COUNSELING OLDER PATIENTS.   Term Paper ID:29673 Click to get this paper

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Paper Abstract: Issues involved in geriatric counseling and therapy. Implications of a growing elderly population regarding psychiatric, medical and other types of care. Defines and discusses effects of ageism in the workplace and family unit. Incorrect assumptions of ageism. Therapy issue of countertransference and transference. Special psychiatric problems such as dementia. Assessment and interventions. Paper Introduction: Older Adults in Counseling and Therapy Introduction Today, life expectancy in the United States is over 75 years – a fact that has created a substantial and growing population of the “elderly” who will require a significant amount of medical, psychiatric, and other types of care over time. Butler, Lewis, and Sunderland (1998) noted that a “demographic revolution” is underway in the United States in which members of the so-called “baby boomer” generation entering the period after age 65 will eventually comprise about 20 percent of the national population. Older individuals, male and female, wealthy and poor, urban and rural, will consume a disproportionate level of care resources in the coming decades. This “demographic revolution” demands that counselors and therapists de Text of the Paper: The entire text of the paper is shown below. However, the text is somewhat scrambled. We want to give you as much information as we possibly can about our papers and essays, but we cannot give them away for free. In the text below you will find that while disordered, many of the phrases are essentially intact. From this text you will be able to get a solid sense of the writing style, the concepts addressed, and the sources used in the research paper. whowill require a significant amount of entering the period after age will eventually comprise about and therapistsdevelop effective intervention strategies for assisting older psychiatric problems including dementia assessment Butler et al Ageism is a construct that Ageism begins in childhood according to Butler et al inevitability of death and physicaldecline The effects of ageism are unit olderindividuals i e those over age which is counselors and other caregivers that olderindividuals have and does provide a rationalized excuse for forcing older promotions or otherbenefits simply because Attributions of individual traits behaviors needs orother issues process Butler et al Countertransference and Transference when mental Health personnel find themselves perceiving and reacting and revenge Ageism takes this therapeutic relationship regardless of the or another or loved or hatedfigure from the past Often hatred even though the analysthas done valuable in facilitating thetherapeutic process Countertransference conflicts about relationships with parental figures or suggest to the as well as an unconscious overidentification with olderpeople Certainly the cannot occur Psychiatric Problems Dementia Older individuals isolation are among theseproblems Older symptoms Butler et al Mood disorders including major and percent of all individuals over the arbitrary forms of mentalillness in older suffering frompsychiatric syndromes do not have mental problems as a including those inresidential or institutional Butler et al It is sociocultural or familial situations Mood disturbances such psychomotor disturbances and recurrent thoughts ofdeath the various psychoses according to discussions inclass and lectures represent a close timeperiod or as a as an artifact of the aging process or assessment is a multidisciplinaryevaluation in which the multiple focus interventions Butler et al construct as complete profile of thepsychiatric assessment andevaluation procedures and tools are regarding the aged Medical as well as psychiatric assessment treatment to psychotherapy and environmental therapy other in class is pinpointing what is threatening theclient or is not the truth aboutthe problem as the client itmight take is to contain to ameliorate or eliminate that problem are forthcoming without condescension are essential aspects of addressing issuesof guilt and atonement as well and functioning Conclusion This brief essay has presented caregiving professions willdevote even more time to research on thorough assessment of the client's concernsregarding the aging process ReferenceButler R N Lewis States is over years a factthat is underway in the United States urban and rural willconsume a disproportionate level of care resources key issues related to this are applied to older people a way of thinking about from the recognition that they people for the sakeof younger people makeadequate contributions to the group Ageism also process of aging isinvariably associated with a decline in mental older workers stillfind that they are and therapy ageism can negativelyimpact upon the older clientnecessitates coming to terms with one's own both transference and countertransference Countertransference is described by Butler of relating to parents siblings and other persons but they must also be aware of negative transference as the classlectures and discussions demonstrated clients often come may display an overwhelming desire to please theanalyst or the unconscious problems that the clientis agedclients may stimulate therapists' fears about his or elderlyclients allow negative attitudes to intervene therapy cannot besuccessful In that an individual'scapacity for enjoying life making a meaningful chronic nature substanceabuse engendered by over-medication patients including schizophrenia and paranoiddisorders manifested by delusions personality disorders Butler et al reported that the American appears to be the most common primary for psychoses suffered by older individuals it isalso true that later life are secondary to the problems of the physical health problems thatemerge as individuals age alone a sense of social isolation a feeling of sleep disturbance appetite and weight changes decreased concentration feelings this type of mentalillness i reality testing This may occurin the older person as a individuals will manifest many of thesame presenting Assessments Older clients should be as thoroughly assessed or evaluated the individualare identified service needs in which a number of professionals preventive and screeningfunctions as well as diagnostic atherapist to overcome any preconceptions or indeveloping an effective intervention plan Interventions Interventions designed assistance withADLs What is essential in designing any intervention for to argue with the client orattempt to kind of rapport needed inthe to his or her problems A related goalis verbal or nonverbal feelings expressed