Care in Nursing for the Elderly People
Hareesha Siramreddy*
Department of Pharmacy, Andhra University, India
- Corresponding Author:
- Hareesha Siramreddy
Department of Pharmacy
Andhra University, India
Tel: 9652422278
Email: Hareesha@gmail.com
Received date: 09/09/2016; Accepted date: 10/09/2016; Published date: 17/09/2016
Visit for more related articles at Research & Reviews: Journal of Nursing and Health Sciences.
Abstract
ABSTRACT This article is committed to sketching out two nursing nurture elderly individuals in Germany and China. Molded by the European welfare state model, Germany has propelled a statutory long haul care protection program went for incorporating various performing artists, for example, the family, mediator associations, non-benefit associations and private suppliers into a supply structure inside a compulsory social consideration protection framework, where the welfare state goes about as legislator and controller for open nursing care. Contrasted with the German framework, China has a simple nursing care framework portrayed by a half and half model, which depends on both traditional family care and individual private protection. In the wake of presenting elderly care in both nations, this survey article investigates the likelihood of exchanging the German model of long haul care protection to China to lessen the expanding issue of elderly care. The taking off interest for elderly care and immature open administrations for nursing care speak to an incredible test for contemporary Chinese society.
Keywords
Nursing, Elderly, Care
Introduction
In the course of the most recent couple of decades, the maturing populace has progressively turned into a genuine worldwide issue. Industrialized countries as well as move economies have experienced extraordinary demographic moves. Amid this procedure, the issue of elderly care has been the center of exchange for some OECD nations. Right now, this issue has crossed the fringe of OECD countries and turn into a matter of expanding sympathy toward move economies. Confronted with the proceeding with speeding up of demographic maturing, how are produced nations and developing economies ready to handle the issue of administer to the elderly with handicaps [1-25].
This scholastic article concentrates on elderly care in two countries – Germany and China, both of which have experienced comparable demographic and social difficulties. In Germany, a standout amongst the most essential mechanical countries, the Total Fertility Rate (TFR) has diminished from 2.0 in 1970 to 1.40 in 2011, while future has expanded from 69.3 years in 1960 to 80.7 years in 2011. As the biggest move economy, China has additionally encountered a sensational decrease in birth rate and a consistent increment in future. Its TFR has diminished from 5.5 in 1970 to 1.60 in 2011, while future has expanded by over 30 years somewhere around 1960 and 2011 (from 43.5 years to 75.0 years). Until 2010, people matured 60 and over in Germany include 26.3 percent of the entire populace; in China, there are 177 million people matured 60 and over, speaking to 13.26 percent of the whole populace. Both nations are experiencing the expanding issue of populace maturing and elderly care [26-35].
These two nations have been chosen for correlation in light of the fact that both have institutional similitudes in the area of social strategy. Germany is the principal country on the planet that had made far reaching social protection frameworks in the period of Bismarck, for example, seniority protection, medical coverage and mechanical harm protection. Verifiably, East Asian countries like Japan and China have reliably demonstrated a powerful urge and distinct fascination to gain from the social protection frameworks of the Prussian and the brought together German Empire, This authentic legacy of two-sided linkage influences the contemporary advancement of social insurance in East Asia [36-40]. For example, China has looked to receive the word related damage protection arrangement of Germany since 2005. In the field of medical coverage, China has additionally drawn closer the Bismarck model of social protection, presenting a urban health care coverage framework and new provincial helpful restorative framework since 1990s. Not at all like the British Beveridge display, is the social protection framework, similar to the medicinal services framework in China and Germany, financed through protection commitments, not through finance charges. Because of the long-standing social and social fondness between Western Europe and East Asia, it is legitimate to bring up the issue if contemporary China can gain from the German nursing care model to make a fresh out of the plastic new long haul care protection framework.
Elderly people in the United States are confronted with numerous snags, including the difficulties of the maturing procedure, societal standards and desires, changes in monetary and caregiving assets, and ecological difficulties. Age-related changes influence the capacity of each body framework, even in the most advantageous more established individuals. Heart yield decays. Calcium moves from bones and teeth into veins. Waterfalls may diminish vision [41-60]. Listening to blurs. Lung, liver and kidney works moderate. Wear and tear on joints makes torment an unwelcome friend. Ordinary age-related changes might be joined by constant wellbeing issues, for example, diabetes or coronary illness. Administration of numerous such perpetual conditions may incorporate one or more prescriptions recommended for consistent use. Despite the fact that drugs may alleviate side effects, enhance the personal satisfaction, and now and again increment the lifespan, they are not without danger. For instance, research has demonstrated that taking four or more professionally prescribed medications is an autonomous danger element for a fall damage, which can launch a free more seasoned grown-up into the positions of the fragile elderly.
