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Care Needs For the Elderly: Case Study

  • Katherine Mahon


I am necessary to write an project on a person in the late stages of adulthood on the whole and then compare it to a genuine person's physical, intellectual, mental and interpersonal (PIES) development. I will explore my own personal anxieties and anxieties about dealing with people in my own treatment and write recommendations on how I can positively react to the needs of the person during this level of life. I've consent from the person chosen to complete this project on and their name has been improved to protect their identity. Technique includes information taken from class printouts with regard to human progress and development, speaking with the individual chosen to complete the assignment on, the college student manual, indie research and healthcare information online.

PIES of development during past due adulthood.


Late adulthood is anyone over the age of 65 years (Student manual, 2015), typically retirement. The more common physical changes that take place include epidermis elasticity loss, ability to hear and eye-sight impairment/degeneration, increase in mobility challenges anticipated to cerebellar ataxia which influence balance and mobility, arthritis (joint inflammation) or osteoporosis (bone fragility). Age related illnesses commence to develop such as cancer and disease of the circulatory system for example, arteriosclerosis (arterial wall structure hardening), these are the most frequent cause of fatality in over 65's in Europe (Eurostat Statistics Explained, 2015).


Intellectually the velocity of which information is stored and received may reduce as we age, known as cognitive decline, some may go through memory reduction or develop neurodegenerative diseases which is the intensifying degeneration of mental functioning for example dementias (JPDN, 2014). These are incurable conditions that cause the death of nerve skin cells, however some can be monitored with medications.


Theorist Erick Erickson (Pupil manual, 2015) identified the later level of life as a pressure between ego integrity and despair, individuals either admit their lives as having interpretation or they feel it was unfulfilling and unproductive thus sense despair. Psychologist Robert Peck got Erickson's theory a step further and believed this engaged three distinct tasks that must definitely be accomplished to be able to accomplish integrity. They are: Ego differentiation, finding self-worth in options apart from those invested heavily set for example, a parent or guardian with the children might seek a wider group of friends. Body transcendence, not letting physical constraints surmount the rewards of other adaptive skills learned such as cognitive/mental/social skills. Ego transcendence, facing the reality of death by causing life more important or secure for young years (Medscape, 2015). Emotionally it can be a stressful time scheduled to viewing others or they themselves becoming ill or dying and burning off their independence which can lead to fears, stress or melancholy.


Socially it may become a period of positives or negatives, depending on specific, as some look forward to retirement while others avoid finding your way through it. Though due to the positive advertising and attitudes of services such as Age group action Ireland, a charity that offers services for older people through citizen advocacy such as voluntary repair services, or lifelong learning groupings (Age group Action Ireland, 2015) or Active Pension Ireland another voluntary company whom organise opportunities for activities such as outings, socials, holidays, community athletics/work (Working Retirement living Ireland, 2015), it has become easier to access services and lead a fuller, more happy and healthy retirement living. Or should a person not have strong family support, go through illness, mobility issues, be afflicted by discriminations such as ageism or financial complications, it could become a time of isolation credited to withdrawal from society.

PIES of development of individual as well as your own private prejudices, fears and anxieties.


Mary is 70 years of age, her physical appearance has changed rapidly in the past ten years, as wrinkles have appeared due to less collagen production, liver spots and broken arteries on her face have become more prominent. Her locks has turned gray and she is not as tall as she was previously by roughly an inch, because of the reduction in her bone relative density. She had formerly stopped driving credited to normally slowed reflexes and the timing of her reactions, a situation which would now be complicated by arthritis and presently a calf ulcer, she's home help helping her on a regular basis. Her dexterity has endured, she cannot sew, however she can still play piano for short durations, which she partakes in socially, given the chance.


Mary suffers terribly with mild short term memory loss at times, however this only appears to occur on a noticeable range should she create a urinary tract infection. She tries to stay as active as possible cognitively through light reading, viewing educational shows on T. V or listening to audiobooks in the evenings.


