Friday, May 24, 2019

Older people in the society Essay

According to Roberts (1970) elderly large number atomic number 18 the whole of a generation who sacrifice survived to a certain age. They be non a deviant group or mavin small special section of the population. They are ordinary people who happen to permit reached a particular age. There are several assumptions made ab prohibited experienceder people and their health. The first is that increasing age is ever accompanied by increasing frailty and disability. As a result, the increasing numbers of one-time(a) people in society are usually seen as a societal and economic burden (Le Grand 1993). The second assumption is that age is that age is always accompanied by ill health. The negative images of aging and older people ignore be all pervasive and influence decisions fareive the health and social carefulness of older people which may not necessarily be in their best interest. As per the survey of United States census burro, in the year 2010, 30.8% of total population i n Europe was older people aged over 65 years old. Among these, 8.4 percent over 75 years old and 4.9 percent were aged 80 or more than 80 years old. In the year 1990 it was 6.1% and 3.2% respectively, when the total old age population was 23% of total population. These figures prove that the old age population is increasing, and the problems connect to old age as well. The first part of this assignment discusses just about common issues related to old age. This part mainly foc spends on the physical, mental and social problems of senior citizens. Then it goes through some(prenominal) wistful aspects of author.For that I pass through the theories and feigns of reflection also constitute an attempt to compare different types of reflection. in the long run I examine iodine of my own beds with an older individual, by using one of the contemplative rides. Statistics shows that at that place will be an enormous increase in the ageing population over the following(a) 20 year , oddly in those aged over 75, who will suffer most from illness, or some shield of disability. The population of Great Britain and most other countries is growing older and although this trend has largely been ignored for 2 centauries, it is now regarded as a major semipolitical and economic challenge for the future. This is because the last 30years seen a significant increase in the population of both number and proportion of people aged 65 and over. The sterling(prenominal) growth has been in those people aged 85 and over. The world population of older people over 65 will increase more than doubly as fast as the total population of the world duringthe period 1996-2000. In e rattling region, the population over 75 will increase at an even faster rate and those over 80 will increase faster of all. There are many health problems related to old age. As per the sentiment of Hodkinson (1975) older people differ in three major ways from the young in the type and number of distemp ers and accidents, in their reaction to disease and in special features to do with their background (Hodkinson, 1975).They often have a multiplicity of diseases, partly accounted for by the accumulation of non-lethal diseases such as osteoarthritis and deafness. They are more likely to fall than any other age groups, except the under-fives, often with serious consequences. (Department of trade and industry, 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 commonly lower among older people (DoH central health monitoring unit, 2006). Psychological or emotional disorders in old people are overly common, Older people themselves may be unwilling to seek help or reveal their feelings to others due to a fear of stigma or a lack of cheatledge about the help available to them. Chronic diseases, psychological changes, malnutrition and medication can exacerbate psychological problems in the elderly. Poor eye sight, unforesightful hearing and slower reactions all contributes to a lack of confidence and increased social isolation for some older people. Dementia and depression are the both general psychological disorders in elderly among this dementia is a higher prevalence.According to Victor (1989) it is difficult to accurately estimate the incidence of dementia inside the population because of the problem of diagnosis, although unreliable evidence may lead us to believe that most of the population over the age of 65 years is unrestrained. Aside from the physical and emotional influences accompanying aging, growing old can be a time of social and economic change. For some people in their 50s can be a rich and rewarding time where they can enjoy the fruits of their labors, hand over responsibility for their children and look forward to enjoying in the alto dragher tasks or activities (Gavilan, 1992). For others it may not be such a positive experience, furbish uped by redundancy, financial insecurity,bereavement and the physical manifestations of aging. Retirement does not only affect an older persons income but can also have a detrimental effect upon their social contact and status. Most of them consider solitude as a cultivate of loss loss of income, loss of status, and loss of purpose and routine. In this situation, Jerromes (1991) opinion sounds very relevant, he said that there seems to be a paradoxical situation where the state provides money and support for those who are considered too old for employment while those who are receiving the benefits would be happier carrying out a job of any kind. Caring older people is a challenging process, as it is different from caring a younger. When caring an older person it is necessary to observe them well to u nderstand their feelings and emotions. Reflective thinking will help a health practitioner to achieve this.When reflection is considered as an telling tool in clinical example, one should have a basic knowledge about the meaning of reflection. In fact, defining the terms proves challenging for anyone pursuance to make clear 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 very near to the word reflection he explained reflection as the practitioners capability to evaluate, make sense of and learn through personal experience in order to secure more attractive, useful and satisfying work. Moreover, reflective practice has been developed in health care, especially in nursing, as a way of gaining and building up on that experienced knowledge. Before using Reflection as a tool in clinical practice one should (B .J. Taylor 20003) throw back of thoughts and memories, in cognitive acts such as thinking , contemplation, meditation and any other form of helpful considerations in order to make sense of them and to make appropriate changes if they are required. As per this suggestion concurs should analyze their day to day practice and secure the valuable knowledge to allay their future practice. In other words, as an American philosopher Dewey (1963) suggested that one has to learn by doing and realizing what came of what they did.In searchingdifferent studies and opinions about the process reflection, we can notice out different opinions about the aspects, styles and ways of using reflection as a tool in professional practice. Schon (1983) offered two main aspects of reflective practice those are being reflection on action and reflection in action. Reflection on action is a recollection process of thinking and meditating on an action with the aim of making sense of the incident and using the re sults to improve future doings. It would be helpful, if nurses and health care workers make this theory real in their clinical practice. But the next one, reflection in action is quite strange and had some arguments around it. As per the opinion of greenwood (1998) reflection cannot be recognize before action. In contradiction, Reed and Procter (1993) said that, reflective thinking about a