Assignment 2: Assessing and Planning Care for an Elderly Person

Description

Assignment 2: Assessing and Planning Care for an Elderly Person

In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.

choose an older adult to interview. This cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult should be 65 years or older. Use the format provided to record the responses. A list of questions is available for you to start with. Include 2–3 questions of your own to get a complete picture of the older adult. Summarize your findings and also contrast the responses with findings in your readings and other current literature.

Click here to download a patient questionnaire. This form should be used as an example.

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of functional assessment.

Make use of the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.

  1. Tinetti Balance and Gait Evaluation
  2. Katz Index of Activities of Daily Living
  3. Assessment of Home Safety
  4. The Barthel Index

Make sure the older adult is clearly identified on the tools. Do not include their name, but do include professional or other designation, and age. Your name should also be identified on the tool. (This should be a part of your Appendix.)

Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment. During this data analysis process provide at least 4–6 preliminary issues that you have identified. Identify three alterations in health that you would propose and describe them. Identify a minimum of three comprehensive interventions for each problem.

Make sure that you integrate personal cultural awareness and cultural competency.

Paper should be 5–6 pages, not including the questionnaire or tools used. These should be attached as an Appendix. Remember to use headings to identify the different sections in your paper.

Patient
Questionnaire

INTERVIEW OF CHOSEN ELDER ADULT

Name: ­­­­­­­­­­­­­­­­­­­­­________________________________
Age: ­­­­­­­­­­­­­­­________________

Brief
Introduction (Background information):

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

1. Philosophy on
living a long life

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Thoughts about when a person is considered “too old”

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. Opinion on the
status and treatment of older adults

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Beliefs about
health and illness

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Health promotion
activities he or she participates in

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. Something special that helped the person live so long

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Life span of other family members

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8.
Special dietary traditions in patient’s culture attributed with aiding long
life

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. Any
remedies/medications that have been handed down in family/group. If yes,
describe. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. Patient’s description of current and past health status

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

11. The values that
guided life so far

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Additional Questions

1. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Summary

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Contrast of client’s responses with findings in
current literature

·
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  • ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
  • __________________________________________________________________________________________________________________
  • ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Unsatisfactory

1

Emerging

2

Proficient

3

Exemplary

4

Score

Assignment Components

Identified and described the interviewed individual

The description is too incomplete to provide a clear picture of the individual

The important details are provided, but overall the identification of the individual is incomplete.

Accurately identified and described the individual . More details could have been used to support the identification.

Accurately identified and described the individual.. Specific details are used to support the identification.

[Score x 5 = 20 pts]

Identified and described the cultural implications for the identified individual.

The identification and description for the cultural implications are incomplete and not very clear.

The identification and description for the cultural implications are somewhat clear and correct.

The identification and description for the cultural implications are clear and correct.

The identification and description for the cultural implications are clear, concise, detailed and accurate.

[Score x 5 = 20 pts]

Performed a comprehensive functional (physical and mental) assessment utilizing the 4 tools

  1. Tinetti Balance and Gait Evaluation
  2. Katz Index of Activities of Daily Living
  3. Assessment of Home Safety
  4. The Barthel Index

Function assessment is not incomplete and not very clear. Tools not attached in the appendix

Functional assessments are somewhat clear and correct. Tools are included in Appendix

Functional assessments are clear and correct. Tools are included in Appendix

Functional assessments are clear, concise, detailed and accurate. Tools are included in Appendix

[Score x 5 = 20 pts]

Compared and contrasted the age-related changes of the interviewee to the expected changes

Age related changes have not been compared and contrasted or are not clear

Age related changes have been are somewhat compared and contrasted.

Age related changes have been compared and contrasted.

Age related changes have been compared and contrasted, and are clear, concise, detailed and accurate.

[Score x 5 = 20 pts]

Identified and described 4-6 preliminary issues assessed from the interview

The identification and description of 1-2 preliminary issues and are somewhat clear and correct

The identification and description of the 2-3 preliminary issues are somewhat clear and correct

The identification and description of the 4-6 preliminary issues are clear and correct

The identification and description of more than 6 preliminary issues are clear, concise, detailed and accurate.

[Score x 5 = 20 pts]

Identified and described 3 alterations in health that you would propose

The identification and description of less than 3 proposed alterations in health are incomplete and not very clear

The identification and description of 3 proposed alterations in health are somewhat clear and correct

The identification and description of 3 proposed alterations in health are clear and correct

The identification and description of more than 3 proposed alterations in health are clear, concise, detailed and accurate

[Score x 5 = 20 pts]

Identified and described three comprehensive interventions for each identified problem.

The identification and description of less than three interventions for each problem are incomplete and not very clear

The identification and description of three interventions for each problem are somewhat clear and correct

The identification and description of three interventions for each problem are clear and correct

The identification and description of more than 3 interventions for each problem are clear, concise, detailed and accurate

[Score x 5 = 20 pts]

Written Components

Introduction is limited or missing entirely.

Poorly organized document.

Transitions are infrequent,
illogical, or missing entirely.

Conclusion is limited or missing entirely.

Writing contains numerous errors in spelling, grammar, or sentence structure that severely interferes with readability and comprehension.

No attempt at APA
formatting.

Introduction is present but incomplete or underdeveloped.

Poorly organized document that interferes with readability and comprehension.

Transitions are sporadic.

Conclusion is present, but incomplete or underdeveloped.

Writing contains numerous errors in spelling,
grammar, or sentence structure that somewhat
interfere with readability or comprehension.

APA format is attempted to paraphrase, quote, and cite, but errors are significant.

Introduction has a clear opening, provides background information, and states the topic.

Loosely organized document that may have to be inferred.

Transitions are appropriate and help the flow of ideas.

Conclusion summarizes main argument and has a clear ending.

Writing follows conventions of spelling and grammar throughout. Errors are infrequent and do not
interfere with readability or comprehension.

APA format is attempted to paraphrase, quote, and cite, but few errors are present.

Introduction catches the reader’s attention, provides compelling and appropriate background information, and clearly states the topic.

Well organized document with appropriate introduction.

Transitions clearly show how ideas relate.

Conclusion leaves the reader with a sense of closure and provides concluding insights.

Writing follows conventions of spelling and grammar throughout that helps establish a clear idea and aids reader in following the writer’s logic.

APA format is used throughout.

[Score x 5 = 20 pts]

Subtotal

Timeliness

Late Work penalty:

Total Score

/160

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References:

Nursing Standards

Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx

Clinical Guidelines

Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf

Living Guideline

Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E

Evidence-based practice

BMJ Best Practice

Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/

Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com

Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf

JBI: Evidence summary

Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global

JBI: Best practice information sheet

Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.

Cochrane Database of Systematic Reviews

Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2

Drug Information

Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au

Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm

 

Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml

Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html

Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/

Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html

Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis

Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia

Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367

NCBI Bookshelf

Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/

Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au

 

 

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