Caring for Frail Elders
NURS 6540: Week 1: Caring for Frail Elders Paper
NURS 6540: Week 1: Caring for Frail Elders Paper
NURS 6540: Advanced Practice Care of Frail Elders | Week 1
As you get older, change is inevitable and it’s not going to get easier. So if you’re thinking about it, go for it. It’s not for everyone, but it was the right decision for me.
—Gail Joy, geriatric patient
Gail Joy is expressing her feelings about changing her site of care. After Joy suffered from falls, she and her daughter realized that living alone was no longer an option for Joy. Joy’s needs had changed, and she required continuous care and assistance with many activities of daily living. She and her daughter explored a couple of options but felt that an assisted living retirement community would be the best site of care (Rubin, 2011). While Joy agreed that she needed to change her site of care, many geriatric patients struggle with accepting this decision. As an advanced practice nurse, you must be able to support these patients and facilitate necessary changes in their sites of care.
NURS 6540: Week 1: Caring for Frail Elders Paper
This week, as you begin exploring the care of frail elders, you examine the impact of changes in sites of care on geriatric patients. You also consider the impact of finances on site placement and treatment decisions. Then, in preparation for your Practicum Experience, you examine aging theories and geriatric competencies to guide the development of your practicum goals and objectives.
Learning Objectives
By the end of this week, students will:
- Evaluate the impact of changes in sites of care on elderly patients
- Analyze the impact of financial issues on site placement and treatment decisions
- Analyze aging theories in nursing practice*
*This Learning Objective supports assignments that are assigned this week, but due in Week 4.
Learning Resources
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Resnick, B. (Ed.). (2016). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (5th ed.). New York, NY: American Geriatrics Society.
- Chapter 2, “Biology” (pp. 5-14)
This chapter covers various theories of aging, including evolutionary and physiologic theories. It also examines the biology of aging, focusing on changes within specific body systems and the consequences of those changes.
- Chapter 3 “Ethics and Law” (pp. 15-21)
This chapter explores decisional capacity in older adult patients, as well as legal and ethical issues surrounding care for older adults. It also examines decisions near the end of life, particularly with dementia patients.
- Chapter 4, “Financing, Coverage, and Costs of Health Care” (pp. 23-35)
This chapter explores financial components of health care for older adults and describes financial aspects of health care at different sites of care.
- Chapter 8, “Cultural Aspects of Care” (pp. 51-57)
This chapter describes cultural issues related to health care for older adults, such as language, communication, attitudes toward health care and health services, and behavior. It also defines ETHNICS, a mnemonic device for providing culturally competent care.
Houde, S., & Melillo, K. (2009). Caring for an aging population. Journal of Gerontological Nursing, 35(12), 8–13.
This article proposes policy initiatives for addressing the shortage of health professionals caring for older adults. It also presents policy initiatives for improving the gerontological nursing workforce.
Watkins, L., Hall, C., & Kring, D. (2012). Hospital to home: A transition program for frail older adults. Professional Case Management, 17(3), 117–125.
This article presents a transitional care model for older adults moving from the hospital care setting to a home setting. It examines practices for maximizing health outcomes and preventing re-hospitalization.
American Federation for Aging Research. (2011). Infoaging guides: Theories of aging. Retrieved from http://www.afar.org/docs/migrated/111121_INFOAGING_GUIDE_THEORIES_OF_AGINGFR.pdf
This guide examines theories of aging, comparing theories that are more widely accepted and those that have become less accepted. It also presents several hypotheses of aging that are currently being researched.
Document: NURS 6540 Due Date Calendar (PDF)
Document: Practicum Journal Template (Word document)
This template is provided by the School of Nursing and is designed to document practicum activities. You are required to use this template for all journal entry submissions.
Clinical Resources
Document: Nurse Practitioner (NP) Student Clinical Orientation (PowerPoint file)
Document: Practicum Manual (PDF file) :
http://academicguides.waldenu.edu/ld.php?content_id=7356923
Required Media
Laureate Education (Producer). (2013c). Introduction to primary care of frail elders [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 13:35 minutes.
In this video program, Dr. Kristen Mauk and Dr. Barbara Resnick discuss the importance of primary care for the geriatric population, as well as aging theories and other special considerations when caring for frail elders.
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Caring for Frail Elders
Introduction
If you’ve ever been a caretaker, you know the weariness that comes from trying to make sure that someone is eating well and taking their medications. It’s hard work—and it can be especially difficult when your loved one has health issues that make it harder for them to take care of themselves. As the years go by and the needs get more complex, it may be time to consider hiring help with caring for your elderly family member. This type of support gives caregivers peace of mind while allowing you more time off work or school yourself so that you can focus on other aspects of your life instead. But although this service is needed today more than ever before as our society ages and grows older, there are many misconceptions about what qualifies as frailty in seniors’ lives. So here are some facts about why caring for an aging loved one is so important:
What is frailty?
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A frail elder has a high risk of falls, infections and hospitalization.
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Frail elders are at risk of losing their independence.
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Frail elders are at risk of losing their life.
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Frail elders are at risk of losing their ability to function independently
Some elders enter their senior years with one or more chronic diseases that cause disability and make them frail.
