Nursing Care Centers For Older People

The policy of health and social care is eloquent based on the care and demands of the older people. Older people as well as service providers are affected due to the continuing changes in health provision and pressures for cost containment. Many a time, older people have found themselves means-tested for services that have been provided free of cost. Arrangements from nursing care homes limit the money available all over the world, use of a formula that interprets low, medium and high need. A little contribution to the cost of care is paid. According to an international research, the principles of these kinds of agencies cover assessment, for example, the single assessment process (SAP) and the national service framework. However, the approach of any multi-national agency should expose, in both its structure and process, good and latest nursing practice.

Now it is a well-known fact that nursing assessment for older people is important. An expert nursing care and care homes for older people plays an important role in the care and comfort of older people.

Health and social care needs have been inter-related by the people who need continuing care. Nursing care in care homes has been long argued that distinctions between the two are unworkable. Thus, an interview was conducted which help older could people to communicate and balance their health needs with their chosen lifestyle.

Clinical judgment is used by the Care Home staffs to take care of older people and enable them to , improve, maintain, recover and to cope up with their problems and to achieve a better quality of life.

Older people make up a large and increasing percentage of the current population. As people grow older, with the rate of increasing their ages, they are increasingly at risk of so many health problems many injuries also. Falling down is the first indication of an

undetected illness. Major preventions should be taken for these kinds of problems as they create considerable mortality, morbidity and suffering for older people and their families, and incur social costs due to hospital and nursing home admissions.

Targeted strategies should be made which aim at behavioral change and risk modification for those living in the community appear to be most promising.

Research methods

Online research data from different web sites, different articles, and theoretical studies from different books. The methodology which had been used was collecting data from both primary and secondary sources. Primary sources were the personal interaction with the experts and secondary was the information collected from websites.

Qualitative interviews were used to explore views on maintaining dignity of 18 residents of nursing homes. A qualitative descriptive approach was used. The analysis was both deductive (arising from the dignity model) and inductive (arising from participants’ views).

LITERATURE REVIEW AND FINDINGS

Today most of the older people living in nursing homes are losing their life there itself. Model based on empirical, is of dignity which has been developed and which forms the basis of a brief psychotherapy to help in promoting dignity and reduce distress at the end of life of older people. The main objective of this study is to explore the generalisability of the dignity model to help older people in nursing homes. As a result of this study, the main categories and features of the dignity model were broadly and intuitively supported on various issues like illness-related problems, social aspects of the illness experience and dignity protecting repertoire. However, some of the sub themes which were related to death were not supported and two new themes came out. Some of the residents found their symptoms and loss of their function were due to old age rather than illness. Although residents did not emerge to experience distress due to thoughts of impending death, rather they were distressed by the multiple losses they had experienced. 

These finding helps in adding to our understanding of the concerns of older people in care homes on maintaining dignity and suggest that dignity therapy may boost up their sense of dignity. This is one of the major reasons of choosing this topic related to older people as in today’s scenario, older people are loosing their existence. As per the findings we got to know that the majority of residents who are living in nursing homes die within 2 years from multiple kinds of medical pathologies. Generally they are heavily reliant on staff for their care, which can grind down their sense of dignity. Maintaining dignity are considered as the highest priority in health and social care strategy documents in most European countries and particular concerns have been raised about loss of dignity in care. Although there is a big deal about rhetoric around dignity, there is no agreed and prescribed definition of this. A brief review of the studies based on international researches exploring the concept of dignity from a nursing perspective have showed a wide range of definitions and understanding related to the construct; however, a most common and important theme was to respect a patient as a person. Two of the studies have explored the different views of people on dignity of older people in care homes. One of them found that not being a burden for others was important to residents, and their sense of dignity was threatened by illness and care needs, at the same time the other one described three main themes: