Gerontological Nursing




Agingof adultscomeswith its fairshareof difficulties.There are severalchallengesthat accompanythisdevelopmentleadingto inefficiencyin howtheyare takencareorhandledwhileunder thecustodyof thenursinghomeprofessionals.Someof theproblemsexperiencedthatmay complicatetheir stayin thenursinghomesare:

  • Memory loss due diseases such as the Alzheimer`s disease: with the progress of age, people become more forgetful. Diseases such Alzheimer`s tend to aggravate the situation making it difficult for efficient communication to occur between the aged and nursing home staff (National Library of Medicine, 2015).

  • Continuous weakening of the bones and joints: diseases like Arthritis and Osteoporosis lead to the weakening and wear and tear of the bones. This inhibits movements leading general incapacitation.

  • Weakening of eyesight and hearing capabilities: From the age of 40, the weakening of the sense of sight and hearing reduce leading partial blindness. This situation requires constant care that may be difficult for nursing home staff to handle.

  • Digestive and metabolic problems: this problem manifests itself with advancement in age. According to research, Gastroesophageal reflux disease, (GERD) becomes more advanced with age. The disease crops up when the lower sphincter of the esophagus partially closes leading to spilling of stomach content back to the esophagus. It leads to constant heartburns and may eventually give rise to type II diabetes.

  • Urogenital: Also known as incontinence. It is a condition that involves mild leaking or uncontrollable wetting. It is a common ailment with the old especially women.

  • Dental diseases such as periodontitis, gingivitis, or regular loss of teeth: this condition may affect how a person feeds limiting his/her intake of food.

  • Skin vulnerability: As we age, our skin loses fat and begins to thin. This makes it difficult for it to withstand the sunny conditions due feelings of discomfort and sickliness. Consequently, the care staff may need to devote almost all their entire working hours dealing with one person instead of many.

  • Functional abilities: with aging, constant falls become an ordinary occurrence. This may lead to recurring injuries such as breaking bones. As a result, these incidents make it extremely strenuous for home cares to offer their services as required. Falls are attributed to other changes in the body such as loss of sight or hearing, reflexes and coordination, muscle strength, and a problematic nervous system (National Library of Medicine, 2015).

Thereare severalbarriersaffectingtheefficientdeliveryof servicesto theagedgroup.First,someoldagedindividualslackthenecessaryhealthplansto accessqualitymedicalservices.Thismakesitdifficultforresponsivehealthroutinesto beattainedwhenrequired.Second,someof theindemnityservicestakea longtimeto be affectedleadingto a delayedattendancein thehospitalsandnursinghomes.Third,theprofessionalcompetencies of someof thenursinghomedonot meetthesetrequirementsandbenchmarks. Asa result,thisleadsto poorinteractionbetween them andthepatientsleadingto inefficientdeliveryof services.Finally,thenumberof employeescurrently employedin nursingcarefacilitiesis not sufficientto handlethegrowingnumberof peoplejoiningtheservicesleadingto overstretching of servicedelivery(BoltzEd., 2012).

Tointegrateevidence-based processesthat enhanceoptimal qualitycare,properguidelines should beused.First,itwould be highlyessentialforthemedicalandcareprofessionalsto keepup with thecurrenttrendsin medicalattention.Thiswill allowforimproveddeliveryof careservicesto theelderlyleadingto qualityof serviceas itisrequired.Second,quickimplementation of thehealthcarelawinto themedicalinstitutionsmay offergreatsolutionsto someof therecentissuesfacedby thewholeindustry.Thislawprovidestheopportunityto reducethecostof accessinghealthcareleadingto betterresponsiveness andderailing of medicalattentionto theelderly.Third,inter-professional coordination andcollaboration should be encouragedto enhancesharingof information.In addition,thehealthcare lawwill strengthentheMedicaid andMedicare programsleadingto theimprovedabsorptionof thepopulationincludingtheelderlyto signup foraffordable healthcareinsurancepackages.Finally,an incentiveprogramshould be introducedto liven up thenursesin thecarehomesto improvetheir servicedelivery.Notforgetting,capacityshould be builtto accommodatean additionalnumberof employees.Thiswill improvethecurrentratiobetween them andtheagedpeoplein thehomes.Consequently,itwill minimizeoverworkingof thecurrentpersonnelwhich may haveseriousrepercussions(Committee on theRobert Wood Johnson Foundation Initiative on theFuture of Nursing, at theInstitute of Medicine, Institute of Medicinec,2011, pp. 1-2).

Inconclusion,iftheserecommendationsareimplementedas stipulated,thehealthcare systemwill be up fora greatboost.Mostof thechallengescurrently beingobservedwill cometo a speedyhalt.Itisbeenproventhattheaboverecommendations,forinstance,incentivizing thehealthcare staff,improvesservicedeliveryby significantamounts.All thestakeholders should takechargeof their variousresponsibilitiesto enhancetheprovisionof essentialserviceslike theprovisionof qualityelderlyhomecareservices(Futureof Nursing, 2011).


Boltz,M. (Ed.). (2012). Evidence-basedgeriatric nursing protocols for best practice.Springer Publishing Company.

Instituteof Medicine (US). Committee on the Robert Wood Johnson FoundationInitiative on the Future of Nursing. (2011). Thefuture of nursing: Leading change, advancing health.National Academies Press.

Mauk,K. (Ed.). (2009). Gerontologicalnursing: Competencies for care.Jones &amp Bartlett Learning.

Settersten,R. (2011). Handbook of sociology of aging. New York: Springer Verlag.

8Areas of Age-Related Change – National Library of Medicine …(n.d.). Retrieved March 30, 2015, from