Additionally, major life concerns, such as growing older, divorce, or health issues, are ones that may be dealt with uniquely based on age. Rosen believes that taking these factors into account during the intake session could benefit the levels of adherence.
Full Answer
Why age-specific treatment?
The tension created by generational differences in social attitudes and behaviors between older and younger adults only intensify feelings of irritability and frustration among clients, thus creating an atmosphere of “us” versus “them.” An age specific treatment program is therefore more conducive in reducing such tension in the milieu.
Does age matter in the therapeutic relationship?
Age Matters in the Therapeutic Relationship. A strong therapeutic bond is imperative in order to achieve a successful outcome in psychotherapy. This bond must begin with the initial intake session.
What is age-specific considerations in patient care?
The purpose of Age-Specific Considerations in Patient Care is to provide healthcare professionals with information about different age groups, how to identify needs related to these age groups, and how to vary patient care issues with age specific needs in mind. After successful completion of this course, the participant will be able to:
Why age specific treatment for gender differences?
An age specific treatment program is therefore more conducive in reducing such tension in the milieu. Gender differences are more than simply physiologic; they include gender programming and socialization, familial roles, social privilege, economic differences, career and educational differences and gender based stereotypes.
How does age affect treatment?
The aging process can affect how the medication is absorbed, used in the body, and exits the body. Changes that decrease your body's ability to break down or remove certain medications from your system may mean that medications can stay in your body longer.
Why is it important to understand the aging process?
From a public health perspective, aging is also the critical risk factor for a variety of human pathologies, including neurodegenerative diseases such as Alzheimer's, many forms of cancer and metabolic disease/type II diabetes, which have become much more prevalent in the elderly.
What are important factors to aging well?
People with high levels of resilience, low rates of depression, few years of substance abuse, and a good social network are most likely to age successfully and, perhaps most importantly, report high levels of life satisfaction into their golden years.
What is the most important factor in aging?
As important as physical exercise is to aging well, by far the most important determinant to healthy aging is the quality of our relationships, he said. “Loving relationships are key to thriving longevity.” "Loving relationships are key to thriving longevity."
What is the importance of understanding the elderly and aging in nursing care?
Understanding the aging process provides the nurse with an important perspective on the care of the elderly patient. The longest living humans today, live no longer than they did centuries ago. Maximum human life span is approximately 100 years of age. This has not changed.
Why is it important for nurses to understand the study of the aging and the aged?
It provides information about the key factors that affect the health of older adults as they are more likely to have one or more chronic health conditions. Older patients require more health care services than younger ones. It is important that all the nurses need to have specialized knowledge about older adults.
What factors affect the aging process?
Several factors are responsible for ageing: age, sleep, dietary habits, nutrition, physical activity, general health condition, emotional well-being, physical impairment, cultural factors, life events, social support, family well-being, financial resources, cognitive functioning, and diseases.
Why is healthy ageing important?
Summary. Some of the benefits of staying active and healthy as you get older include increasing wellbeing and participation, recovering from illness more quickly, reducing the risk of getting chronic disease, and preventing falls.
How does age impact on health and wellbeing?
As people age they tend to become happier and more content with their lives. Over the years, people may lower or change their expectations, making success and happiness more likely. They become more adaptable; they're more likely to accentuate the positive and play down the negative in any given situation.
Why aging and older persons matter for development?
Societal aging can affect economic growth, patterns of work and retirement, the way that families function, the ability of governments and communities to provide adequate resources for older adults, and the prevalence of chronic disease and disability.
What are gender specific considerations?
Gender differences are more than simply physiologic; they include gender programming and socialization, familial roles, social privilege, economic differences, career and educational differences and gender based stereotypes. While some of these differences are obvious, others might not be.
Why do women have less family support?
Women tend to have less family support when entering treatment than men do. This is compounded when the woman has children under her care, and/or when she is pregnant. Additionally, women tend to have more severe family problems than men, which need to be addressed in treatment.
Does privilege carry over into treatment?
For instance, male privilege carries over into the treatment experience and may hinder the male’s ability to make changes in his thought process sufficient to effect much needed behavioral changes for lasting recovery.
Should older adults learn relationship skills?
As a rule, young adults need to learn life skills and how to liberate from their financially supportive parents, while older adults need to re-learn relationship skills, primarily with their significant other.
Do both genders need safety?
Both genders require safety in their treatment facility where professionally trained trauma-informed staffs provide clinical support, especially on weekends. Sexual harassment takes on many forms and staff require education and training in order to prevent and stop such harassment between clients, as well as between clients and staffs.
What is the goal of aggressive therapy?
The goal of aggressive therapy is to get a durable response, and a possible cure. It may be that the aggressive approach is more reasonable for the young patient, especially if it's determined that you have high-risk disease.
What is the most appropriate goal of lymphoma therapy?
