NUR4636 Senior Health Response

Running head: SENIOR HEALTH 1 Senior Health Dilsy Ricardo Florida National University Nursing Department BSN Program NUR 4636 – Community Health Nursing Prof. Eddie Cruz, RN MSN November 27, 2019 SENIOR HEALTH 2 SENIOR HEALTH Mention and discuss the healthy people 2020 wellness goals and objectives for older adults. The increasing number of older adults in the United States has made the federal government to focus on different activities that promote the health of older adults. The goal of healthy people 2020 is to improve the function, quality of life and the general health of the elderly population. According to Bolin et al (2015), the United States has 49.2 million older adults aged above 65 years. It is projected that this number will increase in the coming years to reach 98 million older adults by 2060. Unfortunately, the chronic illnesses remain a major health problem facing older adults. It’s the objective of Healthy people 2020 to increase the number of geriatric physicians in the United States. This is because of the growing need for geriatric physicians which results from the growing population of older adults. According to Gimm and Kitsantas (2016), only 2.7% of geriatric physicians are certified. Healthy people, 2020 targets to increase the number of certified geriatric physicians by 3% which will mark a 10% improvement. The main problem facing this objective is financial problems. Specialization in geriatric medicine increases the medical school debt of doctors. Also, most physicians have little interest in geriatric because older adults are covered by Medicaid and Medicare which are less beneficial for health insurance agencies. Healthy people 2020 targets to increase the number of physical therapists with geriatric certification by 0.7%. Currently, approximately 1% of physical therapists have geriatric certification. Older adults suffer from health conditions that can be improved SENIOR HEALTH 3 through physical therapy (Adams, Katz & Shenson, 2016). This includes osteoporosis, arthritis, balance disorders, joint and hip replacement, Alzheimer’s disease and incontinence. Physical therapy can improve the quality of life for older adults. Define and discuss the aging process and the demographic characteristics of the elderly population in your community. Aging is the process of growing old and it is determined by genetics and modulated by the environment. According to Carr and Weir (2017), aging occurs throughout the person’s lifespan. During the young age, aging is characterized by discovery, growth and maturation. Scientists believe that aging results from the interaction of different factors which include disease, genes, environment, and lifestyle. Aging can be defined from a psychological, functional, chronological and biological perspective. Functional age is measured based on individual capabilities. NUR4636 Senior Health Response

In contrast, biological age is determined by the changes experienced by the different parts of the body. The chronological is based on time. On the other hand, the psychological age is determined by a person’s actions and feelings. Several biological changes occur during the aging process for most persons above 65 years. Older adults experience bladder problems like frequent urination. This results from the relaxation of bladder muscles which is caused by nerve damage, infection, and irritation. According to Scharlach (2017), bones lose mineral at the age of 35 years and this causes muscle, bones and joint pains. This explains why older adults suffer from injuries caused by falls. The aging process can lead to eyesight, hearing, and respiratory, cardiovascular, metabolism and memory problems. SENIOR HEALTH 4 In my community, there are more elderly men above 65 years as compared to women. Most of the older adults own homes although some older adults live in nursing homes, homes owned by relatives and rented accommodation. Older women above 65 years report more health problems compared to men (Parish et al, 2019). Most senior adults in my community are working although they still assume parenting roles by raising their grandchildren. Nevertheless, most charity organizations have a focus on health programs that improve the quality of life of older adults. Identify and discuss nursing actions that address the needs of older adults Nurses play an influential role in encouraging older adults to engage in physical exercise. According to Miller (2018), physical exercise reduces mortality and morbidity, improves quality of life and reduces disability. Nurses come up with a home exercise program that supports older adults to walk safely without any assistance. Such a program promotes the freedom of senior adults, reduces the risk of injuries resulting from falls by 40%, and reduces the risk of chronic diseases like stroke, lung disease, hypertension, cancer, diabetes, and depression. Regular exercise restores restful sleep, maintain a healthy weight, strengthens the bones and improves heart health. A healthy diet plays a major role in preventing diseases among older adults. This is because the weakening immune system of older adults predisposes them to diseases. Nurses provide dietary advice to older adults recovering from illnesses. This is a common activity conducted by community nurses who address the health needs of the community. Also, nurses work closely with older adults suffering from management. They provide them with dietary options that are crucial in managing diabetes. Nurses can conduct nutrition presentations to senior adults in local healthcare centers. SENIOR HEALTH 5 Senior adults have prescribed multiple drugs and this increases the risk of overdose and inappropriate medication. Nurses have a major role in monitoring medication use by older adults. Thus, nurses follow up to see whether the older adults are taking the prescribed medication at the specified time. Also, nurses address allergies and drug overdose issues affecting older adults. According to Schenker et al (2015), some medications prescribed to older adults, especially those suffering from mental health problems, can cause deliriums, hallucinations and increase the risk of falls. Nurses conduct follow-ups to confirm that the senior adults are doing well even when under medication. Mention and discuss health/illness concerns common to the elderly people Arthritis is a common health problem facing the elderly population. Most elderly people above 65 years have suffered from arthritis. Currently, 49.7% of senior adults in the United States are diagnosed with arthritis and this has lowered their quality of life. Both osteoarthritis and rheumatoid arthritis cause chronic pain which can lead to sleep disturbances and depression. The major symptoms of arthritis include joint destruction, stiffness, and swelling. The continuous deterioration of joints can cause permanent damage and deformity. According to Scannapieco and Cantos (2016), arthritis is the leading cause of disability among the elderly population. NUR4636 Senior Health Response

