Transcultural Perspectives n the Nursing Care of Older AdultsRead chapter 8 of the attached PowerPoint presentation. Once done answer the following questions; What resources, needs, and limitations should the nurse assess to develop a care plan for a recently discharged 82-year-old chronically ill man who is returning to a single-room-occupancy hotel in a crowded inner-city location.As the nurse who does health assessment for frail older adults who attended a community comprehensive day program, what information should the nurse assess to identify culturally appropriate care plans for older Filipino and Chinese American clients?The short-term subacute unit where you are the nurse manager serves a multinational group of older clients who are admitted for orthopedic surgery. What cultural assessment do you teach the staff to use in identifying the needs of clients and their families?APA format, 2 references and between 700-800 words
cn_chapter_08__1_.pptx

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Chapter 8:
Transcultural Perspectives
in the Nursing Care of Older
Adults
Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins
Transcultural Perspectives in the Nursing
Care of Older Adults #1
❖ Longer life spans and the aging Baby Boomer generation
will lead to a large population of older adults aged 65
years old and older who will seek health services.
❖ Delivering culturally appropriate care to clients is set by
how available and affordable national, state, and local
health care resources are for older adults.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Transcultural Perspectives in the Nursing
Care of Older Adults #2
❖ There are three areas of influences for older adults that
guide their help-seeking behaviors:
o Societal and economic factors; affordability and
accessibility
o Cultural values, practices, patterns of caregiving, and
available community resources
o Family, individual lifestyles, health, and coping
behaviors
Copyright © 2016 Wolters Kluwer • All Rights Reserved
The Older Adult in Contemporary Society:
Factors Affecting Health Care
❖ Societal level
o Demographics: ethnicity and income level, low
literacy
o Socioeconomic status: fixed income, increased
health-related expenses, delayed retirement
o Theories of Aging: explain patterns of behavior
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Question #1
❖ Is the following statement true or false?
❖ The health status of non-Hispanic Whites is typically
better than other minority ethnicities.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Answer to Question #1
❖ True
❖ Rationale: At all ages, the health status of Hispanics,
Asian Americans, African Americans, Native
Americans/Alaska Natives, and Native Hawaiians/Other
Pacific Islanders has long lagged behind that of nonHispanic Whites.
❖ Also, approximately 40% of Hispanics and African
Americans have no private savings for their retirement
and will look to government-funded assistance.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
The Older Adult in the Community: Cultural
Influences #1
❖ Cultural level
oDifferences in culture and ethnicity shape health and
illness behaviors and actions.
▪ Specifically:
➢Physical functioning: Mobility/exercise
➢Social and emotional well-being: Acculturation,
family/peer support
➢Quality of life: Satisfaction and happiness
➢Beliefs and practices: Remedies, traditional healers,
self-care
Copyright © 2016 Wolters Kluwer • All Rights Reserved
The Older Adult in the Community: Cultural
Influences #2
❖ Cultural level (cont.)
o Culture change: relocating, migrating
− Caregiving: willingness of family to offer support,
responsibility to care for elders
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Question #2
❖ Is the following statement true or false?
❖ It is generally not recommended for older adults to
utilize self-help strategies to maintain their health.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Answer to Question #2
❖ False
❖ Rationale: Older adults who use self-help strategies to
maintain their health generally report better psychological
well-being and physical functioning than older adults who
do not use these approaches.
❖ Nurses who are aware of cultural variations can
appreciate that older individuals will have different value
orientations underlying their decisions to adopt health
behaviors.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
The Older Adult in the Community: Cultural
Influences #3
● Cultural level (cont.)
o Dimensions of Social Support:
1. Affective support: respect/love
2. Affirmational support: endorsement for one’s
behavior/perceptions
3. Tangible support: aid or physical assistance
❖ Complicated by separation from family members, loss of
spouse/partner, declining physical abilities
Copyright © 2016 Wolters Kluwer • All Rights Reserved
The Older Adult: Caring for Individual
Clients #1
❖ Older adults continue to meet developmental tasks:
o Satisfaction of basic needs, such as safety, security,
and dignity
o Fulfillment of integrity and self-actualization
o Maintaining self-esteem and choices about where
he/she will live
o Engaging in meaningful activity
o May embrace increased religion/spirituality
Copyright © 2016 Wolters Kluwer • All Rights Reserved
The Older Adult: Caring for Individual
Clients #2
❖ Continuum of care
o Older adults generally require three types of care:
1. Intensive personal health services
2. Health maintenance and restorative care
3. Coordinated services
❖ Nurses assess that values of independence and selfreliance may be very strong for some older clients; they
may refuse any assistance; the nurse should evaluate
clients’ behaviors relative to underlying values.
Copyright © 2016 Wolters Kluwer • All Rights Reserved
The Older Adult: Caring for Individual
Clients #3
❖ Community-based services for older adults
o In home care
o Skilled nursing facility, assisted living
o Community resources: home-delivered meals
o Local or church-affiliated volunteer visitors
o Day programs in communities and adult day care
o Volunteering within the community and the
educational system
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Question #3
❖ Which criterion is among those used to determine the
appropriate level of residential placement for an older
adult who is reluctant to live alone?
A. Age
B. Gender
C. Financial resources
D. Risk for injury
Copyright © 2016 Wolters Kluwer • All Rights Reserved
Answer to Question #3
❖ D. Risk for injury
❖ Rationale: Criteria that the nurse often considers to
recommend the level of care or residential placement that
would be most appropriate for an older client include
mental orientation, physical mobility restrictions, degree of
assistance needed to complete activities of daily living,
frequency of incontinence, and level of risk for accident or
injury if living independently.
Copyright © 2016 Wolters Kluwer • All Rights Reserved

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