Baby Boomer and Health Care - Free Essay Example

Sample details Pages: 4 Words: 1208 Downloads: 6 Date added: 2017/09/19 Category Demography Essay Type Narrative essay Topics: Population Essay Did you like this example? The change with the aging population has never been so high as before. As the demographics of the aging populations continues to grow society will be seing thesome growing pains. The cause for the aging population is due to the amount of baby boomer in this generation . The term baby boomers are people who were born from 1947 to 1964. These people were born doing the post-world war II baby boom. The impact of the baby boomers will be mostly felt in healthcare. With the aging population most of the population most of them will depend on medicare to cover health concerns , which will imact everyone in the united state. The demographic of the aging pouplation will also create a demand for more health care professionals. They will more needs for geriatric experts including physical therapy, and mental helahtcare workers. Those are profession who will end up neededing workers in the near future and it will only expand even more. The pupose of this paper is to dicuss the demogra phic impact of the aging population in Chicago illinios. The paper will dicuss The numbers related to the demographic population in Chicago Illinois. The impact of this demographic group on health care costs and services in Chicago’s community/region. The paper will discuss the major issues this population faces such as how will they pay for long-term care? What transportation is available and what other types of facilities are in their area?. and finally the paper will cover What is being done to ease the impact of the identified issue and future recommendations. demographic impact of the aging population in Chicago illinios In the Chicago community balancing the budget is already difficult do to the current recession in over the next decades the cahlleges will get even worst the budget will become even larger. The first round of babboomers was eligible for retirement benefits social security in 2008 and will be eligible for medicare beginning of 2011. Managaging the b udget efficiently should be a very important goal for law makers because later on most of the nation will be threaten. With the baby boomers becoming eligible for service such as social security, medicare and other government assistance . because of the aging population services will be cut for those who are not eligible for retirmane or medicare . government services will decrease because the federal government will face more challenges and a much higher budget. Cutting services in some regions in Illinois is going to increase the poverty rate. Regions such as the south side of Chicago over 50 percent of the population are relying on government assistance such as Medicaid,cash assistance, housing/shelters, WIC and Food assistance. With the aging population some of these services will be cut and the to be eligible for some of these service will become much more difficult. The impact of this demographic group on health care The healthcare field is definitely going to feel the the impact of the aging population. The number of healthcare professionals will decrease as they age and most of them retiring at the same time or reducing their working hours. healthcare employers will find it challenging as some of their most reliable and knowledgeable employees are retiring. The aging of the population will greatly affect some of the skills and services the health care workforce must be equipped to provide, and the settings in which this care is provided. Theres already a shortage for healthcare professionals such as, Physicians, Nurses and other healthcare providers. The aging population is one of the cause for such shortages. With that beind said quality of care will worsen because not that many people is attending nursing school or medical school with the babyboomers retiring the healthcare workers who are left are going to be handling a work load of three nurses instead of one. One of the question often ask is who will take care of the aging population and who will pay for it. Older adults has more chances of getting ill, with health disease,and other chronic deseases. The aging population place more pressure on the Medicaid, medicare and pivate insures to contro healthcare cost. The federal government is know where near ready when it come to figuring out the best way to care for the aging population. The aging population will aso reslt risng average paetin acuity, this will rewuire a higher nurse and physician staffing levels . it has beend said the future elderly may lower the disability rates than todays elderly controlling for age, that because it has been much of improvements in economic resources, medical technology education levels, public helath, lifestyle, and medical technology. The numbers related to demographic population in chicagos/region As the aging population know as the baby biimers move to retirement most of the population will skyrocket nationally not only in chiago Illinois the aging population was 12. 