Late Adulthood Report

The World Health Organisation (2010) defines palliative care as: An approach that improves the quality of life of patients and their families facing problems associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. It is also our duty to support John and his wife`s in their decision for John to die at home, Department of health (2008) patients should have a choice over the care they receive and where.

    At some point in a terminally ill person 's life, there comes a time when all treatment options have been exhausted, and patient comfort is the number one priority. During this process, hospice care comes into play to ensure quality of life of a patient. Pain management and supportive services are provided to anyone who is willing by Medicare, and other government assistance programs, for individuals and families that cannot afford private home care. These services are provided by a trained group of professionals, including; Doctors, Nurses, Counselors, Social workers, Physical therapists, Volunteers and Chaplains. There are different types of hospice

Hospice is a process to end-of-life care and a kind of support facility for terminally ill patients. It provides comforting care, patient-centered care and related services. Comforting care relieves discomfort without improving the patient’s condition or curing his illness. Hospice is extended in a healthcare facility or at home. Its objective is to provide compassionate, emotional, and spiritual care for the dying patient.

The late adulthood interview took place on March 29, 2017 at approximately 4:30 p.m. The interviewee’s name was Doris Cotton, who is one of my close cousins. The interview took place in her home in Scooba, MS. The atmosphere of her home was very warm and cozy. Hanging from her living room ceiling was a large chandelier, and she had shiny hardwood flooring of a teak color. Her home also had a sweet smelling aroma of lavender scent. Doris is a 68-year-old, African American, female. She is the second oldest child of five girls. Doris regards herself as a Christian woman who attends church regularly, where she sings in the choir. When asked what she most and least enjoyed about getting older, she stated that she most enjoyed the flexibility of doing things at her own will. She also enjoys that she gets to spend more time with her daughter and granddaughter. She has the freedom to enjoy life and do things that she values, especially since she is retired. One of her least things about getting older is that health issues and

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

Palliative care is a way to bring comfort and peace of mind to a person and his or her family. It can have a positive impact on the course of illness.

Hospice is a philosophy of care. It treats the person rather than the disease and focuses on quality of life. It surrounds the patient and family with a team consisting of professionals who not only address physical distress, but emotional and spiritual issues as well. Hospice care is patient-centered because the needs of the patient and family drive the activities of the hospice team.

The journey through late adulthood can be experienced in different ways. One particular movie entitled “The Bucket List” exhibits an astounding portrayal of late adulthood. In fact, there are many accounts that the movie entails about late-adulthood. This includes the illustration of Erickson’s late adulthood stage – “Ego Integrity vs. Despair,” wisdom, marriage, friendship, parent-child relationship, and death and dying in late adulthood.

Hospice care main goal is to provide comfort then treating the person disease. Normally patients that live in hospice only have 6 months to live. Hospice also gives control to the patient in methods of their own death. Many patients will rather take a liquid substance that will slowly put them to rest, while others will have alternative plans on how they want to deal with their last stages of life. Hospice is also great at giving the patient many options when there trying to make decision on their death. Hospice overall wants to improve the quality of life and their finial wishes.

Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, 2013). For most nurses, caring for a dying elder (individual aged 65 years and above) is a discrete, time-limited experience that begins with first contact, often in a hospital, emergency room, or long term care facility, and ends with the death itself (Phillips & Reed, 2008).

In middle adulthood there are many changes that occur physically, psychologically, and socially as explained in the above passages. Yet, some say that this is the best time of their life, they experience enhanced self-confidence, great sex lives, career success, and enhanced brain functions. Middle age adults are better equipped to make better life choices and decisions and not worry so much about the negative parts of life. Their problem solving skills are greater which allows them to reason more creatively. They are able to enjoy sex freely without the worries of getting pregnant and they feel more confident with their partners. In general they are happier about life and look forward to enjoying the rest of their lives.

Later adulthood is the time in life when changes in marriage, families, and peer relationships are affected the most by the loss of someone close to that person. “Most people 70 years of age or older are widowed, divorced, or single” (Zastrow & Kirst-Ashman, 2010, p.619). Losing a spouse or close friend can create a sense of loneliness, which causes depression, anxiety and the emptiness feeling can become overwhelming. Depression also leads to psychological effects that will deteriorate a person’s health causing the chance for a terminal disease to become much higher. The weaker appearance of older adults causes family and remaining peers to step up in the role of making sure the person’s wellbeing is being met. (Zastrow & Kirst-Ashman, 2010). Living accommodations and healthcare needs

Late adulthood is known as the period of life after middle adulthood, usually from around 65 years old to death (Santrock, 2013, p. 485). There are many varying stages of development and health in late adulthood, along with steady changing of life expectancy. Aging is a part of life, and with it comes changes in every area of living. Many diseases find late adulthood as an opportune time to affect people. Eventually, whether caused by disease or another reason, every individual dies. Death is unique to every person, and healthcare in America is changing to reflect that. This stage of life is a time when bodily processes and functions may be decreasing, but depending on lifestyle choices, death can come at different times.

Before I started this class I thought palliative care was only used as end of life care, or for when a curative treatment was unavailable or had failed. As we learned about the different models of care, and how they have changed over the years, it became evident that the use of palliative care has changed drastically over the past several decades. In the 1800s to 1900s, palliative care was only used once the patient had reached the dying stage, and only included the patient in this care, not their families1. Before taking this course, this is what I thought of palliative care as well. Since the late 1900s though, palliative care has been used in a more proactive approach. From the moment an individual receives a life threatening illness, palliative care begins. This includes caring for the family of the patient as well. This care increases as the patient’s illness progresses, and even continues for the family after the death of the patient. Learning this has really made an impact on how I would like to work as a

For this paper, I had the privilege of interviewing one of my friend’s grandmother. Her name is Jamie Hansen and she is a healthy and active 68-year-old grandmother. In the beginning of the phone call, I asked some basic background knowledge questions such as how many grandkids she has and if she was a widower or not. I found out that she and her husband are happily married and that she has six grandchildren. As I got to know her more I started asking questions that pertained to the interview aspect of social theories. I figured out that Mrs. Hansen’s responses led to an application of the continuity and socioemotional selective theories.