You are taking care of a newly admitted 78 year old resident, Ms. Wong, in the l
ID: 126211 • Letter: Y
Question
You are taking care of a newly admitted 78 year old resident, Ms. Wong, in the low care wing of an Aged Care unit. She suffered a stroke last year resulting in right sided weakness of both her right arm and right leg. She now walks with the help of a 4 wheel frame and needs assistance with her ADLs due to the weakness of her right arm. She is a retired Registered Nurse. She has a past medical history of Type 2 diabetes mellitus, hypertension and osteoporosis. She is currently on multiple drugs for all these conditions and is worried about forgetting to take her medications on time. When her medication was checked, it appeared that she had missed her doses on several occasions. She lives alone and has always been single. Her mother passed away 2 years ago and Ms. Wong, who was much attached to her, deteriorated both mentally and physically after the incident.
Identify and discuss 3 chronic health problems faced by Ms. Wong (in 40-60 words each).
Briefly discuss the problems associated with the pain management of an older person in aged care including how chronic pain might affect the person and their family/carer and their capacity to perform daily living activities (in 70-90 words).
Alongside the RN, Identify what communication skills you may utilise when communicating with the client and her family/carers so that they understand the implications of her admission (in 50-70 words)?
Determine the steps you would need to take in making a Nursing Care Plan (NCP) for Ms. Wong and the tools that you would use for her preventive health assessment (in 50-70 words).
Identify and discuss 3 chronic health problems faced by Ms. Wong (in 40-60 words each).
Briefly discuss the problems associated with the pain management of an older person in aged care including how chronic pain might affect the person and their family/carer and their capacity to perform daily living activities (in 70-90 words).
Alongside the RN, Identify what communication skills you may utilise when communicating with the client and her family/carers so that they understand the implications of her admission (in 50-70 words)?
Determine the steps you would need to take in making a Nursing Care Plan (NCP) for Ms. Wong and the tools that you would use for her preventive health assessment (in 50-70 words).
Explanation / Answer
Question no 1:
The 3 chronic health illness are hypertension, type 2 diabetes mellitus and osteoporosis.
As the age increase, the people are more prone to get heart disease in which high blood pressure and high cholesterol are the main characteristics. Due to this they are more prone to get stroke.
As the age increase, they are more prone to get osteoporosis due to this there is calcium depletion in female.
Question no 2:
Pain management.
Elderly patients are baby boomers, they experience more pain.
There is increasing prevalence of pain among all age groups.
They are various treatment modalities for pain.
Pain is the 5th vital sign. .
Appropriate assessment of pain to be done by direct facial assessment and patients conversation.
1. Pharmacotherapy: multiple medication for concomitant medical problem
Increase the risk for adverse effects
2. Psychosocial treatment
3. Physical rehabilitation
4. Interventional modalities
5. Patient caregiver education
6. Cognitive behavioural therapy
7. Spirituality
Question no 3:
seated position directly opposite to the patient
Reducing distraction
Eye contact maintenance
care providers
Providers should repeatedly talking patients several times
Requires too much repetition, care provider should slow their speech down and speak clearly
Older patients may also take longer to react during conversation
respect your elders
It's important to acknowledge the varied experience offered by service
This will help to avoid gaps during conversation
strong rapport is important
Introduction of nurse during care will gain the confidence
answering to appropriate questions
Transcultural practice to be maintained
Sharing decision making
distraction occur due to
Accompanying caregiver
Cognitive impairment
Hearing loss
Question no 4:
1. Integrated advance knowledge and experience in delivering safe, effectiveness quality care
2. Demonstrate competence in merging the health/ illnesses status
3. Manage and negotiate within the health care delivery system
4. Monitor and ensure quality health care
5. Incorporating and understanding the trends in aging in planning and providing
6. Demonstrate the leadership and competence
7. Engage in counseling, communication, collaboration in teaching
Preassessment tools:
1. Initial assessment
2. Wong Becker pain assessment tool
3. Mini cognitive assessment
4. Depression assessment tool
5. Morse fall risk assessment
6. LACE risk assessment tool
7. Environmental assessment tool
Tip no topic description 1 start with the right body languageseated position directly opposite to the patient
Reducing distraction
Eye contact maintenance
2 exercise patiencecare providers
Providers should repeatedly talking patients several times
Requires too much repetition, care provider should slow their speech down and speak clearly
Older patients may also take longer to react during conversation
3 show proper respectrespect your elders
It's important to acknowledge the varied experience offered by service
This will help to avoid gaps during conversation
4 practice active listening actively listen during conversation 5 building rapportstrong rapport is important
Introduction of nurse during care will gain the confidence
6 show sincerityanswering to appropriate questions
Transcultural practice to be maintained
Sharing decision making
7 recognise sensory challengesdistraction occur due to
Accompanying caregiver
Cognitive impairment
Hearing loss
8 ensure comfort patient physical comfort 9 use plain language simple language to be used 10 show empathyRelated Questions
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