Holistic Care of Older Adults

| June 8, 2014


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Part 1 Overview: Life Review Interview
This assignment provides the opportunity to develop one-to-one interactions with an elder who resides in the community. The focus is to develop and refine skills in communication and to examine successful aging through the lived experiences of an elder.
Completing this assignment will enable you to conduct a Life Review with an older adult, understand the significance of the individual’s life story, identify possible legacies and their importance to the older adult, and describe the degree of ego integrity reached by the older adult. You will also reflect upon the process of conducting a Life Review. Only your initial reflection statements about the interview process must be submitted during Week 3.
Contact the older adult the day before the interview to remind him/her about it and to answer any questions about the process that may have arisen. Be sure to review the guidelines and guiding questions before the interview session. Be prompt and professional.
All information of a sensitive nature that is shared with you must be kept confidential unless your have the older adult’s permission to share it with others. The Interview Consent Form offers assurance and informs the older adult that the information is kept within the bounds of the course faculty and, where appropriate, with peers in the class. In all written work and discussions, the older adult must be identified by initials only to protect privacy.
This document includes guidelines to help you prepare for and conduct the interview, but you are not required to submit answers to the interview questions. Only your initial reflection statements in Part C must be submitted during Week 3.
Performance Objectives:
• Apply gerontologic nursing principles and standards in nursing practice across the continuum of elder care.
• Use current evidence and theories in care of older adults.
• Conduct a personal interview with an older adult for the purpose of documenting Life Review.
A. Preparing for the interview:
1. Be able to explain the purpose and length of the visits (The interview should not exceed two hours. If you are unable to complete the interview in two hours, then schedule another meeting).
2. If you have not done so, ask the elder to sign the Interview Consent Form. (It is helpful to take two copies so that you can leave a copy with the elder.)
3. Reflect upon how you can incorporate therapeutic communication skills in your interview.
4. Review the Interview Guide. The elder does have the right to refuse to answer any question – please honor that right.
B. Conducting the interview: These questions can serve as a guide during the interview. You are not required to submit the answers to the questions, so you will not be graded upon completion of this section.
Brief Biography
Age:
Gender:
Race/Ethnicity:
Distinguishing characteristics of the individual:
Childhood
1. What was life like for you as a child?
2. What were your parents like? What were their strengths and weaknesses?
3. Did you have any brothers or sisters? If so, tell me what each was like.
4. Did someone close to you die when you were growing up?
5. Do you ever remember being very sick?
6. Was religion a large part of your life?
Adolescence
1. What things stand out in your memory about being a teenager?
2. Who were the important people for you (parents, brothers, sisters, friends, teachers, those you were especially close to, those you admired, those you wanted to be like)? Tell me about them.
3. Did you go to school? What was its meaning to you?
4. Did you work during those years?
5. What were the pleasant things about your adolescence?
6. What was the most unpleasant thing about your adolescence?

Family and Home
1. What was the atmosphere in your home?
2. Who were you closest to in your family?
3. Who in your family were you most like? In what way?

Adulthood
1. Now I’d like to talk to you about your life as an adult, from when you were in your 20s up to today. Tell me of the most important events that happened in your adulthood.
2. What was life like for you in your 20s and 30s?
3. Tell me about your work. Did you enjoy work? Did you earn an adequate living
4. Did you marry?
If [No], why not?
If [Yes], on the whole, would you say you had a happy or an unhappy marriage?
Were you married more than once?
5. What were some of the main difficulties you encountered during your adult years?
a. Did someone close to you die? Go away?
b. Were you ever sick? Have an accident?
c. Did you move often? Change jobs?
d. Did you ever feel alone? Abandoned?
e. Did you ever feel needy?
Summary Questions
1. On the whole, what kind of life do you think you have had?
2. What would you say have been the three main satisfactions in your life? Why were they satisfying?
3. Everyone has had disappointments. What have been the main disappointments in your
life?
4. What was the hardest thing you had to face in your life? Please describe it.
5. What was the happiest period of your life? What about it made it the happiest period?
6. What was the proudest moment in your life?
7. How do you think you have made out in life – better or worse than what you hoped for?
8. Let’s talk a little about you as you are now. What are the best things about the age you are now?
9. What are the worst things about being the age you are now?
10. What are the most important things to you in your life today?
11. What do you hope will happen to you as you grow older?
12. What do you fear will happen to you as you grow older?
13. Have you enjoyed participating in this review of your life?
Part #1
C. Reflective statements: Record three different/separate reflective statements about the interview as soon as possible after its completion. You will expand upon your reflection in your final paper during Week 4. Only record your personal reflections. How did you feel about the conversation? Did it cause you to think about how you or your loved ones are aging? Any changes you might want to make in your lifestyle? Parts of the interview that were particularly significant or upsetting to you? These are some examples of reflective statements, however you may have others as well.
Part #2
Overview: Life Review Analysis
For this part of the assignment, you will reflect on your interview with the older adult, introduce the individual to the reader, and respond to guiding questions to prepare an analysis paper.
Your paper should include the following sections:
1. Introduction of Older Adult – This is the overall context of your interview but should not include the entire interview itself.

2. Analysis of the Life Review Interview – This includes description of the goals and benefits of life review, your differentiation between a Life Review and ordinary remembering and your analysis of the degree of ego integrity reached by the older adult.
3. Student’s Reflections – This describes your personal experience during the process, any impact it will have on your clinical practice, and a projection of your own legacy.
4. References – This is a list of resources you used during your interview and analysis recorded in APA format. Use at least 3 in-text citations of your sources.
Use APA format throughout paper and references as appropriate. The paper should be no longer than 6 pages (not counting Pages 1-3 of this document and your page of references). If you have questions, please discuss them with your Academic Coach.
Performance Objectives:
• Apply gerontologic nursing principles and standards in nursing practice across the continuum of elder care.
• Use current evidence and theories in care of older adults.
• Conduct a personal interview with an older adult for the purpose of documenting Life Review.

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Required Discussion
History & Philosophy of Faith Community Nursing

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