DNP-810 - Dementia in Aged: Pragmatic Solutions & Policy Barriers

This report addresses the increasing prevalence of dementia among the aging population and explores pragmatic solutions for improving their care, with a focus on integrating these solutions into public policy. It discusses the importance of family-centered care, the need for increased awareness and training among healthcare professionals, and the challenges in implementing effective care plans due to restrictions on physician autonomy and funding limitations. The report also highlights the inadequacies of acute hospitals in providing dementia care and suggests approaches like motivational interviewing and shared decision-making to enhance patient well-being. Ultimately, it advocates for policy changes to support family-centered care and improve the overall quality of life for older adults with dementia, emphasizing the need for government support and revised healthcare practices. Desklib provides access to similar solved assignments and resources for students.

Running head: HEALTH ISSUES FOR AGED PEOPLE
Topic: HEALTH ISSUES FOR AGED PEOPLE
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1HEALTH ISSUES FOR AGED PEOPLE
Over the years the population of aged people have increased alongside their
connection with the worldwide prevalence of dementia. Dementia is defined to be a distinct
reduction in the cognitive functions and memory which subsequently reduces independent
functioning. It is estimated to be the most common geriatric syndrome affecting 4-5 million
aged people in United States. Dementia is supposed to have a huge impact on the families,
patients as well as governmental programs in terms of economic as well as social factors
(Langa et al., 2017). The following paragraphs will give information on the possible
pragmatic solutions to the increased cases of health issues pertaining to dementia in old
people along with the possible incorporation of the solutions in the public policies.
Furthermore, the barriers of the solution which prevent it from implementation in public
based policies and analysis of the solutions is further discussed here.
According to research done in United States, almost 50% of the existing population is
more than 75 years of age and those over 85 years suffer from multiple impairments
pertaining to the functioning of the body with the age falling in the range of 65-69. Moreover,
population of older people living alone have increased along with the availability of care
which is informal by the members of the family towards old people is declining (Goodwin et
al.,2014). Primary care is one of the most important for palliative care especially in old
people moreover the help of general practitioners is required for provision of proper palliative
care especially for people suffering with sensitive health care issues like dementia (Evans et
al.,2014). (Timmons et al., 2016). Provision of family catered care is a possible solution for
care especially to old patients which has been proved as enhancing patient satisfaction,
greater health outcomes along with subsequent reduction in health costs (Constant et al.,
2014).

2HEALTH ISSUES FOR AGED PEOPLE
For implementation of the solutions of providing an effective family centred care, the
proposal should be presented before governmental organisations. The procedures involved in
the pragmatic solution along with he involved advantages as well as disadvantages should be
presented. The proposed budget of the whole solution should be discussed before coming to a
conclusion about the implementation of the program. Moreover this appeal will help to
present the whole case and reach a larger platform regarding the care provided to old people.
In a local pretext the whole solution should be presented before the policy makers for
allowing the provision of a family centred care plan and its effective involvement in the
proper implementation of the program. Plan involving provision of a proper family centred
care should be aware to the nurses and incorporated into the nursing principle and course
curriculum. Often old people do not receive the care provided which often occurs due to lack
of knowledge of the nurses and the involved health care professionals. Thus, proper
awareness should be spread through advocacy of the various models of care given especially
for older people.
There are various barriers which act as potential barriers for the implementation of an
effective plan of care for old people. Often the freedom of implementation is restricted n the
usual regime for physicians. Moreover, flexibility as well as implementation of various
strategies is often required which is restricted in the nurses and health care professionals
involved in person centre care. Nurses should have the independence in planning a proper
strategies of care given to old patients (Moore et al., 2017).
For implementation of such family centred care plans monitory help from the
government as well as local policy makers are required. Moreover, for proper funding
opportunities appeals to the governmental as well as non-governmental organisations should
be approached.

3HEALTH ISSUES FOR AGED PEOPLE
According to various studies conducted, acute hospitals often are not properly
equipped for provision of proper dementia care. Old people are usually not hospitalised for
treatment off the diseases and thus dementia is very rarely the main priority for care for
treatment. Moreover often staff knowledge about the care of older people can be of poor
quality. Often this lack of knowledge is undetected in acute settings. Staff reports can pose a
burden which leads to unmet needs along with a rise in the non-cognitive and behavioural
symptoms of dementia.
One of the most important approaches to the patients given is enhancing the physical
as well as mental health of the patients involved with palliative care. Motivational
interviewing is another effective approach which help the patients to identify as well as
resolve issues involving ambivalence about behavioural change where patients often feel
ambivalent. It is applicable in situations where patients get to know their potential barriers
along with their changes in personal perspectives. Shared decision making often involves
methods where patients alongside clinicians who make decisions using various available
evidences. Ultimately they are encouraged for considering the treatment, screening, as well as
options pertaining to management which is inclusive of the available pros and cons of each
procedure (Elwy et al., 2014).
From the following paragraphs it can be understood that various legislative rules and
regulations have been implemented by the Patient Protection and Affordable Care Act which
often do not meet the standards of the ever-increasing expenditures as well as proper caring
for the ageing population. Thus provision of a proper family centred approach should be
introduced for their effective support and care. For proper incorporation of a family centred
approach for the car of old people, appeals should be made to the government along with
thaw incorporation off the concepts in the principle of nurses and related health care
professionals to make people aware of the significances of the provision of care.

4HEALTH ISSUES FOR AGED PEOPLE
Determination of the barriers imposed to this principle are there which are often post as
potential threats in the implementation of a family centred plan. Recommendations for
getting relief from the usual poor nursing strategies and increased care for old people
especially patients in the palliative care units include shared decision making recesses and
improvisation in the usual methods of motivational interviewing which has been found to be
effective in accessing the problems of the paints and providing a pragmatic solution inclusive
of a proper plan of care. Thus by following these guidelines and the strategic plan of care, old
patients will be relived of the lack of care and support ad this approach will ameliorate the
present conditions of old people.

5HEALTH ISSUES FOR AGED PEOPLE
References
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Shared decision making and motivational interviewing: achieving patient-centered
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Evans, N., Pasman, H. R. W., Donker, G. A., Deliens, L., Van den Block, L., Onwuteaka-
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6HEALTH ISSUES FOR AGED PEOPLE
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7HEALTH ISSUES FOR AGED PEOPLE