Essay On Understanding Dementia In The Elderly

Essay on Understanding Dementia in the Elderly
Delirium, Depression, and Dementia are some of the most common psychological diagnoses in the
elderly today. The three D's are difficult to differentiate between in older adults because they overlap
with each other and can all exist in the same patient at once. Delirium, Dementia, and Depression all
affect the elderly's quality of life and often increase the risks for one another (Downing, Caprio &
Lyness, 2013). For the purpose of this paper I will be focusing primarily on the diagnosis of
Dementia, the prevention, and nursing measures associated with it, but first I would like to
differentiate between Delirium and Depression because Dementia is often associated with the two in
the older adult population.
Delirium is a cognitive disorder ... Show more content on Helpwriting.net ...
Typical presenting symptoms in older adults are weakness, insomnia, hypersomnia, headache,
fatigue, irritability, chronic constipation, pain, agitation, and unintentional weight loss/change.
Dementia and Delirium are also known to have higher rates of depression in older adults. The
Geriatric Depression Scale, Cornell Scale for Depression in Dementia, and the nine item Patient
Health Questionnaire are screening tools utilized when an older adult presents with signs and
symptoms of depression (Downing, Caprio & Lyness, 2013).
Dementia is a progressive diagnosis that takes place over months or years. Dementia occurs in stops
compared to other psychological diagnoses in the elderly and age is a major risk factor. The older
the adult the increased risk of dementia occurring. There are different forms of dementia, but
Alzheimers is the most prevalent of all the types. Dementia, as stated above, is associated with
delirium during an acute illness and is hard to identify in patients with underlying dementia.
Dementia causes a decline in executive fncitoning and memory, as a result, decreasing the patient's
overall quality of life because their activities of daily living become more and more limited.
Behaviors and changes in mood are also noted in these patients, such as;
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GERIATRIC ASSESSMENT: MALNUTRITION
GERIATRIC ASSESSMENT: MALNUTRITION
Geriatric Assessment: Malnutrition
In a continuously growing geriatric population, malnutrition is one of the most common and most
undiagnosed problems. Malnutrition is not only the indicator of existing medical and socio–
economic problems, but can also be a cause of physiological and psychological dysfunctions. Proper
nursing assessment in the elderly should be applied in order to identify and address this problem. In
this paper I would like to focus on two main points of geriatric assessment – physiologic and
psychosocial. There are two categories of factors that can contribute to malnutrition in the elderly
population.
Physiological factors include chewing or swallowing disorders, cardiac ... Show more content on
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Polypharmacy is another factor, which can contribute to malnutrition, and should be carefully
assessed therefore.
Nurses should assess psycho–social factors, which could lead to nutritional alterations. Factors such
as loss of caregiver support, social isolation, limited access to food, an inability to cook and prepare
food because of cognitive problems, or inability to recognize hunger may contribute to patient's
malnutrition. Collateral history from a caregiver and a home visit can provide invaluable insight into
these issues (Wells & Dumbrell, 2006). Knowledge of the normal and pathological changes in
cognition that occur in aging is an essential background to understanding interventions to optimize
cognition in older adults. (Williams & Kemper, 2010). Nutrition has been identified as a critical
factor in successful cognitive aging as well as in abnormal cognitive decline, including dementia.
Thus, nurses need to assess cognitive aging as a basis for educating clients about their nutritional
needs and for developing interventions to promote cognitive and physiological wellbeing. There is
strong evidence that a balanced nutrition can improve cognitive performance in older adults (Scott at
al., 2006).
An evidence based nutrition assessment provides valuable information about the current nutritional
status of a geriatric patient as well as serves as a prognostic tool for potential

For the most part, I have to agree with the critical...
For the most part, I have to agree with the critical theorists: learning barriers do exist. In wealthier
nations, men are still more likely to earn higher salaries for the same positions as held by women.
Wealthier families have the means to pay for quality educational experiences and have endless
opportunities to continue educational learning opportunities. Demographic factors, such as age and
sex can determine who qualifies for educational opportunities. While the government funds the
education of our younger children, there is a limited amount of funding available for adults to
advance their education. In their pursuit of the American dream, many less fortunate families do not
have funds available to participate in educational ... Show more content on Helpwriting.net ...
Although it seems almost impossible to change the status quo, I still believe that we all can make a
difference through education. As a teacher, I found Merriam & Bierema's (2014) suggestions to
create learning experiences inside and outside the classroom an excellent tool to facilitate change.
Inside the classroom, teachers can provide opportunities for dialogical conversation, follow
democratic principles, model critical approaches, and address classroom dynamics that illustrate
oppression or dominant ideology. Recommendations for outside the classroom include assigning
learning projects that give real–life opportunities to grapple with situations as well as creating
service projects where learners go into the community to volunteer or conduct research (p. 232).
While every member of society is responsible for changing the status quo, government officials need
to reorganize the delivery of educational messages to the public. Instead of placing the responsibility
of change on individual citizens, perhaps it is time for government officials to stop advertising on
television and personally do something about it. We need to view this as our problem and not a
problem that is affecting a few individuals that do not matter anyway. We need to take the time to
provide more in depth classroom lessons to our children, offer free classes at convenient places such
as local churches, parks and community centers. Local representatives can take the

Geriatric Depression
Problem Statement: Depression is a blanket problem for most age group, especially more for
geriatric population because of the developmental stage they are in, low or no income, health issues,
isolation, etc. It is estimated that 5–10% of elderly who has a primary care visit reports to be
depressed (Schaik, Marwijk, Beekman, de Haan, & van Dyck, pg. 2). Antidepressant drugs,
psychotherapy, and combination of both have been utilized by the elderly but most go untreated. Of
the ones who choose to utilize psychotherapy, there is limited information of the patient satisfaction.
A better patient satisfaction can yield better patient outcome, which in return can help other elderly
patients to seek the same mode of help for treating their depression. ... Show more content on
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21 out of the 28 sources cited in the article were research that was conducted within 10 years of the
publication of the study. 26 of the sources cited are peer–reviewed articles published in journals like
Journal of Psychotherapy Practice, American Journal of Geriatric Psychiatry, Journal of Affect
Disorders, etc.; 2 of the sources were information websites. The references are within 10 year limit
but the information highly pertains to the study and is still valid. Unlike in a quantitative study, in
this qualitative study, the information that is used stand relevant even though the source dates to
1991. The authors made no evaluation or indication to the limitations of the studies that they used
for the article. The literature review did include adequate information to build a logical argument.
The authors used the literature to back–up their thought process through each section of the

