Health Assessment and Promotion Paper Purpose: To practice communication, interv

Question

Health Assessment and Promotion Paper Purpose: To practice communication, interviewing, and assessment skills, using techniques learned and practiced in Units 1 through 8. Directions: Complete a comprehensive health history interview and a physical examination on an adult older than 70 years of age, in a long-term care setting, or within your local community. Write a descriptive essay describing your interaction with the older adult using the following guidelines: S: (Subjective data) Subjective data collected during the interview. Subjective data that you did not collect, but think would have been helpful to support your nursing diagnosis. Rationales supporting why it would be important to collect the additional data. These rationales should be supported with information from the text and at least two peer-reviewed scholarly sources. O: (Objective data) Objective data collected during the interview and examination. Objective data that should have been collected during the examination, but was omitted. Rationales supporting why it would be important to collect the additional data. These rationales should be supported with information from the text and at least two peer-reviewed scholarly sources. A: (Assessment of findings) Identify three nursing diagnoses; one diagnosis should be “Knowledge Deficit.” Develop one short term and one long term goal for each nursing diagnosis. P: (Plan) Discuss at least five strategies to assist the older adult in meeting the goals you developed. Remember, strategies should be a collaborative process between the nurse and patient. Provide rationales to support the strategies. These rationales must be supported with at least two peer-reviewed scholarly sources. Assignment Requirements The Assignment should be a descriptive essay.

Explanation / Answer

Health assesment of 70 years old individual is required in depth in order to have thorough knowledge about patients health and to provide quality service to the patient.

The main aim of complete assessment is to figure out the future risk associated with the health and according to that further treatment plan can be designed. The investigation can be done in brief, standard, long and extended long manner depending on the present health of the patient so that treatment will be specific.

List of subjective data's are as follows:

1.analysis of patients pulse rate, blood pressure and heart function.

2. Patient medication history.

3. Patient vaccination history regarding influenza, tetanus, etc.

4. Knowledge of patient daily routine and any major case of fall from past three to four months.

5. Patients diet history and any assessment regarding diabetes or liver functioning problems.

6. Understanding patient mood and his fear or thinking nature should be assessed.

The data's associated with patients family status and friends would have appropriate as knowledge of patient nearer ones is important for the case assessment and this data collection was missed.

Objective data's are as follows:

1. Patient history and much collecting health related information.

2. Advising appropriate treatment

3.Advising appropriate physician

4. Understanding overall state of the patient.

5. Maintaining a record of the entire assessment and letting patient knows about his health condition

6. Suggesting a home care plan if patient is isolated and immediate care is required by taking patient views on it.

The data's regarding patient mental state is missed here that would be appropriate in understanding his beliefs associated with the treatment procedure etc. That data's might be helpful in maintaining better confidence.

Assessment of findings:

Patient is currently living alone and need home care plan. Patient has a history of diabetes so further complications should be avoided. Patients diet plan Should be designed in order to maintain his sugar level. Patient is immunised for tetanus, influenza etc. Patient sugar is high. Fatigue and tiredness is seen.

Short term plan is suggesting for personal nurse for the patient.

Long term plan is patient can be kept in healthcare system so that his care can be taken.

Five strategy associated with the treatment plan:

Patient agreed for health care plan to take help of patient health.

Insurance plan is suggested for the patient such as medicare for financial support

Patient diet is planned according to his likes and dislikes

Patient allergy regarding few items of food data is avoided

Patient data for adverse reactions of drugs are collected and is avoided in the treatment plan.

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