Influences
A 78-year-old retired banker’s wife died years ago. He can do all ADLs but requires help with meals and transportation. He lives in an unsafe neighborhood. He refuses to live with relatives or give up his individuality. What housing choices are available to him? Why? How might such housing possibilities compare to living alone?
• 70+ words minimum
• Read the situation and answer below.
• The response should either clarify or provide an example of the ideas expressed. Simply agree or disagree and explain why.
Aging persons have difficulty with daily and instrumental activities. Some struggle to accept that they need more aid than they imagined. No one wants to lose their autonomy. Also, cultural constraints may prevent them from choosing other housing options.
Because he can perform ADLs but just needs assistance with food preparation and transportation, this patient can move into a Continuing Care Retirement Community (CRC). He keeps his freedom, but now he has a little aid. He will also be in a safer community and exposed to others who may be interested in the same things he is. One benefit of living in a CRC is that he won’t be lonely. He also gets access to restaurants, gyms, and pools (Cronk, 2021). Having access to these activities and social interactions might help reduce loneliness-related symptoms like social withdrawal, melancholy, and depression.
Family Scenario
A 83-year-old woman has pneumonia. Her Alzheimer’s condition has made her angry and uncontrollable at home. Her 65-year-old daughter is upset about putting her mother in a nursing home, but she is unable to care for her.
What’s your role in this? How can you assist your daughter decide? What would you tell your daughter?
• 70+ words minimum
• Respond to the post by asking for clarification or describing a circumstance that exemplifies the points being made. Simply agree or disagree and explain why.
My Situational Role
My role is to obtain enough information about Alzheimer’s disease and how to care for a patient. I will assist the patient’s daughter in assessing palliative care choices for her mother. Having options will let the daughter decide on her mother’s care in her final days. Explanation of each alternative, both pros and cons, to assist the daughter make an informed decision for both her mother and herself. A care plan, according to Meiner and Yeager (2018), can prevent family conflicts when caring for a patient. I will help the daughter create a written plan outlining the duties of those engaged in her mother’s care.
Making Decisions Aid
It’s awful when someone dear to you doesn’t recognize you, like her mother. A long-term care facility placement is not always easy; it involves many emotions and guilt as people believe they are not always making the proper choice. As a nurse, I will help the daughter cope with her emotions while caring for her mother. I’d ask the doctor to refer my daughter to a social worker or case manager. I would suggest to the daughter various long-term care facilities for her mother.
More Info
I will inform the daughter of her mother’s progressing Alzheimer’s disease. I will also tell her to keep in touch with friends, be active, and look after her mother. All of this is aimed to urge the daughter to take care of herself, avoiding emotional discomfort and physical and mental exhaustion.
Exercise
You’re at a senior health fair taking blood pressures. A woman asks you about starting an exercise regimen after you take her blood pressure. Her friends have advised her to start exercising regularly. What advice do you give her? What precautions do you recommend?
• Read the scenario and the text below, then react. • Ask for clarification or explain an example that demonstrates the arguments being made. Simply agree or disagree and explain why.
Exercising properly is always enjoyable. Due to their age and condition, seniors are unaware of its value.
Regular exercise is the most effective nonpharmacological strategy to treat high blood pressure in seniors. My advice on this subject is to get moving. Cardio 3 times a week for 30 minutes strengthens the heart, manages weight and reduces stress. Exercise also improves one’s self-esteem by releasing endorphins, which stimulate the brain. I will also advise her to perform light activity such as brisk walking, climbing stairs, gardening, cycling, and walking. Depending on the patient’s age and co-morbidities, moderate aerobic, isometric, and strength exercises can be performed.
I advise my older patients to avoid high intensity exercises like weight lifting and sprinting. Take frequent rests to avoid overworking the heart. Pay attention to symptoms like palpitations, dizziness, and chest aches that may develop during exercise. I will also advise her to exercise at her own pace and ability, not to follow or replicate any workout routine.
Safety Scenario:
A 77-year-old woman is hospitalized for diabetes. Her diabetes has caused urine incontinence and eyesight loss. The nursing staff sees her repeatedly going over the side rails at night to use the restroom. She is quite agitated now. The nursing assistant asks you to get a body restraint for her at night to keep her from slipping out.
Should this patient be restrained? Would you ask for a bodily restraint? Or not? What else is significant in this case? What nursing interventions could be tried first?
• 70+ words minimum
• Read the scenario and respond by asking questions or describing a circumstance that demonstrates the arguments being stated. Simply agree or disagree and explain why.
Despite the patient’s apparent risk of falling owing to waking up every night, I would not restrict them. Instead than irritating the client, I would offer my assistance in resolving the issue. She seems to need to go to the bathroom frequently, which could be due to diabetes-related incontinence. Instead of employing shackles, I would suggest she use a catheter, a diaper, or a bedpan at night. Despite her bad vision, this may be the safest option. If the client refuses these options, I can teach her to utilize the call light to alert me when she needs assistance. Restraining the patient at night prevents her from voiding properly, resulting in illness from laying in her own pee the next morning. Reduce the patient’s fluid consumption closer to sleep and have her try to completely empty her bladder right before bedtime. The nurse can also check her medication list to determine whether it affects her.
Influences
A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence. What housing options would be appropriate for him? Why? What advantages would such housing options offer over living alone?
