Feeling productive, relevant, and independent are significant to the quality of life of most people. These qualities often become diminished with older adults as they are faced with maintaining dignity in the face of functional challenges. This teaching strategy focuses on working collaboratively with an older adult who has both physical and psychosocial challenges to find resources to maintain independence and strategize to optimize his quality of life. The student explores resources that may be helpful to the older adult, and develops a plan of care for this client based on the prioritized needs.
Ask the students to listen or read Red’s monologue. As the students to think about what measures could be taken to support his independence and to also maintain a balance between safety and quality of life. Think about specific comments that Red mentioned that would be concerning:
1. Ask the students to explore the resources available on the AARP Caregiver Resource Center. As you explore resources, identify those that would help to maximize Red’s independence while also considering his limited finances. He is a veteran and may be eligible for additional resources based on this designation. Look at how AARP connects with these veteran resources.
2. Develop a plan of care for Red using the resources and considering the issues he talked about in his monologue. Explore tools that will aide in a standardized assessment of specific concerns such as depression and elder abuse. What are your concerns for Red? Prioritize your concerns for Red and prioritize the resources that Red would most likely use and could afford. Think about how you would use a collaborative approach with Red and his family to coordinate and manage care and maximize functioning while maintaining his independence.
3. Read the blog on family caregivers and financial loss: Family Caregiving Worth $470 Billion a Year, AARP Finds.
1. The AARP Caregiver Resource Center offers diverse tools to address multiple concerns which affect older adults. The student should be directed to explore the site and search out resources that would be applicable to the Red case study. They will find a toolkit that may help their client with financial, organizational and insurance issues as well as practical information to negotiate challenges they may face.
2. The Try This:® Series from the Hartford Institute for Geriatric Nursing (HIGN) at the NYU Rory Meyers College of Nursing contains many evidence-based assessment tools. Those listed below from the Try This:® are recommended for the content related to the Red monologue.
Some examples of assessment tools that can be used with Red are:
Angell, R. (2014). This old man: Life in the nineties. The New Yorker. Retrieved from http://www.newyorker.com/magazine/2014/02/17/old-man-3
Laureen Tavolaro-Ryley, MSN, RN
Community College of Philadelphia
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