Ageism Community Nursing

According to Statistics Canada, aging population has steadily increased since the mid-1960. The age of 65 and older comprised 15.7% of the country’s population. Promoting health in these aging population is very crucial to minimise the severity of health complications that might occur in the long run. Gerontological Nursing involves the care of aging people and emphasize the promotion of the highest possible quality of life and wellness throughout the lifespan (Eliopoulos, c2014 p73). Aging people need Gerontological Nurses who are knowledgeable and willing to promote health and optimum quality of life with the consideration of their core needs such as physiological balance, connection and gratification (Eliopoulos, c2014 p78).

This paper seeks to expand upon the 2010 Institute of Medicine’s report on the future of nursing, leading change, advancing health and illustrating its impact on nursing education, practice and leadership. There is an ongoing transformation in the healthcare system necessitated by the need to achieve a patient centered care in the community, public, and primary care settings in contrast to previous times. Nurses occupying vital roles in the healthcare system, need improvements in the areas mentioned above to

This organization was designed to secure the services of prominent members of appropriate professions in the examination of policy matters relating to the health of the public. “The Institute acts to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education” (Institute of Medicine [IOM], 2010, p. 5) In October 2010, The IOM (Institute of Medicine) released the report, The Future of Nursing: Leading Change, Advancing Health. This report examines the changing roles of nursing in healthcare, changes in nursing education and

Being the number one most trusted profession in the country allows nurses to truly take charge and make a difference in the policy arena Health Care Reform. (2017).

More people are living much longer lives than in years past. People are very surprised to be living much longer lives than they thought they would. Health care has played a large part in patient longevity. There are many normal changes that come along with aging, however, because people are living longer these normal changes can become chronic problems. Common aging problems that can make the older adult a vulnerable population are reviewed in Gerontological Nursing (Tabloski, 2014) and can include nutritional needs, medication management, sleep changes, oral or mouth care, renal problems and musculoskeletal concerns. According to A Profile of Older Americans: 2013 (http://www.hhs.gov), there are a large amount

My philosophy of nursing education grows out of my philosophy of nursing. Much has been said related to healthcare reform, healthcare globalization, and healthcare delivery. A resounding theme in all of these discussions is the need for nurses to take a position of leadership in the healthcare industry (Institute of Medicine, 2010). I believe nurses, as leaders, are uniquely qualified to bridge the gap between the healthcare industry and a rapidly changing global environment. Nurses are educationally in tune to the proposed changes that are being made, yet sensitive enough to address the needs of individuals affected by these changes. In a global community, nurses advocate for the individual.

When people think about nurses, many ideas come to mind. They think of the hideous old starched, white uniforms, a doctor’s handmaiden, the sexy or naughty nurse, or a torturer. The media and society have manipulated the identity and role of nurses. None of these ideas truly portray nurses and what they do. Nurses are with the patients more than the doctors. People do not realize how little they will encounter the doctor in the hospital until they are actually in the hospital. People quickly realize how important nurses are. Because nurses interact with their patients constantly, nurses are the ones who know the patients best.

Reminiscing to 2010, when I was faced with my grandmother 's illness during the adolescent years in my life I knew that I had a passion to care for the elderly (aging) population. From this passion, it ignited a fire so strong that I pursue my certified nursing assistant certification to gain a better understanding of working with the elderly population. By doing so, it has been a great benefit to my life; aging is an inevitable experience that we all will go through during our life. It is important to ensure that our elderly individuals are still able to enjoy the best quality of life after retirement. However, as we age, there will be a lifestyle change that the aging population must encounter.

There is a documentary from 2006 on PBS called Living Old from Frontline that interviews many elderly patients and their care-takers about living longer and the effect it has on them. It was very interesting to watch because it showed both sides of many problems facing the older adult and their families along with the potential decisions that will need to be made by them as people are living so much longer now. The purpose of this discussion is to address something I learned that I did not previously know, review what I found the most surprising, and what piece of information that will most likely affect my nursing practice after viewing this documentary.

It is important to understand that patients have been experiencing aging bias for a very long time. It is also evident in the medical profession as well, and one needs to do more to ensure that everyone is treated fairly especially the elderly patients. The elderly patients need to treat with the utmost respect and dignity. One needs to understand that the elderly are the ones who pave the way for the younger generation. Therefore, it is important that one takes the time out of their busy assignments to listen to what the older patients have to say and respond to them in an appropriate manner. This paper will discuss how aging has impact one nursing practice, aging bias that one has witnessed during their nursing practice, and a community plan to discuss aging bias.

Aging is a summary term of complex biological processes that occurs over the course of life. As an individual age’s, they experience a cognitive, functional and social decline that affects their activities of daily living and general health. As a result of these changes, the older population becomes more susceptible to a variety of illnesses. However, nurses can lessen the severity of these aging related illnesses by teaching and providing the best care for their clients in order to decrease the number of elders that suffer from these diseases through a variety of interventions and strategies. The purpose of this paper is to reflect on the nurses’ role in promoting healthy aging in the older population, by addressing a significant issue that impairs the health of many older Canadian adults.

Ageism and stereotypes of older people can have an important impact on their physical health, mental health and overall wellbeing. Negative stereotypes of older people being dependent and decrepit can be internalized and become self-fulfilling. These ageist thoughts and stereotypes can lead to older people not seeking health care in general and to not get treatment appropriate for their illness or medical condition due to their age and not based on any other factor.

Also, research reveals that RN’s ageist perceptions and behaviors have a negative impact to level of safety and quality of the nursing care provided to an older patient. In a critical review conducted by Brown et al. (2011) in 25 studies, older patients are exposed to under or over treatment. Examples of these in the nursing context are (1) insertion of indwelling catheters to avoid the inconvenience, exertion or pain of toileting and (2) failure to perform basic bed repositioning that contributes to increased pain suffering and pose potential risk of infection and further injury to the older patient. Also, misconception on the recuperative abilities of the older patient causes the RN to lose the ability to impartially and accurately assess

“Nurses are more than caregivers in today’s healthcare settings. They are teachers, advocates and pioneers in improving healthcare. They are stepping out of the old model and taking ownership for changes in healthcare. Nurses are developing their own scientific research programs to improve patient care. They are playing a pivotal role in healthcare reform. Nurses are becoming leaders, not followers in healthcare reform.”

As higher standards expected are from the public and higher patient safety demands are expected from health boards, therefore, there is a need for a way of measuring standards of practice which can be achieved through active thinking in a clinical environment brought about by critical reflection (Rolfe, Jasper & Freshwater 2011). Reflection has become such a key component in the role of a nurse that the Nursing and Midwifery Council (NMC) have seen it fit to include it in their professional code of conduct the Code: Professional Standards of Practice and Behaviour for Nurses and Midwives, hereafter referred to as the Code (Nursing & Midwifery Council [NMC], 2015). With reflection being a vital skill for nurses to continue their professional development (Parrish & Crookes, 2013), an analysis of what it means to reflect within nursing is needed by all who intend to enter the profession to ensure its effective use is applied.