4 per cent in 2000 by the year 2030 it will rise to 19. 7 percent that huge increase. In Illinois the aging puplation was 12. 1 percent in 2000; it is projected by 2030 it will become 18 percent. By the year 2050 seniors ages 85 and up will triple by the year 2050 nationwide which will cause nursing home impact. The number of persons 60 years of age and older in the state of Illinois is expected to increase from 2 million today to over 3. 6 million by the year 2030. With the agingpopulation most of them will end up having to receive long term care. Medicaid nursing home patients will continue to grow and the people paying for these baby boomers long-term care are working citixens. With that being said long-term care liabilities will increase even more. More seniors will start incorporating into community care program, and the cost to stay in the nursing home will increase. Metlife stated in 2006 to 2007on average a 3 percent increase in nursing homw cost by the year 2020 this number wi ll triple. the aging population will not only impact citizens it will also impact state Medicaid, prescription drug, and aging programs. The aging population will cause high cost and higher demand of longterm/Medicaid, it will increase programs the Chicago region has for the elderly and loss of revenue because of senior tax breaks. The major issues the aging population faces One of the issues the aging population faces is not having enough resourseces or medical staff for care. With so many elderly on demand for care medical staff are going to be over worked which can lead to medical erros occurring. The weigh time to see a doctor will also increase ibecuase theres big demand for for care but not enough supply to go around. Transportion will also be a major issue the aging population iwill face specialy in the south side of Chicago half of the aging individuals are already without a vehicles. The Illinois department of aging report the major issues the aging population will fa ce in Illinois is shortage of affordable housing, accessible housing, Longer wiat time for transportation pick up. They will face lack of Reliable and safe transportation. Most of the hospitals are far away from the south side of Chicago because of the high crime and violence i. b with hospital being so far away elderly will suffer and it may be to late by the time they make it to the hospital. Don’t waste time! Our writers will create an original "Baby Boomer and Health Care" essay for you Create order

Biological And Most Aggressive Type Of Brain Malignancy

Recent studies including a genome-wide study of certain cancers have come to demonstrate that the most common and most aggressive type of brain malignancy, or glioblastoma (GBM) comprises a shared link: alterations in the catalytic protein, isocitrate dehydrogenase (IDH) (1). The focus of such research is the mutant forms of NADP-dependent homologous enzymes IDH1 and IDH2 (2) - localized predominantly in cytosolic and mitochondrial regions, respectively. Both of these heterozygous point mutations modify the amino acid residue present at the active site of the original enzyme. Subsequently, neomorphic activity of the enzyme IDH is established, replacing its original function with the conversion of the ÃŽ ±-Ketoglutarate (ÃŽ ±-KG) to D-2-hydroxyglutarate (D-2-HG), an oncogenic metabolite (3). The presence of IDH1/2 mutants in cells is consistent with abnormally high levels of this tumor progressor, D-2-HG, which inhibits catalytic proteins that are ÃŽ ±-KG-dependent (4). 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Pain Assessment Patients Experiencing Pain- MyAssignmenthelp.com

Question: Discuss about thePain Assessmentfor Indications of Patients Experiencing Pain. Answer: Indications of Patients Experiencing Pain, Causes and Impact of Pain Pain is a kind of body defense mechanism which shows that the individual is experiencing problems. Pain can be described as the personal sensation of hurt which is due to a noxious stimulus that signals cell and tissue damage and the responses involved in the protection of an organism (Finnerup, Attal, Haroutounian, McNicol, Baron, Dworkin, Gilron, Haanp, Hansson, Jensen Kamerman, 2015 p162). Pain can be as a result of injury or illness. Various indications show that an individual is experiencing pain. These signs are commonly referred to as responses to pain. There are physiological indications that are either sympathetic or parasympathetic, behavioral and affective responses. The physiologic sympathetic response is usually moderate and superficial which include high blood pressure, increased pulse rate, hyperventilation, pupil dilation, pallor, increased glucose, muscle tension, and rigidity. The physiologic parasympathetic response to severe and very pain are reduced pulse rate, decreased blood pressure, rapid and irregular breathing, fainting and unconsciousness as well as nausea and vomiting (Crofford, 