Proposed Solution, Implementation, and Evaluation

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Running Head: GERIATRIC POPULATION REVIEW AND ANALYSIS 1

GERIATRIC POPULATION REVIEW AND ANALYSIS 14

Geriatric Population Review and Analysis on their Management and Care

Joshua Garcia

GCU HLT 490V

January 24, 2021

PICO Question: For the aging population, does the conservative physical therapy approach assist in managing care and preventing health complications?

Part 1

Literature Evaluation Table

Criteria	Article 1	Article 2	Article 3
APA –Formatted Article Citation with permalink	Journal of Bodywork & Movement Therapies (2010) 14, 289e293	Hilmer, S. N., & Gnjidic, D. (2018). Deprescribing: the emerging evidence for and the practice of the 'geriatrician's salute.' Age and aging, 47(5), 638-640.	Guccione, A. A., Frost, J., & Barr, J. O. (2014). Forecasting health care delivery for older adults during change: Challenges and opportunities for the physical therapy profession in an evolving environment. Journal of Physical Therapy Education, 28(2), 7-11.
How does the article relate to the PICO question?	The article is about the prevention and management of pain.	The emerging evidence for the practice of the "Geriatrician's salute."	Selling Geriatric PT
Quantitative and Qualitative	Qualitative and quantitative methods were used.	The methods were employed in the study.	Qualitative and quantitative methods were used.
Purpose Statement	Determining the level of pain prevention and management	Prevention and management of pain	Conservative therapy
Research question	How would pain management be controlled and managed on the elderly	What is the evidence behind the advantages of conservative physical therapy?	What are the costs associated with conservative therapy?
Outcome	The expected outcome was achieved.	Positive	Positive
Setting	Hospital	Societal groups	Hospital
Sample	Patients	Market	Hospital
Method	Interviewing	Questionnaire	Observation
Key findings of the study	Physical therapy has more advantages than disadvantages.	The evidence available proved the importance of conservative therapy.	Physical therapy has more advantages than disadvantages.
Recommendations of the researcher	Professionals should be employed in the healthcare sector to enhance and boost the better performance of the industry.	Much evidence stated the importance of handling the issues affecting the sector.	Conservative therapy proved to bear more positive results.

