• Subject Code : NRSG266
  • Subject Name : Nursing

Principles of Nursing: Contexts of Ageing

The Australian Code of Nursing ensures that nursing professionals in the healthcare system have an important role to play. They are engaged to provide healthcare supporting and promoting the health of older age people in Australia. Various tasks are there that are the responsibility of nursing professionals like managing leadership, critical analysis, care coordination, clinical assessment, and role-playing in the healthcare profession (Kwok, Bates & Ng, 2016). These services are provided by nursing professionals in healthcare institutions involving correctional facilities, general practice, acute care, and residential service. This especially relates to the older population by making the involvement of older people in social engagement, physical wellness, functionality, and mental assistance by providing quality care to patients. This essay will relate to the critical analysis of the role of nursing professionals in healthy aging.

The aged population is increasing day-by-day and hence increasing lots of burden on developing countries due to rising health issues in old aged people. In the year, 2017, around 3.8 million people were observed as they fall within the age group of 65 or more. However, with the rising trend, the population is expected to increase by 8.8 million by 2057 (Kitson, 2018). Australia is the country in which the population is divided into two categories such as Indigenous and non-Indigenous populations. Indigenous are those people who get unequal access to healthcare services due to high rates of discrimination with them. They are not able to access healthcare services that are provided by the government and thus contributing to the 100,000 old aged population (Keleher, Parker & Abdulwadud et al., 2017).

It has been noted in the reports that more than one in every ten Australians is found to be residing in underserved and remote areas (Kwok, Bates & Ng, 2016). They also experience financial and social disadvantage due to lack of employment, non-accessibility to services, high level of discrimination, racism and various social and cultural factors. This has led to a huge burden on the Australian health system due to the disengagement and non-accessibility of services. Almost half of the older aged people in Australia are found to be getting residential care means they get healthcare services at home only (Kagan & Melendez‐Torres, 2015). The role of nursing professionals here lies with understanding the needs of older people and facilitating them for healthy living and hence leading to health promotion (Beach, Carpenter & Rosen et al., 2016).

The nursing profession in Australia is regulated under the professional code of nursing ethics, in which the nurses have to serve their patients with the set of legal implications to meet the expectations and behavior as required by the profession. Nursing professionals under the NMBA codes code of ethics have to apply nursing knowledge and skills by focusing on all the principles as described in the document (Kwok, Bates & Ng, 2016). The importance of following NMBA standards is to promote a safe and healthy life to Australians covering all age groups. So, it means that they are said to be followed for delivering patient-centered care in healthcare services. Patient-centered care in the nursing profession means that the care is to be provided in a safe manner and proven practice for the well-being of individuals. Partnerships are followed to deliver the best possible care with the aim of engaging healthcare professionals, patients, and families in the delivery of care. Nursing professionals foster their relationships by maintaining high levels of confidentiality and privacy of patient’s records (Van Malderen, De Vriendt & Mets et al., 2016). Nursing professionals play a critical role in promoting the health of people, communities, and families in addressing health inequity that is highly prevalent in the world. Health inequity and health inequality are due to lots of discrimination by people based on racism, caste, creed, culture, sex, gender, and many other reasons (Hoogendijk, Van Der Horst & Van De Ven et al., 2016).

National and the international governments are all looking after providing care to older people with a wide range of services including healthcare plans, rehabilitative care, and curative care. The main aim of running these organizations is to demonstrate and promote positive relationships among older people. The palliative care and curative care are efficient to provide care to older people so that they can deal with their illness. Nursing professionals are focused to have sufficient skills set to provide optimal care in the management of older patients. Technological access has been the evident formula to reach a large number of people by incorporating attitudes, values, and expectations about the mental and physical health of older adults and their families (Kwok, Bates & Ng, 2016). The older patients and their families are allowed to get the provision of patient-centered care to enhance commitment towards the identification of older people's needs.

The needs are addressed to create an environment and resources for providing the physical, emotional, and social needs of patients. Ethical and legal practices are designed to deliver the committed services to empower the choices of patients. The implementation strategies are set in a way that they address the needs of old age people by providing them guidance through telemedicine (Chavez, Dwyer & Ramelet, 2018). Patient-centered care here plays a major role in considering the mental and physical health of informal and formal caregivers of older adults. Monitoring and implementation strategies are run in the country to promote healthcare quality concepts along with preventing risk management (Adam, Osborne & Welch, 2017). This involves addressing the physical and cognitive needs of patients by following different strategies. Some of the preventable risks are like patient falls, pressure ulcers, and medication management that is to be considered in older adults. Nursing professionals play an evident role in utilizing and program management of the mental, physical, and spiritual needs of patients.

The statutory body World Health Organization has formed policies and programs to address mental and physical health incapacities for addressing all over the world. World Health Organization has set up a comprehensive approach to understand the needs of older patients and make the services accessible through healthcare institutions (World Health Organization, 2016). They had followed a holistic, contact, and specialized approach to maintain and deliver all the relevant services to older people.

