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Introduction
Since health care is a complex issue, it requires maximum attention. However, working with different cultural groups may bar medical practitioners from rendering their services effectively. Ethnicity, age, social-cultural differences, and sexual orientation are other social-cultural groups affecting health care (Paul et al., 2019). Dealing with people who are seriously ill needs an aggressive approach. In cases of serious illness, likely, anything severe will not occur; hence maximum cooperation is required.
Recognizing the importance of discretion in providing high-quality treatment to highly sick patients, professional healthcare organizations have established policy positions and practice standards that encourage the delivery of personal care (Paul et al., 2019). To provide specialized treatment, doctors should give private consultations. Primary care physicians must give time alone for discreet counseling during appointments when their close relatives accompany the seriously sick. (Paul et al., 2019). This paper will have more profound research on how medical staff will be attending to Aging White Veterans with Dementia.
Working with Aging white Veterans with Dementia
Providing care to Aging white Veterans with Dementia needs critical principles to be considered. There should be high levels of awareness, patience, and empathy. For example, understanding Aging people’s way of response is critical (Lazris, (2019). In some instances, certain practices might offend patients with Dementia leading to mistrust between the caregiver and the client. The doctor must understand their client’s needs or the conditions they are suffering. Though it is optional for the sick to disclose their feelings, by doing so, trust and good rapport are created between the two parties (Paul et al., 2019). Hence, the level of confidence of the patient will be high. Since this condition is heavily linked with damage to the brain, these people should be addressed in a friendly manner to avoid misunderstanding.
The use of interpreters in established hospitals will not be a challenge since most have already hired personnel to do that work. Thus, this indicates that it would be good to use advanced technology in robots for translation (Lazris, (2019). Although they will not be completely accurate, they will simplify the work and help physicians better understand the patient’s problems. However, there should be serenity in what disease or complication they are dealing with.
Completion of an Advanced Mechanism
Aging individuals with Dementia approach illness and end-of-life stages in different ways. Advanced mechanisms are the legal advice directive that lets one know what kind of medical decisions to make (Paul, Salmon, Sinnarajah, & Spice 2019). The patient may need some particular type of treatment, such as handling them with high levels of professionalism. Due to language barriers and the effects brought about by their condition, they may not express themselves fully. Advanced technology becomes more critical to enabling caregivers to administer the expected kind of treatment. Consequently, the patient may be assisted in making some fundamental decisions because their condition affects their ability to make decisions.
Preferred Communication Style of Diagnosis and Prognosis
Informing Aging Veterans who have Dementia of the diagnosis and prognosis is very important. Disclosing such information to these people might be difficult (Paul, Salmon, Sinnarajah, & Spice 2019). They may undergo problems such as psychological torture and forget easily; hence follow-up is required. To ensure that all this is accomplished appropriately, the medical personnel must first make the patients feel at ease. They should avoid medical jargon, use a language that the client understands better, and even monitor them more frequently to ensure all routine work is done. They should also give the individual time to express themselves fully (Jerant et al., 2020). Empathy should be shown to the person through encouraging words, which provide the sick with hope. Making them comfortable is also a significant issue; since they are old, they need to be placed in a quiet and peaceful environment to avoid fatigue. Most of all, the clinician should be respectable when addressing the patient; this will help gain the client’s trust.
Attitude Towards Life-Prolonging Treatment
Knowing the art of prolonging life is a requirement for each practitioner studying medical courses. It includes knowing the positive beliefs of this group of people and knowing ways to cope with exposure. By considering this, it can protect individuals from worsening their condition. The doctors can pass knowledge to them during extreme situations or even bereavement (end-of-life care) (Gudat et al., 2019). It is essential to prevent suffering or pain during the peak of the condition. This should be done by practicing pain management techniques such as consoling and offering moral, psychological, and spiritual nourishment. Medical personnel plays a significant role at the end of life for Aging White Veterans because they are essential people in contact with the victim.
Attitude Towards Hospice Care
Hospice care is a type of care where healthcare professionals ensure the quality of life when suffering from life-limiting diseases. Mental caregivers in this field should be aware of this care and help the affected lead a comfortable life (Paul, Salmon, Sinnarajah, & Spice 2019). Even though the ailment may not be curable, the affected should be given hope of living an everyday life just like everybody else. Medical caregivers should be well conversant with how to remit patient-based care. This care is essential in that it increases the optimism of the victim to prevent the patient from losing hope, which may lead to difficulties in their lives.
Attitudes and Beliefs Towards the Aging White Veterans with Dementia
My attitudes and beliefs toward working with these groups go hand in hand with the discussion above (Paul, Salmon, Sinnarajah, & Spice 2019). Aging Dementia Veterans are prone to illness due to unstable conditions. In many hospitals across the states, most of the facilities are filled with these groups of persons. Many suffer from mental and psychological torture, primarily upon learning about their stable conditions. In such instances, hospice care should prevail, and if it is not done in an exemplary manner, the patient might develop other illnesses that will worsen the condition. Therefore, every care is essential for the well-being of these people in all healthcare facilities to improve their health.
