NURS495 Comprehensive Nursing Concepts
Question:
1. Look through several major newspapers for articles that discuss care for the elderly in the community or care for those at the end stage of a life-threatening illness.
Then answer the following questions:
A) What is the role of a community health nurse in assisting families in the care of the elderly in their homes?
B) What are some of the barriers related to the initiation of home care services in communities?
C) How does living in an urban area versus a rural area affect home care services?
Discuss two areas of difficulty in adult daycare and nursing interventions.
Answer:
1A.
The community health care nurse play significant role in providing assistance to the elderly patient as well as the family member in the home care. It is evident from the study that family care giver provides certain level of support to the older adult patient which raises safety issue that concern the community nurse in home care (Tao & McRoy, 2015). They educate the family’s caregiver, regarding ways to assist the patient to make them competent and safe volunteer worker. They gives them safety guidelines as families are at higher risk for adverse event and injury.
1B.
The recent research has indicated the some of the barrier that is encountered while initiating home care service in communities (Aldridge et al., 2016). The high cost of care and inadequate insurance coverage are the most prominent obstructing factor that cause hurdle in access to health care service in the rural communities. The research says that due to lack of culturally competent care is the other barrier in home care service, as most of the people desire to have adequate care in accordance with their culture (Greenwood et al., 2015). Moreover, language and communication barrier is also the reason that does not enable home care service access to the patient.
1C.
People living in the rural area are economically backward due to high rate of poverty, poor education and low income than the people living in urban area. The people of urban area have better access to home health care service than the rural area (Caldwell et al., 2016). The health care resource distribution is less in the rural area than the urban area due to which home is more accessible to the urban communities. There are few health care provide in the rural area due to socio-economic status and health inequality, thus making the home health care service less accessible in the rural area.
2.
Adult day care gives the stimulating environment by the planned activities formulated by the older adult that needs supervised care at the day time. The enables the older people to socialize with the other people that tends to improve the physical and mental health condition of the people (Gendron et al., 2017). The difference between the nursing intervention and adult day care lies in the term of facilities and level of care. The first difference say that, nursing intervention does not provide the social and recreation service while the adult day care does. The nursing intervention mainly rely on the medical assistance in terms of pharmacological and non-pharmacological means (Butcher et al., 2018). The second difference says that the adult day care offer specialized service other than pharmacological service like physical, occupational and speech therapy to improve the health status of the older adult (Park-Lee et al., 2015). Whereas the nursing intervention main focus is to improve the physical health by regular monitoring, taking vitals, assisting patient with daily living activities and other.
References
Aldridge, M. D., Hasselaar, J., Garralda, E., van der Eerden, M., Stevenson, D., McKendrick, K., … & Meier, D. E. (2016). Education, implementation, and policy barriers to greater integration of palliative care: a literature review. Palliative Medicine, 30(3), 224-239.
Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., & Wagner, C. M. (2018). Nursing Interventions classification (NIC)-E-Book. Elsevier Health Sciences.
Caldwell, J. T., Ford, C. L., Wallace, S. P., Wang, M. C., & Takahashi, L. M. (2016). Intersection of living in a rural versus urban area and race/ethnicity in explaining access to health care in the United States. American journal of public health, 106(8), 1463-1469.
Gendron, T. L., Pryor, J. M., & Welleford, E. A. (2017). Lessons learned from a program evaluation of a statewide continuing education program for staff members working in assisted living and adult day care centers in virginia. Journal of Applied Gerontology, 36(5), 610-628.
Greenwood, N., Habibi, R., Smith, R., & Manthorpe, J. (2015). Barriers to access and minority ethnic carers’ satisfaction with social care services in the community: a systematic review of qualitative and quantitative literature. Health & Social Care in the Community, 23(1), 64-78.
Park-Lee, E., Harris-Kojetin, L. D., Rome, V., & Lendon, J. P. (2015). Variation in Adult Day Services Center Participant Characteristics, by Center Ownership: United States, 2014. NCHS data brief, (227), 1-8.
Tao, H., & McRoy, S. (2015). Caring for and keeping the elderly in their homes. Chinese Nursing Research, 2(2-3), 31-34.
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