The, The Branch Of Medicine Caring For Older Aged Patients
Geriatrics is the branch of medicine caring for older aged patients typically over the age of sixty–
five. Because geriatric patients have differing needs, professionals differentiate between Frail
Elderly adults and Well Elderly adults. The term Frail elderly adult describes people over the age of
65 who require frequent medical intervention. Physical therapists work with these patients to regain
mobility, skills, or to modify their environment to maximize their function. In contrast, well elderly
adults are people over the age of 65 who are not experiencing physical limitations or whose age
related changes are not significant enough to affect function. Physical therapist may work with these
patients to prevent debilitating conditions or to maintain good physical function.
Combined, elderly adults made up 12.8% of the U.S population. Since individual's life spans are
expected to increase, the percent of the elderly adult population is expected to increase.
Approximately Forty–seven percent of adults over the age of 70, who are not institutionalized, have
trouble performing one or more activities of daily living, instrumental activities of daily living, or
physical activities. This is indication of the important role that physical therapist have in improving
functional performance.
Geriatric patients are seen by PTs and PTAs in all settings, not just long term care facilities. Some
PTs and PTA may specialize in geriatrics, however PTs and PTAs in most settings will see

My Experience At Evergreen Senior Living
Lee is a man who now lives at the Evergreen Senior Assisted Living Home. He has gone through
many things in his life. He has fought in the Vietnam War, driven tanks, and jumped out of airplanes.
He enjoys traveling and tell all who listen that he is scared of nothing. Lee is one of the elderly men
I met during my job shadow. Job shadowing at Evergreen Senior Living was an amazing experience.
This paper will include, what I observed during the job shadow, the future of this career, my
impressions from the job, and how to prepare for this career. I visited Evergreen Senior Living in
Chillicothe, IL for my job shadow. There, I followed Kylie Vinson, a Certified Nursing Assistant
(CNA), and observed one of the many opportunities available to those wanting to work with the
elderly population. Kylie's job as a CNA is to make sure that the residents are as comfortable and as
possible. I also followed, Jackie Russell, the Activities Director. She works with the residents to
keep their brain and body stimulated and healthy. They both work in the dementia and alzheimer 's,
assisted living part of the facility called Legacy.
Kylie and other CNAs are in charge of assisting the residents in many different things, such as
getting ready for breakfast. After the residents are seated in the dining room they are the ones who
serve the residents their food. If a resident falls, it is the CNAs' responsibility to instruct the resident
how to get up and back on their feet by themselves. Any

Geriatric Care
The shift in demographics will bring with it a need and major adjustments for specific healthcare
needs for an older population. Although we may not know what the leading cause of death may be
by the year 2050, we do know that there may be a limited number of geriatricians available to help
treat these conditions. According to the American Geriatrics Society, it is estimated that nearly 30
percent of older Americans need a geriatrician to help them deal with problems associated with
aging. Currently, there are only about 7,500 certified geriatricians in the United States that are
capable of handling this population. With the population of older adults expecting to double over the
next 15 years, the need for qualified geriatricians will need ... Show more content on
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One solution is to encourage the medical field to increase incentives for doctors to enter the
gerontology field and to increase funding for medical students for programs related to older adults.
This could help to ensure a competent and appropriate geriatrician workforce. Quite simply, not
enough talent will gravitate towards geriatric care until the field is given the attention it warrants.
Harvard Medical School did not require basic training in geriatrics for all medical school students
until just two years ago. In many other countries, geriatric training is barely provided. Financial
incentives play a part, too. While a radiographer earns an average of US$400,000 per year in the US,
geriatricians make about US$150,000. To make the field more attractive, some thought will need to
be given as to how prospects might be improved for future graduates. This is especially true as the
existing population of healthcare professionals starts to retire. Canada, for example, has just one–
fifth of the 1,000 geriatricians it currently needs–and 20% of them are near retirement. The US has
about half the geriatrics specialists it needs, but their absolute number has actually fallen over the
past decade. The Yale Program on Aging helps to educate physicians on how to address the elderly's
unique needs, and even more, to encourage them to conduct more research on older adults' health
needs, using older adults as subjects. "This is a population that often isn't included in clinical trials,"
Gill says, but if more research is conducted now, treatment may improve down the road. For
example, some older adults are retaining much of their cognitive function, and later in our package
you can read about what researchers have found is different in these

Reflection Paper : Hi Club Commissioners
Hi Club Commissioners, My club is called TinoCares and the purpose of TinoCares is to bridge the
gap between teenagers and senior citizens in our community.This club allows teenagers to interact,
communicate with, and entertain the elderly by volunteering at senior citizen organizations and
making them feel needed, wanted and happy in our community! Our vision is to help and learn from
senior citizens who have lived numerous experiences. We also learn about the health and social
issues of the elderly with the help of Joshua, Doctor Colleen, Home Care Assistance, and our own
collected statistical data (from senior homes) and discuss possible innovations for the future. We
will bring the community together with no disregard to our elders by teaching and learning from
them, and giving them a fulfilling sense of purpose. Recently, in the first round of the screening
process, you had sent me an email saying that my club had failed to move on to the second round of
the application process. I was wondering what I could do to give me better chances of having my
club accepted in the future or at the moment. Currently, I am working with a post–doctorate, PhD
student at Johns Hopkins University who is extremely eager to help TinoCares with his great
knowledge of the geriatric field (medicinal and primary care field for senior citizens). I am also
working with Dr.Colleen Christmas who is incredibly eager to work with me and help me out with
this club. She is a

A Comprehensive Evaluation By A Team Of Healthcare Providers
When a patient and their family come to the outpatient Geriatric Assessment Center, the patient will
receive a comprehensive evaluation by a team of healthcare providers. This comprehensive
assessment is designed to collect information on medical, psychosocial, functional capabilities and
limitations or risks of older adults. Berkman et al. (2003) believes that having a trusting relationship
with the client system can result in the clinical value of knowledge needed to develop an effective
individualized service plan. This multidisciplinary team includes a fellowship– trained, board–
certified geriatrician, a geriatric social worker, and a certified geriatric nurse practitioner.
According to Dewane (2006), establishing a meaningful ... Show more content on Helpwriting.net ...
A mental status assessment is then completed to examine the patient's cognitive abilities and screen
for depression. In addition to a mental status assessment, the nurse practitioner administers a
psychosocial evaluation to identify the client's existing social support system and also explores the
emotional impact of the illness on the client and family. Lastly, a home safety evaluation is
completed to suggest ways to support the patient in the home environment and identify safety
concerns that may exist. It is also highly important to screen for detection of abuse if it is suspected
during the assessment process with geriatrics. Lachs (2004) emphasizes the importance of
recognizing different forms of abuse, such as physical, psychological, sexual, exploitation and
neglect. Many patients that come for a comprehensive assessment have a caregiver, which makes it
important for the team to ask relevant questions regarding their relationship to rule out possibility of
caregiver neglect.
Giffords and Eggleton (2005) emphasize the importance of practitioners familiarizing themselves
with risk factors related to loss of functioning to effectively plan for future needs of clients. Risk
assessments are highly important at the Geriatric Assessment Center in order for the
interdisciplinary team to successfully identify the areas of risk a client is facing. Risk assessments
are also

