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Wednesday, 30 November 2016

How do you take into account the physical changes associated with ageing when delivering services?

A great deal of physical changes occur during the process of ageing such as mobility, pain, communication, lack of energy or strength and poor hygiene. Those physical changes sometimes affect a person psychologically as well. The only reason to understand and take into account an individual’s physical changes during ageing process is to understand their capabilities and barriers in order to deliver services best. The following changes may occur during the process of ageing:
Mobility: One of the great changes occur during ageing process in an individual’s life is mobility. During the ageing process, a person may experience poor mobility because of other medical or health issues or natural decaying process. Using mobility aid or other equipment may help a person to mobile. In some cases, a person may become completely immobile when special equipment such as hoist, lifting device, wheel chair may require to help a person mobile. Some individual’s mobility may fluctuates because of the nature of treatment. In those cases, supervision is required when they are mobile. Your responsibilities are to observe, assist and record and report any changes.
Communication: Communication is another factor that changes a great deal when a person is getting old. It is very natural process of ageing that some people may experience very bad hearings and some people may experience speech difficulties. Some people may take more time to understand your speech and answer and some person’s vocal sound may become very low or nebulous. In order to establish communication with service users, you have to speak clearly, slowly and in some cases you should repeat and clarify in details if message is not understood. Allow more time to response. You may need to consider making environment (such as noise free, tv, radio’s volume low or turn off) before communicating. You may need to local GP if a person has hearing problem. Also writings, drawings, picture, signs may use to establish communication.
Personal Safety: Personal safety one of the main issue which you have to deeply consider as they may become frail due to those physical changes. Due to their poor mobility they are in great danger of falling. You may need to keep them under supervision and visual check all that time. Also because of the communication problem they may deprived of many things which may cause them psychological and emotional harm. So, you have to ensure that every individual understands the issue and any outcome and consequences before taking any decision. You may need to involve in decision making process for service users best of interests.
Assessment: Any physical changes and their capabilities should be recorded and reported to the appropriate person. You may need to take part in assessment process what is carried out by GP, district nurse or occupational therapists. Suppose you notices a service user has difficulties in walking without assistance. Once you record and report it, occupational therapist may find assistive aid for the person to walk alone.
Care plan must have to be updated after any changes occur in individual service user’s circumstances such as any assistance required or not for mobility or communication, any equipment or assistive aid required or not. Also you have to inform other colleagues and professionals that particular changes took place on individual’s circumstances.

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