NURS 6540:Week 10: Advocating for a Vulnerable Population  Essay Assignment Paper

We have advanced nursing paper writers to help on NURS 6540:Week 10: Advocating for a Vulnerable Population  Essay Assignment Paper

NURS 6540:Week 10: Advocating for a Vulnerable Population  Essay Assignment Paper

NURS 6540: Advanced Practice Care of Frail Elders | Week 10

Advocacy is about taking action to help people say what they want, secure their rights, represent their interests and obtain the services they need.

—Advocacy Access

Advocacy for the care of the geriatric population is essential as the needs of this vulnerable population are not always fulfilled. Consider the geriatric patient who is in need of financial assistance with medical care or the patient who does not eat properly because she has to buy expensive prescriptions. Think about the elderly woman who cares for her husband who is prone to falling or the Alzheimer’s patient who lives alone and has no family nearby. Reflect on the growing problem of elder abuse, which is sometimes inflicted by family members and others entrusted with the care of loved ones. As an advanced practice nurse, how can you get involved? What is your role in service, advocacy, and policy making? How can you help resolve social or legal issues in geriatrics?

This week, you explore advocacy actions and campaigns for the elderly, as well as policies designed to improve the care of frail elders. Then, with the advocacy needs of elders in mind, you examine elder abuse.

Learning Objectives

By the end of this week, students will:

• Analyze advocacy actions and campaigns for the elderly
• Analyze policies to improve the care of frail elders
• Evaluate the impact of community issues on advocacy actions
• Analyze strategies and resources related to supporting abused elders*
• Analyze the impact of culture on the prevalence, detection, and prevention of elder abuse*

*The Assignment related to this Learning Objective is introduced this week and submitted in Week 11.

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Resnick, B. (Ed.). (2016). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (5th ed.). New York, NY: American Geriatrics Society.

 

• • Chapter 14 “Mistreatment” (pp. 99-103)

This chapter explores strategies for identifying mistreatment of older adults. It focuses on the screening process through physical, psychological, and financial assessments and provides intervention guidelines for clinicians who suspect mistreatment.

Holroyd-Leduc, J., & Reddy, M. (Eds.). (2012). Evidence-based geriatric medicine: A practical clinical guide. Hoboken, NJ: Blackwell Publishing.

 

• • Chapter 13, “Elder Abuse” (pp. 166–174)

This chapter identifies types of elder abuse, such as physical, psychological, financial, and sexual abuse. It examines the prevalence of elder abuse, provides strategies for identifying elder abuse, and includes methods for preventing elder abuse.

Dilworth-Anderson, P., Pierre, G., & Hilliard, T. S. (2012). Social justice, health disparities, and culture in the care of the elderly. Journal of Law, Medicine & Ethics, 40(1), 26–32.

 

This article examines health disparities among minority elders. It focuses on a case study of Alzheimer’s disease, examining differences in perception and disparities in screening, diagnosis, and access to care.

Kohn, R., & Verhoek-Oftedahl, W. (2011). Caregiving and elder abuse. Medicine & Health Rhode Island, 94(2), 47–49.

This article examines the prevalence of psychological, emotional, and physical elder abuse in the United States. It also examines elder abuse by caregivers, particularly in nursing home settings.

American Geriatrics Society. (n.d.-b). Public policy & advocacy. Retrieved August 4, 2014, from http://www.americangeriatrics.org/advocacy_public_policy/

This website provides resources relating to policy priorities, health care reform, workforce issues, payment reform, care coordination, quality and patient safety, and research.

Center for Advocacy for the Rights and Interests of the Elderly. (n.d.). Retrieved August 4, 2014, from http://www.carie.org/

 

This organization provides advocacy services for vulnerable older adults. It also identifies types of elder abuse and strategies for helping older adults who are victims of abuse.

Department of Health and Human Services. (n.d.). National Center for Elder Abuse: Administration on Aging. Retrieved August 4, 2014, from http://www.ncea.aoa.gov/

 

This website explores the prevention of elder mistreatment. It also provides resources for nursing home abuse, adult protective services, and community services for victims of elder abuse.

Required Media

Laureate Education (Producer). (2013a). Advocacy for geriatric patients [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 10:48 minutes.

In this video program, Dr. Kristen Mauk and Dr. Barbara Resnick discuss the importance of advocating for the geriatric population, as well as strategies for getting involved and promoting change.

Laureate Education (Producer). (2013d). Vulnerability of frail elders [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 9:56 minutes.

In this video program, Dr. Kristen Mauk discusses the vulnerability of elders. She also describes different types of elder abuse and explains the role of the advanced practice nurse in recognizing and reporting suspected abuse.

Optional Resources

Browdie, R. (2010). The future of aging services in America. Generations, 34(3), 56–60.

Clark, K., & Glicksman, A. (2012). Age-friendly Philadelphia: Bringing diverse networks together around aging issues. Journal of Housing for the Elderly, 26(1–3), 121–136.

Ellor, J. W., Harris, H. W., Myers, D. R., & Russell, I. (2009). Guardianship of frail elders: Student-supported process for legislative change. Educational Gerontology, 35(7), 596–609.

Centers for Medicare & Medicaid Services. (n.d.). Program of All-Inclusive Care for the Elderly (PACE). Retrieved August 20, 2014, from http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Services-and-Supports/Integrating-Care/Program-of-All-Inclusive-Care-for-the-Elderly-PACE/Program-of-All-Inclusive-Care-for-the-Elderly-PACE.html

Stanford Geriatric Education Center. (n.d.). Welcome to SGEC—A national resource center in ethnogeriatrics. Retrieved August 4, 2014, from http://sgec.stanford.edu/

Discussion: Community Advocacy Agencies

Having received a diagnosis of Alzheimer’s and encountering the associated stigmas, Michael Ellenbogen encourages increased advocacy efforts for the geriatric population struggling with this disease. He says, “We did nothing wrong to get this disease, and we need to speak up to let our voice be heard…There are no excuses for not wanting to help. The human cost factor is too high, and we are all accountable to do something” (Ellenbogen, 2012). As an advanced practice nurse caring for the geriatric population, it is important for you to join in advocacy efforts within your community whether it is in support of Alzheimer’s or another prevalent need such as abuse. You should be aware of community agencies that advocate for the well-being and care of your local geriatric population, as these agencies often provide resources and assistance to the elderly in need. In your role of care, you are able to identify prevalent needs and work with patients, their families, and agencies to promote change and impact lives.

To prepare:

• Review this week’s media presentation, as well as the American Geriatric Society’s Public Policy and Advocacy website in the Learning Resources.
• Locate and research two agencies that advocate for the elderly in your community. Consider their current advocacy actions and/or campaigns.
• Reflect on your experiences and observations at your practicum site. Consider new advocacy actions you might suggest to the agencies you selected. Based on these advocacy actions, think about new policies that might improve the care of the population at your current practicum site.

By Day 3

Post a description of two agencies that advocate for the elderly in your community, including their current advocacy actions and/or campaigns. Then, explain new advocacy actions you might suggest to these agencies based on your experiences and observations at your practicum site. With these advocacy actions in mind, suggest at least one new policy that might improve the care of the population at your current practicum site.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days in different practicum settings than you. Explain issues within your own community that might impact the advocacy actions and policies suggested by your colleagues.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

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