Gerontological Nursing

Questions: 1.Write a brief description of the tool; and describe its use in caring for the older adult with literature? 2.Explain the evidence or lack of evidence to support the use of your chosen CAM with the audience being Registered Nurses working on C16? Answers: 1. Australian National HACC Functional Assessment Instrument is a tool that is mainly used by the various service providers for gerontological nursing in order to develop the lives of old people (Keogh et al., 2017). Various agencies require the help of such tool to measure the functional assessment but it does not provide a comprehensive assessment (Secombe et al., 2013). They can perform assessment in four important domains like self-care, domestic situations, behavior as well as cognition (Lewin et al., 2013). Self-care is mainly measured by the Barthel index that is mainly done by the 20 points Collins scoring. This mainly helps to depict the characteristics of the personal care and also the mobility concerns of each of the old patients (Warburton et al., 2015). The second domain is mainly concerned with the domestic functioning system which mainly covers the assistance required by the old people in housekeeping, shopping, food preparation, medications, telephones and others (Sanders, Chang Ramis, 2015). They are mainly scored in the form of eight items that move from direction of the worst or incapable with marking 1 to most independent or best with marking 4 or 3 (Steel et al., 2016). The third domain mainly covers the behavioral function that helps in assessment of the wandering or intrusiveness along with the physical aggression, emotional dependence, gender to self and others and helps in providing scores accordingly (Lewin et al., 2014). The last domain is the cognitive function me asurement based on the Folstein Mini-Mental State Examination scale (Elliot et al., 2015). The score when obtained and analyzed help the service providers to understand the type of care that the old people will need and act accordingly. 2. Complementary and alternative medication has now attracted the attention of many researchers as they have been found to perform many positive effects on the old patients (Coomans, De Becker Ridder, 2014). One of such technique is the music therapy which had been depicted by many healthcare practitioners to have yielded positive results in the recovery of independent movement and better responses from old people who have had lost the zeal and the power of living life without assistance (Vink, 2013). There have been many instances where researchers have stated that music which harbor personal significance to a patient or has been intricately associated with historical events in the life of the old patient are often found to act as stimulus (Vink et al., 2013). This strong stimulus has proved to engage people in showing responses even in the later stages of dementia. Even if they fail to detect the song but can feel association with it (Ueda et al., 2013). Researchers have found a strong connection of the auditory complex and its associated limbic system of the human brain where processing of various emotions takes place (McDermott et al., 2013). This view is also supported by Ridder et al. (2016)There is a presence of a biological link which is believed for the sound to be processed immediately in the various parts of the brain especially in the parts where long term memory and also the emotions get processed (Chu et al., 2014). Due to the presence of such researches one cannot entirely deny the effectivity of CAM like music therapy on the treatment of dementia in old age patients. (Pavlicevic et al., 2015) Reference: A Elliott, R., Goeman, D., Beanland, C., Koch, S. (2015). Ability of older people with dementia or cognitive impairment to manage medicine regimens: a narrative review.Current clinical pharmacology,10(3), 213-221. Keogh, J. W., Henwood, T., Gardiner, P., Tuckett, A., Hodgkinson, B., Rouse, K. (2017). Examining evidence based resistance plus balance training in community-dwelling older adults with complex health care needs: Trial protocol for the Muscling Up Against Disability project.Archives of gerontology and geriatrics,68, 97-105. Lewin, G., Allan, J., Patterson, C., Knuiman, M., Boldy, D., Hendrie, D. (2014). A comparison of the home?care and healthcare service use and costs of older Australians randomised to receive a restorative or a conventional home?care service.Health social care in the community,22(3), 328-336. Lewin, G., De San Miguel, K., Knuiman, M., Alan, J., Boldy, D., Hendrie, D., Vandermeulen, S. (2013). A randomised controlled trial of the Home Independence Program, an Australian restorative home?care programme for older adults.Health social care in the community,21(1), 69-78. Sanders, L., Chang, A., Ramis, M. A. (2015). The effectiveness of communication interventions in providing older people with information on access to in?home health and social care services: a systematic review protocol.JBI database of systematic reviews and implementation reports,13(5), 105-117. Secombe, P. J., Stewart, P. C., Brown, A., Brown, P. S. A. (2013).Functional outcomes in high risk ICU patients in Central Australia: a prospective case series(Doctoral dissertation, ARHEN-Australian Rural Health Education Network). Steel, E. J., Layton, N. A., Foster, M. M., Bennett, S. (2016). Challenges of user-centred assistive technology provision in Australia: shopping without a prescription.Disability and Rehabilitation: Assistive Technology,11(3), 235-240. Warburton, J., Cowan, S., Savy, P., MacPhee, F. (2015). Moving towards integrated aged care assessment: A comparison of assessment tools across three regional Victorian services.Australasian journal on ageing,34(3), 177-182. Chu, H., Yang, C. Y., Lin, Y., Ou, K. L., Lee, T. Y., OBrien, A. P., Chou, K. R. (2014). The impact of group music therapy on depression and cognition in elderly persons with dementia: a randomized controlled study.Biological research for Nursing,16(2), 209-217. Coomans, A., De Backer, J., Ridder, H. M. (2014). Music Therapy and Dementia. The role of musical improvisation in the occurrence of essential moments of meeting in music therapy with people in a severe stage of dementia. McDermott, O., Crellin, N., Ridder, H. M., Orrell, M. (2013). Music therapy in dementia: a narrative synthesis systematic review.International journal of geriatric psychiatry,28(8), 781-794. Pavlicevic, M., Tsiris, G., Wood, S., Powell, H., Graham, J., Sanderson, R., ... Gibson, J. (2015). The ripple effect: Towards researching improvisational music therapy in dementia care homes.Dementia,14(5), 659-679. Ridder, H. M., Madsen, M., Anderson-Ingstrup, J., McDermott, O. (2016). The use of music therapy components to promote interaction between a person with dementia and a caregiver.Nordic Journal of Music Therapy,25(sup1), 62-62. Ueda, T., Suzukamo, Y., Sato, M., Izumi, S. I. (2013). Effects of music therapy on behavioral and psychological symptoms of dementia: a systematic review and meta-analysis.Ageing research reviews,12(2), 628-641. Vink, A. (2013). Music therapy for dementia.The effect of music therapy in reducing behavioural problems in elderly people with dementia. Doktorsavhandling, Groningen: Dieuwer de Lange. Vink, A. C., Zuidersma, M., Boersma, F., de Jonge, P., Zuidema, S. U., Slaets, J. P. J. (2013).