Social Change, Leadership, And Advocacy Theories: Senior Care

This assignment requires that I develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national or international). To do this, I must reflect on several aspects of being a policy maker within the nursing profession. I was instructed to consider the following:

The Older Americans Act (OAA) funds critical services that keep older adults healthy and independent—services like meals, job training, senior centers, caregiver support, transportation, health promotion, benefits enrollment, and more. The Act is overdue for reauthorization—and Congress needs to seize this opportunity to update and renew its commitment to these programs and those they serve. To ensure America’s aging population is able to maintain and live healthy lives provisions are needed to the current OAA. These provisions include:

Current numbers show substantial growth from the eighties, and estimates suggest that the demand for long term care among the elderly will more than double in the next thirty years. (Feder, Komisar, and Niefeld) This growth will exacerbate concerns about balancing institutional and noninstitutional care, assuring quality of care, and most importantly adopting and sustaining financing mechanisms that equitably and adequately protect the elderly who need long-term care.

Experience working in the field of health care lends insight to the growing needs of the older adult population, and the barriers which impede our capacity to meet them. As the Baby Boomer age is approaching older adulthood, the rise for financial,

Health Care Reform, Policy and Advocacy. (2017). The American Nurses Association (ANA). Retrieved August 20, 2017.

The Elder Justice Act was passed on March 23, 2010 as part of the Patient Protection and Affordable Care Act (PPACA) as the first piece of federal legislation to allow funds to address elder abuse, neglect and exploitation nationwide (Federal Laws, 2015). Part I of the Elder Abuse Act is the Elder Justice Coordinating Council made up of federal government representatives charged with the responsibility of coming up with programs for the promotion of elder justice. They have to provide recommendations to the Secretary of the Department of Health and Human Services on the issues of abuse, neglect and exploitation of the elderly. Then there are 27 professionals from the general public who are to give recommendations to the Coordinating Council as well. Part II of the Elder Justice Act talks about funding and enhancing long-term care. Long-term care is important because you need programs committed to training long-term staff,

The Institute of Medicine’s 2010 report on The Future of Nursing: Leading Change, Advancing Health acknowledges the changing healthcare sector in the US and describes future vision of healthcare and the role of nurses to fulfill that vision. The United States always strives to provide affordable and quality healthcare to the entire population of the country. In order to achieve this goal an overall restructuring of the healthcare system was necessitated. Nurses are considered to be the central part of the healthcare system to provide high quality and safe patient care. Nursing in the US is the single largest segment of the healthcare workforce with almost 3 million nurses working in different areas across the county. The changing

As a person ages, theirs body cannot perform the way it used to. This will cause many elderly people to loose their job or choose to go into retirement. Both of these options cause a loss in health care as well and a reduced or exterminated income. Here alone lies a reason that the elderly population is challenged. The elderly population also has a tendency to develop a chronic illness that can be life threatening if not treated or controlled properly. This means that need for health care treatments also increases. At least 40% of those over age 65 will have nutrition-related health problems requiring treatment or management (Gigante, 2012). It is important to realize that 10% of people over the age of 65 and will develop Alzheimer’s disease and 50% of those over the age of 85 will develop this disease (Gigante, 2012). More elderly African American men and women use government aid than white men and women. Therefore, this population will be vulnerable because of the lack of funding, proper health care and insurance.

“The purpose of public policy is to direct problems to government and secure government’s response, while politics is the use of influence to direct the responses toward goals” (Milstead, 2013, p. 12). Policies are used as guidelines to reach a common goal. In healthcare, policies can affect and have an impact on how we provide care for our patients’. For this reason, it is important for nurses to be knowledgeable and involved in important healthcare decisions. “Knowledgeable nurses in advanced practice must demonstrate their commitment to action by being a part of relevant decisions that will ensure the delivery of quality health care by appropriate providers in a cost-effective manner” (Milstead, 2013, p. 1).

Many would not think that nursing and politics would make good collaborators. However, nurses approach politics similar to developing a care plan for patients. We identify the problem, implement a plan and evaluate (PIE). The director of the legislative committee shared an analysis process used to establish policy priorities and to accomplish change. This process is discussed in Mason et al. (2014): (a) identify the problem; (b) list proposed solutions; (c) know the history or background of the previous challenges to resolve

Affordable Care Act (ACA), and the aging of the population are the three major factors driving healthcare costs at this time (CMS, 2014). The nursing profession has the ability to contribute to refining the cost-effectiveness and efficiency of care through the delivery of evidenced-based treatment strategies to known populations with communal needs, and by advocating for polices that address the fundamental aspects that influence health and healthcare (Curley & Vitale, 2016, p. 5). The NE must be well-informed of laws entrenched in policy, as well as those central to both healthcare delivery systems and payment structures. Having knowledge of policy and law will enable the nurse leader to provide financial stability and sustain quality

The Robert Wood Johnson Foundation (RWJF) has just released a new study highlighting the steps 12 states are taking to prevent a looming crisis in nursing. Experts predict the United States could be short more than 260,000 nurses by 2025 and the study authors say state-level partnerships must take the lead in addressing the problem. The scarce supply and shortage of nursing staff has become a matter of sincere concern for healthcare organizations across the nation. The demand for healthcare services is increasing and requires healthcare organizations to employ qualified and well trained nursing staff.

Energized by the U.S. Supreme Court decision upholding most of the Affordable Care Act (ACA), the American Nurses Association (ANA) is continuing its wide ranging efforts to ensure that Registered Nurses (RNs) have an even greater role in providing high quality care as implementation of the landmark law progresses. As guiding principles, ANA contends that health care is a basic human right, and that all deserve access to essential health care services. As nurses witness every day, a lack of primary and preventive care can cause people's manageable chronic conditions to spiral, leading to poorer patient outcomes and increased overall health care costs. (Anonymous, 2012). According to Billings and Halstead (2012), nurses are poised to participate in transforming this nation's health care system. Participation requires nurses to possess political advocacy skills so that nursing voice is brought to the policy debates and policy development.

In 2010, the Patient Protection and Affordable Care Act, or PPACA gave many Americans the opportunity to have health care coverage that previously may have not been available to them. The reform is primarily aimed at decreasing the number of uninsured and underinsured Americans. The landscape of health care is changing and nursing is evolving alongside it. This health care overhaul gives nurses a vital role in leading the reform revolution. With more than three million strong, nursing is the biggest sector of the nation’s health care labor

There are over three million nursing professional in United States and they make the largest segment of nation’s health care workforce. Nurses can play a vital role in helping to realize the objectives set forth in the 2010 affordable act, legislation that represents the broadest health care overhaul since the 1965 creation of Medicare and Medicaid program (IOM 2010). Due to the restricting barriers nurses were not able to respond effectively to the changing health care systems. In 2008, The