For example, for aggressive lymphomas the most appropriate goal of therapy is usually to cure . For lymphomas with a variable clinical course a period of observation might be needed to judge its behavior.
What is the intent of therapy for indolent lymphoma?
Curative intent: to achieve a possible cure where the disease might be eradicated and never returns. This is a common intent of therapy for aggressive lymphoma and Hodgkin disease.
How to treat lymphoma?
We suggest that you avoid the following : 1 Start a treatment without first consulting at least one lymphoma expert - unless symptoms or clear dangers indicate a strong need to treat, and you are comfortable with the rationale. 2 Base your treatment decision on the outcomes of other patients. Keep in mind that each lymphoma and patient can be unique. 3 Believe conspiracy theories used to promote unorthodox therapies. Consider that these theories require the complicity of multiple scientists, doctors, and regulators - who also get cancer and whose loved ones, spouses, parents, grandparents and children also get cancer.
What is palliative care?
Note: Palliative care can include treatment of the disease in order to relieve disease-related symptoms. To achieve a durable remission: in order to live with no evidence of disease and the frequent need for re-treatment. This is a common intent of therapy for some types of indolent lymphomas.
Do follicular lymphomas require immediate treatment?
Some patients with widespread disease have no symptoms or signs of progression for years and do not require immediate therapy, while others cases demonstrate rapid tumor growth and need early treatment." Source towercancerfoundation.org/
Is aggressive therapy better than cure?
Virtually every treatment approach has potential tradeoffs: An aggressive therapy might give a better chance for a complete and more durable remission (or cure), but can have greater toxicities in the short or long term.
Why are guidelines important for treatment?
Good guidelines allow for flexibility in treatment selection so as to maximize the range of choices among effective treatment alternatives.
What is treatment guidelines?
That is, treatment guidelines are patient directed or patient focused as opposed to practitioner focused, and they tend to be condition or treatment specific (e.g., pediatric immunizations, mammography, depression).
Why are guideline panels recommended?
It is recommended that guideline panels make detailed recommendations to facilitate independent evaluation of the reliability of the guidelines they produce. Ascertaining whether the guidelines are interpreted and applied consistently by health care professionals comprises one assessment of reliability.
What is the purpose of failure to disclose scientific justification for a guideline?
Moreover, failure to disclose the scientific justification for a guideline violates a basic principle of science, which requires open scrutiny and debate. Without the disclosure of adequate scientific information, guidelines are mere expressions of opinion.
Why are guidelines promulgated?
Guidelines are promulgated to encourage high quality care. Ideally, they are not promulgated as a means of establishing the identity of a particular professional group or specialty, nor are they used to exclude certain persons from practicing in a particular area.
What factors affect outcome?
Such factors as the professional's skill, experience, gender, language, and ethnic background can affect outcome in ways that are only partly understood. Criterion 7.1 It is recommended that guidelines take into account the effect of the health care professional's training, skill, and experience on treatment outcome.
What is a treatment with proven effectiveness in one type of setting?
A treatment with proven effectiveness in one type of setting (e.g., the home, the school, day treatment, the clinic, the office, or the institution) may vary in effectiveness when it is offered in other settings. Good guidelines specify the settings in which the treatment has been documented to be effective.
What is the purpose of age specific considerations in patient care?
The purpose of Age-Specific Considerations in Patient Care is to provide healthcare professionals with information about different age groups, how to identify needs related to these age groups, and how to vary patient care issues with age specific needs in mind.
Why are pediatrics at increased risk for adverse effects of medication?
Drug manufacturers conduct only minimal drug safety research with children. Because of their small size and immature body systems , pediatric patients are at increased risk for adverse effects of medication. Preparing pediatric dosages often involves mathematical calculations, which also increases risk of error. In fact, one study found that calculation errors account for 60% of medication errors involving pediatric patients (research of Lesar cited by American Academy of Pediatrics, 2003). The same study identified that nearly 70% of medication errors reported involved pediatric patients. Medication errors are three times more common among pediatric patients as compared with adult patients and have ten times the potential for harm (USP, 2003).
What is developmental task?
Developmental Task = Generativity versus Self-absorption, concern about providing for others is equal to the concern about providing for self; concern about contributing to the next generation and to society .
What is JCAHO accreditation?
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) assesses competence of facility staff as a part of the accreditation process. To comply with standards related to staff competence, facilities must define the patient population served, the age and special needs groups within the patient population, and the staff members who deliver services to the patient population. Further, JCAHO clarifies that the hospital must assess competency of staff members, clearly addressing the special needs and behaviors of specific age groups of the patients whom they serve.
Why are formal operations important for adolescents?
Formal operations enable adolescents to deal with hypothetical thinking and to analyze many different kinds of evidence to support an argument. The ability to engage in formal thinking is inconsistent at first, and at times of stress (such as an illness), adolescents may regress to more simple ways of problem solving.
What does low investment in treatment mean for teens?
