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Background

The paper discusses the social needs of older adults and the way the characteristics of specific and effective interventions are evaluated to understand their needs. The intervention plan (Appendix) that is developed in this paper where the social needs of older people are analysed through connectedness, independence, participation and focus. The basic human needs of older people are taken into consideration so that they experience acceptance, belonging, care and support and accordingly an intervention plan is created. The important determinants are identified in this paper so that the successful aging prospect is observed through reflective integration of intervention plan. The considerations of factors such as elder abuse, loneliness, economic insecurity, immobility, ageing and social isolation play an important role in evaluation and understanding of the specific and unique needs of the older adults (Yung, Conejos and Chan 2016). The purpose of the paper is to identify the specific needs, evaluation of unique considerations as well as reflect on the specific goals that can be integrated in the creation of the intervention plan.

The age of the 4 older adults ranges from 45 to 65. The specific medical conditions that the older adults are suffering from are dementia, Arthritis and immobility. Apart from the medical conditions, the older adults’ social needs and behavioural perspectives must also be considered especially in terms of effective implementation of interventional plan. The special considerations that must be made for the older adults in the group is to explain the activities in a more detailed way so that they can understand it and face no issues in terms of forgetting them. The older adults might also forget many information and activities which requires carers must be aware of it and accordingly the intervention plan (see Appendix) must be developed. Human beings are creatures who need to feel loved and it is identified as one of the basic fundamental and basic needs which takes a form of contact comfort.

The current status of activities that can be discussed in relevance to four aspects of societal, organizational, individual and community perspective where the older adults are involved and included through activities and performance-based games. These activities are focused based activities, daily activities of drawing pictures, discussing about mental health issues they might suffer from, physical activities such as using blocks and Legos. The cognitive activities such as reading, use of medicines and their impacts on their mental stability, abstract feelings such as kindness, pain, happiness and others (Ten Bruggencate, Luijkx and Sturm 2018).

Details of the Older Adults

Intervention in the care setting is developed based on the activities that contributes to the way older adults can effectively develop a detailed understanding of their cognitive and physical awareness. The activities that have been developed in the intervention plan contributes to the way adults can effectively have their social, physical and cognitive needs satisfied. The implementation of the intervention plan (Appendix) contributes to the way active involvement of the older adults is promoted, respect is being shown, the social contacts of the older people is stimulated as well as the knowledge is shared effectively (Beard and Bloom 2015).

Specific needs that have been identified of the older adults especially in relevance to their social, physical and emotional conditions are as follows:

  • They need to have more social contact especially in terms of interacting with people, expressing their views and opinions
  • They need to have a medical care and support resource and service so that effective implementation of medical support and services are available especially foe the physical and mental conditions that older adults generally seem to have such as dementia, arthritis and others
  • They need to have an emotional support system in the form of individuals who are either close to them in the form of friends or professionals who can help them through counselling or therapy (Fredriksen-Goldsenet al. 2018)

The conditions of the adults are reflected in terms of the policies that has been established where older adults can benefit in terms of accessing services such as Medicaid, food stamps, Medicare, LIHEAP and others. The unique considerations of the older adults that must be made are based on their individuality and the position they hold in the community to acquire physical and economic security (World Health Organization 2015). It is the way mental health of the individuals, physical fitness, financial state as well as the quality of life they are leading. there are times when transportation is an important aspect based on which the elder adults require support. Considering every individual is different, it is the responsibility of the carer to establish their unique conditions in terms of their social, physical and mental needs and accordingly help them gain it (Lachman et al. 2018).

The specific goals that can be observed and achieved in this group of older adults based on their needs and the implementation of the intervention plan (Appendix) are as follows:

  • The participants identified as the adults are in needs of active involvement and contribution to the society to feel their purpose and place in the world
  • Effective implementation of physical activities such as throwing around balloons, making a building with Legos or building blocks is a significant goal for the adults’ physical fitness leading to walking, transportation and others (Holt-Lunstad 2018)
  • Effective implementation of intellectual activities such as reading a book, debating on a political, medical or social issue and other such activities leads to the mental wellness of the adults

The specific and the unique needs of the participants are identified as their physical and cognitive requirements to be effective in their daily functions leading to the development of the intervention plan (Appendix). These aspects are reciprocated to the events taking place around them, integrating service and skills informing of the way they can effectively establish social relationships and responsibilities (Johnson et al. 2017).

