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December 02, 2024
The Life of Peter
Peter has been in Australia for almost 60 years and has been married for 60 years, with two children aged 38 and 39, respectively. He immigrated to Australia from Tibet as a child, accompanied by his mother, father, older sister, and older brother. At the age of 16, he lost his mother to respiratory complications. Additionally, his father succumbed to old age in 1980, and his older sister died from cervical cancer in 1986. Later in 2021, he lost his older brother owing to age-related health complications. Before his retirement, he was a teacher at a local high school and is a prominent figure in the town due to his helpfulness and social engagement. Moreover, he has a varied social circle and is often seen socializing with them, typically while engaging in card games.
Peter seems to be in good health for his age; nonetheless, he suffers from hypertension and diabetes. When asked about his family history about the matter, he said that his parents were uninformed owing to insufficient medical resources. In 2010, he had an injury that resulted in a fractured patella, necessitating surgical intervention for repair. He asserts that in the winter months, the afflicted region experiences mild discomfort but does not result in significant problems such as impaired movement or excruciating pain necessitating the use of analgesics. He manages his hypertension by taking "Olmetor -20" daily at around 8 a.m. and consumes his herbal remedy for diabetes each night before sleep. He has no significant concerns other from the stated conditions.
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Sections: Old Age and Health Old Age and Experience Old Age and Circle Perception Concerning Old Age |
Findings: According to Peter, growing older does not always imply declining health. He asserts that, although certain concerns like as hearing loss, bodily discomfort, eyesight problems, and issues with skin texture and tone are inescapable, others such as diabetes, cholesterol, and hypertension may be addressed via a healthy diet and regular physical activity. He further claims that, contrary to popular belief, these disorders are not limited to the elderly and that many young people are also suffering from them. He claims that old age is the cause of his minor myopia, but he does not elaborate. Because of the life-long learning process, Peter also feels that old age gives a wealth of experience to the person, which allows him to analyse and assess issues with more prudence. He also asserts that this is one of the reasons why older people are respected and cherished in society, which he believes is true. In terms of circle and social life, Peter believes that his circle has grown since, at this period of youth and middle age, he believes that people are usually busy and do not have much time to attend to their social responsibilities. After reaching old age and entering retirement, he claims to have been enjoying a life of leisure with his companions and participating in activities that offer him delight. Peter believes that issues such as the passage of time and death are unavoidable and that worrying about them is worthless. He also asserts that old age is nothing to be worried about and that the greatest years of one's life may be spent during this stage of one's life.V |
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Sections: Peter and his Health Peter and his Perception of Ageing |
Findings: Peter does not have any serious or chronic diseases, and both his hypertension and diabetes are within acceptable ranges for his age and gender. Peter has a very positive attitude about the process of growing older and considers it to be natural and anticipated. As a result, he strives to make the most of his energy and power and to use it to the greatest extent possible. |
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Tools: Katz Index of Independence Nutritional checklist for Older Adults |
Findings: The outcomes of this study component revealed that Peter received a high 6 on the physical and mental competency scale, indicating that he is physically and cognitively capable of doing activities independently. Despite the fact that he has a wife and children who are always willing to provide a hand when required, he is physically capable of handling everything on his own. Furthermore, he is involved in regular cleaning and social service activities. Additionally, a nutritional evaluation was completed for Peter, and he received a score of 2, indicating that he has excellent nutrition or is not suffering from any nutritional problems. |
The conceptions of healthy aging, including happy ageing, productive ageing, pleasant ageing, ageing well, and constructive ageing, have evolved throughout time due to demographic fluctuations in the population. Healthy ageing refers to the acquisition and preservation of the capacity to participate in activities that provide joy as one grows older. The World Health Organization (2022) defines health as including more than only the absence of illness or injury. It includes not only physical and mental health but also represents a condition of comprehensive physiological, psychological, and social well-being. Rudnicka et al. (2020) assert that the World Health Organization (WHO) advocates for healthy ageing, defined as the ability for individuals of all ages to have a healthy, secure, and socially equitable existence in their later years. Health and social care are not the exclusive determinants of an individual's health and well-being; several other variables also play a role. The initiative requires involvement from all areas influencing health factors. A life cycle viewpoint is examined, focusing on how early life events influence an individual's maturation throughout time (Marsman et al., 2018). Consequently, in accordance with Peter's situation, he is a cheerful person who has his complete family with him at the age of 72. Despite his conditions of hypertension and diabetes, they remain below safe limits and are managed well by medication and therapeutic interventions. He is financially stable due to his past career as a teacher before retirement. Moreover, his social circle accompanies him in engaging in recreational activities upon retirement, and he has optimistic perspectives about aging. He is regarded as one of the most esteemed members of the community. In addition to these features, he is highly esteemed for his sound and robust mind.