Joined, these elements increment the many-sided quality of consideration. Notwithstanding, these progressions don't consequently liken with handicap. Standard work out, a solid eating regimen and social and scholarly incitement can counteract or postpone malady and handicap. Early conclusion and successful administration of constant conditions can empower more seasoned grown-ups to make the most of their later years as useful, dynamic, and autonomous individuals from the group. Looking after more established grown-ups requires a multidisciplinary approach and may incorporate an essential consideration supplier or geriatric attendant expert who arranges care with other colleagues, including physical and word related advisors, drug specialists, medical caretakers, and other wellbeing experts [61-85]. Maturing and living with perpetual illnesses can influence a man's capacity to perform key self-care exercises. More seasoned grown-ups may experience difficulty with the instrumental exercises of everyday living (IADLs, for example, overseeing cash, shopping, get ready suppers, and taking medicines as recommended. As utilitarian capacity-physical, mental, or both-decreases, individuals may likewise lose the capacity to play out the more essential exercises of everyday living (ADLs, for example, dealing with individual cleanliness, nourishing themselves, getting dressed, and toileting. As utilitarian changes happen (e.g. after a stroke or fall), it can be worthwhile to work with a physical or word related advisor to fuse a restoration plan to address fortifying activities, versatile methodologies, and assistive gadgets (if necessary).
Loss of the capacity to look after oneself securely and fittingly implies further loss of autonomy and can frequently prompt the requirement for consideration in an institutional setting. Almost 66% of individuals over age 65 will require long haul care at home through grown-up day medicinal services or in a helped living office or nursing home. Broadly, the middle yearly rate for a one-room/single-inhabitance unit in a helped living office is $42,000. Nursing home consideration is much more costly, and numerous Americans might be fiscally caught off guard for this kind of consideration [86-95]. The middle yearly rate for a private nursing home room is $87,600. Becoming more established does not generally mean living in a nursing home. Truth be told, the quantity of nursing home occupants has declined to under 8% of Americans ages 75 and more seasoned. Today's seniors have a scope of decisions for lodging and care, contingent upon their financial status and their wellbeing. These decisions incorporate maturing set up (staying in one's own particular home by adjusting it and orchestrating home social insurance administrations as required) and moving to a retirement group or a helped living or life-care office. What's more, more seasoned individuals who can no more live alone may move in with their kids or different relatives.
People’s Attitudes about Aging
Individuals' convictions and demeanors about maturing can straightforwardly influence their mental prosperity. Analysts found that individuals who held negative convictions about maturing and wellbeing reported lower life fulfillment, lower self-regard, lower self-adequacy, and lower importance centered adapting as they matured. They additionally reported higher cynicism about maturing and higher work strain than the individuals who feel more youthful in respect to their ordered age [96-100]. A substantial Australian study observed that convictions about control, social backing, and physical activity influenced useful wellbeing in midlife and maturity. The individuals who trusted they had some control over what happened in their life and how their activities could impact wanted results, for example, great wellbeing reported less and less extreme indications, quicker recuperation from sickness, and higher useful status. Individuals with positive social connections and association were more beneficial than the individuals who were disengaged. Being socially dynamic and connected with tended to bring about a more advantageous way of life, including customary physical activity.
References
- Rytterstrom P, et al. Care and caring culture as experienced by nurses working in different care environments: a phenomenological-hermeneutic study. Int J Nurs Stud. 2009;46:689-698.
- Heath H. Outcomes from the work of registered nurses working with older people in UK care homes. Int J Older People Nurs. 2010;5:116-27.
- Gubrium JF. Living and dying at Murray Manor. Charlottesville and London: University Press of Virginia. 1997.
- Diamond T. Making gray gold. Narratives of nursing home care. Chicago and London: The University of Chicago Press; 1995.
- Owensby SA. The nature of the culture of the nursing work groups in long-term care: an ethnographic study. Austin, Texas: The University of Texas at Austin;1997.
- Schirm V, et al. Caregiving in nursing homes. Views of licensed nurses and nursing assistants. ClinNurs Res. 2000;9:280-97.
- Rhynas S. Bourdieu’s theory of practice and its potential in nursing research. J AdvNurs. 2005;50:179-86.
- Haidt J, et al. Body, psyche and culture: The relationship between disgust and morality. PsycholDevSoc J. 1997;9:107–31.
- Simpson J, et al. Is disgust a homogeneous emotion? Motiv Emotion. 2006;30:31-41.
