quality and safe functionalcareIt is essential for the nurses to consider the intensity of pain so that proper medicalservices can be delivered to the patients. According to the study Achterberg and et.al (2013), itcan be said that around 35 million people with dementia are living all across the world amongwhich 50% people experience higher pain. However, even after knowing the fact, severalpatients are not treated properly. As per the study, the most promising aspect is the use ofstepped treatment approaches that leads the nurses to adopt diverse behavioural interventionwhile noticing clear symptoms. Pain in dementia is analysed on the basis of changes inbehavioural aspects and it is also one of the reasons that leads helps in analysing healthcomplications. It is also analysed that educational and organizational shortcomings sometimesimpede the quality of care and pain management aspects.In care homes, the registered nurse has huge roles and responsibilities towards patientswhich they are accountable to fulfil on regular basis. In day-to-day life, they have to maintain theactivities which are performed by other nurses. In order to deliver quality of services they haveto make proper coordination with doctors (Bray and et. al., 2010). From the view point ofBodenheimer, (2008), the responsibility of registered nurses is that they have to maintain recordof all individuals, monitor the patients on regular basis and many more. Sometimes they have toconsult with other service health care provider to provide best services to patients. It is theirresponsibility to stay up to date that what new technology so that better services can bedelivered.With the help of new technologies the nurse can provide best care services to familiesand patients and at the same time challenges and complexities can be reducedaccordingly.Through this, they will support the doctors who are involved in the care of patients.However, the study developed by Allan and et.al, (2009), states that falls are termed arethe major causes of morbidity in dementia; hence it is crucial for the nurses to ascertain all such
risk factors that exists and that can enhance issues related to falls in older people. In such study,179 participants (over the age of 65) were recruited from outpatient clinics. In the study, a multifactorial assessment of baseline risk factors was performed to record all the incidents related tofalls. However, according to multivariate analyses, significant potentially modifiable predictorsare considered major symptoms of orthostatic hypotension. Thus, in terms of conclusion it can besaid that there should be appropriate management of such symptoms; hence suitable strategiescan be made accordingly. At the same time, randomised controlled trails can also be conductedfor the purpose of adopting suitable management of dementia.Changes are coming in the role of nurses; hence they have to handle a lot of activitiesmultiply.They have to perform different duties so that patient will feel happy. The level ofsupervision which has been provided by nurse shouldbe appropriatebe appropriate(Bystedt,Eriksson and WILDELARSSON, 2011). The supervision is provided in two ways such as directand indirect. In direct supervision, the nurses are personally present andobserve patientsobservepatientsand provide them with proper services. In indirect supervision, registered nurses are onsite and they make contact with others and provide reasonable access to the patients.TheNursing and Midway Board of Australia undertakes several functions which are set by the HealthPractitioner Regulation National Law and which are also essential to be followed by theregistered nurses.NMBA has framed various laws registration standard as well as forprofessional codes and also set up the guidelines. They are providing recommendations whileassuming that there is a shared responsibility between employers, department of health andhuman services, professional bodies and many more (Choo, Hutchinson and Bucknall, 2010).Delegation and supervision is always the core responsibility of registered nurse and midwives.According to Anderson and et. al. (2012), nurses must have to develop suitable carecoordination according to the Patient- Centred Medical home in which there should be directcommunication among nurses and patients. The study states that care coordination is essential forthe nurses because that aids the nurse to become more responsible and efficient about the servicecare aspects. Thus, in this respect it can be said that registered nurses should focus on deliveringquality care to the patients so that complex health aspects can be managed accordingly.However, on the other hand according to Antonelli and et.al.(2008), care coordination activityservices are important because that aids the patients to manage all service aspects in the best
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