2015 p126, p167). The behavioral indications that an individual is experiencing pain include restlessness, protecting the sensitive regions and refusing to move, grimacing crying and moaning and moving away from the painful stimuli (Flor Turk, 2015 p17). The affective indications that the individual is experiencing pain include depression, withdrawal, depression, fear, and anxiety (Gerrits, van Oppen, van Marwijk, Penninx van der Horst, 2014 p55). Hence it is important to value verbal and non-verbal cues patients can utilize to show the nurse that they are in pain. A patient who can talk will volunteer information about the pain to the nurse. This is not usually the case as sometimes the patient withholds information on pain for fear of being seen weak, fear of increased medication which could lead increase in the hospital bill and pain in the private parts. A patient who cannot communicate uses non-verbal prompts to convey the message to the nurse that they are experiencing pain (Payen Glinas, 201 4 p554). The can also look for various signs that indicate that the patient is experiencing pain, for example, different behaviors. Evidence of Therapeutic Interacting and pain Treatment Pain is regarded as a personal encounter therefore, the most important way of assessment of pain is listening carefully to the narration of the patient. The nurse uses the information given by the patient to initiate the procedure of pain assessment. To enable efficient flow of information, the nurse should avoid the medical jargon but use the language that the patient can fully understand. The nurse also builds a personal connection and relationship to ensure trust so that the patient can disclose all information about the pain that the patient might consider as personal or embarrassing. The evaluation of pain is an essential in pain assessment. The aim of the nurse is to obtain a detailed baseline pain evaluation. The nurse assesses the patients misconceptions and beliefs concerning pain management. The nurse provides education to the patient regarding the regime used in the administration of the pain. The nurse assures the patient that each and every step to be included in the pai n assessment procedure is directed at treating their pain actually. Pain can be treated with analgesics and moving away from the stimuli. Medications used in pain management include acetaminophen, corticosteroids, opioids, Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) which include naproxen and ibuprofen (Barr, Fraser, Puntillo, Ely, Glinas, Dasta, Davidson, Devlin, Kress, Joffe Coursin, 2013 p273). Problem-Solving Abilities According to the nursing standards, each and every nurse is supposed to have various abilities to solve the numerous problems that face the nursing profession every day. To be able to gather the intended information from the patients who are not always cooperative, the nurse should think critically and come up with the solution (Yoo Park, 2015 p168). The medical professionals are regarded to as god because of thy cure you.' Therefore, the patient expects that the nurse will be ready to handle any problems that may arise. Various problems can occur during the pain assessment process. The first issue is the communication barrier. The nurse is expected to know the language of the communities where they are based as well as their culture. The nurse can abandon the professional language and the medical jargon and humbly explain to the patient the information in a layman's terms. The nurse also needs to create a healthy relationship hence ensuring that there is mutual trust hence the pati ent gives the information freely. Gather Equipment In pain assessment procedure, there is various tools and equipment that are used. The tools employed in the pain evaluation system include FLACC (face, leg, activity, cry and consolability), Wrong Baker faces pain scale, Visual Analogue scale, and other various tools (Kochman, Howell, Sheridan, Ryan, Lee, Zettersten Yoder, 2017 p15). These devices should be prepared and set up to decrease the time of pain evaluation process since the patient is in pain and needs urgently needs medical attention. Gathering equipment helps in time management. The most significant assessment tool is the nurses indulgent of the pain. It is paramount that the nurse knows what tools are to be used in the evaluation of pain. The pain assessment process is supposed to be as short as possible since the patient is suffering. Apart from the pain assessment tools and equipment, there are also other general tools used in various medical fields are also used in pain assessment. These devices include sphygmomanome ter, stethoscope, thermometer, and watch (Barker, Rushton Smith, 2015 p35). These and the pain assessment tools should be gathered and prepared to reduce time wastage so that the patient can be released from pain as soon as Assessment of Pain Under the given Guidelines The feeling of pain is a subjective entity hence the self-report is usually considered to be the