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BSN 425 Hallmark 

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institution

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Introduction

Successfully catering to the needs of the older adult population requires gerontological

nurses to thoroughly consider numerous aspects of their professional practice. Addressing

matters such as polypharmacy management sensitively; establishing cultural competence as a

fundamental component; actively participating in self-guided learning; consistently following

evidence-based practices; carrying out extensive assessments for clear understanding; employing

therapeutic communication techniques effectively; maintaining culturally sensitive safe protocols

and fostering a cooperative team approach all contribute holistically towards improving well

being and overall health outcomes experienced by elderly clients. Nurses who have developed an

understanding of these elements and are inclined towards implementing them in their

gerontological nursing practice can deliver comprehensive, tailored, and efficient care that

effectively addresses the distinctive needs of older adults.

Patient-centered Care of the older adult Population

One issue in gerontological nursing is the management of polypharmacy, which refers to

using multiple medications by older adults. This can lead to medication-related complications,

adverse drug reactions, and increased healthcare costs. Analyzing this issue requires thoroughly

assessing the older adult's medication regimen, identifying potential interactions or duplications,

and collaborating with the interprofessional team to optimize medication therapy. For example, a

study by Woodford and Fisher (2019) emphasizes the importance of deprescribing unnecessary

medications and prioritizing quality-of-life goals for older adults. By taking a leadership role in
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addressing polypharmacy, nurses can promote safe and effective medication use, improve health

outcomes, and enhance the overall well-being of older adult patients.

Additionally, demonstrating caring and cultural competence is essential in providing

patient-centered care to older adults. Cultural factors significantly influence older adults'

healthcare experiences, beliefs, and decision-making. Nurses must recognize and respect diverse

cultural backgrounds, beliefs, and preferences. For instance, a study by Smith et al. (2021)

highlights the significance of cultural sensitivity in providing end-of-life care to older adults

from different cultural backgrounds. By acknowledging and incorporating cultural values and

practices, nurses can foster trust, promote effective communication, and ensure that care plans

align with older adults' preferences and goals. Demonstrating leadership in cultural competence

improves the quality of care and enhances patient satisfaction and engagement in their healthcare

journey.

Reflecting on this objective, I have learned that managing polypharmacy is a significant

challenge in gerontological nursing. Assessing medication regimens thoroughly and

collaborating with the interprofessional team to optimize therapy is essential. Taking a leadership

role in addressing polypharmacy can promote safe and effective medication use, improving

health outcomes for older adults. Additionally, cultural competence is crucial for patient-centered

care, as cultural factors greatly influence older adults' healthcare experiences. Recognizing and

respecting diverse cultural backgrounds and incorporating cultural values into care plans can

enhance trust, communication, and patient satisfaction.

Intentional learning in caring for the older adult client

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When caring for older adult clients, demonstrating intentional learning with reflection is

vital to gerontological nursing. Intentional learning involves actively seeking new knowledge,

critically reflecting on experiences, and applying that knowledge to enhance patient care.

Continuous professional development is critical in this field, as nurses must actively seek

opportunities to expand their knowledge and skills through conferences, workshops, and

advanced education in gerontological nursing (Barbagallo, 2020). By continuously learning,

nurses can stay updated with evidence-based practices and research findings specific to older

adults. The significance placed on reflection within the nursing profession cannot be understated.

It cultivates an environment where nurses thoroughly analyze their encounters, detect areas

demanding improvement, and establish effective methods to elevate patient care standards. By

adhering to reflective practice principles, nurses effectively gain substantial insights into their

professional journeys while actively working towards refining both their skill sets and

approaches pertaining specifically to elderly patient care. Implicit within this distinctive

approach is its potentiality for facilitating person-centered care through a deepened

understanding of the particular demands individuals within the older adult demographic may

present. (Barbagallo, 2020).

Upon careful reflection regarding this objective, I have gained significant awareness of

the critical role of intentional learning and reflection in delivering effective care to older adult

clients. Continuous professional development is an absolute necessity for staying updated on

evidence-based practices and pioneering interventions that serve the unique needs of older

adults. Actively seeking out avenues for learning empowers me to augment my knowledge and

hone my skills within gerontological nursing. Thus, facilitating efficient communication and

management of challenging behaviors. Reflection also emerges as a vital tool for identifying
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areas ripe for improvement while devising strategies geared toward enhancing patient care.

Participating in reflective activities such as journaling or engaging in group discussions endows

me with invaluable insights that foster an enhanced understanding of individual needs and

preferences within the older adult clientele, ultimately leading to elevated levels of care quality

along with heightened patient satisfaction.

