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1. Age related changes can affect the lifestyle/quality of life of the elderly.

What do you think are the two most prevalent age-related changes that affect the lifestyles of the elderly?

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How would you help an elderly patient adjust to the two changes you identified?

As we age quality of life will be different for each of us. Quality of life is unique to each patient and is defined by the patient and family not the healthcare professional. It is important to learn how the patient and family perceive quality of life. I think that mobility and vision are two age-related changes that greatly affect lifestyle/quality of life. Mobility and vision can put a person in a position of dependence. Many older adults depend on the care of healthcare workers at assisted livings and nursing home when they become debilitated. It is important for the elderly person to have a good support system to get them through this time of their life. Some families keep their loved ones at home until they are unable to care for them thus requiring the older person to move into facilities to receive around the clock care. Indian Journal of Gerontology states, “Health status is an important factor in deciding the quality of life of the elderly” (Shylaja, 2017). Vision changes, joint pain, and mobility all determine the elderly persons quality of life.

I would help to the elderly person adjust to these two changes by providing education on safety and assisting them in making sure they have all the proper equipment and tools needed to remain safe in their home. For example, grab bars should be installed in the shower and bathroom, make sure that power cords are not in areas that the elderly person is walking, non-skid mats should be placed in the shower, using assistive devices to navigate home, and making sure that living area is decluttered. Assessing the elderly persons function and can also help to get the best perspective on what the elderly persons safety needs are. These are a few adjustments that can be made to assist the elderly person in maintaining safety to prevent falls.


Miller, C. A. (2018). Nursing for Wellness in Older Adults (8th ed.). Philadelphia: Wolters Kluwer/Lippincott, Williams & Wilkins.

Shylaja L. (2017). Morbidity Prevalence and Functional Health Limitations among Elderly in Kerala. Indian Journal of Gerontology, 31(4), 456–479.


2.The process of aging in a natural process, and two of the most prevalent age related changes are history of falls and hearing loss. “About a third of the elderly sixty years old or over have experienced some form of hearing loss” (Amarillo,n.d.), known as presbycusis. Our ears serves two functions, hearing and maintaining balance. And the loss of this imbalance may generate in falls. “Falls, the leading cause of injury among older adults are treated in the emergency department every thirteen seconds and claim a life every twenty minutes (Healthy People,2020). Our elderly also experiences a decline in muscle mass and a reduction in muscle strength which leads to fractures, fragility, reduction in the quality of life and loss of independence ( Amarya, 2019).

Helping them to cope would first included performing a thorough assessment, evaluating for and hearing impairments and if hearing aids are warranted and also assessing gait functionality and if a need to any type mobility aid is needed. Education is also a key factor in helping to cope. Encouraging to rise slowly from sitting position and encouraging gradual increase in activity along with properly fitting footwear and nonskid socks.


Amarya, S., Singh, K., Sabharwall, M., (2018). Aging Process and Psysiological Changes. Retrieved from

Marill, M.,C., (n.d.). Is this Normal Aging or Not. Retrieved from


3.Which factor do you feel has the most impact on family members?

The factor that I personally feel like has the most effect on family members is relationship impact. When a member becomes chronically ill, it influences the lives of everyone in the family. The impact of a family member being diagnosed with a chronic illness can cause frustration and stress on the rest of the family. Family members may face different emotional difficulties, depending on their relationship with the loved one who has the condition. Chronic illness can have a negative effect on the family that can result in arguments, tension, and a lack of understanding of each other’s feelings (Golics et al, 2013). Lack of communication within the family can lead to increase relationship conflicts, role strain, or even divorce.

The article stated, partners experiences negative effect on their sex lives as a result of the patient’s disease, which can lead to breakdown of relationships and affairs (Golics et al, 2013). Chronic illnesses can disrupt the desire for intimacy. The individual who is experiencing chronic illness may experience some changes in their body and those changes may be physical. These physical changes may interfere with the patient’s sexual abilities and sexual performances.

What are some of the reasons it is important to include the support persons in the plan of care?

Family support can have a powerful and positive effects on self-management and emotional well-being, ultimately resulting in better outcomes for the patient. Support persons can offer social and psychological support for the patient as well. Most of the time it is the family who will assist the patient in home care, therefore including them in the plan of care will be beneficial for the patient.


Golics, C. J., Basra, M. K. A., Finlay, A. Y., & Salek, S. (2013). The impact of disease on family members: A critical aspect of medical care. Journal of the Royal Society of Medicine, 106(10), 399–407.

4.After reading the article and from personal experience, I feel like stress of the care taker is very important and as an impact of the patient and family. “Family members of patients experience a negative effect on their family relationships, both between the relative and the patient, and between other members of the family as a result of the patient’s illness (Golics, Basra, Finlay, Salek, 2013). If family members and caretakers do not care for themselves, they will be stressed and often take their frustrations out on one another. I think one of the best ways to combat this problem is by communication. If several siblings are involved caring for a sick parent, they may find themselves angry at one another and stop communicating. One adult child normally feels like they are doing more for a sick or elderly parent, then the other sibling. A married couple who is taking care of spouse’s parent may find themselves feeling neglected by their spouse. “A caregiver is often “the invisible patient” who presents the in health care setting with significant physical and psychological issues that are negatively impacting his or her caregiving abilities” (Adelman, Tmanova, Degado, Dion, Lachs, 2014). These caregivers most also remember to have regular check ups, obtain medications if needed, or talk to a counselor. Caregivers should also use resources for help such as home health or an aide. These recourses are there to help the patients and families and should be utilized.

Adelman R. D., Tmanova L. L., Degado D., Dion S., Lachs M. S. (2014). Caregiver burden: A clinical review. JAMA, 311(10), 1052–1059. doi:10.1001/jama.2014.304

Golics, C. J., Basra, M. K. A., Finlay, A. Y., & Salek, S. (2013). The impact of disease on family members: A critical aspect of medical care. Journal of the Royal Society of Medicine, 106(10), 399–407.

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