The older adults face issues in the form of accessing lower income benefits, insufficient retirement income and pension as well as being a victim of telemarketing fraud and others. Therefore, the choices performed for the intervention reflects the way older adults can get actively involved in social activities such as community development, organizing of intellectual as well as physical activities without being victims (Friess 2016). These contributes to the way older adults can develop further interpersonal relationship through meeting new people and expressing themselves. The skills and the services that are used in the intervention plan (Appendix) by the carer contributes to the acknowledgement of utilizing the abilities and the talent of the older adults. It can be stated that the implementation of the intervention not only contributes to the way problematic relevance of policy making can be resolved but also it reflects on the engagement of the adults (Shrestha et al. 2017).

Current Status of the Activities

One of the most important aspects of the engagement between carers and older adults are the way intergenerational and interpersonal relationships are development. It is identified as an important factor when it comes to older adults’ engagement to the society therefore, the specific preparation that needs to be implemented to effectively establish the intervention plan (Appendix) and activities are as follows:

  • The older adults must be provided open platform to express themselves
  • The older adults must be supported in terms of them developing new relationship effectively contributing to the fostering of new relationships (Haesner et al. 2015)
  • Use of digital services and devices such as computer, mobile phones and others leads to effective expertise of virtual world guiding them to have an improved real life experience
  • The adults must be provided a detailed idea of the types of activity in the intervention plan that they will be performing which will make them more aware of their social, physical and emotional engagement (Siegel and Dorner 2017)

As a carer, the intellectual has the responsibility to make the older adults feel comfortable as well as touched by the care and attention that they provide. The intervention plan therefore, must have activities that contributes to the welfare and growth of the older adults as well as contribute towards environmental, social, physical and cognitive growth. The intervention plan implementation must constitute of a certain behaviour and engagement by the carers and it is as follows:

  • The carers must show respect to the older adults reflecting the significance of their relationship
  • The carers must keep in mind the mental and physical state of the adults and accordingly develop the activities and provide services to them (Zubala et al. 2017)

The plan of evaluation in relation to the activities that has been developed reflect on the way social need of the older adults are observed and reflected in the way they must be given services. The Assisted Decision Making (Capacity) Bill 2013 has contributed to the promotion and protection of rights of older adults especially in relevance to their physical and mental health conditions. People having impairment of old age such as dementia might have difficulty making decisions or problem solving. Therefore, it is these policies that contributes to the way carer engage older adults as well as establish conditions where active involvement in activities in the intervention plan (Appendix) relates to social behaviour, motivation, emotional control, mental and physical health wellbeing as well as occasional treatment of syndrome such as dementia (Plöthner et al. 2019). The way learning capability, language, judgement, comprehension, orientation, thoughts and others are taken into consideration when implementation plan is evaluated. The activities that are the part of the intervention plan contributes to the way major decision making of the elders can be supported and guided. The following evidence are the impact of the activities that will be implemented to understand the older adults cognitive and growth development reflecting the optimal support:

  • Prevention of severe and chronic diseases such as cancer, diabetes and others
  • Past traumas and mental instability of old age is treated in the form of counselling
  • Clinical and social care gap is being bridged through the activities where digital services play an important role (Yung, Conejos and Chan 2016)
  • Collaboration among older adults contributes to the effective engagement to healthcare and social relations improvement

The older adults are helped in terms of developing Peripheral relationships and development of certain development of social needs in terms of establishing contacts reflects the way older adults can connect through social meeting places such as churches, pubs and others. The support system that has been created by the carers reflects the need for the disadvantaged older adults in the form of physical security, mental stability and economic safety. The effective transition from invalid and disadvantaged position to active engagement and involvement in the community and growth can be performed by implementation of government policies and legislation (Beard and Bloom 2015).