Assisting the olderperson who has lost clients are those that are framed to meet specific needs is anincreasingly important practice focus because of the aging that the olderindividual is entitled to caring supportive be helpful to the therapist Allyn and Bacon Older Adults in Counseling and TherapyIntroduction medical psychiatric and other typesof care over time Butler Lewis percent of the national population clients incoping with the myriad issues that confront the techniques and bestpractice interventions Ageism Ageism is a general functions to pigeonhole people in much the same manner as and represents in part an attempt numerous and potentially debilitating Ageism can an admittedly arbitrarycutoff for defining lost much of the capacity for self-management and self-care that workers toretire In the United States federal legislation has been of negative assumptions regarding their age and itsputative impact addressed in the context of In providing services to the older client a counselor to older persons in ways that are inappropriate a step further Mental health personnel not only have age gender or ethnicity of the client and clients will transfer their previousattitudes toward significant others in their nothing to provoke such emotions Transference allows may be more difficult in the context of therapist that intervention is wasted effort because therapist working with older patients may present for treatment with any one of a numberof adults may experience all of depressive disorder bipolardisorder and dysthymic disorder are also observed in age of sufferfrom symptoms of patients While it is certainly true result ofphysiological conditions It is all too often assumed facilities who are known to have psychiatricsyndromes tend to be far more likely that older individualsexperience psychiatric problems as depression are of particular significancebecause Butler et al For the older individual a break in the ability reaction to certain extreme stresses In other words the therapist declining health status isinappropriate The older individual is problems of older persons are It is important to recognize that the physical social financial and other problems of important elements in the avoidance ofcountertransference andthe taking of a complete case history somatic therapies cognitive and behavioral and what they are reacting to The sees it Doing so can increase the any paranoid anxious or other self-damagingreaction Process becomes more important than content in this therapist clientrelationship the therapist'sbehavior and attitudes Realistic treatment goals should be as the client's personal fears regardingillness or death In some of the issues involved incounseling older patients the best practices for treating thispopulation effectively What needto a multidisciplinary set of interventions offered in an M I Sunderland T Aging and Mental Health has created a substantial and growing population of the elderly in which membersof the so-called baby boomer generation in the coming decades This demographic revolution demands that counselors process includingageism itself counter transference and transference issues in counseling purely on the basis of theirage the elderly that marginalizesthem demeans them and isolates them too will eventually age and confront the In the workplace and in the family encompasses theassumption common even among and physical competencies It can devalued and passed over for the capacity of professional caregivers to work effectivelywith clients fears and anxieties regardingthe aging et al as follows Countertransference in the classic sense occurs key childhood figures Love and protectiveness may vie with hate cultural attitudes toward older persons p Central to the to regard theircounselor or therapist as an authority figure may also display resentment and experiencing and can therefore be her own old age arouse the therapist's other words therapists must avoid negative countertransferencebased on ageism contribution to family andsociety or participating competently in problem resolution depression difficulties withactivities of daily life ADLs and social hallucinations disorganized speech grossly disorganized or catatonic behavior or negative Psychiatric Association estimates that between diagnosis Dementia is one of the most frequently observed the vast majority of older individuals agingitself Because this is the case older patients invariably give rise to psychiatric disorders worthlessness andany number of other anxiety-producing of fatigueor loss of energy e depression exacerbates physiological anomalies or healthproblems Dementia and consequence of multiple losses within problems exhibited by younger clients Dismissing theseproblems as anyother particular population Geriatric assessed and a coordinated care plandeveloped in order to pool theirknowledge and expertise to functions For therapists working with geriatric patients stereotypes that he or she maypossess to meet the needs of older clients can rangefrom pharmaceutical the olderclient as was discussed impose his or her version of what is therapeutic relationship The goal of intervention whatever form addressing the underlying problem and ensuring that interventionsdesigned by the client Warmthand empathy a loved one for example may involve and resultin positive improvements in mood affect outlook of the Americanpopulation It is likely that members of the and non-prejudicial servicefrom a counselor Moving from a in confronting his or her own Today life expectancy in the United and Sunderland noted that a demographic revolution Older individuals male and female wealthy and poor elderly This brief essaywill address some of the term that encapsulates the prejudices andstereotypes that sexism and racism inessence ageism is byyounger people to shield themselves constitute the societal sacrifice of older the elderly are often dismissed as unable to characterizes younger individuals Ageism also assumes incorrectly that the enacted toprevent age discrimination in the workplace but many upon performance Butler et al In the context of counseling counseling can distort the processitself For mental health caregivers serving must be awareof the issues associated with and reminiscent of previous patterns to deal with leftover feelings from their perceptions of older therapist are the processes of bothtransference and countertransference In lives to the therapist The older client thetherapist to identify a pattern of dealingwith older clients Butler et al pointed out that some theolder client may be nearing death When therapists working with mustrecognize that simply being elderly does not mean psychiatric problems Anxiety of an acute or the neuroses and psychosesthat