Unfortunately, the actual cause of arthritis is yet to be discovered. World Health Organization (WHO) explains that heart disease is the leading cause of death for most elderly people aged above 65 years. However, more men suffer from heart disease as compared to women. According to Chatterji et al (2015), 37% of men and 26% of women aged above 65 years suffer from heart disease. Scientists explain SENIOR HEALTH 6 that aging predisposes people to the risks associated with heart disease. The major risk factors include high cholesterol levels and high blood pressure. These two factors increase the risk of suffering from a stroke or heart disease. However, a healthy lifestyle and physical exercise reduce the risk of heart disease. From the recent CDC reports, most elderly people suffer from Alzheimer’s disease. Verma et al (2017) explain that Alzheimer’s disease accounts for approximately 92,604 death of elderly people. This is confirmed by reports from Alzheimer’s association which indicate that 1 out of 9 elderly people above 65 years suffers from Alzheimer’s disease. It is difficult for a health practitioner to diagnose Alzheimer’s disease thus there is no exact number of elderly people suffering from Alzheimer’s disease. Medical experts assert that cognitive impairment lowers the quality of life for the elderly population. SENIOR HEALTH 7 Reference Adams, M. L., Katz, D. L., & Shenson, D. (2016). A healthy lifestyle composite measure: Significance and potential uses. Preventive medicine, 84, 41-47. Bolin, J. N., Bellamy, G. R., Ferdinand, A. O., Vuong, A. M., Kash, B. A., Schulze, A., & Helduser, J. W. (2015). Rural healthy people 2020: new decade, same challenges. The Journal of Rural Health, 31(3), 326-333. Carr, K., & Weir, P. L. (2017). A qualitative description of successful aging through different decades of older adulthood. Aging & mental health, 21(12), 1317-1325. Chatterji, S., Byles, J., Cutler, D., Seeman, T., & Verdes, E. (2015). NUR4636 Senior Health Response

Health, functioning, and disability in older adults—present status and future implications. The lancet, 385(9967), 563-575. Gimm, G. W., & Kitsantas, P. (2016). Falls, depression, and other hospitalization risk factors for adults in residential care facilities. The International Journal of Aging and Human Development, 83(1), 44-62. Miller, C. A. (2018). Nursing for wellness in older adults. Lippincott Williams & Wilkins. Parish, A., Kim, J., Lewallen, K. M., Miller, S., Myers, J., Panepinto, R., & Maxwell, C. A. (2019). Knowledge and perceptions about aging and frailty: An integrative review of the literature. Geriatric Nursing, 40(1), 13-24. Scannapieco, F. A., & Cantos, A. (2016). Oral inflammation and infection, and chronic medical diseases: implications for the elderly. Periodontology 2000, 72(1), 153175. SENIOR HEALTH 8 Scharlach, A. E. (2017). Aging in context: Individual and environmental pathways to aging-friendly communities—The 2015 Matthew A. Pollack Award Lecture. The Gerontologist, 57(4), 606-618. Schenker, Y., White, D., Rosenzweig, M., Chu, E., Moore, C., Ellis, P., … & Arnold, R. (2015). Care management by oncology nurses to address palliative care needs: a pilot trial to assess feasibility, acceptability, and perceived effectiveness of the CONNECT intervention. Journal of palliative medicine, 18(3), 232-240. Verma, S. K., Luo, N., Subramaniam, M., Sum, C. F., Stahl, D., Liow, P. H., & Chong, S. A. (2017). Impact of depression on health related quality of life in patients with diabetes. Running Head: SENIOR HEALTH 1 Senior Health Nirio Arencibia Florida National University Nursing Department BSN Program NUR 4636- Community Health Nursing Prof. Eddie Cruz, RN MSN November 27, 2019 SENIOR HEALTH 2 Presentation Senior wellbeing is an expression used to depict the psychological and physical states of senior or more seasoned individuals, those in their sixties and more established (Stoltz, Willman and Udén, 2016). The quantity of more seasoned residents in the United States keeps on expanding, and it is evaluated it will keep on ascending past 2030. The lives of more seasoned individuals get influenced by their ways of life as well as by the maturing procedure. In any case, the greater part of the wellbeing conditions in mature age can be stayed away from if individuals can watch their loads, eat healthfully, keep away from liquor and tobacco, and exercise consistently. This paper will portray the maturing procedure, statistic attributes related with the maturing populace, and nursing intercessions that address the necessities of more seasoned residents. Wellbeing targets and objectives for more seasoned residents as recommended by Healthy People 2020 will likewise be talked about. Question 1 Sound People allude to 10-years destinations and objectives that are planned for improving the general wellbeing all things considered. Solid People perceives the way that the more established populaces are at a higher danger of ceaseless maladies and have thought of procedures that are planned for tending to the wellbeing needs of the more seasoned populaces with the significant objective of improving the quality, working, and strength of the more seasoned residents. In SENIOR HEALTH acknowledgment of the difficulties looked by the more established populace, Healthy People has thought of the accompanying targets which are planned for improving the wellbeing of more seasoned people: i) NUR4636 Senior Health Response

