Ego-Integrity in Elderly Care: Assisted Living Facility Care Report

This report examines ego-integrity in elderly care within the context of an assisted living facility. The objectives include assisting residents with Activities of Daily Living (ADLs) such as dressing, bathing, and toileting, promoting maximum independence, and preventing falls through home modifications. Strategies involve positive reinforcement, assistive devices, and environmental adjustments like widening doorways and installing ramps. Interventions also cover toileting routines, fall prevention, and the use of assistive devices for mobility. The facility offers various services, including 24-hour supervision, nursing, and rehabilitation, along with community spaces for meals and activities. The report emphasizes the importance of maintaining patient rights, privacy, and providing specialized services such as occupational and speech therapy. The document provides references to relevant research on elderly care, falls, and interventions aimed at improving the quality of life for residents.

Ego–
Integrity in
elderly
care

Description
 Name of the assisted living facility- “x” aged care
home
 Residents- 22 older adults

Objectives
 To assist the elderly people in the ADLs like dressing, bathing,
toileting.
 The residents will be able to execute the self –care activities all by
themselves to the utmost capability.
 To bring about some home modifications for removing the
environmental barriers to prevent the risk of slips and falls.
 To guide the patient in accepting the required amount of dependence,
but boost maximum independence.
 To preserve and uphold the rights and the privacy of the patient while
assisting them in grooming and toileting.

Issues identified
 The residents of the assisted living
facility do not have any cognitive
difficulties but they do require varying
degrees of assistance in different
activities of daily living (ADL).

Strategies that can be used
Interventions for the self-care deficits
 Promoting positive reinforcement for the elderly
 The confidence levels should be boosted up
 Assistive devices can be used for the dressing as assessed by the
occupational therapist and the nurse.
 Use of clothing on in size larger to promote comfort and easier in
dressing.

Self-care deficits
 Use of clothing on in size larger to
promote comfort and easier in
dressing.
 In case of adults having physical
impairments, assistive devices for
walking can be used
 Using a stationary chair or a wheel
chair

During ambulation
 For patients with maximum assistance
 Gait belt can be used.
 Bed can be raised to the tallest height that still
allows the patients feet to be flat on the
ground.
 Assisting the patient to use his/her arms to
assist them on the forearms of the caregivers.
 Standing on the weak side of the patient
 Placing the cane in the strong hands of the
patient
 The method maximizes the support of the
patents while protecting the care provider from
injury.
 The caregiver might place the arms beneath
the armpits of the caregivers

During toileting
 Assessing the prior and he current patterns of
toileting.
 Introduction of a toileting routine.
 Assessing whether the patient can do the toileting
activity on their or person needed assistance.
 Providing privacy to the patient at the time of
toileting
 The patient should be observed for falls and loss
of balance.
 Keeping the call light within the reach of the
patient and teaching the patients to call as
prompt as possible.

Miscellaneous interventions
 Telephone – increased volume , large
numbers, pushbuttons
 Giving felt tip pens
Environmental modifications for the
elderly
 Widening of the doorways
 Installation of the ramps – threshold
ramps necessary for the home
modifications
 Modifications in the kitchen-
adjustment in the height of the
counters, lowering the height of the
sink, for allowing easier access from a
seated position.

Group & individual activities
 Fitness programs
 Meditation and relaxation
 Gardening activities

Special services
 24 hours supervision
 Security
 On –site staff
 Nursing services
 A 24- hours GP facility (Taylor et al., 2016)
 24 hours ambulatory care
 Rehabilitation services
 Poviding the community space for the meals education and
entertainment.

Special services
 Provision for specialists like occupational therapists
 Speech therapists
 Physio-therapist
 Provision for senior centres
 Enterpreneurial centers that focuses on productivity and
confidemtiality.
 Café programs for adults over 50 and pr

References
 Adeniran, A. A. (2016). The Etiology and Experience of Falls: Community-Dwelling Older Adults' Perspectives.
 Friedmann, E., Galik, E., Thomas, S. A., Hall, P. S., Chung, S. Y., & McCune, S. (2015). Evaluation of a pet-
assisted living intervention for improving functional status in assisted living residents with mild to moderate
cognitive impairment: a pilot study. American Journal of Alzheimer's Disease & Other Dementias®, 30(3),
276-289.
 Jo, H., & Song, E. (2015). The effect of reminiscence therapy on depression, quality of life, ego-integrity, social
behavior function, and activies of daily living in elderly patients with mild dementia. Educational
gerontology, 41(1), 1-13.
 Roh, H. W., Hong, C. H., Lee, Y., Oh, B. H., Lee, K. S., Chang, K. J., ... & Chung, Y. K. (2015). Participation in
physical, social, and religious activity and risk of depression in the elderly: a community-based three-year
longitudinal study in Korea. PloS one, 10(7), e0132838.
 Siegler, E. L., Lama, S. D., Knight, M. G., Laureano, E., & Reid, M. C. (2015). Community-based supports and
services for older adults: A primer for clinicians. Journal of geriatrics, 2015.
 Taylor, M. J., Edvardsson, D., Horey, D., Fetherstonhaugh, D., Nay, R., & Swerissen, H. (2013). General
practitioner service provision in residential aged care facilities: 1998–2011. Australasian Journal on
Ageing, 32(1), 56-59.
 Wang, D., & MacMillan, T. (2013). The benefits of gardening for older adults: a systematic review of the
literature. Activities, Adaptation & Aging, 37(2), 153-181.