According to Chavez, Dwyer & Ramelet, 2016 nursing professionals perform all the tasks very carefully for supervising and leading unlicensed staff. In the healthcare sector, nursing professionals do health promotion by reablement and rehabilitation services. They hold all the tasks will competency while responding and recognizing the functional and cognitive details for providing proper care (Adam, Osborne & Welch, 2017). Lifesaving and palliative care are provided by nursing professionals by making the best use of their knowledge and skills. Nursing professionals are always told to follow effective communication so that nursing professionals could understand the problems of older people by managing barriers and skills (Flaherty & Bartels, 2019). This upgrades in getting health outcomes with the process of managing aging problems.

In the above essay, it is said that nursing professionals play a major role in taking care of older patients and promoting their health. They follow a collaborative approach to prevent illness, advocacy, research, and education in the healthcare system. Promotion strategies are thus emphasized by the government in earlier stages because it reduces illness burden as well as healthcare costs. Community health programmers along with nursing professionals play a critical role in ensuring the delivery of care among older people. The main point that has been covered in the discussion is to build competency and knowledge as per the need of the healthcare system.

References for Ageing in Older Population

Adam, S., Osborne, S., & Welch, J. (2017). Critical care nursing: Science and practice. Oxford University Press. https://books.google.co.in/books?hl=en&lr=&id=HIoLDgAAQBAJ&oi=fnd&pg=PP1&dq=ageing+care+nursing&ots=9bFn5ugKQf&sig=Cx61nkxUiPgY6d1gk-0qq-nJQwM&redir_esc=y#v=onepage&q=ageing%20care%20nursing&f=false

Beach, S. R., Carpenter, C. R., Rosen, T., Sharps, P., & Gelles, R. (2016). Screening and detection of elder abuse: Research opportunities and lessons learned from emergency geriatric care, intimate partner violence, and child abuse. Journal of Elder Abuse & Neglect28(4-5), 185-216. https://doi.org/10.1080/08946566.2016.1229241

Bone, A. E., Gomes, B., Etkind, S. N., Verne, J., Murtagh, F. E., Evans, C. J., & Higginson, I. J. (2018). What is the impact of population aging on the future provision of end-of-life care? Population-based projections of the place of death. Palliative Medicine32(2), 329-336. https://doi.org/10.1177%2F0269216317734435

Chavez, K. S., Dwyer, A. A., & Ramelet, A. S. (2018). International practice settings, interventions and outcomes of nurse practitioners in geriatric care: A scoping review. International journal of nursing studies78, 61-75. https://doi.org/10.1016/j.ijnurstu.2017.09.010

Flaherty, E., & Bartels, S. J. (2019). Addressing the community‐based geriatric healthcare workforce shortage by leveraging the potential of interprofessional teams. Journal of the American Geriatrics Society67(S2), S400-S408. https://doi.org/10.1111/jgs.15924

Hoogendijk, E. O., Van Der Horst, H. E., Van De Ven, P. M., Twisk, J. W., Deeg, D. J., Frijters, D. H., ... & Van Hout, H. P. (2016). Effectiveness of a geriatric care model for frail older adults in primary care: results from a stepped wedge cluster randomized trial. European journal of internal medicine28, 43-51. https://doi.org/10.1016/j.ejim.2015.10.023

Kagan, S. H., & Melendez‐Torres, G. J. (2015). Ageism in nursing. Journal of Nursing Management23(5), 644-650. https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.12191

Keleher, H., Parker, R., Abdulwadud, O., Francis, K., Segal, L., & Dalziel, K. (2017). Review of primary and community care nursing. Retrieved from: https://openresearch-repository.anu.edu.au/handle/1885/119244

Kitson, A. L. (2018). The fundamentals of care framework as a point-of-care nursing theory. Nursing Research67(2), 99-107. 10.1097/NNR.0000000000000271

Kwok, C., Bates, K. A., & Ng, E. S. (2016). Managing and sustaining an aging nursing workforce: identifying opportunities and best practices within collective agreements in Canada. Journal of Nursing Management24(4), 500-511. https://onlinelibrary.wiley.com/doi/abs/10.1111/jonm.12350

Van Malderen, L., De Vriendt, P., Mets, T., & Gorus, E. (2016). Active aging within the nursing home: A study in Flanders, Belgium. European Journal of Ageing13(3), 219-230. https://link.springer.com/article/10.1007/s10433-016-0374-3

World Health Organization. (2016). Palliative care for non-communicable diseases: a global snapshot in 2015: summary of results from 2015. WHO NCD Country Capacity Survey (No. WHO/NMH/NVI/16.4). World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/206513/WHO_NMH_NVI_16.4_chi.pdf

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