gold standard accurate and reliable measure of pain (Forbes, Helen Elizabeth Watt, 2015p1). The most common method of measuring and assessing pain is the PQRST assessment process. This is the pain evaluation tool to precisely describe, evaluate, assess and also document the patients pain. The PQRST pain assessment method helps in the selection of the appropriate medication for pain and also helps in the evaluation of the response to treatment (Lovell, Forster Phillips, 2014 p2). Through the PQRST method, the nurse can direct the patient to the questions that need to be answered to complete the pain assessment procedure efficiently. PQRST represents Provocation/Palliation, Quality/Quantity, Region/Radiation, Severity Scale, and Timing. The pain evaluation process should always start with the history of the pain (Strong, van Griensven Vincenzino, 2014 p91). The patient should be able to carefully answer questions pertaining when the pain started, how long the pain has been there, what the patient was doing when the pain started and the position the patient was at the onset of the pain. The patient should be able to identify the anatomical location of the pain and if the pain is radiating. Radiation refers to the feeling that the pain is traveling from one part to another. The physiological explanation of this is that such regions have the same innervation. The quality and character of the pain refer to what the pain feels like and can be described as either burning, sharp, dull, shooting, throbbing twisting, crushing or even stretching. Based on the intensity, pain can be described as mild, moderate or severe according to various scales used in pain assessment. The aggravating factors refer to what worsens the pain which includes walking, movement, and standing, lying down or even bending (Davies, Cramp Gauntlett-Gilbert, Wynick McCabe, 2015 p320). The relieving factors are those that alleviates or relieves the pain. The pain relieving factors can either be resting, medications, changing position, massage, being active and heat or cold. The pain assessment tools a re usually based on the patients perception of pain and the severity. The pain assessment tools include the verbal rating scales, Visual Analogue scales and graphic rating scales, numerical rating scale, picture or pain scales, descriptor differential scale of pain intensity and behavioral measurements. The physical effects associated with pain include fatigue, disability, changes in mood, weakened immune system withdrawal, stress, anxiety, depression, irritability, and fear (Kress, Joffe Coursin, 2013 p270). Cleans, Replaces and Dispose of Equipment According to the Nursing Standards, a nurse should follow the guidelines given for cleanness, replacement, and disposal of used medical equipment. Cleanness is paramount in the medical setting as it ensures patient are prevented from various infections that may be present at the hospital. During the pain assessment procedure, the nurse should take note of the personal hygiene especially hand hygiene. The nurse should ensure that the hands are thoroughly cleaned and wearing gloves so as not to spread infection from one patient to the other. The materials that are to be reused are supposed to be cleaned well with the use of antiseptics to eliminate all the microorganisms that may be present hence reducing the chances of nosocomial infections to the patient. Apart from enhancing the safety of the patient, it promotes hygiene in the clinical unit. The nurse should be able to replace the medical equipment he or she uses so that the colleague can access them when in need. This ensures adhe rence to the nursing standards as it serves as a courtesy to the colleagues. The nurse should make sure proper disposal of the used tools and equipment as well as the waste products. Proper disposal of used tools and other wastes reduces environmental pollution as well as lessen the risk of spread of infection. (Chartier, 2014 p195)All nurses should learn these values so that they can offer safe and efficient medical intervention, especially during the pain assessment procedure. Documentation In health care setting, documentation is a vital tool. Various clinical situations require that the healthcare provider records and documents information that helps to better the outcome of the patient. During the process of pain assessment, recording and documentation are an important practice in the process of pain assessment is mostly a narration of the patients experiences to the healthcare provider. Documentation ensures that the pain process of evaluation is undertaken carefully for the safety of the patient as well as providing improved patient outcomes. During pain assessment process, documentation enables the health care provider to carefully follow the proper steps used in evaluating pain so that the patient can receive the best quality pain evaluation and management medical intervention. Documentation is used as a communication tool among various individuals in the healthcare