nursing home staff. In addition, they are concerned that Mrs. James’ behavior will cause her to lose muscle mass and functioning. Questions 1. What effect does this chronic illness have on Mrs. James? 2. What education should be provided to the nursing home staff in regard to Mrs. James’ health? 3. How can the nursing home staff address Mrs. James’ family concerns? Answers 1. Life is full of transitions as health, abilities, connections, and environment change. For older adults, these transitions are usually related to losses rather than gains. A chronic disease often will cause a loss of ability, such as visual impairment resulting in the loss of driving ability. Older adults cope with and adapt to losses differently. Some focus on remaining abilities and specific skills that can improve function. Mrs. James has chronic obstructive lung disease. Without the existing comorbidities, this chronic illness causes severe shortness of breath. Many times, people with chronic obstructive lung disease also have to wear continuous Conclusion Aging is accompanied with concerns. This course covered some of the more common concerns of older adults. Screening for these common concerns is significant in promoting healthy aging and quality of life for older adults. The emotional toll of coping with age-related physiological changes was described. The important role that healthcare professionals play includes educating older adults on daily habits that contribute to healthy
oxygen. The shortness of breath associated with chronic obstructive lung disease can affect Mrs. James’ performance of her activities of daily living. 2. The nursing home staff should be educated on helping residents with this condition conserve their energy. When working with Mrs. James, staff should allow for frequent breaks during activities. These managements and arrangements are continually revised in accordance with changes in illness phases, addition of new diagnoses, and fluctuating support systems. The major focus for older adults is not merely managing an illness, but maintaining quality of life, as defined specifically by them, despite the illness. 3. It is also imperative for the social worker or nurse manager at the nursing home to meet with Mrs. James and the family to discuss family concerns. The family should also be informed of the education provided to the nursing home staff and updated on Mrs. James’ plan of care. Staff and family should also be made aware of the emotional effects aging can have on Mrs. James due to her functional loss. aging. Exercise, diet, and avoiding tobacco products are mentioned repeatedly because these have the greatest effect on most, if not all, of the concerns covered. Share the materials within this course with the older adults and their family members in your practice and encourage healthy behaviors. It is much easier to prevent a problem than it is to treat or cure one. ● Hospice Foundation of America: http://www.hospicefoundation.org ● Mayo Clinic: Urinary Incontinence: http://www.mayoclinic.com/health/urinary-incontinence/ DS00404 ● National Association for Continence: www.nafc.org ● National Osteoporosis Foundation: www.nof.org ● Skin Cancer Foundation: http://www.skincancer.org ● WebMD: Depression Health Center: http://www.webmd.com/depression/default.htm
RESOURCES
● Alzheimer’s Association: www.alz.org ● Alzheimer’s Foundation of America: www.alzfdn.org ● American Cancer Society: www.cancer.org ● American Society of Hypertension: http://www.ash-us.org ● American Stroke Association: www.strokeassociation.org ● Arthritis Foundation: http://www.arthritis.org ● Elisabeth Kübler-Ross Foundation: http://www.ekrfoundation.org
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