Only one comment for each attachment. Expose your opinion about each one.A minimum of 2 references (excluding the class textbook) no older than 5 years must be used. If you use the textbook as a reference will not be counted. Every reference that you present in your assignment must be quoted in the assignment.Please make sure you use spell check before you post your assignment and replies.Is very important no Plagiarism
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Patricia Martin
Florida National University
Nursing Department
BSN Program
NUR 4636 – Community Health Nursing
Prof. Eddie Cruz, RN MSN
November 27, 2019.
Senior Health: Discussion
1. Mention and discuss the Healthy People 2020 wellness objectives and goals for
older adults.
Healthy People (HP) is a set of objectives and goals which are designed to guide
disease prevention efforts, as well as national health promotion, to improve the health of
all individuals in the U.S. (Hesse et al., 2010). Established under the governance of the
FIW (Federal Interagency Workgroup), the basic structure underlying the Healthy
People 2020 is the product of collaborative efforts among the advisory committee,
public stakeholders, and the U.S. Department of Health and Human Services. Before
Healthy People 2020, prior series were limited to certain population groups, but Healthy
People 2020 features “older people” as a topic.
The wellness objectives included in Healthy People include:

Increasing the number of older adults with chronic illnesses who can individually
manage their conditions,

Reducing older adults’ visits to the ED (Emergency Department) due to falls,

Reducing the number of older adults with physical and mental disabilities who
cannot access long-term care,

Reducing instances of preventable hospitalization among older adults with

Reducing the number of older individuals whose lives are unsatisfactory due to
functional limitations,

Increasing the proportion of tribes and states that gather and openly declare
information regarding the characters of perpetrators, victims, as well as cases of
neglect, exploitation, and abuse among older adults,

Increasing the number of older individuals diagnosed with dementia, as well as their
caregivers, who are unaware of the diagnosis.

Increasing the number of older individuals with a lower cognitive or physical function,
who participate in vigorous, light, or moderate physical activity during leisure time.

Increasing the number of older individuals’ use of clinical preventive services and
Welcome to Medicare benefit (Healthy People, 2019).
The overarching goals of Healthy People for older adults include:

Creating environments (physical and social) that endorse good health for older

Promoting healthy behaviors, healthy development, and improved life quality,

Achieving health equity, eliminating disparities, and improving health.

Achieving improved life quality, prolonged lives free of premature death, preventable
disease, disease, and injury.

