Complex Care for Elderly

Complex Care for Elderly

Scenario:

You are caring for Ms. Johnson, a 79-year-old woman recently admitted to a rehabilitation facility after a fall that resulted in a hip fracture. She has early-stage dementia, lives alone on a fixed income, and has expressed concern about being a burden to her family. She is also recovering from a recent bout of pneumonia and has a history of hypertension.

Your Task:

Write a 750–1000 word reflection responding to the prompts below. Use your learning from Weeks 1–3 to guide your analysis.

Part 1: Aging Trends and Theories

• Identify at least two demographic, social, political, or economic trends that might affect Ms. Johnson’s situation.
• Choose one aging theory (biological, sociological, or psychosocial) and explain how it helps you understand her needs.
• Identify at least two structural or functional changes related to aging that are present in this case.

Part 2: Complexity of Older Adult Care

• Explain how the combination of Ms. Johnson’s health conditions, social situation, and aging changes contribute to the complexity of her care.
• Describe at least two nursing interventions you would prioritize, based on her biological, psychological, or social needs.
• Reflect on how you would approach care planning to support both her health and independence.

Part 3: Gerontological Care Models

• Briefly identify one gerontological care model (e.g., PACE, NICHE, Transitional Care) that could support Ms. Johnson.
• Describe how the model could help address her specific needs.
• Connect your response to one element from the ANA Gerontological Nursing Scope and Standards of Practice.

Tips for Success:

• Use course concepts and real-world reasoning to support your answers.
• Keep your tone reflective and clinically informed.
• No citations required, but apply terminology and frameworks from the course.

Due Date: Sunday at 11:59 PM at the end of Module 3

Submission Format: Upload as a Word or PDF document

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APA

Complex Care for Elderly

Part 1: Aging Trends and Theories

Demographic and Social Trends Affecting Ms. Johnson
Two trends that directly influence Ms. Johnson’s situation are the aging population with increased chronic conditions and the rise in older adults living alone. Advances in healthcare have increased life expectancy, but more individuals are living with multiple chronic illnesses, such as hypertension and dementia, requiring complex care. Additionally, more older adults, particularly women, live alone due to widowhood or family dispersion. This increases the risk of social isolation, delayed care in emergencies, and challenges in daily living—factors that are evident in Ms. Johnson’s case.

Aging Theory Application
The Disengagement Theory from psychosocial aging perspectives can help frame Ms. Johnson’s needs. This theory suggests that as people age, they naturally withdraw from social roles and relationships, sometimes due to declining health or changes in life circumstances. Ms. Johnson’s early dementia, recent injuries, and fixed income may be contributing to her reduced engagement with