Mary has a good attitude and feels she's done the best she could in her own life and in regards to to her family and children. However she has mentioned the loss of her sister and a good friend lately as a hardcore period to complete but gains durability from family gatherings/goes to, she discovers them uplifting and remains in strong contact with some of her children and grandchildren, on a daily basis as they live nearby.


Mary has quite a dynamic interpersonal life and participates her older persons group events on a regular basis unless her lower leg ulcer has returned. She enjoys bingo most weeks with her friends or family, and with home help attention, can happen to be the shops easily though her kid can do her food shopping each week, she likes to get out and about regular to the hairdressers, visit friends, especially those whom may be ill. Financially she is stable that allows her a whole lot of freedom also. She actually is a solid spirited woman whom will not let her physical issues hold her back again lightly.

My prejudices worries and anxieties.

Before starting my placement as a rehabilitation associate, I was anxious to ensure I could develop a good rapport with the service users, understand their obstacles well and work strictly to all plans and techniques and make sure I didn't make any blunders to the best of my potential. Something I might have dismissed on a regular basis myself before placement could be harmful to the fitness of a person in health care, such as not tying a shoe lace small enough or not watching a big change in behaviour in a customer whom is having their medications reduced. I've now discovered from my placement experience that I've a strong capacity to foresee problems ahead of time, am observant, successful and also have developed a great rapport with the service users in my own care. It includes reaffirmed for me that I have chosen the correct career way to which I will continue learning and working to the highest criteria possible.

Variations/factors affecting individual at this time of life.

Developmental factors that impact individuals at this stage can vary from physical or cognitive conditions, intellectual or emotional challenges. Environmental surroundings such as location of someone's home make a difference a person in relation to amenity availability, if they are in the countryside, they might not have move to shops or cultural activities. If they're in a residential care setting up, are they getting the physical, intellectual, social or emotional aids needed. Environmental also contains whether their home is constructive to their health for example if the home is damp, it might cause respiratory disease. Financial stability can affect a person in their retirement living years greatly, if they're not stable they could find themselves having to choose between warming or food during the winter months, these situations can also cause their physical and mental health to be affected, perhaps with the onset of depression which might lead to isolation and loneliness or too little nutrition leading to health problems. Should there be no family or good friend aids, again, mental health can be significantly affected (Scholar manual, 2015)

Recommendations to answer confidently to needs of person.

If a mature person presents with an illness, the first step must be, to be examined by their doctor and with respect to the needs of the person, a plan must be put into destination to secure their future development. There are several services available and can range between home care help to assist the person with the activities of everyday living such as preparing food, shopping or dressing or simply a personal associate to check in to them throughout the day and to make sure they are in a protected climate, occupational therapists help a person achieve maximum independence in their environment or local voluntary organisations can organise dishes on wheels to provide foods to a person in need. A person may need long term care and attention in a domestic facility, these can be private or open public, can have specific models for particular disorders such as dementia units attached to the main residence. Many nursing homes offer multiple services such for as long stay, respite, convalescent or post-operative attention, and within these homes they give activities such as arts and crafts, group exercise activities. By retaining close family and friendships, fulfilling activities of everyday living like a good nutritional absorption, staying active, taking classes or participating in cultural activities, are regarded as connected to a more pleased, meaningful life. As being a carer, by causing sure many of these important things are supported and motivated in a holistic manner, one can respond effectively to the needs of any person.


In conclusion I've found exploring the changing good care needs in past due adulthood in regards to to human expansion and development insightful, I really believe in order to achieve a happy and meaningful retirement living to the best of a person's ability even should illness happen, preparation is paramount in giving them that chance. I agree with Erick Erickson's theory on integrity and despair, in that to be able to successfully admit those life changes and feel a feeling of completeness or closure, a person must feel they have got lead a productive life and not feel guilt or have any achievements left unachieved, these all aiding in a feeling of hopelessness or leading to depression.

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