Challenges Associated with Palliative Care
There are many challenges associated with the delivery of palliative care to people who have Dementia. Pain is the greatest challenge facing them. Dementia has a prolonged prodromal phase. Understanding how the condition affects an individual is essential. They should be encouraged to maintain a healthy lifestyle to boost their immunity and well-being. Risky behaviors like drinking alcohol and smoking should be managed for this patient. In a condition where the infected has fallen sick for the first time in an extended period, it will be difficult for them to adapt and get used to the state (Gudat et al., 2019). A study showed that most Dementia patients are poor copers (Gudat et al., 2019). They do not respond well to their diagnosis due to self-defense mechanisms such as self-denial, avoidance, noncompliance, and isolation.
Management of Dementia is complicated by neuropsychiatric symptoms such as longitudinal care of the psychiatrist. It requires a mental health practitioner or a psychiatrist and strong support from the family. Consequently, the preservation of dignity among this patient has been a significant concern (Gudat et al, 2019). This is highly affected by self-esteem, respect, and honor for one to survive. Aging Dementia Veterans patients require much self-respect since it is the level of independence and autonomy obtained through illness. In the United States, research recently showed that about 18% of medical staff received training on taking care of these cases and there has been good progress in handling them. (Gudat et al., 2019).
Ethical Issues to be Considered When Giving Care to The Aging White Veterans with Dementia
Ethical issues are essential to the well-being of this particular group. Some significant factors need to be taken into consideration to enhance their safety. To start with, practitioners should provide them with reasonable care (Lazris, 2019). These patients need high levels of emotional, physical, and psychological advice, which might be difficult to provide fully in healthcare centers. Thus, the government aims to provide such care in homes rather than medical centers because when patients are closer to their loved ones, it is easier to manage and instill hope in them (Muldrew et al., 2019). Autonomy is another critical consideration to prevail; the sick should be given a chance to dictate or choose the treatment they require and whether to take or leave it.
Truthfulness and honesty are other ethical issues that are of great significance in care. Factual information should be provided to the service user on what is happening within them. It is virtuous to tell the affected the truth and avoid giving them false hope (Lazris, 2019). In some instances, the victim might get to a point where the condition is at its worst. Thus, it is the role of the caregiver to make an informed decision to counter the situation. (Voumard et al., 2018). Justice is another principle that ensures that there’s equitable sharing of resources. Beneficence is an additional principle that supports the care of the patients. The physician should act in a way that benefits the sufferer. The patient’s rights should be observed and the person prevented from any harm.
Conclusion
In conclusion, the role of medical practitioners is to ensure that patients receive the best services in the event of illness. Aging Veterans with Dementia are at advanced risk of getting other complications since their immunity weakens as time progresses. The government has identified this as a significant health issue affecting the country as a whole, and therefore, it has set centers for taking care of this group of people (Lazris, (2019). Since there have been high numbers of these cases, the relevant authorities have also introduced home care protection where these patients are being looked after by their close relatives. Training has been offered to some people to ease the problem of congestion in various hospitals. Some complicated conditions such as autism and hearing impairments are the likely risks to attack people with Dementia (Gudat et al, 2019). Thus, caregivers should ensure that they deal with this condition with precautions because this is the most delicate group in medical care.
References
Gudat, H., Ohnsorge, K., Streeck, N., & Rehmann‐Sutter, C. (2019). How palliative care patients’ feelings of being a burden to others can motivate a wish to die. Moral challenges in clinics and families. Bioethics, 33(4), 421-430.
Jerant, A. F., Azari, R. S., Nesbitt, T. S., & Meyers, F. J. (2017). The TLC model of palliative care in the elderly: Preliminary application in the assisted living setting. The Annals of Family Medicine, 2(1), 54-60. Web.
Lazris, A. (2019). Geriatric palliative care. Primary Care: Clinics in Office Practice, 46(3), 447-459. Web.
Muldrew, D. H., McLaughlin, D., & Brazil, K. (2019). Ethical issues experienced during palliative care provision in nursing homes.Nursing Ethics, 26(6), 1848-1860.
Paul, L. R., Salmon, C., Sinnarajah, A., & Spice, R. (2019). Web-based videoconferencing for rural palliative care consultation with elderly patients at home.Supportive Care in Cancer, 27(9), 3321-3330.
Voumard, R., Truchard, E. R., Benaroyo, L., Borasio, G. D., Büla, C., & Jox, R. J. (2018). Geriatric palliative care: A view of its concept, challenges and strategies.BMC Geriatrics, 18(1), 1-6.
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