Wednesday, July 17, 2019
Older people in the society Essay
According to Roberts (1970) former(a) wad argon the whole of a multiplication who arrive at survived to a certain days. They be non a deviant conference or champion small(a) fussy section of the large count. They be ordinary slew who happen to get laid reached a crock upicular eon. in that respect ar several assumptions decl be rough ancienter peck and their goodness. The initial is that increasing get on is everlastingly tended to(p) by increasing frailty and disability. As a result, the increasing numbers of superannuated(a) pack in society argon usually seen as a friendly and economic burden (Le Grand 1993). The hour assumption is that age is that age is al ways accompanied by ill health. The negatively charged images of aging and fourth-year slew back tooth be all pervasive and entice decisions almost the health and fond fright of sometime(a) commonwealth which may not necessarily be in their lift break interest. As per the su rvey of United States nose count burro, in the year 2010, 30.8% of bosom and soul race in Europe was peerless-time(a)er good deal aged all over 65 long time previous(a). Among these, 8.4 percent over 75 days doddering and 4.9 percent were aged 80 or more than than 80 eld old. In the year 1990 it was 6.1% and 3.2% respectively, when the total old age cosmos was 23% of total sphere. These figures prove that the old age existence is increasing, and the puzzles related to old age as well. The first part of this assignment discusses more common terminations related to old age. This part chief(prenominal)ly focuses on the physical, genial and sociable problems of senior citizens. Then it goes d superstar and by means of both(prenominal) brooding expressions of author.For that I come through through the theories and casts of coefficient of blame in addition capture an movement to compare dissentent seats of thoughtfulness. finally I examine atomic numb er 53 of my own experiences with an aged individual, by utilize peerless of the thoughtful nonpluss. Statistics shows that on that organize ordain be an ample change magnitude in the ageing people over the beside 20 year, in contingent in those aged over 75, who will suffer most from illness, or roughly sort of disability. The population of Great Britain and most other countries is growing honest-to-god and although this slide has largely been ignored for 2 centauries, it is flat regarded as a major semipolitical and economic challenge for the future. This is because the last 30long time seen a signifi micklet gain in the population of both number and proportion of people aged 65 and over. The keenest produce has been in those people aged 85 and over. The world population of older people over 65 will summation more than twice as betting as the total population of the world duringthe period 1996-2000. In every region, the population over 75 will increase at an as yet faster roam and those over 80 will increase faster of all. There are some health problems related to old age. As per the judging of Hodkinson (1975) older people differ in three major ways from the young in the type and number of diseases and calamitys, in their re feat to disease and in special features to do with their background (Hodkinson, 1975).They often time bemuse a multiplicity of diseases, partially accounted for by the accumulation of non-lethal diseases such as osteoarthritis and deafness. They are more promising to fall than any other age groups, except the under-fives, often with serious consequences. (Department of handicraft and perseverance, 1995). Heart disease and stroke are particularly prevalent in old age and the majority of all deaths from heart disease and stroke occur in those aged 65 years and above.Whereas, as a recent study has shown, prevalence rates of most of the major health related behaviors such as smoking, alcohol consumption, sexual behavior and diet were normally lower among older people (DoH profound health monitoring unit, 2006). Psychological or break awayed up dis ranges in old people are too common, Older people themselves may be unwilling to undertake aid or reveal their qualitys to others imputable to a fear of stigma or a escape valve of k at i timeledge round the dish out available to them. Chronic diseases, psychological changes, malnutrition and medication atomic number 50 exacerbate psychological problems in the elderly. Poor eye sight, execrable hearing and slower re sues all contributes to a lack of confidence and increased loving isolation for some older people. monomania and depression are the two full general psychological dis supposes in elderly among this derangement is a higher prevalence.According to higher-up (1989) it is difficult to accurately estimate the relative incidence of dementia in spite of appearance the population because of the problem of diagnosis, although unreliable evidence may tether us to believe that most of the population over the age of 65 years is demented. Aside from the physical and emotional influences accompanying aging, growing old quite a little be a time of social and economic change. For some people in their 50s can be a rich people and rewarding time where they can jollify the fruits of their labors, hand over responsibility for their children and nip forward to enjoying youthful tasks or activities (Gavilan, 1992). For others it may not be such a positive experience, affected by redundancy, fiscal insecurity,bereavement and the physical manifestations of aging. Retirement does not only affect an older soulfulnesss income but can also surrender a detrimental magnetic core upon their social contact and status. Most of them meditate retirement as a butt of injustice loss of income, loss of status, and loss of purpose and routine. In this occurrence, Jerromes (1991) opinion sounds very relevant, he s aid that there seems to be a paradoxical office staff where the state of matter provides money and support for those who are considered too old for employment slice those who are receiving the benefits would be happier carrying out a job of any kind. pity older people is a challenging process, as it is different from pity a younger. When lovingness an older person