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For Each Problem/Issue 2 Person-Centred Nursing Actions that Support Healthy Ageing and are Referenced |
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Problems/issues no 1: Hypertension |
SMART goal Reduce blood pressure levels to 125/85 in a period of 4 months |
Describe intervention no 1: Reduction of salt in food as well as curbing the consumption of processed food |
Rationale (reference) Excess sodium has been known to facilitate hypertension (Bricarello et al., 2018). Therefore, sodium intake is to b e monitored and reduced. Likewise consuming processed food in increasing quantity is to be avoided due to the inclusion of preservatives and fats (Ozmek et al., 2018). |
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Describe intervention no 2: Incorporating breathing exercises in daily routine |
Rationale (reference) According to Fitriyah et al. (2019), slow breathing exercises aid in blood pressure reduction |
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Problems/issues no 2: Diabetes |
SMART goal Reduce blood sugar levels to 200mg/dL in 4 months |
Describe intervention no 1: Consumption of healthy low carb-meal three times a day |
Rationale (reference) In clinical studies, low-carb diets have been shown to be useful in the treatment of type 1 and type 2 diabetes. Studies have indicated that low-carbohydrate diets may improve blood sugar control, minimise medication usage, and lower the risk of diabetes complications. |
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Describe intervention no 2: Undertaking aerobic exercises |
Rationale (reference) According to research conducted by Kumar & Singh (2018), it is just as good as aerobic exercise in terms of boosting one’s body's ability to utilise insulin. According to the Fei & Gao (2021), patients with type 1 and type 2 diabetes should begin aerobic exercises as soon as possible to improve blood sugar management. |
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References
Bricarello, L. P., Poltronieri, F., Fernandes, R., Retondario, A., de Moraes Trindade, E. B. S., & de Vasconcelos, F. D. A. G. (2018). Effects of the Dietary Approach to Stop Hypertension (DASH) diet on blood pressure, overweight and obesity in adolescents: A systematic review. Clinical nutrition ESPEN, 28, 1-11.
Fei, J., LI, M. W., & Gao, H. (2021). Improvement of Regular Exercise on Diabetes Condition of Type II Diabetes Mellitus Elderly Patients. Journal of Human Physiology, 3(1).
Felton, M., Hundley, V. A., Grigsby, S., & McConnell, A. K. (2021). Effects of slow and deep breathing on reducing obstetric intervention in women with pregnancy-induced hypertension: a feasibility study protocol. Hypertension in Pregnancy, 40(1), 81-87.
Fitriyah, R., Fernandez, G. V., Samudera, W. S., Arifin, H., & Wulandari, S. M. (2019). Deep Breathing Relaxation for Decreasing Blood Pressure in People with Hypertension. Jurnal Ners, 14(3), 141.
Kumar, S., & Singh, R. (2018). Effects of aerobics programme on physiological profile of diabetic patients.
Marsman, D., Belsky, D. W., Gregori, D., Johnson, M. A., Low Dog, T., Meydani, S., ... & Griffiths, J. C. (2018). Healthy ageing: The natural consequences of good nutrition—A conference report. European journal of nutrition, 57(2), 15-34.
Ozemek, C., Laddu, D. R., Arena, R., & Lavie, C. J. (2018). The role of diet for prevention and management of hypertension. Current opinion in cardiology, 33(4), 388-393.
Rudnicka, E., Napiera?a, P., Podfigurna, A., M?czekalski, B., Smolarczyk, R., & Grymowicz, M. (2020). The World Health Organization (WHO) approach to healthy ageing. Maturitas, 139, 6-11.
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