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Geriatric  Advocacy Competencies Geriatric  Advocacy Competencies

Geriatric Advocacy Competencies - PowerPoint Presentation

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Geriatric Advocacy Competencies - PPT Presentation

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

elderly amp information advocacy amp elderly advocacy information 2009 counseling community therapy client public systems drug care http programs

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Slide1

Geriatric Advocacy Competencies

Scott Wright, Rachel Peloquin, Jessica Stewart, Wan-hsuan Lin, Emily Morgan, & Peter Williams

Slide2

Elderly Client EmpowermentEmphasize Autonomy, Meaning, and Ability

Discuss the realities of AgeismEmpower client to overcome internalized Ageism

Slide3

Client 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

).

Slide4

Counselor 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.

Slide5

Community 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

Slide6

Community 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

Slide7

Community 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

Slide8

Systems 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”

Slide9

Example: 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

Slide10

Public 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

Slide11

Public 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

Slide12

Social and Political Advocacy

Slide13

Types of Problems

AbuseFinancialPhysicalSexualResearch Funding

DementiaNutritionInnovative Care Models

Seeking a better experience and lower costs

Slide14

ALLIES

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

Slide15

Questions?

Slide16

ReferencesBaldridge

, 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

Slide17

References (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