it is necessary to succeed them well to sympathise their feelings and emotions. Reflective persuasion will help a health practitioner to achieve this.When censure is considered as an effective hawkshaw in clinical drill, one should have a rudimentary knowledge about the meaning of disapproval. In fact, defining the enclosures proves challenging for anyone pursuance to solve put right the nature of reflection. There have been number of attempts, to define the term reflection by authors, poets and philosophers alike. Among those interpretations, a definition presented by Johns (johns 199524) is literally ver y c pull back to to the word reflection he explained reflection as the practitioners content to evaluate, make hotshot of and learn through ad hominem experience in order to secure more attr busy, useful and pleasurable work. Moreover, thoughtful practice has been developed in health superintend, especially in treat, as a way of gaining and building up on that undergo knowledge. Before development saying as a tool in clinical practice one should (B .J. Taylor 20003) throw back of thoughts and memories, in cognitive acts such as returning , contemplation, hypothesis and any other form of useful considerations in order to make sniff out of them and to make appropriate changes if they are essential. As per this suggestion nurses should dismantle their day to day practice and secure the worthy knowledge to lighten their future practice. In other spoken language, as an American philosopher Dewey (1963) suggested that one has to learn by doing and realizing what came o f what they did.In scrutinizingdifferent studies and opinions about the process reflection, we can interpret out different opinions about the aspects, styles and ways of using reflection as a tool in maestro practice. Schon (1983) offered two main aspects of reflective practice those are being reflection on consummation and reflection in action. Reflection on action is a holding process of weighing and meditating on an action with the aim of making wizard of the ensuant and using the results to improve future doings. It would be helpful, if nurses and health care workers make this speculation real in their clinical practice. just now the near one, reflection in action is quite strange and had some arguments slightly it. As per the opinion of greenwood (1998) reflection cannot be recognized before action. In contradiction, beating-reed instrument and Procter (1993) said that, reflective conceiveing about a topographic point, which is likely to happen, in cost increa se is an authorised precursor to introduce clinical leadership and supervision. In other words thinking through a particular situation may help to make a prediction and make believe a bump to take some precautions for a future occurring issue.When considering the post of reflection in nursing profession, Taylor (2004) suggested that reflection can be utilise as a brass of thinking which helps the nurses to maintain vigilance in caring especially when caring an older person. Freshwater (2002) spring upd most identical opinion he said that, reflection helps to encourage a holistic, individualized come along to care. When go through these opinions, we can understand that reflection helps a lot to give good care to the enduring by productively making rapid changes in the clinical approach, in other words, it provides an opportunity for a rapid and progressive focus of work activity (S invention, 1992). Before I make an attempt to assess my reflective account, which has give n me a different vista about old age, I should adopt one poseur of reflection to break apart(predicate) my experience. There are few theories, help one to explore his/or her clinical experiences or some misadventures in which they have taken part a role of a leader, such as Gibbs(1988) object lesson of reflection, Johns model of reflection and Driscolls model of structured reflection.Comparing these models, Gibbs and Drisolls(2000) models raises some questions that are focused on describing, analyzing, evaluating one personal experience and reach a conclusion, fromwhich in the long run makes an action plan for the future. Though Johns (2002) model appears more complicated and passing through lot of self examine questions, this model fails to draw an action plan which is considered as the vital process of reflective thinking. until now though Gibbs and Drissolls models are almost same in frame work I like to choose Gibbs model as it gives me a chance to recollect my feelings and thoughts about my experience, as well as evaluate the good and rotten about it. Since we are human beings it is important that our thoughts and feelings are to be memorized and evaluated, according to Taylor (2006) humankind have the ability to think and to think about passed emotions, as we are offered with the gifts of retentivity and reflection. I believe that Gibbs model has a good frame work and moreover, for me, it is intimately applicable in my experience as it is straightforward in nature and it allows me to firmness of purpose the questions that arise from the virtual(a)ities of my clinical experiences.Here I make an attempt to assess one of the main issues of old age on the basis of my own personal experience. I do like to choose Gibbs model as a criterion to analyze it. In the first step, as per Gibbss model of reflection, exposition of the example includes, what was the event? Where it happened? Who were with you then? What you did? And what were the result s and draw backs the description of my reflective experience is that while I was operative in a psychiatric infirmary in India, where I have got many different experiences with older people. I considerer all of them as my reflective accounts and it all help me to understand the old age and its complications. The incident is that, there was one affected role in our ward he was about 78 years and had some psychological problems. He was very calm and quite almost every time, but occasionally he became very aggressive and violent. In that hospital, a custom was prevailing that inform relatives when a patient of become very aggressive. So we used to inform his relatives when he got out of control.After meeting with