Gerontology : An Umbrella Term Covering A Wide Range Of...
Gerontology is an umbrella term covering a wide range of professions that study various aspects of
aging including social, psychological, cognitive and biological. Unlike geriatrics, a more familiar
term that most associate with aging, gerontology is concerned specifically with the social,
psychosomatic and biological facets of aging. It is the study of aging across the lifespan, while
geriatrics is focused on the aging process amongst only older adults and is associated with internal
medicine. Gerontology might predict life expectancy, while the purpose of geriatrics is to improve
the life expectancy of older people through an understanding and promotion of good health. A
gerontologist, then, is a health care specialist whose work focusses on the effects of aging.
Gerontologists are concerned with four area of aging:
1) Chronological aging which is focussed on the years a person has lived since they were born
2) Biological aging meaning the physical changes a person experiences throughout their lifespan
3) Psychological aging which refers to emotional, perceptual, cognitive and adaptive changes
4) Social aging which covers the changes in relationship and roles within the family and the
productive roles of individuals with organizations they might be connected to.
Gerontologists work in a variety of environments including long–term care facilities, clinical
practice, counselling centres, hospice services, home health care services, research communities and
government

Case Analysis : Blount Senior Care Partners
Executive Summary
Proposal
"Blount Senior Care Partners uses a team based approach that focuses on continuity, patient
independence, and clinical excellence" (Blount Senior Care Partners, 2014). Blount Senior Care
Partners provides care in an outpatient geriatric clinic, several assisted living facilities, rehabilitation
and long term facilities within the community and during acute inpatient hospital admissions at
Blount Memorial Hospital. Currently, the care of inpatient hospitalizations is exclusively managed
by the physicians of Blount Senior Care Partners. However, the Adult–Gerontology Acute Care
Nurse Practitioner (AG–ACNP) possesses the knowledge and skills to be a valuable team member
of Blount Senior Care Partners in both the ... Show more content on Helpwriting.net ...
Identified market needs and gaps in current services
Before hospitalists were introduced into healthcare, the primary care physician provided care for
patients in the office, hospital, and, when necessary, the skilled nursing facility (Blount Senior Care
Partners, 2014). "Even though the patient's clinical circumstances were changing, a caring advocate
with full knowledge of the individual 's needs and goals could smoothly transition the care of the
patient" (Blount Senior Care Partners, 2014). Much has changed in the healthcare field, leaving
behind a fragmented system for the vulnerable geriatric population. Blount Senior Care Partners
aims to recreate this level of continuity for the patients and families in Blount County and the
surrounding area (Blount Senior Care Partners, 2014).
Description of customers and services provided
"Specialized geriatric medicine helps coordinate care between physicians, therapists, social workers,
family members, and community resource agencies to provide the best care possible" (Blount Senior
Care Partners, 2014). Blount Senior Care Partners serve seniors of Blount County and surrounding
East Tennessee counties and primary care physicians in the community. Services are provided in a
variety of settings including an ambulatory outpatient

Ms. Choi Geriatric Assessment Essay
Thank you very much for referring Ms. Choi for geriatric assessment. The main concern is that of
decreased cognition.
She is an 85–year–old lady who was born in China and came to Canada for over 30 years. She is
married and lives with her husband in a co=op apartment. They have 5 children, 3 sons and 2
daughters. One of the sons is in Toronto and one of the daughters is in Toronto as well. she speaks
Cantonese. She is a retired part–time cleaner. She had no formal education.
Her son, Mr. Choi is present with her for the interview today. She complained about having a
decline in her cognition for over 5 years. She is forgetful with conversations and has decreasing
comprehension. It is getting worse over time. There are no hallucinations ... Show more content on
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There is no dizziness or weakness. There is occasional pain over the hips for which she takes
Tylenol. There are no falls in the last 6 months.
The ADLs is that she is independent in all aspects of basic and instrumental ADLs. She carries a
cane with her now. She does the shopping, cooking, cleaning and laundry and also finances.
PAST MEDICAL HISTORY:
1. Hypertension.
2. Hypercholesterolemia.
3. Arthritis. She used to take Celebrex in the past for arthritis.
4. Bilateral cataract surgery.
MEDICATIONS:
Her medications include Lipitor but that has been stopped over the last 2 months or so, Norvasc 5
mg p.o. daily, Tylenol Extra Strength 500 mg 1 tablet on a p.r.n. basis, Celebrex 200 mg daily p.r.n.
She takes over–the–counter medications including Caltrate 1 tablet daily, lutein 20 mg 1 tablet daily
and some Chinese tablets 3 tablets daily.
There is no known history of drug allergy. She takes the medications herself from the pill bottles.
She is a nonsmoker and occasional drinker. She would like to drink beer when she is anxious but the
son has not bought it for her in 6 months.
On physical examination she weighs 126.7 pounds. Her visual acuity is 20/70 on the right and 20/50

on the left. Blood pressure is 170/66 sitting and 160/70 standing, pulse 72 per minute. JVP is not
elevated. Heart sounds are normal. There are on murmurs heard. the chest is clear with on wheezing
or crackles. The abdomen is soft and nontender with no abnormal mass

Case Study: Jencare Neighborhood Medical Centers
JenCare Neighborhood Medical Centers has geriatric facilities in Florida, Kentucky, Virginia,
Louisiana, and Georgia. As a subsidiary of Chen Medical they have over 25 years of experience
dealing with geriatric care. Their services include primary care, onsite diagnostic tests and
prescriptions services, door–to–door transportation, life card, vision, and acupuncture. Their staff is
trained to treat and enhance geriatric care, and they utilize the latest technological advancement for
treatment and diagnostics. Trusted specialists work with primary care providers in offsite settings
and JenCare will arrange these for their patients. The specialists are trained in neurology,
rheumatoid arthritis, cardiology, and many more specialized fields

My Career Goal : Career Goals
My career goal is to receive my doctorate degree in Occupational Therapy. I would like to work
with geriatric population because they are more vulnerable to disabilities from chronic illness that
results in them being put into nursing facilities. I want to specialize my education on physical
disabilities. I have experience working with the geriatric patients who are physically disabled and I
hope to help them keep their independence. My goal is to help geriatric patients gain valuable skills
in order to keep their independence and have the ability to live at home. As an occupational
therapist, I will help patients do things they want to do through therapeutic methods of everyday
living. I would teach them new ways of doing daily actives after suffering from a disability. For
example, a patient who had a stroke, I would reteach this individual how to hold items, how to
button shirts, and so on. I would prefer to work at patients' home or in a clinic setting; however, I am
open to working wherever my skills would be needed. Since I want to work in the patients' home,
my main goal is to evaluate and change their home, so it is easier for them to stay independent. I
have an interest in working with patients who have developmental delays; however, I need to
observe an OT specialized in that field to know for certain if that is something I would like to
specialize in. The minimum educational requirement for an occupational therapist is a master's
degree. However, I plan to

Geriatric Prisons
The four special populations that make up the prison inmates are the elderly prisoners, prisoners
with HIV/AIDS, the mentally ill and long–term prisoners. Inmates that are over the age 55
populations are steadily increasing in the prison system. Correctional officials define elderly as
anyone over the age of 50. There are an overwhelming number of sick calls in for inmates over 50
than the younger ones. Several states have established geriatric prisons designed to house older
inmates classified based on his or her need: wheelchair user, nursing home care and etc.
Next there are the prisoners diagnosed with HIV/AIDS. Prison officials must manage the problems
and health concerns associated with infected inmates. Within the prison system, not