Evidence-based gerontological nursing concepts

One noteworthy aspect of evidence-based gerontological nursing involves utilizing

evidence-based guidelines and protocols crafted by the American Geriatrics Society (AGS). By

diligently following these guidelines, these comprehensive guides provide valuable

recommendations for specific gerontological care interventions. Nurses can align their practice

with the most robust available evidence. Ultimately, This results in heightened effectiveness and

safety when providing interventions to older adult clients. (Carmody et al., 2021). Additionally,

integrating research findings into clinical practice is crucial in gerontological nursing. Staying

informed about current research allows nurses to incorporate evidence-based interventions into

their care plans, addressing unique needs and challenges older adults face. For example, research

studies have identified effective strategies to prevent falls, such as exercise programs and

medication reviews (Carmody et al., 2021). By integrating these findings, nurses can proactively

promote safety and optimize the health and well-being of older adults.

After pondering this objective, a critical revelation has emerged: I understand that

evidence-based gerontological nursing revolves around utilizing guidelines and protocols

underpinned by the most reliable evidence. Following these evidence-based guidelines

guarantees care that aligns with the most effective interventions for older adult clients. Leading

to improved safety and efficacy. Additionally, staying informed about the latest interventions and
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approaches is crucial for incorporating research findings into clinical practice by integrating

evidence-based strategies such as fall prevention techniques. Nurses can proactively address the

distinct needs of older adults.

Assessment of the Older Adult Clients

Demonstrating clinical reasoning and decision-making skills during assessing older adult

clients is crucial for providing comprehensive and individualized care. Nurses can use clinical

reasoning and sound decision-making to ensure accurate and thorough assessments that guide

effective care planning and interventions. Clinical reasoning involves gathering and analyzing

information, interpreting findings, and making clinical judgments. In assessing older adult

clients, nurses consider the multifaceted nature of aging, including physical, cognitive, and

psychosocial changes (Häseler-Ouart et al., 2021). For example, when assessing cognitive

impairment, nurses use specific tools like the MMSE to screen for deficits and determine

interventions. Effective decision-making considers medical history, functional status, social

support, and preferences. Nurses make informed decisions that optimize safety, independence,

and well-being by integrating evidence-based guidelines and individual characteristics.

Reflecting on this objective, I have learned that demonstrating clinical reasoning and

decision-making skills is crucial in assessing older adult clients. Clinical reasoning involves

gathering and analyzing information to make informed judgments and guide care planning.

Assessing older adults requires considering the multifaceted nature of aging and utilizing specific

assessment tools to identify potential impairments. Effective decision-making involves

considering various factors and integrating evidence-based guidelines to optimize safety and

well-being. Nurses can provide comprehensive and individualized care to older adult clients

using clinical reasoning and effective decision-making.

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Leadership in older adult client assessments and interventions

Leadership in organizational environments requires nurses to assume proactive roles in

shaping gerontological care practices within their healthcare settings. Nurses can lead by

implementing evidence-based assessment tools and protocols specifically designed for older

adults, championing their adoption, and ensuring proper utilization. They can also foster a

culture of person-centered care by promoting interdisciplinary collaboration, staff education on

gerontological nursing, and advocating for resources tailored to the needs of older adult clients

(Vogel et al., 2021). Additionally, nurses can extend their leadership beyond their organizations

by participating in local associations, engaging in policy development, and contributing to

community initiatives that promote healthy aging. Globally, nurses can lead in research,

education, and policy development to address the unique challenges faced by older adults across

cultures and healthcare systems. Through these proactive leadership roles, nurses can

significantly improve the quality of care and enhance the lives of older adult clients.

After considering this objective, I have discovered that person-centered care and

developing care practices in gerontological nursing depend on leadership. In organizational

settings, nurses can take the lead in implementing evidence-based assessment tools and

protocols, enhancing the accuracy and efficiency of client assessments. They can also foster a

culture of person-centered care by promoting interdisciplinary collaboration and advocating for

resources tailored to the needs of older adult clients. Beyond the organization, nurses can

advocate for the rights and well-being of older adults in local and global environments. By

participating in associations, contributing to policy development, and engaging in community

initiatives, nurses can have a broader impact on improving care and addressing the unique

challenges older adults face.

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Therapeutic communication with the older adult clients

Engaging in therapeutic communication with older adult clients is essential for

facilitating effective interactions and improving the quality of care. Frydman et al. (2021)

suggest using therapeutic communication techniques, such as clear and straightforward language.

Speaking slowly. Furthermore, incorporating visual aids. It can enhance comprehension and

promote successful communication with older adults. Moreover, active listening skills like

paraphrasing and clarifying information enable nurses to ensure accurate understanding and

address any concerns or questions the older adult raises by implementing these strategies. Nurses

can establish a therapeutic connection with their older adult clients. Fostering trust. Encouraging

involvement in their care. Moreover, ultimately enhancing health outcomes.

After reflecting on this objective, I realized the immense importance of therapeutic

communication when caring for older adult clients. It has been found that techniques like using

precise language, speaking at a slower pace, and providing visual aids can significantly enhance

communication and improve understanding. Active listening skills such as paraphrasing and

clarifying information are crucial to ensure accurate understanding and address concerns. By

incorporating these strategies into their practice, nurses can build rapport with their clients,

nurture trust and encourage active participation in their care. Ultimately. This leads to better

health outcomes for older adults.

