Nursing And The Aging Family Essay

After reading chapters 23 and 24 please answer the following questions. Please follow the discussion protocol and respond to two peers. In addition, follow the guidelines below.

1. Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph. Nursing And The Aging Family Essay

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2. All answers or discussions comments submitted must be in APA format according to Publication Manual

American Psychological Association (APA) (6th ed.) 2009, ISBN: 978-1-4338-0561-5

3. Minimum of two references, not older than 2015.

Questions

Chapter 23 – Mobility: 1A. Describing two (2) of the normal age-related changes that produce challenges in maintaining physical activity in the elderly. 1B. Discuss two (2) physical activities that can enhance health in this population.

Chapter 24 – Neurologic Function: Identify two (2) signs and symptoms of TIA versus CVA. How are your interventions the same or different? Nursing And The Aging Family Essay

My mother broke her hip and had to stay at a nursing home temporarily to rehabilitate. I knew then if she had to stay for a long term that would not be option for my mother. Nursing homes are okay, if family members are checking on your love one while they are there; because I believe they do not have adequate staff to accommodate all the patients in the nursing home. As a result the challenges of taking care of my mother were her refusal to help, effects to health of caretaker, and family conflicts. My mother lived in her home for 50 years. Getting my mother to leave her home and all that was familiar to her was not easy task. She did not feel like she had to leave because she thought she could take care of herself. Some of the…show more content…
I also had offered to set up her bill online and paid them monthly and she refused. For example when she came to live with me finally anything that came on the television especially the religious show that promised her that she would be heal and all she had to do is drink this healing water, I would just tell her I did because she would continue to ask me if I did because me explaining that she did not need send her money would become confrontation. My next challenge with my mother was that she did not accept that she had any medical problems and that she need no assistants in her daily living, even though she had start taking a lot falls before she actually fractured her hip and that was one of my biggest concern, because of her being elderly and possibility of not recovering properly. Later she had a stroke, and started having seizures, which brought on the early dementia. So with having dementia it was hard convincing her that she could live alone and take care of herself “It is hardly surprising that caregivers often develop burnout as well as physical and psychological problems that may compromise or even preclude their caregiving efforts.”Nursing And The Aging Family Essay  (Tepper, L. M., & Cassidy, T. M. 2004, p. 197). Taking care of my mother was not easy she was very difficult to deal with as a matter of fact the relationship had change because of my role I felt like I was the mother and she was the child. My mother and I would argue daily and we never use too we