profession (Guerges, Slama Zayadin, Kieninger, 2017 p1). Documentation provides a future reference as the medical process is a continuous activity since the health care practitioner will always want to know your medical history to make right decisions and diagnosis of the current health problem (Guerges et al. 2017 p1). Records are also used to determine the effectiveness of the medical intervention. During the pain assessment period, documentation is important since it shows the patients knowledge and understanding of the pain scale. Documentation usually describes the ability of the patient to evaluate pain levels by the use of 0-10 pain scale. As a nurse, it is paramount to document the patients contentment with the pain levels with the available modalities of treatment. The nurse should document the patient education that is provided and also the feedback to the learning. Pain assessment is part of history taking hence documentation is paramount. Documentation that the student can verbalize describe, and also demonstrate various aspect s of pain is necessary. Nurses and other medical professionals need to fully understand the art of documentation and apply it in their practice. Demonstrates Ability to link Theory to Practice A nurse should have vast and extensive knowledge of many medical and nursing concepts. The theory that is learned in nursing schools, during career practice, through various conferences and even online should be consolidated and employed when offering medical services (Koutoukidis, Stainton Hughson, 2016 p7). The nurse should have excellent knowledge of the theory of pain assessment. The nurse should be able to understand this information thoroughly, process it and store for use during the practice. The nurse should have the ability to integrate the theory and practice. The nurse should have knowledge on the steps of the procedure of the pain assessment, the tools used in the pain assessment activity, knowledge on how to use the various instruments, the effects of pain on the patient and other information needed for ensuring effective pain evaluation procedure. The nurse should be able to use this information to make sure that the pain assessment process is systematic and that all t he steps required are followed. References Barker, M., Rushton, M. and Smith, J., 2015. How to assess deteriorating patients. Nursing Standard, 30(11), pp.34-36. Barr, J., Fraser, G.L., Puntillo, K., Ely, E.W., Glinas, C., Dasta, J.F., Davidson, J.E., Devlin, J.W., Kress, J.P., Joffe, A.M. and Coursin, D.B., 2013. Clinical practice guidelines for the management of pain, agitation, and delirium in adult patients in the intensive care unit. Critical care medicine, 41(1), pp.263-306. Chartier, Y. ed., 2014. Safe management of wastes from health-care activities. World Health Organization. Crofford, L.J., 2015. Chronic pain: where the body meets the brain. Transactions of the American Clinical and Climatological Association, 126, p.167. Davies, B., Cramp, F., Gauntlett-Gilbert, J., Wynick, D. and McCabe, C.S., 2015. The role of physical activity and psychological coping strategies in the management of painful diabetic neuropathyA systematic review of the literature. Physiotherapy, 101(4), pp.319-326. Finnerup, N.B., Attal, N., Haroutounian, S., McNicol, E., Baron, R., Dworkin, R.H., Gilron, I., Haanp, M., Hansson, P., Jensen, T.S. and Kamerman, P.R., 2015. Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. The Lancet Neurology, 14(2), pp.162-173. Flor, H. and Turk, D.C., 2015. Chronic pain: an integrated biobehavioral approach. Lippincott Williams Wilkins. Forbes, Helen, and Elizabeth Watt. Jarvis's Physical Examination and Health Assessment. Elsevier Health Sciences, 2015. Gerrits, M.M., van Oppen, P., van Marwijk, H.W., Penninx, B.W. and van der Horst, H.E., 2014. Pain and the onset of depressive and anxiety disorders. PAIN, 155(1), pp.53-59. Guerges, M., Slama, E., Zayadin, Y. and Kieninger, A., 2017. Use of a mock deposition program to improve resident understanding of the importance of documentation. The American Journal of Surgery. Kochman, A., Howell, J., Sheridan, M., Kou, M., Ryan, E.E.S., Lee, S., Zettersten, W. and Yoder, L., 2017. Reliability of the Faces, Legs, Activity, Cry, and Consolability Scale in Assessing Acute Pain in the Pediatric Emergency Department. Pediatric Emergency Care, 33(1), pp.14-17. Koutoukidis, G., Stainton, K. and Hughson, J., 2016. Tabbner's Nursing Care: theory and practice. Elsevier Health Sciences. Lovell, M., Forster, B. and Phillips, J., 2014. Assessing pain in people with cancer. Pain Management Today. Payen, J.F. and Glinas, C., 2014. Measuring pain in non-verbal critically ill patients: which pain instrument. Critical Care, 18(5), p.554. Strong, J., van Griensven, H. and Vincenzino, B., 2014. Pain assessment and measurement. Yoo, M.S. and Park, H.R., 2015. Effects of case?based learning on communication skills, problem?solving ability, and learning motivation in nursing students. Nursing health sciences, 17(2), pp.166-172.