Project;40

– 6 Pages Minimum, 6 unique reference from bibliography minimum 

a. System Resources  

b. System Processes (as they relate to the 5 components) 

c. System Outcomes (age 65 to end of life) 

References you already used for last homework .. and feedback from Dr..

Comments:

Relevant and mostly recent articles have been selected. All system components have been indicated with processes being understandably predominant for your group. They can be included in the project although some may be hard to fit in. You need to have a wider spread resources for system resources in the end to create a healthy balance in your project content. This

is the major issue in your selections. Reviews had adequate content and context from the sources. Cover page needed according to the APA style.

Medicare.

Graham, D. J., Reichman, M. E., Wernecke, M., Zhang, R., Southworth, M. R., Levenson, M., ... & MaCurdy, T. E. (2015). Cardiovascular, bleeding, and mortality risks in elderly Medicare patients treated with dabigatran or warfarin for nonvalvular atrial fibrillation. Circulation, 131(2), 157-164.

The authors aim at investigating dabigatran safety against warfarin in nonvalvular atrial treatment fibrillation treatment in the general medical practice setting. They conducted a study on the elderly patients who are enrolled in the Medicare plan. The results showed that dabigatran was related to minimized risk of intracranial hemorrhage, death, and ischemic stroke and an increased vulnerability to main gastrointestinal hemorrhage than warfarin among the elderly patients suffering from nonvalvular atrial fibrillation. Such associations were more pronounced among the patients who were treated using 150 mg dibagatran twice per day, unlike when the 75 mg dabigatran was used at the same rate. The authors found out almost indistinguishable results when the 75mg dabigatran and warfarin were used only that it showed a lesser probability of contracting intracranial hemorrhage when dabigatran was used. The relevance of this source is that it highlights how elderly Medicare beneficiaries benefit from the plan in the treatment Nonvalvular Atrial Fibrillation.

. The relevance of this source is that it highlights how elderly Medicare beneficiaries benefit from the plan in the treatment Nonvalvular Atrial Fibrillation. process

Geriatric Medicine

Cesari, M., Marzetti, E., Thiem, U., Pérez-Zepeda, M. U., Van Kan, G. A., Landi, F., ... & Bernabei, R. (2016). The geriatric management of frailty as paradigm of “The end of the disease era”. European journal of internal medicine, 31, 11-14.

The authors express their concern that the global healthcare systems’ sustainability is under threat due to the relatively increasing figures of the elderly population. That being the case, the traditional elderly care that are largely centered on the disease-centered approaches are insufficient for a world dominated by elderly persons with multiple comorbidities and exclusively interacting syndromes. As a result, elderly care professional and centers should shift the healthcare interventions from disease-centered to biological age-centered approaches. The Authors argue state that several medical specialties are beginning to focus their interests on geriatric medicine to favorably address the complexities, especially age-related to address their elderly patients. More focus has been put on frailty, which is a situation characterized by a higher vulnerability to different stressors and reduced homeostatic reserves. Frailty represents the need to reshape healthcare systems to enhance their responsiveness to the emerging clinical needs. The authors conclude that frailty concept dissemination across various healthcare specialties require careful and parallel considerations across the presently undervalued geriatricians’ roles. The relevance of this source it provides a new concept of frailty to geriatric medicine to enhance the effectiveness of elderly care that is based on biological age interventions.

Good!

Long-Term Care

Karttunen, M., Sneck, S., Jokelainen, J., Männikkö, N., & Elo, S. (2019). Safety checks, monitoring and documentation in medication process in long-term elderly care: nurses' subjective perceptions.

The article’s main objective was to explain the perceptions of the nursing staffs about and factors associated with documentation, monitoring and safety checks actualization in the healthcare process in long-term care services to the elderly. According to the authors, the elderly population often take different medicines that increase the risks related to adverse side effects. They use the X-sectional quantitative approach to collect data from long-term elderly care plan nurses. The results from their study shows that some monitoring guidelines and safety checks are regularly violated when administrating medication to the elderly. However, most of the nurses reported that they maintain good practice, especially when it comes to medication documentation. They conclude that there exists a need to reevaluate training in different aspects such as infection control, medical calculations, and pharmacology during the prequalification and throughout the nursing education. Doing so will ensure that nurses are aware of the ethical considerations and attitudes in medication safety. The relevance of this source is that it provides a framework on what should be done to minimize side effects of medication administration to the elderly through reframing different the nursing education to enhance achievement of long-term care goals.

The relevance of this source is that it provides a framework on what should be done to minimize side effects of medication administration to the elderly through reframing different the nursing education to enhance achievement of long-term care goals. 

End-of-Life Care

Lindskog, M., Tavelin, B., & Lundström, S. (2015). Old age as risk indicator for poor end-of-life care quality–a population-based study of cancer deaths from the Swedish Register of Palliative Care. European journal of cancer, 51(10), 1331-1339.

The authors’ main aim was to determine whether patient age impacts the end-of-life care quality. To test their hypothesis, they conducted a study from cancer patients in Sweden. The country-wide study centered on the final week of aged dying from different types of cancer. They specifically examined whether age-dependent disparities were present. They used 13 different palliative indicators of care quality. The results indicated that age-dependent disparities in implementation of quality care were present in 10 out of 13 end-of-life quality care indicators, with most of the being rarely met as the age increased. The authors concluded that the elderly population is at risk of receiving low-quality end-of-life care. Generalizing the outcome shows that often the elderly persons are at a higher risk of dying due to low-quality end-of-life care plans. The relevance of this source is that, it shows that measures should be put in place to improve and attain an equitable quality of end-of-life care.

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