Psychological lives of Older adults

Anonymous
timer Asked: Dec 28th, 2018
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Question Description

After completing your required readings in the Psychological Lives of Older Adults module, you will apply what you have learned by developing an intervention to improve the psychological well-being of an older adult who is transitioning from the hospital to home.

You can gain glean insights from a few programs that assist older adults transition from the hospital to home-based or hospice care, but I want you to use research and the theories presented earlier in the Major Theories of Wellness and Aging module to make your care transition plan unique.

Existing Similar Programs:

http://www.hospitalmedicine.org/Web/Quality_Innovation/Implementation_Toolkits/Project_BOOST/Web/Quality___Innovation/Implementation_Toolkit/Boost/Overview.aspx

http://caretransitions.org/about-the-care-transitions-intervention/

http://www.transitionalcare.info/about-tcm

Your program should attempt to accomplish the following goals:

  1. Avoid hospital re-admittance or additional health complications.
  2. Improve self-efficacy in home healthcare routines (medications, physical therapy/rehabilitation, etc.)
  3. Encourage adaptive coping mechanisms and self-compassion.
  4. Connect your client with social support.

Here is a description of your client and her needs:

Your client, Grace, is a 76 year-old widow who has two sons who live in the greater Houston area, but are 20 miles or more from Grace’s home. Grace became weak and dehydrated after an upper respiratory virus, and was hospitalized after a fall, in which she suffered a concussion. Grace has shown some signs of mild depression and anxiety. She is being released home and you need to develop a transitional care plan to ensure her health and well-being.

You should develop a series of questions to assess Grace’s needs and then develop a care transition plan. Your plan should include 1) specific strategies that you will use to accomplish the goals listed above, 2) specify how often Grace will be visited by home health professionals, 3) and how you will assess the success of your intervention.

Your transitional care plan will be evaluated based on your ability to apply research and theory to Grace’s specific needs and the goals of the program, 2) your ability to develop questions that are appropriate for an older adult with Grace’s medical complaints, and 3) your ability develop an program assessment plan to evaluate the efficacy of your care transition plan.


Will provide supportive/reference paper which you may use. You are also free to research.

Tutor Answer

nkostas
School: Boston College

Attached.

Running Head: TRANSITIONAL CARE PROGRAM

Transitional Care Program
Institution affiliation
Date

1

TRANSITIONAL CARE PROGRAM

2

Introduction
It has been noted that there exists increasing pressure with the steady growth of older
people. Equally, Peel, McClure, and Bartlett, (2005) note that older patients when being
discharged from the hospital have complex medical problems, high levels of stress and
vulnerability. These issues put the elderly at the risks of poor health results. Elderly patients
suffering from chronic illnesses such as depression require consistent, logical and coherent
health care during the transitional period. It, therefore, becomes imperative for healthcare
providers and in particular nurses to carry out a decent discharge planning that would help
elderly patients with transitional challenges through interrupted healthcare. This paper, therefore,
presents a series of questions to assess an older patient with anxiety and depression disorder who
has just been discharged from the hospital and then develop a care transition plan.
Questions for Consideration
The below-listed questions will help the healthcare provider or the person involved in planning
the discharge to figure out whether or not the patient is presumed to need a more comprehensive
assessment.
❖ Prior to admission was the patient independent?
❖ Will this contemporary incident of illness affect the independence of the patient?
❖ Does the patient have sufficient knowledge to cope with a loss of independence?
❖ Does the patient have sufficient support for post discharge needs?
❖ Are there any special needs to access?
❖ Is there a different money handler due to hospital stay?
❖ What extra level of care is required?

TRANSITIONAL CARE PROGRAM

3

❖ Is this the first admission or there have been some other multiple hospital admissions?
❖ What is the patient's living arrangement?
❖ What is the patient's understanding of their illness?
Transition Care Plan
The transition can plan is for the older people who have been...

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Review

Anonymous
Good stuff. Would use again.

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