Physical Abuse In Geriatric Patients
In today's societies older populations have been forgotten, depreciated, and severely deprived of
adequate healthcare resources, services, and funding (O'Brien, 2010). Issues involving insufficient
healthcare policies, limited research, and lack of elderly abuse education has prevented geriatric
patients from receiving proper care (O'Brien, 2010). With this in mind some research has shown
high rates of physical abuse and negligence towards elderly patients in the healthcare facilities
(Zhang, 2011). The Adult Protective Services (APS) explains that negligence is one of the most
common types of domestic abuses reported (Zhang, 2011). As a matter of fact, reports of elderly
abuse and neglect account for 60–70% of all reports submitted to the ... Show more content on
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There are three essential components of healthcare that need to be revised to accommodate the
elderly population: clinical practice, policy, and research (O'Brien, 2010). One solution to resolve
the issues of physical negligence in geriatric populations is to promote educational programs that are
involved in all levels of medical training and practices in order to detect and intervene when elderly
abuse is suspected or evident (O'Brien, 2010). Implementing specific guidelines for elderly patient
care, creating new methods and standards of practice for documentation, and creating a patient care
model to demonstrate proper treatment of elderly patients should be a priority for the entire
healthcare community (O'Brien, 2010). Healthcare professionals and legislatures should closely
collaborate with each other in order to establish transparency. By developing uniform laws and
policies that clearly state specific documentation requirements needed for elderly abuse, intervention
and detection strategies for elderly abuse, and creating similar definitions for certain terms of abuse
to avoid any confusion between local, state, or national levels of government (O'Brien, 2010). Most
importantly, there should be more contributions towards

The Adolescent Depression Scale, The Geriatric Pain...
As the rising population of older adults continue to impact our society, it is imperative to address
various aspects of care. Physical, mental, emotional, and spiritual realms of care need to be
incorporated in assessing the older adult. As aging takes a toll, many older adults are subject to
chronic illnesses that plague bodily functions. Utilization of assessment tools is helpful in depicting
underlying hindrances. This paper will address the geriatric depression scale, the geriatric pain
assessment tool, an assessment of the environment, advanced directives, and teaching topics, along
with interventions for an older adult. Assessment Tools Assessment tools serve the purpose of
evaluating risk factors that may be overlooked during a brief assessment. It is a method of attaining
information as part of the overall assessment of a patient. These tools can be valuable for health care
professionals to utilize for focused areas of concern. There are a countless number of assessment
tools to aid health care professionals in addressing potential downfalls. Assessment tools help
facilitate a health care professional to evaluate various aspects of a patient's health. Geriatric
Depression Scale The geriatric depression scale: short form is a yes or no questionnaire with a total
of 15 questions (Tabloski, 2014). Each question has one bold answer, which is indicative of
depression. A score of zero suggests that there are no signs of depression. Scoring higher than five

Advantages And Disadvantages Of Geriatric Care In Malaysia
Upgradation of geriatric care over 5 years in Malaysia
Introduction
What is geriatric care?
Geriatric care is derived from the Greek "geron" which means "old man" and "iatreia" which means
"the treatment of disease".
According to UN– World Assembly on ageing in 1982, Vienna, in Malaysia, older persons are
defined as those who are 60 years and above. Ageing nation are defined as a nation where more than
10% of the population is aged more than 60 years old" and by 2020, Malaysia will be defined as an
ageing nation (9.9%)
Ther eare many phases in life and elder age is considered quite a sensitive phase. This is because old
people need attention and care to have a healthy and quality life. In this era, many countries
including Malaysia, are now facing the problem of an ageing population. However we should start
preparing for future ageing problem in our country and implies strategies such as applying geriatric
care professionals to help other states in Malaysia that do not have such services. ... Show more
content on Helpwriting.net ...
According to Prof Dr Philip Poi Jun Hua from the Malaysian Society of Geriatric Medicine
(MSGM), who pioneered and now leads the Geriatrics Division of University Malaya Medical
Centre (UMMC), Kuala Lumpur said that the biggest issue for health professionals is to be able to
persevere in providing good services for older adults in Malaysia because they themselves will grow
old, and if they don't think about it now, when they get old, it is too late for

Geriatric Reconciliation: A Case Study
It is not an uncommon occurrence for patients of the geriatric population, typically defined as over
65 years of age due to Medicare cut offs, to be recurrently admitted into the hospital. These patients
are often taking multiple chronic medications, dealing with numerous comorbidities, such as heart
failure and diabetes, and are also at risk for other complications, such as falls. These patients are
often targeted for medication reconciliation in large hospitals, where getting a comprehensive
assessment on all medications is near impossible to do for every admission. However, in small, rural
hospitals, medication reconciliations are often completed for every admission, regardless of age,
LACE score, and number of medications. This is possible due to less constraint on time as well as
decreased volume. Medication reconciliation is only one strategy used to decrease the number of
hospital readmissions in the elderly population. Many other strategies are currently being studied
and practiced. The LACE index is patient assessment tool that uses a score to determine the risk of a
particular patient to be readmitted or to die within the following thirty days after being discharged
from the hospital setting. Of all the assessment tools, LACE has been studied to the greatest extent.
The letter "L" stands for the length of stay, with a longer length of stay ... Show more content on
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In addition, the patient will have a decrease in renal perfusion as well as retention of sodium. This
stimulates a concurrent retention of water leading to sequelae such as hypertension. Similarly, this
reduction in cardiac output can also lead to problems with cognitive ability due to decreased
profusion to the brain. In geriatric patients, there is a significant increase in dependence and
mortality when chronic heart failure is accompanied by cognitive

Geriatric Population
A very relevant issue facing today's society is that of adequate health care for the baby boomer and
older generations and the finances associated with medical costs. Looking into possible factors that
could negatively impact the older generations due to inefficient monitoring of medical records
belonging to the geriatric population is what led me to come up with the following hypothesis. The
lack of careful medical observation in the area of medicine for geriatrics will cause the baby boomer
generation to have a greater financial hardship.
In the hypothesis that was previously stated, some indicators or ways to measure the hypothesis,
would include: how often medicines get changed in a time span of one month thus showing a
possible careless observation of treatment in an elderly patient; and financial hardships could result
from the older generations having to pay higher medical expenses due to the lack in sufficient
doctors and personal specializing in geriatric medical areas like medicine. The group of people
focused on in this study would be of those adults at the age of sixty–five years and older in the
United States of America. Financial hardships would be defined by if the patient could afford the
prescriptions or medical treatments that the health ... Show more content on Helpwriting.net ...
In addition, I am concerned with any challenges that may affect anyone a part of the baby boomer
generation and older because my parents, especially my father, are getting closer to the age of sixty–
five. As the baby boomer generation grows older, medicine helping with chronic disease and the
medical field, in general, will play a key role in the lives of the baby boomers like my parents. I am
interested if the lack of adequate medical observation could negatively impact people like my
parents because then it could then subsequently impact my siblings and