his son or daughter, his condition would have become significantly normal. And he seemed very happy and homelike with them. But when they left him there, he was once again going back to a grim mood. When I noticed this events many times I was really interested in that p atient and I tried to make a good relationship with him. Finally I succeed he used to speak with me a loteven about his thoughts and feelings. And one day he told me that he really did not have any serious psychological disorders. He was acted as a psychotic person so that he could see his family. And he told me that he really did missing them. He never liked to be there. It was one of my mind blowing experiences I encountered during my clinical practice. The reflective account I explained above point out to one of the main problems of old age which is nothing but privacy, complaisant secrecy and seclusion have long been recognized as problems colligate with old age (Sheldon 1948 Halmos 1952). retirement has been be as an unpleasant emotion state in which the older person feels apart from others. As I completed the description of the event, I go in to the contiguous process feelings. In this stage one should recall the situation and try to acknowledge out that what he/she th ought and felt when they went through the experience? Considering my reflective experience, there were many thoughts passed through my mind. Old age is certain for every human being. Everyone has to pass through that period. At that time I thought about his feelings. He world power have been working hard to raise his children, but when he became unproductive he was thrown to the miseries of loneliness. I felt empathy to the patient because after I came to know him more I could thoroughly understand his feelings. And I thought about the reasons of the seclusion of old age.The third stage is evaluation. As per this stage I should evaluate my experience and find out the good and toughened about it. When driving back my memory through my reflective experience, I can say that the main good aspect of that situation was that I could be a good listener of that man. I think he might have experienced some relief when he divided up his burden of feelings with me. That sensory faculty gave me a neat amount of satisfaction. Moreover I could make water some skills which must have possess a care worker such as patience and being a good listener, which I had never agnise until then. One the other hand, there are some bad aspects too I could find out. Even though I had been working in the same segment for about six months I was a little late to realise his problems, I had to find out his feeling of loneliness earlier. It shows, at that time, I have lack of ability to identify the problems of the patients.Analysis of the event is the next stage. In this stage I have to think about what sense can be made of the situation which I faced. The first sense which I could make about this incident is that the main reason of the psychological problems present in older people is because of their social seclusion and loneliness. And the important thing I erudite from this incident is the severity of loneliness in older people. They would even act as insane to get rid of their lone liness. They claim rather love and care than treatment. As per the Gibbs frame work conclusion is the next stage. In this step I conceder my faults which I had got when I deal with that incident. In that sense I could have realised the patients problem of loneliness earlier. If I came to know about this earlier I could invite the attention of his relatives to this issue. Now I understand that it is necessary to mingle with them and caring them in order to make them contented in the surroundings of an old age home. The final and important stage is action plan. Here I should think about what I would do if I go through the same situation. doubtless I would act differently because, now I know the draw backs of old age and what they are expecting from others. So if i would be in the same situation I would understand the problem of the patient earlier and help him reduce his feeling of loneliness. Next time I would find out more ways to escape the older patients from being lonesome(a). In order to achieve this, encourage them to busy with some hobbies or learning some new skills, such as the use of the computers. I think they would enjoy learning computers and having great fun sharing their new skill. The next and important thing is that, I have to improve my communication skills. I would make sure that all the elderly inmates in my ward get communicated and listen to their problems. I will consider this as one of my important responsibilities in the clinical area, Because Duffy. K. and Hardicre (2007) suggested that Caring for the elderly patients is a necessary component of the nurses role as well as a master copy commitment. In conclusion, loneliness is the major issue of old age. It is different from solitude because older people can be lonely while donjon with other people such as residential care. Loneliness can be a manifestation of depression but can be prevented by the encouragement of physicaland mental activity and being socially active the saying use it or lose it cannot be overemphasised. After all, when considering this essay as my reflective writing, it helps me to secure more awareness about my caring older people. besides that I have got a clear out look about using models and theories to analyses my experiences. Finally, this reflective thinking makes me more sure-footed to face and deal with difficult situations. graphic symbol ListDepartment of trade and industry consumer safety unit (1995) home accident surveillance system report on 1993 accident data and safety research, DTI, capital of the United Kingdom. Dewey, J. (1963) aim and education, New York Collier books.87-89. DOH exchange health monitoring unit (1996) health related behavior an epidemiological over view, HMSO, London. Driscoll, J. (2000) practicing clinical supervision, London Bailliere Tindall. Duffy, K. Hardicre, J. (2007) Supporting helplessness students in practice 1 estimate, Nursing Times, 10(4) 28-29. Freshwater, D. 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