Criteria	Article 4	Article 5	Article 6
APA –Formatted Article Citation with permalink	Aisa, R., & Pueyo, F. (2013). Population aging, health care, and growth: a comment on the effects of capital accumulation. Journal of Population Economics, 26(4), 1285-1301.	Fuchs, R. K., Bauer, J. J., & Snow, C. M. (2001). Jumping improves hip and lumbar spine bone mass in prepubescent children: a randomized controlled trial. Journal of bone and mineral research, 16(1), 148-156.	Miller, P., Gill, C., Mazza, K., Pilon, C., & Hill, M. (2019). Learning What is Important: A Quality Improvement Initiative to Enhance Patient-Centred Care in Home Care. Physical & Occupational Therapy In Geriatrics, 37(1), 3-15.
How does the article relate to the PICO question?	Forecasting health care delivery for older adults amid change: challenges and opportunities for the physical therapy profession in an evolving environment	Population aging, healthcare, and growth: a comment on the effects of capital accumulation	Exercise effects on falls in frail elderly: Focus on strength.
Quantitative and Qualitative	Qualitative and quantitative methods were used.	The evidence available proved the importance of conservative therapy.	Qualitative and quantitative methods were used.
Purpose Statement	Challenges experienced by the adults	What is the evidence presented behind the higher investment in the medical sector?	To determine the effect of fall among the aged.
Research question	What are the roles of the adults in their care and pain reduction?	What is the evidence presented behind the higher investment in the medical sector?	To determine the effect of fall among the aged.
Outcome	The evidence available proved the importance of conservative therapy.	Much evidence stated the importance of handling the issues affecting the sector.	Conservative therapy proved to bear more positive results.
Setting	Market	Hospital	Market
Sample	1000	17000	13000
Method	Questionnaire	Interviewing	Observation
Key findings of the study	Physical therapy has more advantages than disadvantages	Much evidence stated the importance of handling the issues affecting the sector.	Aging affects the delivery and speed of service delivery.
Recommendations of the researcher	Recommendations were made to improve the affairs of the aged.	Professionals should be employed in the healthcare sector to enhance and boost the better performance of the industry.	Conservative therapy proved to bear more positive results.
Criteria	Article 7	Article 8	Article 9
APA –Formatted Article Citation with permalink	Howdon, D., & Rice, N. (2018). Health care expenditures, age, proximity to death and morbidity: Implications for an aging population. Journal of health economics, 57, 60-74.	Zhu, Y., Wang, Z., Zhou, Y., Onoda, K., Maruyama, H., Hu, C., & Liu, Z. (2020). Summary of respiratory rehabilitation and physical therapy guidelines for patients with COVID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy. Journal of physical therapy science, 32(8), 545-549.	Thomas, E., Hult, J. L., Capehart, B. L., Strong, R. M., Gennery, D. B., Yuscavage, G. V., & Schroer, B. J. Scholarly Commons. Health Sciences, 10, 1-2019.
How does the article relate to the PICO question?	Learning what is essential: A quality improvement initiative to enhance patient-centered care in-home care	COVID-19 respiratory relationship to the aged population	The problem of debt and geriatric therapy
Quantitative and Qualitative	Qualitative and quantitative methods used	Data reported and gathered through observation and medical examination of patients	Self-reporting data from the student's who were the sample
Purpose Statement	The provision of services to the aged	COVID-19 respiratory relationship with the aged population	Debt and geriatric physical therapy
Research question	What are the issues associated with the provision of care in healthcare	what are the average costs of conservative physical therapy on the aged faced with a challenge of COVID-19	Higher education costs continue to rise: student loan debt has progressively become a more significant concern.
Outcome	The quality improvement was noted	The costs of the services influenced the performance of the sector in relation to the challenge of COVID-19	The debt level observed
Setting	Market	Hospital	Market
Sample	10,000	300	15,300
Method	Observation	Interviewing and medical examination	Questionnaire
Key findings of the study	Physical therapy has more advantages than disadvantages	The hospital reported an increase in aging services	Physical therapy has more advantages than disadvantages
Recommendations of the researcher	Professionals should be employed in the healthcare sector to enhance and boost the better performance of the sector	The service of the aging population should be extended to the aged residential.	The government should invest better and more resources in the health sector.

Criteria
APA –Formatted Article Citation with permalink	Gustavson, A. M., Falvey, J. R., Jankowski, C. M., & Stevens-Lapsley, J. E. (2017). Public health impact of frailty: role of physical therapists. The Journal of frailty & aging, 6(1), 2.
How does the article relate to the PICO question?	Roles of public health professionals
Quantitative and Qualitative	Qualitative and quantitative methods were used.
Purpose Statement	To determine the effect and impacts of the increased number of health professionals in healthcare sector on the aged.
Research question	To determine the effect of increasing healthcare professionals on the aging population
Outcome	Conservative therapy proved to bear more positive results.
Setting	Hospital
Sample	13000
Method	Observation
Key findings of the study	Aging affects the delivery and speed of service delivery increased after increasing staffs.
Recommendations of the researcher	Conservative therapy proved to bear more positive results.

Part 2: Analysis of Literature

Introduction

The population of citizens in the United States who are aged 65 years or older are referred to as the geriatric population. The population, as indicated by their age, there is a high need to investigate matters affecting the population, especially those issues which are related to their health issues and conditions. The aging population in society is faced with a wide variety of challenges that influence and affect their routine and daily lives. The aging population is faced with challenges due to the wear and tear of the body tissues and organs. Therefore, it is difficult for their bodies and systems to perform the required and necessary functions.

Consequently, it is crucial to devise ways and strategies to employ to help the aging population become less prone to diseases and other body and system complications. The Conservative physical therapy approach is aimed at reducing the pain, avoiding complications, reducing cost, improving level of function and improving quality of life. Injury level of the aged population since their rate of recovery and the impact of the management of physical therapy should be in a position of reducing, controlling, and managing the pain and symptoms which the aged individual in the society may be facing—the central aspect of physical therapy in treating pain and other related conditions in a non-surgical method. Exercise is a important part and strategy to control/reduce pain, improve strength, activity tolerance/endurance, functionality, and safety. Basic fundamental’s of physical therapy is a great approach that can be used to improve overall function of a aging population, especially ones that live a sedentary lifestyle.