- Twigg JC. Carework as a form of bodywork’. Ageing Soc. 2000;20:389-411.
- Jervis LL. The pollution of incontinence and the dirty work of caregiving i a U.S. nursing home. Med Anthropol Q. 2001;15:84-99.
- Stacey CL. Finding dignity in dirty work: the constraints and rewards of low-wage home care labour. Socio Health Ill. 2005;27:831-45.
- Lawler J. Behind the screens. Nursing, somology and the problem of the body. Sydney: Sydney University Press; 2006.
- Kristeva J. Powers of horror. An essay on abjection. New York: Colombia University Press. 1982.
- Van Dongen E. It isn’t something you yodel about, but it exitsts! Faeces, nurses, social relations and status within a mental hospital. Aging Ment Health. 2001;5:205-215.
- Benner P. From novice to expert: excellence and power in clinical nursing practice. Menlo Park, Calif: Addison-Wesley. 1984.
- Wadensten B. Life situation and daily life in a nursing home as described by nursing home residents in Sweden. Int J Older People Nurs. 2007;2:180-188.
- WiddingIsaksen L. Gender and Care: The role of cultural ideas of dirt and disgust. In: Morgan D, Branth BEK, editors. Gender, Bodies and Work. Aldershot: Ashgate; 2005. p. 115–26.
- Fernandes CS, et al. Learn an evaluation model and family intervention with "FAMILY NURSING GAME". Journal of Nursing and Health Sciences. 2016.
- Kadmon I. Breast cancer - A developing paradigm of nursing care in Israel. J Nurs Care. 2016;5:331.
- Petty GM, et al. Practicing inter-professional teamwork among nursing and medical students. J Nurs Care. 2016;5:330.
- Mutair AA, et al. Undergraduate Saudi nursing students attitudes towards nursing profession. J Nurs Care. 2016;5:329.
- Richter S and Jarvis K. The need for a critical approach to nursing education within a globalized world. J Nurs Care. 2016;5:321
- Gorea RK, et al. Role of social media in the practice of nursing science. Glob J Nurs Forensic Stud. 2016;1:e102.
- Kaya N, et al. Innovation in nursing: A concept analysis. J Comm Pub Health Nursing. 2016;2:108.
- Al-Zadjali M, et al. Palliative care nursing in Oman; Moving towards palliative care nursing. J Palliat Care Med. 2015;S5:003.
- Punjwani R, et al. Palliative care in nursing - Where are we in Pakistan? J Palliat Care Med. 2015;S5:002.
- Can G. The implementation and advancement of palliative care nursing in Turkey. J Palliat Care Med. 2015;S5:001.
- Pelikan A, et al. Modern nursing in the process of ethical changes in surgery. J Nurs Care.2015;4:302.
- Mut air AA. Quality of nursing care in Saudi Arabia: Needs for improvement. J Nurs Care. 2015;4:309.
- Calinici T. Virtual patients in emergency nursing training. J Nurs Care. 2015;4:301.
- Mutair AA. Clinical nursing teaching in Saudi Arabia challenges and suggested solutions. J Nurs Care. S1-007.
- Belete A, et al. Assessment of attitudes towards nursing profession among nurses and non-nursing health professionals working in Mizan-Aman General Hospital, Southwest Ethiopia. J Nurs Care. S1-003.
- Ikezaki S and Ikegami N. Factors related to deaths in nursing homes and not in hospitals in Japan. J Comm Pub Health Nursing. 2015;1:107.
- TabaliM, et al. The relationship between health-related quality of life and care dependency among nursing home residents in Germany: A longitudinal study. J GerontolGeriatr Res. 2015.
- HollaarV, et al. Nursing staff’s knowledge about and skills in providing oral hygiene care for patients with neurological disorders
- Baptiste D and Neira PM. Integrating concepts of transgender-specific health care in nursing education to improve patient outcomes. Journal of Nursing and Health Sciences. 2015.
- El-Masri MM and Fox-Wasylyshyn SM. Nurses' roles with families: perceptions of ICU nurses. Intensive Crit Care Nurs. 2009;23:43-50.
- Duhamel F. Implementing family nursing: how do we translate knowledge into clinical practice? Part II: The evolution of 20 years of teaching, research, and practice to a Center of Excellence in Family Nursing. J FamNurs. 2010;16:8-25.
- Kaakinen and Birenbaum. Desenvolvimento da família e apreciação de enfermagem da família. In Stanhope, & Lancaster, Public Health Nursing. 2011.