Geriatric Offenders
I believe that if a senior citizen commits a violent crime, then he or she should be held accountable
for it and should be treated and sentenced as if he or she were the average offender, except for their
sentence. Senior citizens are considered to be the most wise and mature of all people, so if they
commit a crime, then they should pay for it. On the other hand, the elderly that are incarcerated are
more expensive to maintain than other age groups. Also, they have the lowest percent chance of
committing a crime if they finish their sentence. Some elderly inmates are also arrested for crimes
that they committed in their youth. Despite all of this, I believe that the elderly should be punished if
they commit any type of crime. This topic is ... Show more content on Helpwriting.net ...
. . in 1988, the United States spent about $11 billion on the entire corrections system. Today, we
spend about $16 billion annually on the aging prisoner population alone." (Chettiar and Gupta).
However, there is a way to solve these problems. By the time a prisoner turns 50, the likelihood of
that prisoner committing another crime has dropped immensely. Only 16.9% of prisoners released at
age 45 and older return for new sentences. There are a few policies that can further help solving the
issue such as: 1) Granting conditional release for aging prisoners who pose little safety risk; 2)
Utilizing and expanding medical parole; or 3) Reauthorizing and expanding aging prisoner release
programs. (Criminal Justice Degree Hub). If these policies are implemented, states could save an
average of $66,294 every year for each released aging prisoner, which accounts for increased parole,
housing and public benefits costs. The difference between the annual cost savings of releasing the
average aging prisoner versus keeping them behind bars ranges from $28,362 to

A Short Note On Intensive Care And The Elderly Essay
References:
1. Horn J. Intensive care and the elderly. Archives of gerontology and geriatrics. 1997;25(1):101–
110.
2. Angus DC, Barnato AE, Linde–Zwirble WT, et al. Use of intensive care at the end of life in the
United States: an epidemiologic study. Crit Care Med. 2004;32(3):638–643.
3. Bagshaw SM, Webb SA, Delaney A, et al. Very old patients admitted to intensive care in Australia
and New Zealand: a multi–centre cohort analysis. Critical Care. 2009;13(2):R45.
4. Kim PK, Kauder DR, Schwab CW. Acute Care Surgery and the Elderly. Acute Care Surgery:
Springer; 2007:187–193.
5. Levkoff SE, Cleary PD, Wetle T, Besdine RW. Illness behavior in the aged. Journal of the
American Geriatrics Society. 1988;36(7):622–629.
6. Watters JM, Blakslee JM, March RJ, Redmond ML. The influence of age on the severity of
peritonitis. Canadian journal of surgery. 1996;39(2):142.
7. Radtke F, Franck M, Hagemann L, Seeling M, Wernecke K, Spies C. Risk factors for inadequate
emergence after anesthesia: emergence delirium and hypoactive emergence. Minerva
anestesiologica. 2010;76(6):394–403.
8. Young J, Inouye SK. Delirium in older people. BMJ: British Medical Journal.
2007;334(7598):842.
9. Ansaloni L, Catena F, Chattat R, et al. Risk factors and incidence of postoperative delirium in
elderly patients after elective and emergency surgery. British Journal of Surgery. 2010;97(2):273–
280.
10. Lagoo–Deenadayalan SA, Newell MA, Pofahl WE. Common perioperative complications in
older patients. Principles

Gerontology Reflection
Upon starting this Gerontology course, I was overwhelmed with the course expectations, having to
complete an Older Adult Review project, weekly discussion board posts and comments with precise
APA format (which I was horrible at) and lots of supplemental reading to fulfill the learning
outcomes of this course. Nevertheless, I overcame all those obstacles and have obtained newfound
knowledge of what it is like to age, firsthand, coming from one of my favorite patients which has
cleared many of the stereotypes I had on the geriatric population. Thanks to this course and
interviews with Mary, I have a better understanding of the geriatric population which will benefit
my future career as a Registered Nurse. Due to my four years' experience working as a Nursing
Assistant in a nursing home, inpatient rehabilitation facility and acute care facility, I considered
myself to be well knowledgeable about the geriatric population. I was in for quite a surprise, the
Older Adult Review allowed me to apply my learning from the textbooks and understand aging from
a personal perspective. I have always feared to get older and ultimately dying but Mary helped ease
my worries by commenting that although aging is hard and unexpected, one must always remain
positive and ultimately thank God for all he has given us (Mary, personal communication, December
2, 2017). Being that Mary was a frequent patient under my care, I also assumed I knew very much
about her, however, it was interesting to

Improving Geriatric Health, Decreasing Healthcare Costs Essay
The "Baby Boomers" have always been leading our society through powerful change; because of
this it is only appropriate that the next chapter in healthcare begins under their influence as well. The
first of the Boomers became of retirement age, sixty–five, in 2010 and every eight seconds another
individual of this generation becomes a year older (When I'm 64: How boomers will change
healthcare, 2007, p. 3). By the year 2030, "the over 65 population will nearly double as a result of
the aging Boomers (When I'm 64: How boomers will change healthcare, 2007, p. 2)." With this
significant demographic change, the needs of the aging population will similarly have a significant
impact on society, especially the health care sector. Marcia Ory of ... Show more content on
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2). These changes may be difficult, but with collaborative effort in part from patients and health care
providers, the changes can be positive. The future in health care is bright if individuals take
preventative measures, patients and physicians become more aware of their health care, and if health
care money is more responsibly expended. First, this optimistic scenario is plausible due to
preventative healthcare Preventative health care is a variety of efforts to reduce cost by minimizing
disease or comorbidity, simultaneously existing medical conditions. Aging is a normal process of
life and as individuals age they become more susceptible to disease and poor health (Toner,
Shadden, & Gluth, 2011, p. 9). Taking preventative measures is crucial for geriatric individuals
because "with good social supports, modified diet, exercise, and appropriate medications,
individuals can limit negative health effects" (Toner, Shadden, & Gluth, 2011, p. 18). A simple
preventative measure for geriatrics, and anyone else for that matter, is exercise. A study involving
more than 14,000 patients "found no difference in mortality between exercise and drug interventions
in the secondary prevention of coronary heart disease or Type 2 diabetes" (Bakalar, 2013, par. 4).
This research indicates that by making the effort to take walks or do simple

Long-Term Care Facilities: A Case Study
Introduction
The creation of Long–term care facilities transpired back in the early centuries as a shelter for the
aging population. Compared to as very similar to the types of long–term care facilities we have
today, those who resided in these homes were aging, had no homes of their own, or had disabilities
that prevented them living on their own.
The current living conditions of long term care facilities and the involvement of family and staff
members has created a barrier that is hindering residents' quality of life. With improvement these
influential factors can diminish this barrier and provide residents with happier and stable conditions.
Methods
To retrieve data that corresponded with the given thesis, the following databases were ... Show more
Even with the creation of educational programs in well–known accredited universities, there were
limited numbers of students who wished to participate. These universities included but not limited
to: Duke, Case Western Reserve, and Boston University. This absence of people studying geriatric
nursing led to a shortage of employees in nursing home and increased the perceived view of
employment in nursing homes as inferior. Terry Fulmer, author of Geriartic Nursing 2.0!, accounts
for her many years of experience in the care of the aging population and the transformation she has
witnessed in the geriatric field. "The late 1960s and early 1970s was a time for major transformation
and progress for gerontological and geriatric nursing" (Fulmer, 2015, p. 1454). Later in the 80s, the
first Doctor of Philosophy, PhD, program was created in one of the previously mentioned
universities in the study of geriatrics. Still, even with these advancements there was "evidence from
practice in hospitals and long–term care facilities [that] support[ed] the conclusion that care
delivered to the elder patients [was] far from ideal" (Fulmer, 2015, p.1455). Also during this time
the Association of Geriatric Education Centers were formed "allowing the coordinated voice of the
centers to be heard in lobbying activities that have been