Encourage the assortment and distribution of misuse, disregard and misuse bodies of evidence against the older and the injured individual qualities ii) Reduce ulcer and weight related hospitalization cases among the older iii) Reduce useful constraints (moderate and extreme) among more seasoned grown-ups. iv) Increase the quantity of medicinal services experts with geriatric affirmations v) Ensure that more seasoned grown-ups know about the clinical preventive administrations that they can go to for help. Question 2 The term maturing essentially alludes to the way toward getting more seasoned; it is a characteristic procedure that every single living being must experience, including people (Wiles, Leibing, Guberman, Reeve and Allen, 2016). In people, the procedure is portrayed by a collection of social, mental, and physical changes. It is assessed that the quantity of more established people is on the ascent in the US. Nonetheless, the quantity of more established people is not quite the same as one geographic 3 SENIOR HEALTH area to another, with the quantity of more seasoned ladies being greater than that of men. As individuals keep on maturing, they experience various medical issues, and they wind up spending quite a bit of their pay on medicinal services. Destitution levels among more established residents are additionally high on the grounds that most of them are jobless and need to rely upon others for budgetary help. Be that as it may, neediness levels may rely upon ethnicity, sexual orientation, race, and conjugal status. At the point when individuals become old, they face a grouping of mental issues as a result of changes in their lives. For example, a dominant part of more established residents are individuals who have resigned from their employments and need to make sense of the subsequent stage in their lives. It tends to be exceptionally hard for somebody who has been utilized for his entire life to conform to life after retirement. They likewise become separated from their loved ones, something that can truly be hard to conform to. Widowhood and widowerhood are additionally a portion of the adjustments in life that more seasoned residents need to manage. Question 3 There are a few things that medical attendants could do to help more seasoned people in adapting to issues in their lives. Being the essential suppliers of social insurance, the principal thing that they could do is to be there for them. Most more seasoned people live alone or in grown-up care establishments as a result of being segregated or isolated from their loved ones (Narayanasamy et. Al., 2015). By medical caretakers being there for them and tuning in to them, they become inspired 4 SENIOR HEALTH in their lives. Something else that medical caretakers could do is urge more seasoned residents to be occupied with physical movement and to eat steadily. The majority of the medical issues throughout everyday life – including adulthood could really be maintained a strategic distance from through exercise and watching a sound eating regimen. Medical caretakers could likewise teach the more established grown-ups on issues related with maturing and make them mindful that what they are experiencing is consummately typical, and that they can in any case keep on having sound existences. More established residents ought to likewise be urged to share their desires and to guarantee that they go for ordinary therapeutic tests. Question 4 An expansion in maturing populaces will without a doubt lead to expanded requirements for human services and social emotionally supportive networks to address the necessities of the more seasoned populaces. The medicinal services needs of more seasoned people are likewise unique in relation to those of the more youthful populaces since they are increasingly inclined to interminable illnesses, for example, hypertension, joint pain, diabetes, gloom, and heart ailments (Petersen, Kandelman, Arpin and Ogawa, 2015). These extents of residents need explicit Medicare and treatment that separates them from different populaces. Alzheimer is another ailment related with mature age which starts with mellow memory misfortunes at that point continues to add up to weakening and inevitable demise References 5 SENIOR HEALTH Demon Narayanasamy, A., Clissett, P., Parumal, L., Thompson, D., Annasamy, S., and Edge, R. (2015). Reactions to the profound needs of more established individuals. Diary of cutting edge nursing, 48(1), 6-16. impPetersen, P. E., Kandelman, D., Arpin, S., and Ogawa, H. (2015). Worldwide oral strength of more established human call for general wellbeing activity. Network dental wellbeing, 27(4), 257-67. Devil Stoltz, P., Willman, An., and Udén, G. (2016). The importance of help as described by family carers who care for a senior relative at home. Subjective Health Research, 16(5), 594-610. impWiles, J. L., Leibing, A., Guberman, N., Reeve, J., and Allen, R. E. (2016). The significance of “maturing set up” to more established individuals. The gerontologist, 52(3), 357-366. 6 …