Conservative Physical Therapy

Physical therapy is made up of professionals who are majorly involved in treating conditions and handling issues affecting older adults in society. There are special and unique health challenges that affect the aging population, which require special attention, management, and care to enhance the aged population's compelling performance. The aged have a challenge of having experienced various and different types of health and body challenges. Thus, it is essential to handle them with care and develop a plan of care with a patient centered approach to increase safety. A big factor in physical therapy is educating the patient as well. Therefore, it is the role and function who is specialized in handling the age to manage and control their conditions. Some various advantages and disadvantages are associated with the delivery of services, especially to the aged population.

Advantages of Conservative Therapy

A healthy population is considered to be a productive population. The majority of the aged population who are 65 years and above live in conditions and backgrounds in which they cannot manage to raise the cost of the various medical challenges. The aged are experienced with a couple of challenges while at the same time offering an opportunity to the individuals and professions in the Physical Therapy profession to cater and apply their knowledge and skills in the management and control of the challenges affecting the aged population.

One of the significant benefits of conservative therapy is the care and attention accorded to the aging population, special and unique, and affordable. The cost is the main advantage since the population may not have any of their close family members to look after them when they become 65 or older. Financially, physical therapy can save thousands of dollars in preventing complication and progression of conditions.

The aging population is experienced with conditions some of which are chronic due to wear and tear, previous injuries, weakness, and decrease functional ability. The majority of chronic diseases/conditions require professionals trained in such a specific area and hence need professional skills to attend to the aged. Rehabilitation of the aged individuals in the hospitals, home health setting, outpatient setting, inpatient settings and nursing homes ensures the better services, thus enhancing better treatment and management process. It is important that medical doctors recommend rehabilitation for most conditions rather than referring to pain management or Orthopedics as they will only look to medicate and perform surgeries. The goal-setting idea of the health sector is essential in achieving a better and performing health sector.

The expansive or the extension of life is considered to be possible under good healthcare services. The extended life expectancy has a positive impact on the country's economic growth and the economy at large. The economic growth, which is contributed by the activities performed by a healthy population, positively impacts conservative therapy since the development in the medical sector leads to result in the economy as resources revolve around the sectors to promote better life expectancy.

References

Aisa, R., & Pueyo, F. (2013). Population aging, health care, and growth: a comment on the effects of capital accumulation. Journal of Population Economics, 26(4), 1285-1301.

Fuchs, R. K., Bauer, J. J., & Snow, C. M. (2001). Jumping improves hip and lumbar spine bone mass in prepubescent children: a randomized controlled trial. Journal of bone and mineral research, 16(1), 148-156.

Guccione, A. A., Frost, J., & Barr, J. O. (2014). Forecasting health care delivery for older adults amid change: Challenges and opportunities for the physical therapy profession in an evolving environment. Journal of Physical Therapy Education, 28(2), 7-11.

Hilmer, S. N., & Gnjidic, D. (2018). Deprescribing: the emerging evidence for and the practice of the 'geriatrician's salute.' Age and aging, 47(5), 638-640.

Howdon, D., & Rice, N. (2018). Health care expenditures, age, proximity to death and morbidity: Implications for an aging population. Journal of health economics, 57, 60-74.

Journal of Bodywork & Movement Therapies (2010) 14, 289e293

Miller, P., Gill, C., Mazza, K., Pilon, C., & Hill, M. (2019). Learning What is Important: A Quality Improvement Initiative to Enhance Patient-Centred Care in Home Care. Physical & Occupational Therapy In Geriatrics, 37(1), 3-15.

Thomas, E., Hult, J. L., Capehart, B. L., Strong, R. M., Gennery, D. B., Yuscavage, G. V., & Schroer, B. J. Scholarly Commons. Health Sciences, 10, 1-2019.