An associate member of the American Hospital Association.
National League for Nursing, C Coordinate and manage care Manage chronic conditions, including atypical presentations, in daily life and during life transitions to maximize function and maintain independence. Advocate during acute exacerbations of chronic conditions to prevent complications.
E Evolving knowledge utilization Understand geriatric syndromes and unique presentations of common diseases in older adults. Access and use emerging information and research evidence about the special care needs of each older adult and appropriate treatment options.
Interpret findings and evaluate clinical situations in order to provide high-quality nursing care based on current knowledge and best practices. S Situational decision-making Analyze risks and benefits of care decisions in collaboration with the interdisciplinary team and the older adult, family, and caregivers.
Henry and Bertha had one son, who was killed in the war ten years ago. Their surviving daughter-in-law, Betty, is a registered nurse, and their grandson is named Ty.
Henry has been concerned lately about Bertha because she is experiencing frequent memory lapses. Henry was admitted to the hospital last night after he called and told his doctor that he could not catch his breath.
Henry has several medical problems, including COPD, hypertension, and high cholesterol. Henry and his daughter-in-law, Betty, provide important details of how they view his current life situation i. BP, pulse, EKG, respiratory rate and difficulty, functional status, etc.
Explore available resources for Henry and Bertha i. Improving the geriatric knowledge and expertise of the bedside nurse. An educational and clinical intervention model that prepares the RN as the clinical resource person on geriatric issues to nurses on others units or other specialties NICHE, A nurse-led intervention model targeting older adults at risk for poor outcomes as they maneuver the healthcare system and between healthcare professionals Hirschman et al.
Unification of a team of providers to meet individual older adult needs. Improves healthcare access and outcomes and synchronizes the variety of long-term services and support by utilizing a care coordinator who works closely with the patient, family, primary care provider, and other healthcare professionals Eldercare Workforce Alliance, Provision of opportunities of caring for patients within their own familiar environments along with integrating other components into the caring component i.
Certified Nursing Facility Care Model. Nursing care provided along a continuum within a facility i.
|Top stories||Published By Josh Gish Upson County Board of Commissioners addressed a series of concerns raised by the public in regards to an updated version of a proposed RV ordinance set to take effect in Upson County in the near future.|
Has evolved around long-term care and postacute care i. Nursing facilities are no longer just a destination but a stage in the recovery process. Each setting is seen as a distinct provider of services, and little collaboration may occur between the coordination team.
Groups of providers and hospitals that are accountable for the costs and quality of care provided to a population of patients based on predesignated standards for payment and performance Bartels et al. Redesigning conventional home and community-based long-term care services to incorporate mental health services for older adults who may be at high risk of unnecessary and inappropriate institution-based care Bartels et al.
Some readmissions are predictable, but many can and should be prevented. Following are key strategies to reduce readmission rates to hospitals: Patient, caregivers, hospital and skilled nursing staff, primary care providers, rehabilitation specialists i.
Additional research has identified five key risk factors associated with hospital readmission in low-income older adults: Living alone Poor or low satisfaction with primary care provider Not having Medicaid Receiving a new assistive device within the past 6 months Having a nursing home stay in the preceding 6 months Iloabuchi et al.
The physiologic changes of aging are universal, but the pace at which they occur is highly individual, depending on genes, age, sex, race, environment, and lifestyle. Some people look and feel old at 60 years or younger, while others remain youthful in health, appearance, and outlook at 70 years and beyond.
The challenge for health professionals is to distinguish between normal age-related changes and symptoms of a disease or disorder that requires preventive or therapeutic action. Musculoskeletal Changes The musculoskeletal system is affected in a number of different ways by the aging process.
A pronounced decrease in muscle mass and muscle strength occurs gradually over time. The number of muscle cells decreases, and they are replaced by fibrous connective tissue, resulting in a decrease of muscle mass, tone, and strength. The elasticity of ligaments, tendons, and cartilage also decreases, as does bone mass, resulting in weaker bones.
Calcium is progressively leached resorbed from bones, frequently resulting in osteopenia or osteoporosis—both much more common in women than in men—which may increase the risk of fracture.
Wear and tear on cartilage ligaments, tendons, and joints reduces flexibility and increases the risk of tears. The synovial fluid that lubricates joints decreases with age, resulting in slower and sometimes painful movement.
However, it is not exactly known if this is the result of the aging process or the result of wear and tear on the joints Meiner, In Part 1 of this series, I talked about why the basic premise of the acid-alkaline theory is flawed, and I showed that the evidence doesn’t support the idea that a net acid-forming diet is harmful to bone health.
Now I want to look at the effect of dietary acid load on other health conditions.
Can the acidity or alkalinity of your diet affect your risk for muscle loss, cancer, and more? Attitudes about Aging. An attitude is a feeling, value, or belief about something that determines behavior (Meiner, ).For example, if a nurse has the attitude that characterizes older adults as less healthy, less alert, and more dependent, then his or her initial assessment of the patient will reflect this attitude.
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Published By Josh Gish Residents of the Salem Community converged on the Salem Community Park Saturday, Aug. 18 in celebration of the life of Mr. Joe W. Raines and his lifelong dedication to public service. RHR: How to Fight Practitioner Burnout with Dr. Akil Palanisamy; Will a Low-Carb Diet Shorten Your Life?
RHR: The Shift from Treatment to Prevention, with Vipul Vyas, Laura Conley, & Pat Charmel. Latest breaking news, including politics, crime and celebrity.
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