It is well-known that many countries experience rapid aging in the population. In Europe,
people aged 65 and above account for one fifth of the total population [1]. Because of the decline of
physiological and psychological functions in the aging process [2], older adults are more vulnerable to
various chronic and acute health conditions and many of them also aging with multimorbidity [3].
Irrespective of disease, healthy aging should be promoted, this being the process of developing and
maintaining the functional ability that enables wellbeing in the aging process [4]. That is, health
promotion, which is the process of enabling people to increase control over and to improve their
health [5] is as important as disease prevention, which focuses on specific efforts aimed at reducing the
development and severity of chronic diseases and other morbidity [6]. Nursing And The Aging Family Essay
Nurses in the municipality are the foundation of a country’s primary health care, where they
act as health gatekeepers and work in diverse community settings to provide health promotion and
disease prevention across the lifespan [7]. In parallel with an increasing aging population and a change
in disease spectrum, the role of a nurse is shifting from that of traditionally following physicians’
orders to a more expanded role with responsibility for preventive care [8]. Nurses also pay more
attention to health promotion advice, lifestyle counseling, educational programs and the provision of
early interventions to prevent exacerbation or complications for persons living with diseases [8–11].
In a systematic review, unclear professional boundaries, insufficient knowledge and capabilities,
and unsupportive organizational and workplace environments were all indicated as barriers to the
uptake of new nursing roles in practice [11]. At the health care system level, restricted scope of practice,
low compensation levels, and reimbursement policies seemed to limit nurses’ potential to work in
expanded roles [12,13]. Nursing And The Aging Family Essay
In Sweden, nurses in the municipality have the key role in taking care of older adults. Because of
the limited number of nurses, and a large amount of health care needs requiring qualified practitioners,
Healthcare 2020, 8, 131; doi:10.3390/healthcare8020131 www.mdpi.com/journal/healthcare
Healthcare 2020, 8, 131 2 of 11
nurses are facing challenges in fulfilling their role within health care [14]. It should be the top priority
to understand the reality and remove the barriers to practice which the nurses are already experiencing
in changing roles [15,16]. In this context, the nurses’ own clinical experiences of promoting healthy
aging is of importance. Therefore, the purpose of this study was to describe nurses’ experience of
promoting healthy aging in Swedish municipalities.
2. Materials and Methods
A qualitative descriptive approach was applied, using single in-depth, face-to-face, semi-structured
interviews [17].
2.1. Study Setting and Participants
The study took place in three municipalities in the south of Sweden, where nurses in home
health care and residential care provided nursing for older adults. A purposive sampling method
was applied to recruit the participants [18]. The inclusion criteria were nurses who had at least
six months’ experience of working with older adults in the municipality and were able to communicate
in English. An effort was made to include a variety of workplaces and genders, and a total of thirteen
nurses participated. Nursing And The Aging Family Essay
2.2. Data Collection
Two of the researchers introduced the study to nurses responsible for the medical issues of
home health care in two municipalities and some nurses in a third municipality through personal
knowledge. The responsible nurses forwarded the contact information of nurses who showed an
interest in participating in the study to the researchers. All the interviewees gave informed consent to
participate in the study with reassurance of confidentiality, and the participating nurses decided the
time and place they preferred for the interview.
Data were collected by the first author through face-to-face semi-structured interviews in English
from November 2018 to January 2019. All the interviews took place at the nurses’ workplaces in a
private room during working hours. Participants signed the informed consent prior to the interview.
A self-reported demographic questionnaire (gender, age, job title, education, years of working) was
completed by each participant before the interview. Each interview lasted approximately 30 to 45 min.
The interviews were audio-recorded with permission from the participants and field notes were
taken during the interviews. The interview guide with open-ended questions was developed by the
researchers based on a literature review and professional experience. The overarching questions in the
interview were about the nurses’ perceptions of the concept of healthy aging, how the nurses associated
nursing with healthy aging and the nurses’ experiences of promoting healthy aging. To improve the
trustworthiness of the study, two pilot interviews were conducted with nurses, who had experience
of taking care of older adults, to test the interview guide and for the interviewer to become used to
the interview situation. After each pilot interview, the first and last author reviewed the transcribed
interviews in order to ensure that no important points or data were missed related to the study aim.
In addition, a Swedish–English dictionary was developed with some common professional titles and
words used in primary care, as some words in English were not always familiar to the Swedish-speaking
nurses. The nurses were also able to express some words in Swedish to clarify what they meant during
the interviews, but this option was used only on a few occasions. Nursing And The Aging Family Essay

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2.3. Data Analysis
The interviews were transcribed verbatim by the first author. All transcripts were checked for
accuracy by the last author and any identifiable information was removed prior to analysis. Content
analysis was used to analyze the data, as described by Graneheim and Lundman [19]. Three steps were
included in the process. First of all, reviewing the whole text of the interviews to obtain an outline
of the content. Secondly, dividing the text into meaning units. Then, condensing the meaning units
Healthcare 2020, 8, 131 3 of 11
and labeling them with codes. These codes were compared and grouped into sub-categories and then
into categories (Table 1). To assert the credibility of the analysis, team meetings were held regularly to
discuss the coding process and refine the sub-categories and categories.
2.4. Ethical Considerations
This study followed the principles outlined in the Declaration of Helsinki [20]. All participants
were informed of the purpose of the study and the amount of time required for participation. Informed
consent was signed. Participants were assured that their personal information and interview responses
would remain confidential, and they could withdraw from the study at any time without giving
any explanation.
3. Results
In total, thirteen nurses participated and they had between one and twenty-five years of working
experience (Md = 11) in home health care or in residential homes in the municipality. Ten of them
were women and three were men with a median age of 50 (min-max: 33–63) years. Six of the nurses Nursing And The Aging Family Essay
worked in home health care, and seven worked at residential homes. Eleven of them worked with
older adults on a daily basis and two were managers of residential homes. All of the participants were
registered nurses. Of them, five had special education for working in primary care and another two
had special education for other areas of care. Finally, two of the participants were heads of nurses in
the municipality Nursing And The Aging Family Essay