• Your response should be 70+ words
• Read the scenario and the post below, then respond to it
• Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree
As people get old, they have trouble in their daily activities and instrumental activities of daily living. Some have trouble realizing that they need more help than they thought, and some are open to other housing options. Of course, no one wants to give up their independence. Furthermore, there might be cultural barriers that can hinder their decision of choosing to live in other housing options.
In this situation, because he is able to ADLs but only needs help with meal preparations and transportation, this patient has the option to transfer to a Continuing Care Retirement Community (CRC). He can still have his independence, but now he will have just a little bit of help. Furthermore, he will be in a safer neighborhood and he will be exposed to other people who are maybe just like him who he can interact with and share his interest with. That is one of the advantages of living in a CRC because he won’t be lonely. He also has access to many amenities like restaurants, fitness centers, or pools (Cronk, 2021). Having access to these activities and having more social interactions can prevent the effects of loneliness like withdrawal from others, sadness, and in severe cases, depression.
Family
Scenario: Family
An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long-term care facility but feels she is not able to care for her.
What is your role in this situation? How might you help the daughter with her decision? What information would you give the daughter?
• Your response should be 70+ words
• Read the scenario and the post below, then respond to the post
• Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree
My Role in the Situation
My role is to gather enough information concerning Alzheimer’s disease and how to care for a person suffering from the disease. I will help the patient’s daughter identify available options for the mother by evaluating the resources at their disposal towards palliative care. Coming up with different options will make it easy for the daughter to decide on her mother’s care during her last days. Taking the daughter through the advantage and disadvantages of each available option to help her make an informed choice not only for her mother but also for herself. According to Meiner and Yeager (2018), having a care plan is very important as it helps prevent family conflicts when caring for a patient. I will support the daughter in creating a written plan that specifies the roles of those involved in the care of her mother.
Help with Decision Making
It is painful when a person close to you does not recognize you, and in this case, it is her mother. Placing one’s parent in a long-term care facility is not always easy; it takes up many emotions and guilt as people feel that they are not making the right decision most of the time. As a professional nurse, I will help the daughter deal with her emotions as she takes care of her mother. I would ask the doctor to make a referral for the daughter to speak to a social worker or case manager. I would give the daughter different types of long-term care facilities her mother could live in.
Additional Information
I will inform the daughter on what to expect as her mother’s Alzheimer’s disease progresses. I will also advise her to keep seeing her friends, have an active life outside the facility, and take care of her mother. All these are meant to encourage the daughter to take care of herself in the long run, thus avoiding emotional distress and being burnt both physically and mentally.
Exercise
You are checking blood pressures at a senior citizen health fair. After you check the blood pressure of an older woman, she asks you about starting an exercise program. She has not been exercising, but some of her friends have told her that she should start to exercise regularly. What recommendations do you give her? What precautions do you include in your recommendations?
• Your response should be 70+ words
• Read the scenario and the post below, then respond to the post
• Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree
Exercise is always fun when is executed the right way. Seniors on the other hand don’t know the importance of it due to their age and their condition.
in seniors, there is always a risk for high blood pressure, and the most effective nonpharmacological way to manage this disease is to exercise regularly to alleviate this disease. my recommendation i will give concerning this issue is physical activity. Studies has shown that doing cardio 3 times a week, 30 minutes help strengthen the heart, manage weight and reduces stress. It also helps a person to feel good about themselves due to the fact that, exercise release endorphins which stimulate the brain. Also, I will be informed her to do low moderate level of exercise like brisk walking, climbing stairs, gardening, cycling and walking. Considering the age and also some co-morbidity patients might be having, some moderate aerobic, isometric training and strength exercises can be done as well.
Precautions i will recommend for the senior patient is to avoid the high intensity exercise such as weight lifting or sprinting. It’s also important to take frequent breaks to avoid excessive pressure on the heart. Also pay good attention to certain symptoms that might occur when exercising like palpitations, dizziness, chest pains. I will also recommend that she exercise on her own pace and her capabilities, and not to follow anybody or copy anybody exercise program regime.
Safety
Scenario: Safety
A 77, year old woman is hospitalized for management of her diabetes. She has a history of functional urinary incontinence and poor vision from the diabetes. The nursing staff observes her climbing over the side rails on numerous occasions at night en route to the bathroom. She is quite agitated during this time. The nursing assistant requests that you obtain an order for a body restraint at night to prevent her from falling out of bed.
Should this patient be restrained to prevent injury? Would you request the order for a body restraint? Why, or why not? What other information is relevant to this case? What nursing interventions could be tried before considering a restraint?
• Your response should be 70+ words
• Read the scenario and the post below, then respond to it
• Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree
The patient seems to be in danger due to getting up every night and risking a fall, however, I would not restrain this patient. The patient has a reason for getting up and instead of agitating the client more I would offer my help and figure out the situation. She seems to be needing to go to the bathroom each time and it could be due to her being incontinence from her diabetes. Instead of resorting to the use of restraints I would offer her other ways to make it easier for her to use the bathroom such as inserting a catheter, applying a diaper, or using a bedpan at night. These other options may be uncomfortable but due to her poor vision it may be the safest option. If the client refuses these options I can educate her to use the call light when she goes to the bathroom so that I can go assist her. By restraining the patient at night, she won’t be able to void properly and due to her incontinence it can result in the patient lying in her own urine till the next morning leading to infection. Another way to decrease the amount of the patient from getting up is limiting her intake of fluids closer to bedtime and have her try to completely empty her bladder right before. The nurse can also look at her list of medications and see if it’s affecting her.
The post An 83, year old woman is recovering from pneumonia. appeared first on Research Quora.