Intervention Implementation

Conclusion

The meaningful social relationships of the older adults are taken into consideration when the intervention plan is created especially with their medical requirements based on the shortcomings. The behaviour of the older adults is evaluated through the intervention plans and evaluation of their social, behavioural and medical requirements effectively. The community services that are provided to the development of the intervention plan contributes to effective engagement and sustainable growth and development. The intervention plan has been developed keeping in mind the physical, mental, social and economic issues experienced by elder adults. Sustainable development of adults and their conditions in reflection to optimal aging and help in their vulnerable and disadvantages position. They need to have support in the form of effective cognitive skills engagement, physical wellness as well as economic freedom and safety and security.

In recommendations, there are following strategies that can be implemented to effectively develop activities in the intervention plan (Appendix) that not only contribute to the wellness of the older adults but also actively engage them in activities. It is reflective of the way physical and emotional transition of older adults contributes to the way their treatment and welfare is observed. The strategies are as follows:

  • Stimulating social contacts and relationship through community and neighbourhood initiatives through social meeting places such as churches and pubs
  • Active engagement through activities both physical and intellectual leading to the use of talents and abilities (Lachman et al. 2018)
  • Exchange of skills and knowledge with carers reflects the intergenerational and interpersonal relationships development leading to overall community benefit

References

Beard, H.P.J.R. and Bloom, D.E., 2015. Towards a comprehensive public health response to population ageing. Lancet (London, England), 385(9968), p.658.

Fredriksen-Goldsen, K.I., Jen, S., Bryan, A.E. and Goldsen, J., 2018. Cognitive impairment, Alzheimer’s disease, and other dementias in the lives of lesbian, gay, bisexual and transgender (LGBT) older adults and their caregivers: Needs and competencies. Journal of Applied Gerontology, 37(5), pp.545-569.

Friess, P., 2016. Digitising the industry-internet of things connecting the physical, digital and virtual worlds. River Publishers.

Haesner, M., O’Sullivan, J.L., Gövercin, M. and Steinhagen-Thiessen, E., 2015. Requirements of older adults for a daily use of an internet-based cognitive training platform. Informatics for Health and Social Care, 40(2), pp.139-153.

Holt-Lunstad, J., 2018. Why social relationships are important for physical health: A systems approach to understanding and modifying risk and protection. Annual review of psychology, 69, pp.437-458.

Johnson, R., Shaw, J., Berding, J., Gather, M. and Rebstock, M., 2017. European national government approaches to older people's transport system needs. Transport Policy, 59, pp.17-27.

Lachman, M.E., Lipsitz, L., Lubben, J., Castaneda-Sceppa, C. and Jette, A.M., 2018. When adults don’t exercise: Behavioral strategies to increase physical activity in sedentary middle-aged and older adults. Innovation in aging, 2(1), p.igy007.

Plöthner, M., Schmidt, K., de Jong, L., Zeidler, J. and Damm, K., 2019. Needs and preferences of informal caregivers regarding outpatient care for the elderly: a systematic literature review. BMC geriatrics, 19(1), pp.1-22.

Shrestha, B.P., Millonig, A., Hounsell, N.B. and McDonald, M., 2017. Review of public transport needs of older people in European context. Journal of population ageing, 10(4), pp.343-361.

Siegel, C. and Dorner, T.E., 2017. Information technologies for active and assisted living—Influences to the quality of life of an ageing society. International journal of medical informatics, 100, pp.32-45.

Ten Bruggencate, T.I.N.A., Luijkx, K.G. and Sturm, J., 2018. Social needs of older people: A systematic literature review. Ageing & Society, 38(9), pp.1745-1770.

World Health Organization, 2015. World report on ageing and health. World Health Organization.

Yung, E.H., Conejos, S. and Chan, E.H., 2016. Social needs of the elderly and active aging in public open spaces in urban renewal. Cities, 52, pp.114-122.

Zubala, A., MacGillivray, S., Frost, H., Kroll, T., Skelton, D.A., Gavine, A., Gray, N.M., Toma, M. and Morris, J., 2017. Promotion of physical activity interventions for community dwelling older adults: A systematic review of reviews. PloS one, 12(7), p.e0180902.

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