Empowerment in the new era: A perspective for bridging in nursing

The framework derives from several social psychological theories such as: reactance theory; Justice theory and the self-esteem threat model, which identifies the psychological and environmental processes involved when people consider providing or seeking care assistance for elderly relatives. However, from a broader perspective, there are a variety of factors that could affect the family care system or mutual family care, such as aging and poor health of some caregivers, financial well-being and social needs, accessibility, and environmental factors such as housing, transport, and cultural antagonism. However, the provision of services; Health and social care in particular are intertwined with education, knowledge and awareness of holistic assessment and care management.

In practice, older people appreciate the value for money. This was supported by both practice observations and research showing that interdependence between family members in their own home would improve the existence of care. Therefore, a better understanding of the implications of prolonged and complex stranger care is needed. Against this background, older people see respect and dignity as important issues when it comes to personal care from family carers. In practice, older people are not comfortable with strangers helping them with personal care but would accommodate their own family members as they understand their desires and the standard of care to which they are accustomed. This view relates to the “modernization of social care” which calls for proactive action to achieve better governance that is more responsive to the plight of older people. This means raising all services for older people to the standard of the best and infusing social services with fresh vigor, incentives and new ideas.

Older people have this right like all other citizens of the country and should receive high-quality care in their own homes without prejudice (regardless of gender, skin color and disability). In practice, however, there were large differences in quality and in some areas ineffectiveness and waste of resources. Thus, family involvement in care needs assessment and caregiving would help develop a consistent approach to care, based on family values, norms and principles, that could be passed from one generation to the next. Thus, it is hoped that this practice would potentially alleviate the lack of formal caregivers; Reduce waste and duplication in the social market. The family will be the champion of care systems and support for elderly relatives. This model of care would support personal social services in the broader welfare systems and promote the framework of entire systems. Involving family members would reinvigorate caregiving in the broader community, as well as family networking geared toward supporting older relatives. The services framework would provide an opportunity to develop innovative and integrated services that offer greater choice and control of services to the growing population of older people.

Involving family members during long-term care would encourage user empowerment, allowing them to take ownership of their own care. According to practical experience, the presence of family members when caring for older people is more important as it enables them to regain health and self-confidence than when they seek professional help. The availability of family support turns out to be an important factor in deciding whether a service user can be discharged home from the hospital rather than into institutional care. I believe that family support places great emphasis on kinship, kindness, caring attitude, dependability, leisurely care, consistency and continuity of care. This model of care advocates shared responsibility for care management between the family and benefit users, who are said to take overall control of their care. In most cases, aging and cognitive impairment have limited the ability of many service users to understand and manage their care packages without working with their families.

In contrast, family caregiving systems could perpetuate a form of abusive situations during caregiving. However, the principles of care assessment and care management dictate that the presence of an advocate before any act would deter gross abuse, such as: financial; physically; sexually; emotional and neglecting the frail vulnerable elderly, collaborating with the “Department of Health (2000) (No Secret)”. To reduce this incidence it would make sense to have a caregiver and not necessarily a qualified social worker but someone who is actually involved and who also has a basic understanding and knowledge of the needs of their elderly loved one. Families play a crucial role in the lives of older relatives; Family involvement is most often interpreted as an indicator of social support and not as an influence on decision-making and protection of the vulnerable older person.

In retrospect, the prevailing sociological view for some years has been that; Older people turn first to their families, then to neighbors and finally to the state because they look to their families for help in an emergency. In some cultures, not only does most care come from the family, but most people think that’s where the responsibility should lie. This view is central to the philosophy of community-based care and even more important to end-of-life care for older people in the wider society. In hindsight, there is a need to reinvent family care as the norm to improve the well-being and psychosocial well-being of older people during the community care journey.

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