Teens who are experiencing emotional, social, family or mental health problems struggle more with adhering to medical regimens; low investment in the treatment plan can be a sign of depression or other psychosocial problems during the teen years.
Why is adherence evaluation important?
Effective, nonjudgemental communication is essential in fostering adherence to health-promoting and preventive practices, and to the treatment of chronic health conditions in teens.
Why is low adherence important in adolescence?
Health care professionals must be alert to the high prevalence of low adherence to treatment during adolescence. Low adherence increases morbidity and medical complications, contributes to poorer quality of life and an overuse of the health care system. Many different factors have an impact on adherence. However, critical factors ...
What is adherence in medicine?
The term adherence has been used more in recent literature, and is defined as “the extent to which a person’s behaviour, in terms of taking medications, following diets, or executing lifestyle changes, coincides with medical or health advice” (2).
What are the factors that affect adherence?
Many different factors that potentially impact on adherence have been studied, such as demographic, familial, socioeconomic, personal, type of illness, therapeutic regimens and the relationship with health care professionals (14–48).
What is the importance of adolescence?
Adolescence is a crucial time for physical, pubertal and cognitive maturation, in addition to psychosocial changes, including identity formation and the development of independent social relationships. During the teen years, the child will move from complete dependence to a more autonomous lifestyle (51).
Why are older adults at increased risk for alcohol-related problems?
Older adults are at increased risk for alcohol-related problems due to age-related physiological changes.
What is the myth about older adults?
Fact: Most older adults have meaningful interpersonal and sexual relationships. Myth: Older adults are inflexible and stubborn. Fact: Most older adults have the same personality traits as at a younger age.
What percentage of older adults have mental health problems?
However, prevalence estimates suggest that 20-22 percent of older adults meet criteria for a mental disorder. Some older adults may have a recurrence of psychological disorders from earlier in life or develop new problems because of unique age-related stressors or neuropathology.
Why is lifespan developmental perspective important?
A lifespan developmental perspective is an important framework for guiding the work of mental health practitioners. Psychological and social resilience is developed over the course of a lifetime.
What is the role of family members in mental health?
The ability to communicate, educate, and coordinate with other concerned individuals (e.g., providers, family members) may often be a key element in providing effective mental health services to older adults.
What percentage of older adults receive psychotherapy?
Where psychotherapy was involved, primary care providers provided psychotherapy to 20 percent of older adults, but only 10 percent of younger adults received psychotherapy from a primary care provider. For older adults, 54 percent of the psychotherapy visits were for depression, as compared to 45 percent for younger adults.
What are the most common diagnoses for older adults?
For those who were given a diagnosis at the same time as receiving a prescription, for both older and younger adults the most common diagnoses were depression and anxiety. Half of all prescriptions for both younger and older adults were for anti-anxiety medications. Looking at medication types, for anti-anxiety medications and antidepressants, ...
What percentage of psychiatrist visits resulted in a diagnosis?
Only 19 percent of the physician visits that resulted in a diagnosis involved psychiatrists for older adults, compared to 40 percent for younger adults. For both younger and older adults, a mental disorder diagnosis was accompanied by a prescription in 75 percent of these visits. Turning to those visits in which a medication for a mental health ...
What percentage of mental health visits involve a diagnosis?
For the younger adults, 9.5 percent of all visits involved a mental disorder diagnosis, while only 4.8 percent of visits for those over 65 resulted in such a diagnosis. However, there was much less difference in the overall percentage of patients receiving medication for a mental health condition over the entire four-year period of this study, ...
What percentage of psychotherapy visits are for depression?
For older adults, 54 percent of the psychotherapy visits were for depression, as compared to 45 percent for younger adults.
Do older adults have dementia?
In terms of the specific diagnosis, not surprisingly, older adults had a higher proportion of dementia diagnoses. The researchers also found that older adults were much more likely to receive a mental health disorder diagnosis from a physician who was not a psychiatrist. Only 19 percent of the physician visits that resulted in a diagnosis involved ...
Is the number of psychiatrist visits per year per 100 adults lower in older adults than younger adults?
By contrast, the number of visits to a psychiatrist or for psychotherapy per year per 100 adults was lower in older adults than younger adults. Interestingly, the rates of being diagnosed with a psychiatric disorder did not differ between younger and older adults. Because older adults are likely to have a greater number ...
Why Gender and Age Specific Treatment Matters
Age Specific Considerations
- Ask any older adult this question: “If you had a choice between going to an alcohol and drug rehab program that has mostly 18-30-year-olds, who are single and still supported financially by their parents’, or, a treatment program where only older adults, most of whom are either currently employed in a career or recently were, and, are either marrie...
Gender Specific Considerations
- Gender differences are more than simply physiologic; they include gender programming and socialization, familial roles, social privilege, economic differences, career and educational differences and gender based stereotypes. While some of these differences are obvious, others might not be. For instance, male privilege carries over into the treatment experience and may hin…