Vulnerable Population Research
Vulnerable population means a group of population that at greater risk of developing health
problems due to their less awareness, availability, and access to needed resources to fulfill their
healthy wellbeing requirements. Elderly population, pregnant women, homeless person, population
with suicide or homicide prone behavior, substance abuser, persons living with infectious diseases
such as HIV/AIDS, disable and chronically ill patients fall under vulnerable population group.
"vulnerable populations are those with a greater than average risk of developing health problems by
virtue of their marginalized sociocultural status, their limited access to economic resources or their
personal characteristics such as age and gender"(Chesnay, M. &. Anderson, B. 2012). People with
lower incomes and less education tend to be at higher risk for health problems. ... Show more
Recognition, evaluation and treatment of this population requires interdisciplinary approach. The
interdisciplinary approach collaborate with various groups to provide adequate resources to the
vulnerable population. The internal and external factors impact health status of older adults and
contributes to vulnerability risk. The internal factor occur due to physiological changes such as
increasing age, gender, sensory impairment, memory impairment, substance abuse along with
medical co morbidities, malnutrition, decrease in performance of activity of daily living or
dependency on care giver or

A Brief Note On The Health Care Jobs
Working Hand in Hand In the medical field, there are different health careers to choose from. My
topic is about two health care jobs, which anywhere in the world have a high demand. How they are
similar to each other. How they differ, and why these both are significant jobs that will never be
phased out. One of the health care careers that I would consider popular today is the Nursing
Assistant. It offers a vast array of benefits. You can go to school and be trained in the basics of
nursing assistant in just a few weeks. This career is good for the people who do not want to devote
their time for long education. U.S. Bureau of Labor (BLS) stated that most employers require you
earned at least a high school diploma to qualify for the job. One can prepare for the career by
completing a nursing aid program offered through high schools, and vocational centers. Some health
institutions provide on the job training. While on the training program, one can get an overview of
the health care and the sciences topics, including courses in Anatomy, Physiology and Nutrition.
Nursing assistant can get certified in cardiopulmonary resuscitation (CPR) or basic cardiac life
support (BCLS). The Federal government regulates standards to nursing assistants who work in
long– term care facilities or nursing homes. There is a seventy five hours of coursework in a nursing
training program. Nursing assistant can be certified by passing a state–administered exam. You will
be

My Career Goal Is Obtain My Life
My career goal is obtain my doctorate degree in Occupational Therapy. I would like to work with
geriatric population because they are more vulnerable to disabilities from chronic illness that results
in them being put into nursing facilities. I want to specialize my education on physical disabilities. I
have experience working with the geriatrics patients who are physically disabled and I hope to help
them keep their independence. My goal is to help geriatric patients gain valuable skills in order to
keep their independence and have the ability to live at home. As an occupational therapist, I will
help patients do things they want to do through therapeutic methods of everyday living. I would
teach them news ways of doing daily actives after suffering from a disability. For example, a patient
who had a stroke, I would reteach this individual how to hold items, how to button shirts, and so on.
I would prefer to work at patients' home or in a clinic setting; however, I am open to working
wherever my skills would needed. Since I want to work in patients' home, my main goal is to
evaluate and change their home, so it is easier for them to stay independent. I have an interest in
working with patients who have developmental delays; however, I need to observe an OT
specialized in that field to know for certain if that is something I would like to specialize in.
The minimum educational requirement for an occupational therapist is a master's degree. However, I
plan to achieve my

Nursing Trauma Patients : What Is The Difference? Current...
1. Joseph, B. and A. Hassan, Geriatric trauma patients: what is the difference? Current Surgery
Reports, 2016. 4(1): p. 1.
2. Vincent, G.K. and V.A. Velkoff, The next four decades: The older population in the United States:
2010 to 2050. 2010: US Department of Commerce, Economics and Statistics Administration, US
Census Bureau.
3. Hobbs, F. and B.L. Damon, Sixty–five plus in the United States. 1996: US Department of
Commerce, Bureau of the Census.
4. Joseph, B., et al., Injury prevention programs against distracted driving: are they effective? Traffic
injury prevention, 2016. 17(5): p. 460–464.
5. Albert, M., L.F. McCaig, and J.J. Ashman, Emergency department visits by persons aged 65 and
over: United States, 2009–2010. NCHS data brief, ... Show more content on Helpwriting.net ...
Critical Care, 2009. 13(2): p. R45.
17. De Rooij, S., et al., Short–term and long–term mortality in very elderly patients admitted to an
intensive care unit. Intensive care medicine, 2006. 32(7): p. 1039–1044.
18. Hamel, M.B., et al., Older age, aggressiveness of care, and survival for seriously ill, hospitalized
adults. Annals of Internal Medicine, 1999. 131(10): p. 721–728.
19. Somme, D., et al., Critically ill old and the oldest–old patients in intensive care: short–and long–
term outcomes. Intensive care medicine, 2003. 29(12): p. 2137–2143.
20. Needham, D.M., D.R. Feldman, and M.E. Kho, The functional costs of ICU survivorship:
collaborating to improve post–ICU disability. 2011, Am Thoracic Soc.
21. Hopkins, R.O., V.J. Spuhler, and G.E. Thomsen, Transforming ICU culture to facilitate early
mobility. Critical care clinics, 2007. 23(1): p. 81–96.
22. Morris, P.E., et al., Early intensive care unit mobility therapy in the treatment of acute
respiratory failure. Critical care medicine, 2008. 36(8): p. 2238–2243.
23. Schweickert, W.D., et al., Early physical and occupational therapy in mechanically ventilated,
critically ill patients: a randomised controlled trial. Lancet (London, England), 2009. 373(9678): p.
1874–1882.
24. Burtin, C., et al., Early exercise in critically ill patients enhances short–term functional recovery.
Critical care medicine, 2009. 37(9): p.

