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Principles of Nursing: Contexts of Ageing

The concept of Healthy aging refers to a process in the development as well as maintenance of the ability to function enabling well-being of the older peoples. Functional ability refers to the owning of capabilities enabling people to do something valuable as stated by The World Health Organization (2015). This study will critically analyze the role of a registered nurse in empowering older adults. In this context, current evidence-based approaches for the promotion of healthy aging will also be discussed (Rudnicka et al. 2020).

The aging is observed to be the global population issue in terms of their medical as well as their social demography. A wellbeing process that is instrumental in maintaining a functional ability at the older age refers to the definition of healthy well being as mentioned by WHO. Alongside WHO, other member states as well as their partners are working toward the attainment of a sustainable development goals letting the creation of global strategy as well as an action plan meant to be continued from 2016 to that of 2020’s Ageing as well as Health continuation program. Going further WHO was instrumental in the establishment of a decade associated with the concept of Healthy Ageing ranging from the year 2020 to those of 2030 (Rudnicka et al. 2020). Their main priorities include a country based supporting planning along with the recommendation of action plans. They also emphasize on the better ways of collecting global data as well as the promotion of research based on healthy aging. They make sure in the alignment of an effective health system, to cater to the older people’s needs and in laying out the foundations in ensuring human resources in context to provide long-term integrated care to them. Several global reports associated with the coordination of preventive health as well as social health care initiatives in context to the well-developed countries are also presented. On the other hand, less number of evidential proofs can be found on the active aging framework’s application in context to the developing countries. With the growing number of nation-based capacities that are leading to close monitoring progress through the implementation of age-disaggregated data are indeed needed toward the effective implementation of the healthy aging programs (Wu, Drevenhorn & Carlsson, 2020).

As a registered nurse, it can be stated that the definition of healthy aging refers to the process of optimizing physical, mental as well as social health opportunities allowing older people to participate in the society actively. It should be without any suffering discrimination as well as enjoy a good and self-regulating life’s quality. In context to the social support of the elderly, generally, it involves a direct interaction form, relative to a person’s social network (Naah, Njong & Kimengsi, 2020). The positive effects on the informal person result in the catering of emotional support based on information exchange and helping the individual in the course of this interaction. It can be stated that an RN's occupation is to assess, plan as well as implement nursing care for the elderly. That is, it works to offer the best care with high quality of service to this sector of the population and its immediate surroundings (Manasatchakun et al. 2016).

In context to all the older Australians, all the registered nurses play an important role in the promotion as well as works in support of healthy aging. They possess essential expertise in context to critical thinking, and clinical assessment, leading to decision-making or coordination care based on clinical managerial leadership. All the mentioned ones are necessary for the support of the older Australian’s aging process (Critselis & Panagiotakos, 2020). Community-based generalized practices referring to residential or acute care including the Australian correctional facilities are provided by the nurses to support older Australians. In due course of the settings nurses also take lead in the process of supervising as well as mentoring the unlicensed staff, focusing mainly on the aspect of curative health care instead of a preventative form of healthcare promotion. It limits rabblements as well as the rehabilitation opportunity as well. It also includes the family role’s understanding with the arrangement of appropriately accessible health as well as social care support (Seah et al. 2019).

The majority of the Australian’s goals are maintaining independent healthcare wellbeing with the aging process. Irrespective of older Australian’s place of existence receiving primary or acute care services is ensured by the primary care nurses. They need to understand their patient's aging process and address the older Australian’s needs accordingly, ensuring the facilitation of healthy aging by respecting the patient’s dignity. They understand the diversity associated with health promotion and care service’s preferences with older people and act accordingly (Illario et al. 2017).

The nursing conduct code refers to legal requirements, as well as directs their professional behavioral aspects like meeting conduct expectations within Australian health care practice settings. The code’s principles apply to pay or unpaid nursing care in which nursing skills and knowledge are used, under the clinical or else in the non-clinical settings. They are meant to provide safe, person-centered as well as evidence-based practices referring to the health well being of the concerned patient (Matos, 2016). They are to promote and share decision-making while catering care delivery in between the person, family, as well as the health professionals. Nurses need to cater to care services to the individuals ensuring culturally safe yet respectful ways of fostering open professional relationships. They have adhered to obligations in terms of maintaining privacy as well as the confidentiality of the aging patients by promoting health and wellbeing for them as well as their families. This way they can address the needs of a broader community to remove health inequality (McMurray & Cooper, 2017).