are found in younger older individuals asare the various somatoform and mental illness Of those older people with mentaldisorders depression that there are oftenorganic explanations that any psychiatricsyndromes that arise in undertreated It is fallacious to assume that as a consequence of legitimate fear ofbeing the depressed individual also experiences it may very well be that to manage theactivities of daily living and a lack of or counselor working with the olderindividual must recognize that these as worthy of intervention as anyother client identified described and explained The resources and strengths of older individual needs amultidisciplinary assessment the olderclient as is possible Such assessments fulfill A thorough assessment as described above can help combine to assist the therapist therapies reality-orientation remotivation and rehabilitation programs to counselor should be careful not fear of theolder adult and jeopardize the development of the that the older client has Process may be defined as dealing with or addressing theunderlying set viaconsultation with the client and other caregivers any event interventions that are successful witholder The field of geriatric counseling emerges from this discussion is the recognition empathetic andcaring manner is essential Avoiding countertransference is necessary andcan Positive Psychosocial and Biomedical Approaches Boston whowill require a significant amount of entering the period after age will eventually comprise about and therapistsdevelop effective intervention strategies for assisting older psychiatric problems including dementia assessment Butler et al Ageism is a construct that Ageism begins in childhood according to Butler et al inevitability of death and physicaldecline The effects of ageism are unit olderindividuals i e those over age which is counselors and other caregivers that olderindividuals have and does provide a rationalized excuse for forcing older promotions or otherbenefits simply because Attributions of individual traits behaviors needs orother issues process Butler et al Countertransference and Transference when mental Health personnel find themselves perceiving and reacting and revenge Ageism takes this therapeutic relationship regardless of the or another or loved or hatedfigure from the past Often hatred even though the analysthas done valuable in facilitating thetherapeutic process Countertransference conflicts about relationships with parental figures or suggest to the as well as an unconscious overidentification with olderpeople Certainly the cannot occur Psychiatric Problems Dementia Older individuals isolation are among theseproblems Older symptoms Butler et al Mood disorders including major and percent of all individuals over the arbitrary forms of mentalillness in older suffering frompsychiatric syndromes do not have mental problems as a including those inresidential or institutional Butler et al It is sociocultural or familial situations Mood disturbances such psychomotor disturbances and recurrent thoughts ofdeath the various psychoses according to discussions inclass and lectures represent a close timeperiod or as a as an artifact of the aging process or assessment is a multidisciplinaryevaluation in which the multiple focus interventions Butler et al construct as complete profile of thepsychiatric assessment andevaluation procedures and tools are regarding the aged Medical as well as psychiatric assessment treatment to psychotherapy and environmental therapy other in class is pinpointing what is threatening theclient or is not the truth aboutthe problem as the client itmight take is to contain to ameliorate or eliminate that problem are forthcoming without condescension are essential aspects of addressing issuesof guilt and atonement as well and functioning Conclusion This brief essay has presented caregiving professions willdevote even more time to research on thorough assessment of the client's concernsregarding the aging process ReferenceButler R N Lewis States is over years a factthat is underway in the United States urban and rural willconsume a disproportionate level of care resources key issues related to this are applied to older people a way of thinking about from the recognition that they people for the sakeof younger people makeadequate contributions to the group Ageism also process of aging isinvariably associated with a decline in mental older workers stillfind that they are and therapy ageism can negativelyimpact upon the older clientnecessitates coming to terms with one's own both transference and countertransference Countertransference is described by Butler of relating to parents siblings and other persons but they must also be aware of negative transference as the classlectures and discussions demonstrated clients often come may display an overwhelming desire to please theanalyst or the unconscious problems that the clientis agedclients may stimulate therapists' fears about his or elderlyclients allow negative attitudes to intervene therapy cannot besuccessful In that an individual'scapacity for enjoying life making a meaningful chronic nature substanceabuse engendered by over-medication patients including schizophrenia and paranoiddisorders manifested by delusions personality disorders Butler et al reported that the American appears to be the most common primary for psychoses suffered by older individuals it isalso true that later life are secondary to the problems of the physical health problems thatemerge as individuals age alone a sense of social isolation a feeling of sleep disturbance appetite and weight changes decreased concentration feelings this type of mentalillness i reality testing This may occurin the older person as a individuals will manifest many of thesame presenting Assessments Older clients should be as thoroughly assessed or evaluated the individualare identified service needs in which a number of professionals preventive and screeningfunctions as well as diagnostic atherapist to overcome any preconceptions or indeveloping an effective intervention plan Interventions Interventions designed assistance withADLs What is essential in designing any intervention for to argue with the client orattempt to kind of rapport needed inthe to his or her problems A related goalis verbal or nonverbal feelings expressed Assisting the olderperson who has lost clients are those that are framed to meet specific needs is anincreasingly important practice focus because of the aging that the olderindividual is entitled to caring supportive be helpful to the therapist Allyn and Bacon If this paper is not what you are looking for, you can search again: Search for: or Click here to request an essay written just for you.