Care of The Elder Person: Evidence Based Practice
Care of The Elder Person: Evidence Based Practice
Care of The Elder Person: Evidence Based Practice
EVIDENCE-BASED PRACTICE
Evidence-based practice is about integrating individual
clinical expertise and the best external evidence.
Efficacious interventions included cognitive, behavioral,
and brief psychodynamic therapies for depression, life
review therapy for older persons with depression and older
persons living in institutional settings, cognitive-behavioral
interventions for sleep disorders, psychoeducational
support groups for caregivers, and cognitive retraining for
older persons with dementia.
Reference: Evidence-Based Effective Practices With Older
Adults, Jane E. Myers and Melanie C. Harper (2004)
COMMUNICATION
COMMUNICATION
NON-VERBAL
Nonverbal COMMUNICATION
communication is also effective in
MEDICATION ADHERENCE
MEDICATION ADHERENCE
Adherence (adherence) noun steady or faithful
attachment.
Therapeutic goal understood and agreed on by an older
person may not match the one intended by the
prescriber. Thus, achieving full adherence with
medication should not be seen as a goal per se but only
as a means for reaching a satisfactory therapeutic result
and maximizing drug safety.
MEDICATION ADHERENCE
Improved adherence resulted in a significant 41%
reduction in mortality
Successful interventions included medication review with
a specific focus on regimen simplification, individualized
patient education combined with medication reminders or
patient follow-up.
Monitoring and follow-up of the drug's effectiveness
(benefits and potential harms) should be conducted.
Reference: Evidence-Based Strategies for the Optimization
of Pharmacotherapy in Older People, Eva Topinkova (2012)
COUNSELLING
COUNSELLING
The reluctance of older clients to seek counseling is due in
part to historical stigma associated with mental health
service; due in part to lack of public awareness of mental
health services; and due in part to a lack of counselor
preparedness, attitudinally or in terms of skills, for work
with this population.
Counselors seeking to provide services to older persons
may need to be active in recruiting clients from
community as well as institutional settings. This may
require a willingness to talk with groups and individuals
and actively advocate for the mental health needs in this
special population.