Medication Management for Older Adults Essay
Proper medication management among older adults can be challenging. Older persons may not fully
understand the purpose of the medication and the importance of following the prescription as
directed. Over the counter medication, herbs and supplements may not be considered medication;
therefore, they do not inform their health care provider that they are taking them. Multiple health
care providers can result in duplication of orders or adverse drug reactions. Improper management
of medication may lead to adverse drug events ultimately extending a hospitalization or decreasing
an older adult's ability to function safely. Obtaining an accurate record of medications at all points of
care promotes safer medication administration and prevents ... Show more content on
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In addition to assessment Zwicker D, Fulmer T.(2012) provide a framework for reducing adverse
drug reactions through patient empowerment, interdisciplinary collaboration and following safe
prescribing principles. To prevent iatrogenic ADE's Zwicker D, Fulmer, T.(2012) looks at new
symptoms, monitoring of medication orders offers suggestions for improving prescribing practices
and documentation. Patient and caregiver education is central to preventing ADE's, along with
follow up and monitoring. Zwicker D, Fulmer T. (2012) guideline on preventing adverse drug
reactions is comprehensive, and I did not identify any missing topic. The research method for
Zwicker D, Fulmer T. (2012) is a meta–analysis with systematic review. This was completed by
doing a hand search of published literature using Cochrane Database of Systematic Reviews,
Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Medline or PubMed. In
med–line the researcher is able to tag articles specifically for meta–analysis and in CINAHL
specifically for systematic review. The panel used to develop Zwicker D, Fulmer T. (2012) enlisted
the assistance of a New York University Health Science librarian to ensure a standardized approach
to the search. All literature was rated for level of evidence before being placed in an electronic
database for all authors to review and determine relevance. There was no specific description
provided for method used to analyze the evidence

The Need for Emotional and Social Support from Geriatric...
Aging of U.S. Population and their growing medical needs is one of the greatest challenges because
of health care reforms. By 2030, geriatric population of US of age 65 and up will be more than 72
million which will be an estimated 20% of the overall population (He, 2005).
I am currently being trained at a prestigious family medicine residency program in Montgomery
Alabama, which gives me an opportunity to see vast majority of patient population which includes
pediatric, adult and geriatric. We are also trained at Nursing home as a part of our curriculum and we
rotate once a month. Through my residency training I have realized that the elderly population
always need a humane touch to their treatment. It means emotional and social ... Show more content
on Helpwriting.net ...
I always like teamwork as gained during my family medicine residency which means coordinated
care by physicians with the help of nurses, social workers, family members and this will help me a
lot when taking care of old and debilitated patients.
I am self motivated, determined, hard working with an ability to succeed. Coupled with enthusiasm
and positive attitude, I want to prepare myself for social and academic challenges of medicine. I
have realized that kindness and compassion are cornerstones of good medical care. I believe that
well rounded person like me has capability to acquire different skills through different activities. I
am caring, patient, like communicating with people and making new friends. I believe these are my
strengths that will help me to become a good physician.
My goal is to get advanced geriatric training and intensive clinical experience through fellowship
program and advance towards my mission of improving the quality of elderly care. I am confident
that with generous support, excellent academic and clinical exposure will help me become one of
the finest physicians for my patients.
I always strive for gaining new knowledge and experience through lectures, seminars, conferences
and events like SCEGM resident award meets which will not only allow me to become a superior
physician but will also improve my clinical skills and help me understand critical points in elder

Geriatric Population
The United States will soon come face to face with a major problem that will need serious attention
and consideration, how to support its growing geriatric population. Hospitals specifically will need
to focus on caring for the aging group. They will also want to acknowledge how losing their
matured workforce could potentially affect their efficiency and services performed. The rise in
geriatric patients can be attributed to the generation born between the years 1946 and 1964,
generally known as the "baby boomers". (Carrington College) After World War II, the US economy
took off, giving Americans the confidence in their ability to support a large family (Kimberly N.
Kutz). During this eighteen year period over seventy–five million babies were ... Show more content
on Helpwriting.net ...
As more people will be taking advantage of the program, there will be less paying into it. (Debra
Wood) The Census Bureau estimates a drop from sixty–three percent to fifty–seven percent of
people ages eighteen to sixty–five (Carrington College). Naturally, as older adults are more
susceptible to illness and diseases, they will require more medical attention than a typically young
person. Baby boomers have proven to have higher rates of hypertension, cholesterol, obesity, and
diabetes. All these medical procedures and services will continue to add up and with limited funds in
the Medicare program this could lead to a large problem. While this age group may go to the doctor
they "are not going to do whatever the doctor said" McGee states. This generation is known for
being stubborn and if they do not agree with the doctor they will more than likely not listen to the
doctor. This could potentially cause more damage than what they initially came in for and thus
costing more money that Medicare does not

Strategies For Marketing For The Elderly
Methods for marketing:
My strategy for marketing can be started on facebook, we can create a public page that discusses the
healthcare promotion and wellness to the whole people generally and seniors particularly. We can
send an invitation to our friends. We should ask our friends to add more seniors to this page to
increase their awareness about health promotion and wellness.
The second way of marketing is Pamphlets: this method includes some simple sentences and simple
shapes about our program for increasing fitness for seniors and the advantages of this program. They
can be independent in the activity of daily living and gain more self–esteem and confidence, they
can increase their balance and decrease the risk of fall, they can ... Show more content on
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Also, we can make free visits to the clinic and make video and power point to them about health
promotion and wellness.
D– Strength and weakness:
Weakness Strength
1– health care members do not aware of the benefits of health promotion and wellness.
2– seniors do not aware of the health promotion and wellness and the importance of physical
therapy.
3– older people do not aware of the common diseases and problems that associated with aging.
4– limited knowledge about the experience of others physical therapist on the ways for promoting
the health of the seniors due to limited time.
5– lack of funds to do a proper advertising on media ( flyer and brochures).
6– most of elder people do not aware of how to use social media especially facebook, so using
facebook as a marketing strategy is not the suitable way for them. 1– increase health promotion and
wellness, so decrease the disabilities of geriatrics, for example, decrease the risk of fall through
increase the balance
2– inexpensive way of advertising through facebook advertising and notification.
3– A start to improve the awareness of health promotion and wellness for the healthcare
practitioners and the geriatric population.(although limited area of ads)
4– Based on the assessment of needs for the geriatric population, this program will be effective in
promoting the health through decrease the risk of fall due to balance loss, endurance improvement
that will reflected on the general health, and

Personal Narrative: My Experience As A Geriatric Nursing...
Being a geriatric nursing assistant has changed my millennial perspective on how to interact with
the senior population. You have to be patience, compassionate, loving, and committed. The passion I
have to care for the elderly mirrors my dedication to travel every other weekend on public
transportation from Towson to Gaithersburg. I walked into my job hoping to uplift and put a smile
on a resident if not all of them. My favorite part of the shift is sparing ten minutes to talk to a
resident and listen to their worries. After every conversation, they would always show their gratitude
of how appreciative they are to have someone converse with them. Because of my willingness to
make a difference, I have built a strong relationship with the residents

