TCN-CH8.pdf

CHAPTER 8: Tra n s c u l tu ra l Pe rs pe c ti ve s in the Care of Older Adults  Transcultural Perspectives in the Nursing Care of Older Adults As life expectancy increases and the baby boomer generation ages, there will be a significant rise in the population of older adult...

CHAPTER 8: Tra n s c u l tu ra l Pe rs pe c ti ve s in the Care of Older Adults  Transcultural Perspectives in the Nursing Care of Older Adults As life expectancy increases and the baby boomer generation ages, there will be a significant rise in the population of older adults aged 65 and above seeking healthcare services. This growing demographic requires special attention to their unique cultural backgrounds when receiving care.  Influences on Help-Seeking Behaviors in Older Adults Societal and Economic Factors Affordability and accessibility play major roles in whether older adults can seek care. If healthcare services are too expensive or hard to access due to location, transportation, or limited facilities, older adults may delay or avoid seeking the help they need. Economic stability and societal support systems also influence their willingness to seek care.  Influences on Help-Seeking Behaviors in Older Adults Cultural Values, Practices, and Caregiving Patterns Cultural beliefs greatly impact how older adults perceive illness and treatment. Traditions, values, and community practices often determine if and when they turn to formal healthcare. In many cultures, family caregivers and community resources play a central role in providing support, sometimes reducing the reliance on professional healthcare services.  Influences on Help-Seeking Behaviors in Older Adults Family and Individual Factors The lifestyles, health behaviors, and coping mechanisms of both the older adult and their family significantly influence help-seeking behavior. If family members encourage healthy living and proactive healthcare, the older adult is more likely to seek care when needed. Personal health habits and previous experiences with the healthcare system also guide their decision-making.  Factors Affecting Health Care: Sociatal Factors Demographic Characteristics like ethnicity and income levels can greatly affect access to healthcare. For example, older adults from minority groups or with low income may have more difficulty accessing care. Low literacy can also be a barrier, as it limits understanding of health information.  Factors Affecting Health Care: Sociatal Factors Socioeconomic Status Many older adults live on a fixed income, which can make it difficult to afford rising healthcare costs, especially as health-related expenses increase with age. Delayed retirement can also impact financial stability and access to care.  Factors Affecting Health Care: Sociatal Factors Theories of Aging These theories explain the behavioral patterns of older adults, helping to understand how they react to aging and make decisions about their health. Factors Affecting Health Care: Cultural Influences Cultural Differences and Ethnicity Cultural background plays a significant role in how older adults view health and illness. It can shape everything from their willingness to exercise and maintain physical functioning to how they seek support from family and peers. Factors Affecting Health Care: Cultural Influences Specific Areas Affected by Culture: Physical Functioning: Cultural norms can influence how older adults prioritize mobility and exercise. Social and Emotional Well-being: Factors like acculturation (adapting to a new culture) and family or peer support impact their emotional health. Factors Affecting Health Care: Cultural Influences Specific Areas Affected by Culture: Quality of Life: Cultural values affect their overall satisfaction and happiness with life. Beliefs and Practices: Many older adults rely on traditional remedies, healers, and self-care practices that align with their cultural beliefs. Factors Affecting Health Care: Cultural Influences Cultural Change Relocating or migrating can bring about cultural shifts that affect an older adult’s healthcare needs. Family caregiving dynamics may change, influencing the willingness or ability of family members to provide care.  Factors Affecting Health Care: Dimensions of Social Support Affective Support: This includes emotional support such as love, respect, and care from family and friends. Affirmational Support: This involves receiving encouragement or approval for one’s behaviors and choices, providing a sense of validation. Tangible Support: This refers to physical help or assistance, such as providing meals or helping with daily tasks. Older adults often face challenges, such as separation from family, the loss of a spouse or partner, and declining physical abilities, which can complicate their access to these supports.  Developmental Tasks in Older Age Older adults continue to strive for the following as they age: Satisfaction of Basic Needs: Ensuring safety, security, and dignity. Fulfillment of Integrity and Self-Actualization: Reflecting on life and achieving a sense of purpose. Maintaining Self-Esteem: Making decisions about where to live and how to maintain independence.  Developmental Tasks in Older Age Older adults continue to strive for the following as they age: Engaging in Meaningful Activities: Staying active through hobbies, social engagement, and other fulfilling activities. Increased Spirituality: Many older adults may find comfort and meaning through religion or spirituality.  Continuum of Care for Older Adults Older adults typically require three types of care as they age: Intensive Personal Health Services: Focused on managing complex medical conditions. Health Maintenance and Restorative Care: Aimed at preserving their current health and promoting recovery. Coordinated Services: Ensuring that care is well- coordinated across different healthcare providers.  Community-Based Services for Older Adults To support aging in place and maintain a sense of community, older adults can access the following resources: In-home Care for assistance with daily activities. Skilled Nursing Facilities or Assisted Living for more structured care. Community Resources like home-delivered meals.  Community-Based Services for Older Adults To support aging in place and maintain a sense of community, older adults can access the following resources: Volunteer Programs from local or church-affiliated organizations offering visitors. Day Programs such as adult day care that offer social engagement and care during the day. Volunteer Opportunities within the community and educational system, allowing older adults to give back and stay connected. Thank You!