RNs help in promoting as well as communicating with positive approaches and empathy for the elderly. They facilitate the transfer of adult, community, and long-term care for adults and their families to maximize health outcomes. They carry out these with their knowledge of aging processes, and the knowledge to address complex age-related conditions with preventive care referring to chronic, and dementia. Aging adult's complications include acute and long-term physical and mental health issues in which the nurse needs to decide upon the right kind of medical intervention techniques by recognizing them (Jenkins & Germaine, 2019). All these procedures can provide optimal pain management and relief treatment. They also allow the older Australian's to access technology. They also include professional attitudes, values, as well as expectations in regards to the aging populations' physiological conditions providing the right kind of adult-centered care to the adults and families. Nurses play a diverse societal role by providing autonomous care and individual support to all promotional health care and disease prevention provisions. They ensure a safe healthcare environmental promotion, as well as helps in healthcare policymaking, health management, and lead to better coordination with the patients (Ghiga et al. 2019).

Health promotion strategies can delay or reduce the onset of the disease and reduce its severity on age-related health costs, addressing the long-term support needs of older people. Nurses should be educated and supported to provide health promotion and prevention programs in all health systems including adult care. This will ensure the health safety and well being of the adults in the community (O’Loughlin, Kendig & Browning, 2017). Programs must ensure equal access to a variety of features, life experiences, and the embrace of the accumulated knowledge of older Australians. These programs may include nutrition, active living, smoking cessation, integrated management of chronic diseases (comprehensive treatment), and practical plans for pathology and life. To achieve these goals nurses need to develop and maintain the knowledge and skills to support the process of healthy aging in older Australians.

References for Healthy Ageing Despite Chronic Pain

Rudnicka, E., Napierała, P., Podfigurna, A., Męczekalski, B., Smolarczyk, R., & Grymowicz, M. (2020). The World Health Organization (WHO) approach to healthy ageing. Maturitas. doi: 10.1016/j.maturitas.2020.05.018

Manasatchakun, P., Chotiga, P., Roxberg, Å., & Asp, M. (2016). Healthy ageing in Isan-Thai culture—A phenomenographic study based on older persons’ lived experiences. International Journal of Qualitative studies on Health and Well-being11(1), 29463. doi: 10.3402/qhw.v11.29463

Seah, B., Kowitlawakul, Y., Jiang, Y., Ang, E., Chokkanathan, S., & Wang, W. (2019). A review on healthy ageing interventions addressing physical, mental and social health of independent community-dwelling older adults. Geriatric Nursing40(1), 37-50. doi: https://doi.org/10.1016/j.gerinurse.2018.06.002

Illario, M., De Luca, V., Tramontano, G., Menditto, E., Iaccarino, G., Bertorello, L., ... & Barbolini, M. (2017). The Italian reference sites of the European innovation partnership on active and healthy ageing: Progetto Mattone Internazionale as an enabling factor. Annali dell'Istituto superiore di sanita53(1), 60-69. doi: 10.4415/ANN_17_01_12

Matos, M. A. O. D. (2016). Healthy ageing despite chronic pain: the role of formal social support for functional autonomy and dependence.

Ghiga, I., Pitchforth, E., Lepetit, L., Miani, C., Ali, G. C., & Meads, C. (2019). The effectiveness and cost-effectiveness of community-based social innovations (CBSIs) for healthy ageing in middle-and high-income countries: a systematic review.

Jenkins, C., & Germaine, C. (2019). Living well into old age: What can we learn about healthy ageing from the Japanese experience?. Nursing Older People.

O’Loughlin, K., Kendig, H., & Browning, C. (2017). Challenges and opportunities for an ageing Australia. In Ageing in Australia (pp. 1-10). Springer, New York, NY. doi: https://doi.org/10.1007/978-1-4939-6466-6_1

McMurray, A., & Cooper, H. (2017). The nurse navigator: An evolving model of care. Collegian24(2), 205-212. doi: https://doi.org/10.1016/j.colegn.2016.01.002

Critselis, E., & Panagiotakos, D. (2020). Adherence to the Mediterranean diet and healthy ageing: Current evidence, biological pathways, and future directions. Critical reviews in food science and nutrition, 60(13), 2148-2157. doi: https://doi.org/10.1080/10408398.2019.1631752

Naah, F. L., Njong, A. M., & Kimengsi, J. N. (2020). Determinants of Active and Healthy Ageing in Sub-Saharan Africa: Evidence from Cameroon. International Journal of Environmental Research and Public Health17(9), 3038. doi: 10.3390/ijerph17093038

Wu, F., Drevenhorn, E., & Carlsson, G. (2020, June). Nurses’ Experiences of Promoting Healthy Aging in the Municipality: A Qualitative Study. In Healthcare (Vol. 8, No. 2, p. 131). Multidisciplinary Digital Publishing Institute. doi:10.3390/healthcare8020131

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