Thesis Statement On Geriatric Nursing
As our population ages there is becoming a greater need to accommodate and care for them.
Statistics Canada did a census in 2016 that states that "13.0% of the population is aged 65 and
older." Although many people aged 65 can still function independently and do not require much
help. As they become older however, their needs will change as their health declines (Ivan, 2018).
The local community has seen a shift in needs as elementary schools and high schools are
amalgamated to adjust for low numbers of students. On the other hand the number and size of the
local Nursing and Retirement Homes has grown. "32.0% of people aged 85 and older lived in
collective dwellings such as nursing homes and residences for senior citizens" (A Portrait of ...
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Sault College has the Practical Nursing program, a two year diploma. The curriculum can be found
online or onsite. It includes all the basic training, knowledge and skill needed to complete the
program. All successful students then must take a provincial exam to become registered before they
can practice as an RPN (Practical Nursing). After becoming registered an RPN can practice in the
field of geriatrics. However they may not fully understand the complexity of the field. Gaining more
knowledge about gerontology can then be accessed through continuing education. There are online
certificate programs available to enhance the skills obtained through the Practical Nursing program.
To name a few are Mohawk College, McMaster University and the Geriatric Certificate Program.
All of these facilities allow time for completion, up to seven years, as they are designed for people
who are already working. Some of these programs will put more emphasis on things that more
common in the aged population. The "Key issues in nursing older people" are mobility, nutrition,
continence management, communication, spirituality, religious practice, beliefs and values,
sexuality and intimacy, risk and safety in nursing, social participation and social networks, dying
and mental health issues (Key Issues in Nursing Older People, 2012 p.77). All of these areas will
guide a nursing career in

Elderly Abuse Case Study
Introduction Child abuse and neglect is routinely seen in the news media or newspaper, but what
about elderly abuse? You rarely hear about elderly abuse however, it is occurring in United States.
According to NH Abuse Guide (2016) one in every three geriatric facilities have reported abuse that
was likely to lead to serious harm. Just like children, the elderly population is vulnerable and are at
risk of abuse. According to the NCEA (2012) 2,000 nursing home residents were surveyed and
results showed that 44% said they have been abused in some manner and 95% stated they were
neglected or saw another resident neglected.
Background/Problem Statement
It is well known that people are living longer than in previous decades. According ... Show more
However, all types of abuse occur in geriatric facilities. Elderly abuse is a rising concern in the
United States and somehow facilities need to intervene and eliminate this tragedy. Implementing the
solution of installing video cameras in geriatric facilities will take great effort from everyone
involved. This implementation, however, will remove elderly abuse in those facilities. Installing
video cameras in the resident's rooms with security monitoring will protect everyone involved.
Family members can log on and streamline the video and see what their loved ones are doing and be
comforted knowing that their loved ones are being care for in an appropriate manner. The overall
outcome will be keeping elderly residents

The Geriatric Population : A Significant Impact On Federal...
The geriatric population is a very vulnerable population, which needs great care. The main concerns
are attributed to the age, educational background, medication experiences, living conditions and
diet. All these contribute to factors which make it difficult to be adherent to their goals, which have
been developed to improve their health.
Geriatric care presents a significant impact on federal spending through the Medicare program.
Roughly 20% of all geriatric hospital discharges are done as a transfer of care to a Skilled Nursing
Facility (Simmons) at the cost of $32 billion dollars annually. Of those sent to a Skilled Nursing
Facility (SNF), 23% are readmitted within 30 days (Simmons). A hospital readmission may result
from a new ... Show more content on Helpwriting.net ...
In a quarter of the hospitals, about 25% of the admissions are rehospitalizations that occur within 30
days after discharge (Jencks). There are a number of factors that contribute to avoidable hospital
readmissions. Some of these reasons include: poor quality and transition of care between different
providers and care setting, discharging of patients prematurely, discharging patient without
providing adequate information of their care and the lack of coordination with information of
patients between inpatient and community–based providers.
Some papers have been published to address the concern of the rate of hospital readmissions in the
geriatric population. Simmons et tal. points to the fact that insufficient pain management is one of
the most common factors leading to hospital readmission (Simmons). While evidence is limited,
there is some indication that pain is poorly evaluated and poorly treated in older adults across a
variety of settings including SNF. This leads to higher rates of hospital admissions and
readmissions. Also, when care is transitioned to SNF, important clinical information is often times
not sent in a timely manner. This lacking information can include pain severity and how it was
managed in the hospital, which leads to a lack of timely, sufficient pain management at the SNF site
(Simmons). Compounding this issue is the fact that older adults are more likely than younger

Geriatric Assessment
Comprehensive Geriatric Assessment The geriatric assessment is a multidimensional,
multidisciplinary diagnostic instrument designed to collect data on the medical, psychosocial and
functional capabilities and limitations of elderly patients. Various geriatric practitioners use the
information generated to develop treatment and long–term follow–up plans, arrange for primary
care and rehabilitative services, organize and facilitate the intricate process of case management,
determine long–term care requirements and optimal placement, and make the best use of health care
resources. The geriatric assessment differs from a standard medical evaluation in three general
ways: (1) it focuses on elderly individuals with complex problems, (2) it ... Show more content on
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To the extent that patients are unable to complete the assessment themselves, practitioners resort to
traditional patient interview techniques that frequently involve input from a family member or other
caregiver. During your upcoming site visits, you will perform a directed geriatric assessment
(DGA), ideally with the same patient, over two sessions. In the interest of education, most of your
DGA instruments are student–driven, rather than patient–driven, and require relatively little
information from caregivers who may or may not be available at the time of your visit. We have
divided the DGA in two parts, each with three subsections. In Part I, you will perform an expanded
medical interview covering the clinical history, nutritional assessment and a social evaluation. In
Part II, you will perform neuropsychiatric, physical and functional examinations. What follows is a
reproduction of the History and Physical (H&P) format that you will use in your Physical Diagnosis
II course next semester. Although all geriatric practitioners do not use a standard assessment format
(comprehensive or otherwise), most agree on basic content. The comprehensive geriatric assessment
(history & examination) following the Physical Diagnosis outline covers the most significant
content areas of a prototypical geriatric assessment. As you

Introduction. Geriatric Depression Is The Most Common Serious
Introduction Geriatric depression is the most common serious disease in elderly people, especially
with older hospital patients, yet is often difficult to diagnose and many primary care clinicians fail to
recognize depression cases. This research examines the causes, symptoms, and treatments of
depression in the elderly. The causes of depression in the elderly are varies depending on their
medication, their mental state, and other factors such as physiological and biochemical change.
According to Solnek and Seiter (2002), drug reactions cause depression in the elderly. When the
elderly often take multiple medications simultaneously, they are vulnerable to suffer depressive
symptoms. In addition, "the role of loss in late life is frequently ... Show more content on
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Physicians are difficult to determine whether these symptoms are caused by physical illness or
because of depression. How to recognize depression in the elderly? Everyone has had signs of
transient depression at some point in their lives when they are suffering loss, separation, pain, but
these manifestations will gradually disappear, they continue to live almost normal and do not need
treatment at all. The cases that need treatment are the types of depression that affect the mood, the
activities of leisure activities and the daily behavior of the people around. Recognizing depression in
older people is not always easy, but some people, especially the primary clinicians can be aware of
depression by the following signs and symptoms. The most important sign of depression is
personality changes. People with depression begin to feel less interested in their activities, objects,
and the loved ones that they have previously cared for. Elderly depressed people often "give up"
away from social activities as well as other pastimes. Elderly depressed people easily fall into
isolation, loneliness due to self–deprecation. They often find it difficult to express their feelings in
words, so people around them do not recognize their instability. When trying to express their
feelings about depression, they often focus on other topics. For example, they complain about
financial worries, harmony with

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