Culturally-competent safe practices in caring for the older adult population

To guarantee culturally-competent nursing service that supports standard safe procedures,

mistake and hazard mitigation, and quality enhancement, nurses must acknowledge and respect

cultural differences, engage in cultural assessment, and tailor care plans accordingly. This
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involves considering factors such as language barriers, health literacy levels, and cultural beliefs

related to health and wellness. Nurses must actively communicate and collaborate with older

adult clients from diverse cultural backgrounds, addressing their specific cultural preferences and

incorporating them into care practices. By integrating cultural competence into medication safety

practices, promoting open and non-judgmental discussions, and continuously striving for cultural

competence through quality improvement initiatives, nurses can provide safe and effective care

that respects older adult clients' cultural values and preferences (Halabi et al., 2020).

Reflecting on this objective, I have learned that culturally-competent nursing care is

essential in promoting safe practices and quality improvement for older adult clients. It involves

acknowledging and respecting cultural differences, engaging in cultural assessments, and

tailoring care plans accordingly. Nurses must consider language barriers and cultural beliefs to

effectively communicate and collaborate with diverse older adult clients. Nurses can provide care

that respects cultural values and preferences by integrating cultural competence into medication

safety practices and promoting open discussions. Striving for continuous cultural competence

through quality improvement initiatives ensures safe and effective care for older adults.

The team approach to collaborative client care in promoting health in the older adult

population

Understanding and executing client care and enhancing the health of older adult clients

need participation as a collaborative team member. Collaborative teamwork involves effective

communication, shared decision-making, and integrating the expertise of various healthcare

professionals. Interdisciplinary collaboration in geriatric care has positively impacted older

adults' health outcomes, as it allows for a comprehensive understanding of their needs and the

development of individualized care plans. By actively participating as collaborative team

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members, healthcare professionals can address the complex aspects of older adults' health,

implement evidence-based interventions, and promote healthy lifestyles, leading to improved

outcomes and enhanced quality of life (Li et al., 2019).

Reflecting on this objective, I have learned that participating as a collaborative team

member is crucial for understanding and implementing client care for older adults. Collaborative

teamwork involves effective communication, shared decision-making, and integration of

expertise from various healthcare professionals. Interdisciplinary collaboration in geriatric care

positively impacts health outcomes for older adults. By actively participating as collaborative

team members, healthcare professionals can address complex health aspects, implement

evidence-based interventions, and promote healthy lifestyles, resulting in improved outcomes

and enhanced quality of life for older adults.

Conclusion

the objectives discussed in gerontological nursing have significant implications for the

future of patient-centered care for older adults. Addressing challenges such as polypharmacy,

cultural competence, intentional learning, evidence-based practices, comprehensive assessments,

culturally-competent safe practices, therapeutic communication, and collaborative team

approaches are essential for effective care. By recognizing and addressing these aspects,

healthcare professionals can enhance older adult clients' well-being and health outcomes. It is

crucial to continue advancing research, education, and policy development in gerontological

nursing to improve the quality of care provided to this population. Embracing these principles

and ensuring their integration into practice will lead to a future where older adults receive

comprehensive, individualized, and person-centered care that meets their unique needs.
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References
Barbagallo, M. S. (2020). Nursing Students' Perceptions and Experiences of Reflective Practice:
A Qualitative Meta-synthesis. Teaching and Learning in Nursing, 16(1).
https://doi.org/10.1016/j.teln.2020.07.006
Carmody, J., Black, Kathy., Bonner, A., Wolfe, M., & Fulmer, T. (2021). Advancing
Gerontological Nursing at the Intersection of Age-Friendly Communities, Health
Systems, and Public Health. Journal of Gerontological Nursing, 47(3), 13–17.
https://doi.org/10.3928/00989134-20210125-01
Frydman, J. L., Gelfman, L. P., Lindenberger, E. C., Smith, C. B., Berns, S., Kelley, A. S., &
Dow, L. A. (2021). Virtual Geritalk: Improving Serious Illness Communication of
Clinicians Who Care for Older Adults. Journal of Pain and Symptom Management.
https://doi.org/10.1016/j.jpainsymman.2021.02.024
Halabi, J. O., Lepp, M., & Nilsson, J. (2020). Assessing Self-Reported Competence Among
Registered Nurses Working as a Culturally Diverse Work Force in Public Hospitals in the
Kingdom of Saudi Arabia. Journal of Transcultural Nursing, 104365962092122.
https://doi.org/10.1177/1043659620921222
Häseler-Ouart, K., Arefian, H., Hartmann, M., & Kwetkat, A. (2021). Geriatric assessment for
older adults admitted to the emergency department: A systematic review and meta-
analysis. Experimental Gerontology, 144, 111184.
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Li, L. W., Xue, J., Conwell, Y., Yang, Q., & Chen, S. (2019). Implementing collaborative care
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LGBT older adults. Educational Gerontology, 47(2), 79–85.

https://doi.org/10.1080/03601277.2021.1876584
Vogel, R., Bours, G., Erkens, P., Metzelthin, S., Zwakhalen, S., & van Rossum, E. (2021). The
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