- Santos. Abordagemsistémica do cuidado à família: impacto no desempenhoprofissional do enfermeiro. Dissertation for the degree of doctor, Universidade de Lisboa. 2012.
- Oliveira Pda C, et al. Attitudes of nurses towards families: validation of the scale Families' Importance in Nursing Care--Nurses Attitudes. Rev Esc Enferm USP. 2011;45:1331-1337.
- Benzein E, et al. Nurses' attitudes about the importance of families in nursing care: A survey of Swedish nurses. J FamNurs. 2008;14:162-180.
- Fisher, et al. Nursing Staff attitudes and behaviors regarding family presence in the hospital setting. JAN: original research. 2008;615-623.
- Figueiredo. Enfermagem de Família: Um contexto do Cuidar. Dissertation for the degree of doctor,ICBAS,Porto. 2009.
- Legrow K and RossenBE. Development of professional practice based on a family systems nursing framework: nurses' and families' experiences. J FamNurs. 2005;11:38-58.
- Lee AC, et al. The application of family-nursing assessment skills: from classroom to hospital ward among final-year nursing undergraduates in Hong Kong.NurseEduc Today. 2012;32:78-84.
- Herrman J. Creative Teaching Strategies for the Nurse Educator. Philadelphia: F.A. Davis. 2008.
- Bradshaw. Effective learning: what teachers need to Know. In M. Bradshow, &Lowenstein,Innovative Teaching Strategies in Nursing and Related Health Professions. Boston: Jones and Bartlett Publishers. 2011;3-21.
- Coscrato, et al. Use of recreational activities in health education: Integrative review of literature. ActaPaulista de Enfermagem. 2010;257-253.
- Allum, et al. Use of educational games in the health professions: A mixed-methods study of educators’ perspectives in the UK. Nursing and Health Sciences. 2010;22-22
- Baid H and Lambert N. Enjoyable learning: the role of humour, games, and fun activities in nursing and midwifery education. Nurse Educ Today. 2010;30:548-542.
- Figueiredo, et al. Enfermagem e o jogodramático: Reflexões de enfermeirossobre o cuidado de enfermagematravés da imagem. Journal of Nursing Referência. 201;65-62.
- Boctor L. Active-learning strategies: the use of a game to reinforce learning in nursing education. A case study. Nurse EducPract. 2013;13:96-90.
- Bowers. Making a game of urgent care: simulation for nursing students: Sue Bowers has devised a board game to help staff develop decision-making and problem-solving skills, and to encourage critical thinking and teamwork. Emergency Nurse.2011;26-29.
- Leite, et al. Jogo educativonaorientaçãogrupal de puérperasemalojamentoconjunto: umaestratégia de educaçaopara a saúde. Texto&Contexto. 1998;59-72.
- Li Ji and JiaojiaoBai. Nursing care on an elderly diabetic foot patient with an abnormal toenail: A case report. Diabetes Case Rep. 2016;1:103.
- Taets GGDC. The Nursing care in front of the dying process in oncology. J Nurs Care. 2016;5:337.
- Legesse MT, et al. (2016) Adult patient satisfaction with in-patient nursing care in a referral and teaching hospital southern nations nationalities and peoples region (SNNPR), Ethiopia. J Nurs Care. 2016;5:334.
- Kadmon I. Breast cancer - A developing paradigm of nursing care in israel. J Nurs Care. 2016;5:331.
- Ayyub R, et al. Perceptions of patients regarding quality nursing care (QNC) at a Tertiary care hospital, Karachi, Pakistan. J Clin Res Bioeth. 2015;6:254.
- Mutair AA. Quality of nursing care in saudiarabia: Needs for improvement. J Nurs Care.2015;4:309.
- Gerensea H, et al. Quality of nursing care among in-patient of medical-surgical ward in axumst. marry hospital, Tigray, Ethiopia 2015. Enz Eng. 2015;4:132.
- Vlaisavljevic Z, et al. Specific nursing care rendered in hepatic encephalopathy: Contemporary review and new clinical insights. J Nurs Care. 2015;4:264.
- Yap TL. Facilitation of nursing care delivery for the prevention of pressure ulcers in older adults. Journal of Nursing and Health Sciences.
- Amakali K. Clinical care for the patient with heart failure: A nursing care perspective. CardiolPharmacol. 2015;4:142.
- Sowjanya P and Subashini D. Nursing care for elderly people. JNHS. 2015.
- Fengxia Liu, et al. Nursing care for esophageal cancer patients receiving radiation therapy in China: A review of the published literature. J Nurs Care. 2015;4:243.
- Arbeed ARA and Hakim DA (2015) An ethical incident from my nursing career. J Nurs Care. 2015;4:230.
