Concrete part time patient care assistant in

Concrete plan of change

After watching Gran
Torino, the writer realized that every elderly might suffer in depression. In
the movie, the priest usually talk to Walt and Sue the Hmong helped Walt
engaged in community activities. That make Walt depression better. Therefore,
the writer wanted to improve depression among elderly through the role of
listeners and supporters. The writer never approach a depressed elderly with
purpose and help elderly to manage depression.

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There were the
concrete plan of change. The writer finished the movie at October 2017.The
purpose of the plan was to improve depression among elderly through the role of
listeners and supporters. This was a goal that the writer never achieved and
finished. The writer needed to enhance the knowledge about depression and the
skills interact with depressed elderly.

Firstly, the writer
needed to understand one assessment tools for elderly depression before
November 2017. Assessment tools are structured interviews and questionnaires
related to patients or caregivers (American
Psychological Association, n.d.). If writer used a tailor made
assessment tools about elderly depression, she could identified different stage
of depression and handle with different skills.

Secondly, the writer
needed to enhance two listening skills with depressed elderly before November
2017. Effective listening skills could increase writer’s awareness and
sensitiveness to get useful information in assessment. A quality information
and decrease the risk of misinterpretation resulting in depression (Patterson & Barhum, 2017).

Thirdly, the writer
needed to enhance two communication skills with depressed elderly before
November 2017. Depressed elderly had negative concept. Therefore, the best
method to manage helplessness and disinterest is through supportive
communication (Patterson & Barhum, 2017).

Fourthly, the writer
needed to interact with one elderly with depression before December 2017. The
writer needed to use the learnt assessment tools to examine elderly depression
grade. Moreover the writer needed to use learnt listening skills and
communication skills to improve elderly’s depression. In
this plan, the writer wanted the scores of assessment test of elderly could
decrease after interaction.


Action taken

The writer’s worked as
a part time patient care assistant in an elderly home for 2 years. After she
watched the movie. She researched the sign and symptoms of depression.
According to those information, she found that an elderly might have
depression. The writer asked her supervisor if she could approach the elderly
in spare time. After she gain the permission, she applied the assessment tools,
listening skills and communication skills to the elderly.

Firstly, the writer
used the geriatric depression scale (GDS) to examine the elderly’s depression
degree. The GDS was used commonly with the older population. The writer used
the short form GDS which consisted 15 questions. The elderly are asked to
answer yes or no to the questions according her feeling over the past week (Greenberg, 2012). The elderly scored 7 marks which
indicated mild depression.

Secondly, the writer
started to interact with the elderly by using learnt listening skills. The
writer be quiet and prepared in the conversation. In the conversation, the
writer didn’t interrupting elderly’s sentences and dropped down the useful
information (Patterson & Barhum, 2017). The
writer approached the elderly where there were quiet and no distraction (Patterson & Barhum, 2017). A quiet environment
helped the writer to concentrate.

Thirdly, writer
started to interact with the elderly by using learnt communication skills. The
writer acknowledge the feelings when patient express sadness and anxiety and
encourage the elderly to demonstrate more (Tabangcora,
2016). Furthermore, the writer let the elderly lead the direction of
conversation. The writer let the elderly had broad opening and explored the
useful information (Tabangcora, 2016).

The writer finally
found out the reason of the elderly’s depression. The reasons was that the
elderly felt despair about his life. The elderly said that he had many
disappointment when he reflect back on his live. For example, the elderly
didn’t treated his children very well in the past. The elderly developed a poor
relationship between children now. After that, the writer appreciate the
elderly’s effort and accomplishment in his family. The writer encouraged the
elderly to try to improve the relationship gradually. For example, the elderly
could have a phone conversation one time a week and progressively increase. The
first assessment was done at 4 November 2017 which was 7 marks. The second
assessment was done at 25 November 2017 which was 5 marks. In this action, the
elderly had 2 marks improvement. The goal of the plan was achieved.



Erikson’s theory of psychosocial development

In Erikson’s theory of
psychosocial development, the stage 8 integrity versus despair could explain
the depression of Walt. This psychosocial stage presented during old age and
involved reflection back on life (Cherry, 2017).
Elderly would reflect back on their experience of lives.

If elderly thought
their life was meaningless and experienced many regrets, the elderly would felt
bitterness and despair (Cherry, 2017). If
elderly thought their life was successfully and satisficed, even though with
few regrets, the elderly would felt integrity and confronting death (Cherry, 2017).

In the conversation
between Walt and priest, Walt felt regret about how he treat his family. He
always express a cool face to them. As a result, Walt’s son and daughter-in-law
abandoned him. Moreover, Walt didn’t felt integrity of his soldier career. He
always oversensitive to anything and could not developed a normal social
relationship because his career. He felt regret about his career and
relationship between family.