Dr. Richey Sam's story 02-14-2024

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Grand Canyon University Dr. Rebecca Richey Older Adult Development Interview and Reflection CNL-518 February 16, 2024

The Continuity Theory is focused on the psycho social aspects of aging. The proposed solution is for middle-aged and elderly individuals to adjust to changes caused by the normal aging process. The foundation of their present and future choices and behaviors will be determined by their experiences, decisions, and behaviors. Nurses who work with elderly individuals may find continuity challenging, regardless of the clinical setting. A holistic approach that incorporates a life course perspective is achieved by using theory to view the experience of elders. By utilizing the Continuity Theory in clinical practice, nurses can provide elders with more individualized and clinically appropriate care (Onega). LL, Tripp. R.T. 1997). Sam is a 96-year-old individual. His cognitive, physical, and psycho social development during adulthood coincides with the principles of continuity theory, which correspond with his maturity stage. Sam recounts his time in the Navy during WWII and his great pride in serving his country. He devotes his daily time to reading the bible. This exemplifies how he maintains mental acuity by developing his cognitive, physical, and psycho social abilities. He is actively working to keep his cognitive skills. Every day, he walks as a form of exercise. Additionally, he consumes a balanced diet, emphasizing the theory's emphasis on physical well-being (Atchley, r. c. 1998). Sam's active search for social connections can be seen in his children, friendships, and community involvement in his apartment building. The importance of continuity in psychosocial development is reinforced by aligning his values and interests with them. His openness to talking with everyone in the building resulted in the formation of these friendships. The adult stage plays a pivotal role in his life, supporting the theory's assertion that individuals maintain enduring social structures across the lifespan ((Atchley, r. c. 1998). Ethical and Cultural Strategies for Older Adults: The social dimension involves many grandparents passing on skills and religious, social, and vocational values. Sharing stories and advice can bring great pride and satisfaction (personal dimension) to grandchildren who work on joint projects. Grandchildren greatly value their grandparents. Grandparents stay updated on youth and the latest trends through their grandchildren. Sharing the excitement of surfing the web in school is a way for grandparents to keep up with technology. Strengthening individuals and communities can be achieved through resilience, a valuable platform. To gain insight into the resilience status of this population, we need to examine both Sam and community resilience among older adults living in community settings, identify inconsistencies, and recommend solutions that improve the capacity of both Sam and the elderly in the building, bringing the elderly and communities together. Utilizing private capacities and resources is necessary for personal resilience, which involves managing individual stresses and changes (Sari, E. 2023). Understanding older adults' unique life stories and cultural contexts is necessary to promote resilience, optimal development, and wellness. Sam was in the produce business his whole life. He and his wife had 11 children. He is very spiritual. He ethically recognizes and reinforces existing social connections, exemplified by his faith brought to meet him and his wife.

Although they had the devastating loss of one of their children, this only made them stronger during that time. Sam talks about his wife, who is dead, and his daughter all the time. Acknowledging the importance of lifelong relationships with his family at his advanced age is very important. His children have implemented a care plan by visiting him every day. This has enhanced emotional well-being. Sam, having a regular doctor makes it easier to get healthcare when needed. Diagnosis, treatment, and management are available if Sam has a chronic condition. Sam's age, background, and values are considered when culturally adopting a person- centered approach to healthcare and support services. Conclusion: To conclude, Sam Rocco's experiences, as shared in our interview, are a meaningful depiction of the principles behind Continuity Theory in comprehending the intricate journey of older adults. The maturity stage of adulthood is characterized by fulfillment and resilience due to his intentional efforts across cognitive, physical, and psychosocial dimensions. Sam's commitment to cognitive engagement, physical well-being, and lasting social connections aligns with Continuity Theory, which focuses on actively seeking out experiences corresponding to one's lifelong preferences. The theory emphasizes maintaining a constant internal and external structure, as demonstrated by her conscious adaptation to life changes. People's ability to recover well-being despite challenges is a dynamic process called resilience (Hassani, P., Izadi-Avanji, S., Rakhshan, M., & Majd, H. A. (2017)) Sam's commitment to his friends and community shows how Continuity Theory holds true, emphasizing the lasting impact of early social structures on well-being throughout life. His narrative is proof of the lasting influence of relationships and pursuits that align with one's identity, leading to a deep sense of purpose and connection. Promoting the well-being of older adults requires incorporating ethical and cultural considerations at a broader scale. It is essential to recognize and respect individuals' unique life stories and cultural contexts, as evidenced by Sam's experiences. The effectiveness of his healthcare and support services is enhanced by acknowledging the impact of cultural events on the moral development of his children and incorporating his awareness into the care plan (Sari, E. (2023). Sam's journey exemplifies the Continuity Theory, which motivates professionals from all disciplines to take a holistic approach to the well-being of older adults. We are prompted to examine the cognitive and physical components of aging and the psychosocial dimensions that are influenced by lifelong preferences, relationships, and cultural factors. They are finding the right balance between supporting older adults and navigating the complexities. The central theme of their journey towards a fulfilling life is the pursuit of continuity, as this theory reminds them. The maturity stage of adulthood is resilient, according to Madsen, W., Ambrens, M., & Ohl, M. 2019.

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References: National Library of Medicine Atchley, R.C. (1998) A Continuity Theory of Normal Aging https://pubmed.ncbi.nlm.nih.gov/2519525/ National Library of Medicine Onega LL, Tripp-Reimer T .1997 Expanding the Scope of Continuity Theory Application to gerontological nursing https://pubmed.ncbi.nlm.nih.gov/9197622/ Madsen, W., Ambrens, M., & Ohl, M. (2019). Enhancing Resilience in Community-Dwelling Older Adults: A Rapid Review of the Evidence and Implications for Public Health Practitioners. Frontiers in Public Health , 7 . https://doi.org/10.3389/fpubh.2019.00014 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374312/ National Library of Medicine Sari, E. (2023). Multigenerational Health Perspectives: The Role of Grandparents’ Influence in Grandchildren’s Wellbeing. International Journal of Public Health , 68 . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10514349/ National Library of Medicine Hassani, P., Izadi-Avanji, S., Rakhshan, M., & Majd, H. A. (2017). A phenomenological study on resilience of the elderly suffering from chronic disease: A qualitative study. Psychology Research and Behavior Management , 10 , 59-67. https://doi.org/10.2147/PRBM.S121336 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5304976/

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