Working With HIV Care Providers: The California/San Diego Experience
Health Care Providers Working with the Elderly
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Transcript of Health Care Providers Working with the Elderly
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Health Care Providers Working with the Elderly
Chapter 10
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Health Care Teams:
The team consists of at least the health care provider and the patient or client whose life is directly affected by the care given. Family members & friends are team players as well.
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Three types of teams:
Multidisciplinary: each member has his or her own role.
Interdisciplinary: patient goals are shared by members of the team; each provider works with the patient to promote the overriding goals of health care.
Transdisciplinary: members also share their expertise& their individual disciplinary roles are not always clear-cut.Carryover is common.
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Case Manager:
To ensure effective coordination of services.
Seen as a tool to promote cost-effective outcomes.
Involves trouble shooting & problem solving, patient advocacy & effectively determining realistic outcomes of service provision.
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Dietician
Whenever proper nutrition could help improve someone’s quality of life, they reach out to the public to teach, monitor, & advise.
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Emergency Medical Services
Since geriatric abuse is on the rise, the EMS person may be the first person who is able to see the signs of abuse.
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Gerontological Nursing:
Although nurses have always cared for the elderly, gerontological nursing practice has only recently developed into a respected specialty.
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Basic GerontologicalNursing Practice:
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Occupational Therapy:
Many elderly think that they do not need OT.
Includes bathing, dressing, grooming, & sexual expression.
The patient’s goals must be considered & respected as part of the rehab.process.
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Physical Therapy:
P.T. includes examining pts. with impairments, functional limitations, & disability or other health-related conditions in order to determine a diagnosis, prognosis, & intervention.
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Radiography & Nuclear Medicine:
Good pt.care skills. Imaging tables are
hard, some procedures require them to remain lying on the table for long times.
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Respiratory Care:
An estimated 45% of those older than the age of 70 exhibit dyspnea on exertion, while 65% of men & 48% of women have a cardiopulmonary disorder.
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Social Work:
The professional activity of helping individuals, groups, or communities enhance or restore their capacity for social functioning & creating societal conditions favorable to this goal.
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Social Workers: Hospital or medical: To work with the elderly pt.in determining a
plan following discharge from the hospital Involves doing a thorough assessment of
the needs of the pt. Speaking with family members & locating resources in the community. Collaborates with others involved with care & at times acts as an advocate in ensuring that the pt’s wishes are followed.
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Speech-Language Pathologist (SLP): Provides evaluation &
intervention to persons with speech, language, voice, fluency, cognition, hearing, & swallowing (dysphagia) deficits.
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Areas addressed by the SLP.
Speech Voice Fluency Cognition Language Hearing Dysphagia
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Therapeutic Recreation:
The skilled nursing facility must provide.. An ongoing program, directed by a qualified professional, of activities designed to meet the interests & the physical, mental & psychosocial well-being of each resident.
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Pew Health Professions Commission Report: Suggests the
necessity for better educational preparation.
Lack of may only foster negative attitudes & stereotypes toward the aging population.
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American Society of Allied Health Professions (ASAHP)
An increasing % of clinical contact for allied health students will be with older patients. In recognition of this:
All allied health educational programs must provide comprehensive yet well-defined geriatric curricula & ample opportunity for high quality geriatric clinical experience.