- Liu T. Nursing care for elderly people in germany and china: A bilateral comparison and exploration of policy transfer. J Nurs Care. 2014;3:206.
- Mattila E, et al. The effects of the primary nursing care model: A systematic review. J Nurs Care. 2014;3:205.
- Molla M, et al. Assessment of nursing care experience and associated factors among adult inpatients in black-lion hospital, Addis Ababa, Ethiopia : An institution-based cross-sectional study. J Nurs Care. 2014;3:165.
- Yeh CH, et al. Application of auricular therapy for cancer-related pain in nursing care. J Pain Relief 2014;3:139.
- Yildiz T, et al. (2014) Neurosurgery nursing and spiritual dimension of nursing care. J Health Med Informat. 2014;5:144.
- Ali ZH. Effect of nursing care strategy on the functional and physical abilities of patients following stroke. J NeurolNeurophysiol 2013;S8:006.
- Akiko Kondo, et al. Nursing care after hip fracture surgery predicts patient ambulatory ability at 3 months after surgery. J Nurs Care. 2013;S5-002.
- Maluleke TX, et al. Perceptions of professional nurses in rural hospitals of the limpopo province regarding nursing care of patients with human immunodeficiency virus and acquired immunodeficiency syndrome. J AIDS Clin Res. 2012;3:176.
- Kempfer SS. Nursing care centered on the best practices. J Nursing Care. 2012;1:e108.
- Mixer SJ, et al. Transforming bedside nursing care through practice-academic co-mentoring relationships. J Nursing Care. 2012;1:108.
- Fonseca C, et al. Nursing care indicators to nursing homes. J Nursing Care. 2012;1:107.
- Wysokinski M, et al. Demand for nursing care from elderly people hospitalised at an intensive care unit. J Nursing Care. 2012;1:105.
- Ali ZH. Health and knowledge progress among diabetic patients after implementation of a nursing care program based on their profile. J Diabetes Metab. 2011;2:121.
- Mane AB. Ageing in India: Some Social Challenges to Elderly Care. J GerontolGeriatr Res. 2016;5:e136.
- Choudhary S. Elderly care- present and future. J GerontolGeriatr Res. 2015;4:248.
- Minde GT. A Culturally-sensitive approach to elderly care. J GerontolGeriatr Res. 2015;4:241.
- Takemoto S and Pornkuna R. International cooperation for elderly care between kumamoto, Japan and KhonKaen, Thailand. J GerontolGeriatr Res. 2015;4:202.
- Adhikari H. Effectiveness of Structured Reminiscence Group Psychotherapy in Elderly Care. J Gerontol Geriatric Res. 2013;2:124.
- Arai Y, et al. Depression among family caregivers of community-dwelling older people who used services under the Long Term Care Insurance program: a large-scale population-based study in Japan. Aging and mental health. 2014;18:81-91.
- Balducci C, et al. Negative impact and positive value in caregiving: Validation of the COPE index in a six-country sample of carers. Gerontologist. 2008;48:276-286.
- Etters L, et al. Caregiver burden among dementia patient caregivers: A review of the literature. Journal of the American Academy of Nurse Practitioners. 2028;20:423-428.
- Eliopoulos C. Gerontological nursing. Lippincott Williams and Wilkins, USA. 2013.
- Liu YE, et al. Nurses’ attitudes towards older people: A systematic review. International journal of nursing studies. 2013;50:1271-1282.
- Kydd A, et al. Attitudes towards caring for older people: findings and recommendations for practice: In the second part of this article, Angela Kydd and colleagues compare data from two studies to gauge if there has been a change in opinion over a decade. Nurs older people. 2015;25:21-28.
- Walrath JM, et al. Interdisciplinary medical, nursing, and administrator education in practice:the Johns Hopkins experience. Acad Med. 2015;81:744-748.
- Rodgers D, et al. Creating national standards from the point of care. Nurs Adm Q. 2014;38:86-92.
- George VM and Shocksnider J. Leaders: are you ready for change? The clinical nurse as care coordinator in the new health care system. Nurs Adm Q. 2014;38:78-85.
- Geneva prevalence of depression. World Health Organization Report, 2013.
- Barua A and Kar N. Screening for depression in elderly Indian population. Indian Journal of Psychiatry. 2013;52:150-153.
- Faris S. Depression statistics. Medically reviewed by George Krucik. 2012;20-30.
- Swarnalatha N. The prevalence of depression among the rural elderly in chittoor district, Andhra Pradesh. J ClinDiagn Res. 2013;7:1356–1360.