Scott Wright Rachel Peloquin Jessica Stewart Wan hsuan Lin Emily Morgan amp Peter Williams Elderly Client Empowerment Emphasize Autonomy Meaning and Ability Discuss the realities of Ageism ID: 779631
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Slide1
Geriatric Advocacy Competencies
Scott Wright, Rachel Peloquin, Jessica Stewart, Wan-hsuan Lin, Emily Morgan, & Peter Williams
Slide2Elderly Client EmpowermentEmphasize Autonomy, Meaning, and Ability
Discuss the realities of AgeismEmpower client to overcome internalized Ageism
Slide3Client Advocacy (microlevel)
Barriers to individual development:
Physical Ability: chronic pain, transportCognitive Ability:
degenerative diseases, memory issuesMental Health: highest rate of suicide & least likely to seek counseling
Spiritual Concerns: death anxiety & issues of meaning/purpose
Counselor
C
ompetency
:
Geriatric issues
As of 2009 only 2 graduate-level counseling programs in the USA are certified in
gerocounseling
in accordance with the Counsel
for Accreditation of Counseling and Related Educational Programs
(
Foster,
Kreider
, & Waugh, 2009
).
Slide4Counselor CompetenciesPart psychoeducational
:Navigate specialized resourcesi.e. Adult Community Center Programs/Activities, Medicare & Medicaid, community transportation servicesPart Collaborative
:Develop list of individualized barriers specific with client (brainstorm)i.e. feelings of isolation, diagnosed with a medical condition, loss of license
Part Creative:Create specialized plan and discuss how to implement
i.e. Client discloses that they feel like they have no one to talk to since their spouse passed away. Together, you discuss options: continue individual therapy, enroll in group therapy (bereavement-centered), attend community center.
Slide5Community Collaboration
Failure to Thrive (FTT) in Elderly ClientsCausesMalnutritionDepression and dementing illnessesAge-related changes
Inadequate support systemAttributesProblems in social relatedness
Physical/cognitive dysfunctionFeelings of exclusion, shame, helplessness and worthlessnessLoneliness
Giving up
Slide6Community CollaborationWhat will help?
ReminiscingCreate opportunities for elderly to share their stories and become socially involvedSchool mentoring programSupport groups at churches with others in their demographic
Day CareTo improve social interaction and increase activityWork with organizations such as People Inc. and Aurora Adult Day Services to be sure that they are reaching the population and meeting these specific needs
Art therapy, exercise, nutritious meals
Slide7Community CollaborationValidation Therapy
Acknowledging the person’s feelings as valid to restore dignityRestore self-worth, reduce stress and justify livingWork with health care agencies and eldercare programs to educate them and train them to use validation therapy in their programsFamily system
Slide8Systems Advocacy
Definition:Attempting to change systems such as policies , rules or laws of government, organization or agency to facilitate client’s development or meet their needs Working on how existing systems can be made more “older person friendly”
Slide9Example: Quality of Life Partnership
Multi-agency signposting scheme - enable elderly to access preventive servicesProvide opportunities for frontline staff to learn from each other
Older Person’s Accommodation Strategy - a theme on housing information and advice
Slide10Public Information
A public information counselor must advocate for the elderly on a macro-levelEducate the public about ageism
Be aware of stereotyping & microaggressionsThe elderly experience societal oppression in
Western CulturesUndervalued (physically and cognitively)
UnderemployedThose with disabilities have an additional minority status
Sometimes difficult to get them to seek counseling
M
ore likely to go to a religious figure rather than a professional therapist
May avoid the topic due to stigma that is more prevalent within their cohort
Slide11Public Info. – Adverse Drug Effects
Oliver et al. (2009) found an increasing amount of emergency room visits due to adverse drug reactions in the elderly (65 years+)There is a need to increase the availability of information to the public about drug interactions and polypharmacy among the elderly
A better way of educating the elderly themselves and those who may live with them is importantAwareness about what multiple doctors are prescribing at once is crucial, especially for those who are experiencing cognitive decline
Slide12Social and Political Advocacy
Slide13Types of Problems
AbuseFinancialPhysicalSexualResearch Funding
DementiaNutritionInnovative Care Models
Seeking a better experience and lower costs
Slide14ALLIES
AARP (American Association of Retired Persons)ELDERADVOCACYBLOG.COMHEALTH INFORMATION COUNSELING AND ADVOCACY GROUPAMERICAN HEALTH CARE ASSOCIATION
INNOVATIVECAREMODELS.COMLONG TERM CARE OMBUDSMAN
http://www.ltcombudsman.org/ombudsman
Slide15Questions?
Slide16ReferencesBaldridge
, D. (2004). Double jeopardy: Advocating for Indian elders. Generations, 28, 75–78. American Society on Aging. Retrieved from http://generations.metapress.com/index/ 925742r572481706
.pdfCohen, E. S. (1990). The elderly mystique: Impediment to advocacy and empowerment. Generations: Journal Of The American Society On Aging, 14(
Suppl), 13-16. Foster, T. W., Kreider, V., & Waugh, J. (2009). Counseling students’ interest in gerocounseling: a survey study. Gerontology & geriatrics
education, 30(3), 226-42. doi:10.1080/02701960903133489Horton, C. (2009). Creating a stronger information, advice and advocacy system for older people. Retrieved from http://www.jrf.org.uk/ system/files/information-systems-for-older-people-
summary.pdf
Slide17References (cont.)Kimball, M. J., & Williams-Burgess, C. (1995). Failure to thrive: the silent epidemic of the elderly.
Archives of psychiatric nursing, 9(2), 99-105. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/7755414Kohler, I., & Kendall, J. (2010). Bringing dementia out of the shadows for BME elders : a report on the Ethnic Minority Dementia Advocacy Project ( EMDAP ). Dementia Advocacy Network at Advocacy Plus
, 14(1), 12-16.Olivier, P., Bertrand, L., Tubery, M., Lauque, D.,
Montastruc, J.-L., & Lapeyre-Mestre, M. (2009). Hospitalizations because of adverse drug reactions in elderly patients admitted through the emergency department: a prospective survey. Drugs & aging, 26
(6), 475-82. doi:10.2165/00002512-200926060-00004