situation, which is likely to happen, in advance is an grand precursor to introduce clinical leadership and supervision. In other words thinking through a particular situation may help to make a prediction and deem a chance to take some precautions for a future occurring issue.When considering the role of reflection in nursing profession, Taylor (2004) suggested that reflection can be used as a system of thinking which helps the nurses to maintain vigilance in caring especially when caring an older person. Freshwater (2002) raised almost similar opinion he said that, reflection helps to encoura ge a holistic, individualized approach to care. When go through these opinions, we can understand that reflection helps a lot to bowl over good care to the patient by productively making rapid changes in the clinical approach, in other words, it provides an opportunity for a rapid and imperfect tense refocusing of work activity (Smyth, 1992). Before I make an attempt to assess my reflective account, which has given me a different outlook about old age, I should choose one model of reflection to analyze my experience. There are few theories, help one to explore his/or her clinical experiences or some incidents in which they have taken part a role of a leader, such as Gibbs(1988) model 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 finally makes an action pl an 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. Even though Gibbs and Drissolls models are almost like 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 bad 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) humans have the ability to think and to think about passed emotions, as we are offered with the gifts of memory and reflection. I believe that Gibbs model has a good frame work and moreover, for me, it is easily applicable in my experience as it is straightforward in nature and it allows me to answer the questions that arise from the practicalities of my clinical experiences.Here I make an attempt to ass ess 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 cadence, as per Gibbss model of reflection, description of the solvent includes, what was the event? Where it happened? Who were with you then? What you did? And what were the results and draw backs the description of my reflective experience is that while I was working in a psychiatric hospital 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 patient in our ward he was about 78 years and had some psychological problems. He was very calm and quite almost any time, but occasionally he became very aggressive and violent. In that hospital, a custom was prevailing that inform relatives when a patient become very aggressive. So we used to inform his relat ives when he got out of control.After meeting with his son or daughter, his condition would have become significantly normal. And he seemed very riant and homy with them. But when they left him there, he was again going back to a depressed mood. When I noticed this events many times I was in truth interested in that patient and I tried to make a good relationship with him. Finally I succeed he used to tell 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 zero but loneliness, Social seclusion and loneliness have long been recognized as problems linked with old age (She ldon 1948 Halmos 1952).Loneliness has been defined 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 next process feelings. In this stage one should recall the situation and try to find out that what he/she thought 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 big businessman 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 later on 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 ba d 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 shared his burden of feelings with me. That awareness gave me a great amount of satisfaction. Moreover I could realize some skills which must have possessed a care worker such as patience and being a good listener, which I had never recognise 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 department 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 in cident 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 learned from this incident is the severity of loneliness in older people. They would even act as insane to get rid of their loneliness. They need 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 comfortable 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.Undoubtedly I would act differently because, now I know the d raw 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. following(a) time I would find out more ways to escape the older patients from being lonely. 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 element of the nurses role as well as a professional commitment. In conclusion, loneliness is the major issue of old age. It is different from solitude because older people can be lonely while living with other people such as residential care. Loneliness can be a symptom 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 confident to face and deal with difficult situations. reference work ListDepartment of trade and industry consumer rubber eraser unit (1995) home accident surveillance system report on 1993 accident data and safety research, DTI, capital of the United Kingdom. Dewey, J. (1963) Experience and education, New York Collier books.87-89. DOH central health monitoring unit (1996) health rela ted behavior an epidemiological over view, HMSO, London. Driscoll, J. (2000) practicing clinical supervision, London Bailliere Tindall. Duffy, K. Hardicre, J. (2007) Supporting failing students in practice 1 assessment, Nursing Times, 10(4) 28-29. Freshwater, D. (2002) Therapeutic nursing improving patient care through reflection, London Sage. Gavilan, H. (1992) care in the community for older housebound people institutional living in our own home? Critical public health, 3(4) 18-23. Gibbs, G. (1988) Learning by Doing A guide to teaching and learning method Further Education Unit, Oxford Oxford Brookes University. Greenwood, J. (1998) The role of reflection in single and double loop learning, Journal of innovative nursing practice, 27(5) 1048-53. Halmos, Paul (1952) Solitude and Privacy A Study of Social Isolation, Its Causes and Therapy. London.Hodkinsin, H. (1975) an outline of geriatrics, academic press, London. Jerrome, D. (1991) social bonds in later life. Social and psycholog ical gerontology, clinical gerontology, 1 297-306. Johns, C. (1995) Framing learning through reflection within carpers fundamental ways of knowing in nursing. Journal of in advance(p) nursing, 22 226-34. Johns, C. (2002) Guided reflection Advancing practice, Oxford Blackwell science. Le Grand, J, (1993) can we afford the welfare state? British medical journal 307(6911) 1018-1019. Reed, J. and Procter, S. (1993) Nurse education areflective approach, London Edward Arnold. Roberts, N. (1970) our future selves care of the elderly, Allen and Unwin, London. Schon, D. (1983) The reflective practitioner how practitioners think in action, New York Basic books. Sheldon, J. H. (1948) The Social Medicine of Old Age history of an Inquiry in Wolverhampton, Oxford University Press, London.Smyth, J. (1992) Teachers work and the politics of reflection, American education research journal, 29(2) 267-300. Taylor, B. (2004) Technical, practical and emancipator reflection for practicing holistically, Journal of holistic nursing, 22(1) 73-84. Taylor, B. J. (2003) Emancipator reflective practice for overcoming complexities and constraints in holistic health care, Sacred space, 4(2) 40-5. Taylor, B. J. (2006) Reflective Practice A guide for nurses and mid wives, 2nd edn. UK Open University press, Milton Keyness. Victor, C. (1989) the myth of the woopie scantness and affluence in later life, geriatric medicine, (19)12 22, 25-2

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