If you’re an elder with one or more chronic diseases, it’s important to take care of yourself. In some cases, this means getting help with daily tasks—like washing your own hair and dressing yourself in the morning—but in other cases it could mean taking on more household responsibilities that require physical strength.
Some elders who are frail may also experience depression or anxiety as they age. This can make them feel helpless and frustrated about their disabilities and make it harder for them to get through each day without feeling depressed about their situation (or what they see as their situation).
Others develop disease related to aging such as osteoporosis, sarcopenia, or Alzheimer’s disease.
Osteoporosis, sarcopenia and Alzheimer’s disease are three examples of diseases that can affect people who are frail elders.
Osteoporosis is a disorder that affects the bones; it causes them to become weak or brittle. As these weakened bones break, they can lead to frequent falls and even fractures in the elderly population. Sarcopenia is a condition in which muscles become weaker as we age; this leads to an increased risk for falls and other injuries when walking or moving around the home alone. Alzheimer’s disease is another condition that develops with aging; it causes memory loss and other cognitive issues such as difficulty communicating effectively with others (elder-caregiver).
Frail elders may experience multiple health issues at once.
It’s not just one thing. Frail seniors may have multiple health issues that impact their ability to function, and they may have these issues at the same time. For example, a frail elderly person might be suffering from depression and osteoporosis (a disease in which bones become weak). Or he or she could be struggling with chronic pain caused by arthritis or another condition. In this case, the doctor would need to assess whether frailty is present before he or she can begin treating any of these issues effectively—and it’s important for caregivers who are caring for frail elders to know what kind of treatments might work best for their loved ones’ specific needs.
It can be confusing to know when to have your elderly loved one assessed for frailty.
It’s important to know when your loved one is frail.
Frail elders are those who have increased vulnerability to stressors and adverse events, such as injury or hospitalization due to a fall. They may also experience cognitive decline, frailty syndrome (FS), or malnutrition. Frailty refers to an overall state of reduced resistance that occurs with advancing age and affects many aspects of life including mobility, cognition (memory), strength/vitality/healthspan; this can be seen in your elder relative or friend!
The key point here is not just “how can I help my elderly loved one?” but rather “what can I do differently?”
Is frail elderly care different from other types of caregiving?
Frail elderly care is different from other types of caregiving. It requires a different approach and a team approach, as well as a different type of caregiver.
In addition to providing direct assistance to your loved one, you’ll also need to supervise them at all times. It’s important that you remain alert and aware of their surroundings so that they don’t become lost or injured while out in public.
At a certain point, it is unlikely that caring for a frail elder independently is safe or prudent.
At a certain point, it is unlikely that caring for a frail elder independently is safe or prudent.
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Falls risk: Frail elders are at risk for falls because they have less muscle strength and balance than healthy people do. If your loved one cannot walk without help, he or she may need to be in an assisted living facility where staff members can help him or her move around safely.
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Malnutrition risk: Many frail elders live alone and may not get enough nutritious meals on a regular basis. This can lead to malnutrition if you don’t make sure your loved one eats regularly (at least three times per day). Malnourishment can also cause other serious health problems such as dehydration and infection due to poor hygiene practices—so it’s important not just for your own health but also for the other person’s well-being that he/she eat well!
What are the signs that it’s time for a caregiver to seek professional help?
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The caregiver is no longer able to care for the elder, and the health and safety of both is at risk.
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The caregiver has tried their best to keep up with the needs of the frail elder but still struggles financially or emotionally as a result of their inability to meet them in full.
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The elder has lost interest in activities they once enjoyed because they have become too physically exhausting or mentally frustrating for them—and thus isolating them from other people who would help fill those gaps (elderly people tend not to enjoy being alone).
Is there a difference between frail elderly home care and assisted living care?
You may have noticed that the term “frail elderly home care” is a bit different from “assisted living”. While both types of services provide care for elders who can no longer live independently at home, they are not the same.
Frail elderly home care refers to long-term (chronic) conditions such as Alzheimer’s disease or Parkinson’s disease; these conditions are more likely to require professional help than other illnesses. Assisted living provides assistance with activities of daily living (ADLs) like bathing and dressing, but does not include instrumental activities of daily living (IADLs).
Caring for a frail elder is a serious matter.
Caring for a frail elder is a serious matter. It can be hard on the caregiver, and if you’re not careful, it could lead to burnout or even depression.
You might think that caring for your loved one is all about providing them with food and shelter—but there’s much more involved in keeping them healthy and safe. You’ll need to learn how to navigate the medical system (and navigate through its bureaucracy), as well as deal with social services agencies who may want their hands on your money at any given moment. You’ll also need access to transportation so that you can take them outside when needed—and this isn’t always easy either!
Caring for someone with special needs requires patience as well as understanding; these individuals have unique needs that require different levels of attention than those of healthy adults do—so don’t expect yourself or others around you just because someone seems like they’re doing good enough at home alone after years upon years spent living alone themselves.”
Conclusion
As a caregiver for a frail elder, you have a lot of responsibility. It can be difficult to know what to do when you first realize that your loved one is frail and needs care. The good news is that there are many resources available to help you navigate this process. In addition, the National Institute on Aging offers free training in our home health program so that caregivers can learn how to recognize signs of frailty and assess their own abilities as well.
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