Increasing the number of health care providers with geriatric certification,

Increasing public knowledge among older adults of how the treatment of sleep
disorders, as well as adequate sleep, improve wellness, health, quality of work, and
safety on roads (Healthy People, 2019).
2. Identify and discuss nursing actions that address the needs of older adults.
By 2030, a large proportion of America’s population will consist of older adults.
This will have a profound impact on health care in general and on nursing education,
research, and practice. Currently, 13% of the total population is at least sixty-five years
old, and by 2030, the total of individuals aged sixty-five and above is expected to rise to
20%. As such, providing care to older adults is at the core of the nursing profession
(Buerhaus et al., 2002).
Nursing actions that address the needs of older adults include encouraging
recommended health care examinations and screenings. Nurses can encourage older
adults to adhere to recommended annual screenings and exams such as complete
physical, blood glucose, blood pressure, and fecal occult blood tests. Nurses can also
encourage older adults to take screenings and tests such as hearing tests, dental
exams, glaucoma screening, visual acuity, and colonoscopy. For the older women,
nurses can recommend clinical and self-breast exams, Pap smears, digital rectal exam,
mammogram, and pelvic exam. For older men, nurses can recommend prostate exams,
digital rectal exams, and prostate exams (Nies & McEwen, 2015). Nurses can also
encourage fitness and physical activity because fitness and physical activity benefit the
older population in ways such as reducing falls, improving function status, strengthening
bones, reducing cholesterol and blood pressure, and preventing obesity (Nies &
McEwen, 2015).
Nurses can also address the needs of older adults by assessing their nutritional
status, monitoring chronic illnesses, and monitoring medication use to guarantee safety.
Older adults need to be taught about possible undesirable reactions such as drug-food
and drug-drug reactions. As part of holistic care, nurses should address spiritual
concerns, as well as spiritual needs (Nies & McEwen, 2015). To address spiritual
concerns, nurses can facilitate religious practices, listen actively, extend a caring touch,
have a non-judgmental attitude, pray with and for the invalid, and refer to a spiritual care
expert. Nurses must take their role in End-of-Life Issues seriously. On admission,
nurses must ask patients if they have advance directives (Pho et al., 2012). After that,
nurses must ensure that they talk to invalids about end-of-life issues, inform other
nurses and clinicians about advance directives, and ensure that the file is in the invalid’s
chart and that it is visible and accessible. Added to these, nurses need to encourage
invalids to make their wishes known to their immediate family and clinician so that their
wishes can be included in their medical record.
Buerhaus, P. I., Needleman, J., Mattke, S., & Stewart, M. (2002). Strengthening hospital
nursing. Health Affairs, 21(5), 123-132.
Healthy People. (2019). Older Adults. Office of Disease Prevention and Health
Promotion. Retrieved 26 November from
Hesse, B. W., Gaysynsky, A., Ottenbacher, A., Moser, R. P., Blake, K. D., Chou, W. Y.
S., … & Beckjord, E. (2014). Meeting the healthy people 2020 goals: using the
Health Information National Trends Survey to monitor progress on health
communication objectives. Journal of health communication, 19(12), 1497-1509.
Park & McEwen. (2015). Chapter 19: Senior Health [PowerPoint slides].
Pho, A. T., Tanner, E. K., Roth, J., Greeley, M. E., Dorsey, C. D., & Szanton, S. L.
(2012). Nursing strategies for promoting and maintaining function among
community-living older adults: the CAPABLE intervention. Geriatric
Nursing, 33(6), 439-445.
Yindra Burgos Farah
Florida National University
Nursing Department
BSN Program
NUR 4636 – Community Health Nursing
Prof. Eddie Cruz, RN MSN
November 27th, 2019
1- Mention and discuss the Healthy People 2020 wellness goals and objectives for
older adults.
Any aging individual will from time to time, desire to enjoy the health, wellness, and
fitness that they so deserve. Nothing offers a person more comfort and peace of mind
more than being in top shape. The essence of life is to live happily and without worrying
about getting health complications at some point. We look at critical objectives for the
Engaging in physical activity is one of the most vital goals any elderly should consider.
Exercising plays a key role in making sure that someone is not only fit enough but also
healthy. You will learn that an exercise that has been approved by a physician will often
ensure that the senior remains strong for much longer. Physical activities will usually
ensure that they stay in control of their health at all times. Evidently, exercising comes
with a sense of satisfaction and happiness too. This way, you will enjoy great peace of
mind in the long run. Coupling exercises with suitable nutrition is imperative. It will
promote the health of body cells and even improve energy levels too.
Getting enough sleep is beneficial to any senior (Van Dam & Helm, 2016). It is during
sleep that the body rests, repairs, restores and even gets ready for a new day. Besides,
enough sleep is essential in addressing anxiety and depressive concerns. This way, it
will play a vital role in promoting mental health among seniors. Apart from that, it is
valuable that the senior appreciates the essence of socializing. Given how likely they
have lost friends over the years, making new friendships and relationships will be
essential in improving their happiness in the long run.
2- Define and discuss the aging process and the demographic characteristics of
the elderly population in your community.
Understanding the dynamics of the aging process is imperative in making beneficial
decisions down the road. Aging comes with emotional and physical changes. For
instance, loss of vitality tends to be quite evident and prevalent. While some age-related
changes could be quite benign, it is essential to indicate that we have various functionlimiting ones too (Lim & Yu, 2015). Aging people will often experience declines in the
functioning of senses and even increased vulnerability to a couple of medical
Over the years, various changes in aging demographics have come about. With
technological advancement and adoption of evidence-based healthcare, there has been
a decline in mortality rates among the aging. This way, there is a higher chance for
people to live for over 80 years, and healthily so. (Lim & Yu, 2015)
Studies have come in handy in helping to develop suitable interventions for the
detection and prevention of various medical issues. For as long as some conditions are
kept at bay, one could comfortably live a healthy life and for quite long too.
3- Identify and discuss nursing actions that address the needs of older adults.
You can barely overlook the impactful role that nurses play in taking care of the needs of
the aging. More than often, the burden of caregiving lies on their shoulders. For this
reason, it will be prudent that they adopt various approaches in addressing the needs of
these seniors. Here are some of the most reliable ways to realize better care for such
Interdisciplinary collaboration will time and again come in handy in ensuring that various
issues are comprehensively addressed. With persons from multiple disciplines that
touch on the health of the seniors working together, there is a high chance of getting
personalized solutions to recurring age-related problems. Besides, this collaboration will
make sure that there is no issue in implementing various findings. It is through this that
credible solutions will realize their intentions (Kwan & Walsh, 2017).
Further still, aiming at preventive measures will be critical in enhancing wellness. As
nurses, it is clear that caregiving is their duty. They are also more conversant with the
needs of each patient. For this reason, it is fair to say that they are the cornerstone of
wellness, both now and in the future. They will not only provide the required leadership
but also educate the elderly on what they need to do in this pursuit.
4- Mention and discuss health/illness concerns common to the elderly
As earlier indicated, the body undergoes various changes as one ages. However, this is
not indicative of a failing system. Most of the time, seniors face different problems that
do include the following (Kwan & Walsh, 2017).
It is common for one to end up with weaker bones and even osteoporosis. Often, it
happens among women who are past menopause. This loss of density in the bones
makes the elderly susceptible to injuries and frequent falling.
Memory loss is not a new phenomenon among the elderly. After attaining the age of 30,
various processes and functions within the body tend to slow down. For this reason,
things like memory, hearing, and even sight issues will arise. Besides, some people
experience a compromised sense of taste and smell.
Kwan, C., & Walsh, C. A. (2017). Seniors’ Disaster Resilience: A Scoping Review Of
The Literature. International Journal of Disaster Risk Reduction , 259-273.
Lim, K. T., & Yu, R. (2015). Aging And Wisdom: Age-Related Changes In Economic And
Social Decision Making. Frontiers in Aging Neuroscience, 97-120.
Nies, M. A., & McEwen, M. (2015). Community/Public Health Nursing. Promoting the
Health of the Populations (6th ed).
Van Dam, N., & Helm, E. (2016). The Organizational Cost Of Insufficient Sleep.
McKinsey Quarterly.

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