Health of older adults Discussion 2022

Health of older adults 1
Health of older Adults
By
Name
Course
Professor’s Name
Institution
Location of institution
Date

Health of older adults 2
Health of adult
Introduction
The thesis of the term paper presented entails a medical assessment report of Mr. George who
has been diagnosed by acute health problem thus following his past health history which
includes; type 2 diabetes mellitus, hypercholesterolemia, hypertension and coronary artery
bypass which has lasted for 5 years.
Based on Mr. George’s past health history, he has been put into various medication which is
believed to control and prevent further infections which may arise due to his old age. Upon
admission, Mr. Gorge’s vital assessment is unremarkable but he has noted some symptoms of
pitting oedema in his both legs related to reduce pedal pulse. He also complains of chest pain,
therefore, the medical practitioners took some sample of his obs to identify his chest pulse rate.
Primary admission diagnosis
The primary admission diagnosis for Mr. George thus based on the signs and symptoms he has
explained during his medical assessment by the medical practitioners can be identified as the
coronary artery disease which according to the assessment, its symptoms cannot be easily
identified but the patient can experience various complications like chest pain, light-headedness
or sweating and shortness of breath. (Abdar, et al, 2019, pg. 105992)

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The above-mentioned symptoms are associated with coronary artery disease as explained by
Mr. George. Coronary artery disease causes damage in the heart’s major blood vessels like
arteries, capillaries and veins which are responsible for the circulation of the of blood in the
whole body for the proper function of the body. The condition has no cure but can be controlled
through medication since it can be a lifelong complication. (Acharya, et al, 2017, pg. 70).
The disease can be diagnosed through symptoms, medical history and also risk factors as
stated in Mr. George’s case. The diagnostic test is also recommended for instance through
electrocardiogram test and echocardiogram test. (Verma, Srivastava and Negi, 2016, pg. 178).
The coronary artery disease is associated with the following risk factors which are line with
Mr. George’s past health history as provided in his medication case study. Old age is one of the
risk factors of coronary artery disease since Mr. George is sixty-eight years old, he is likely to
suffer from coronary artery disease which may be as a result of damaged arteries. Smoking is
also identified as one of the risk factors of coronary artery disease. (Halvorsen, et al, 2017, pg.
1457).
According to Mr. George’s past health history, he has been smoking 15 cigarettes per day
which might have to risk him in contacting the coronary artery disease since smoking has been
identified as the risk factor. Sex or gender has been identified as the risk factor of the coronary
artery as male gender are generally at greater risk of coronary artery attack as compared to
female being. Mr. George is a male individual, the risk of coronary attack is high. (Alizadehsani,
et al, 2016, pg. 189).

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Mr. George being diabetic, he is prone to coronary artery attack. According to Mr. George’s
health history, he has been suffering from diabetes which is considered a predisposing factor for
the coronary artery attack therefore, his primary diagnosis is likely to be coronary artery attack.
(Altan, 2017, pg. 35).
Nursing problems
According to Mr. George’s primary diagnosis, the patient is likely to experience a various
nursing problem which is as a result of his past health history which is likely to worsen his health
status. Some of the health problem that Mr. George is likely to experience thus according to the
primary diagnosis result is that the coronary artery disease cannot be cured but can only be
prevented and controlled from more attack. The second nursing problem associated with the
primary diagnosis conducted is that Mr. George will be at higher risk of frequent attack due to
his smoking habit which has been identified as the risk factor for coronary artery disease.
(Arabasadi, et al, 2017, pg. 25).
The actual nursing problem with the diagnosed disease that is the coronary artery disease is
that the complication cannot be completely cured rather can be controlled through medication
and physical exercise which will help to burn out some of the cholesterol in the blood vessels.
The identified nursing problem will require regular checkups and medication to Mr. George to
help reduce the incidents of the attack hence Mr. George will be off and on from the hospital.
The identified nursing problem will be specific to Mr. George thus following his past health
status and his old age. (Catapano, et al, 2016, pg. 3039).

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Another nursing problem will arise due to Mr. George’s smoking habit since smoking is
identified as the risk factor for coronary artery disease. (Yang, et al, 2015, pg. 683).
The problem will lead to a frequent visitor to the hospital since it will affect the blood circulation
process which will worsen his condition. The habit can also result to lung cancer since the smoke
will block the air sacs which are responsible for the circulation of the oxygen in the body
therefore upon continued smoking, Mr. George is likely to suffer from lung complications.
(Danad, et al, 2017, pg. 997).
Nursing management
Nursing management for Mr. George’s health condition involves medications and treatment
which will be administered to him by the qualified health practitioner to control and prevent
other related complications which may arise as a result of coronary artery disease. The
management plan for Mr. George’s health status comprises of the identified nursing problem
which might befall him to management such complications to avoid further damage to the blood
vessels. (Dolatabadi, Khadem and Asl, 2017, pg. 125).
Nursing problem 1
The identified nursing actual nursing problem experienced by the nurse in an attempt to
control coronary artery disease is that the disease is not curable hence Mr. George will be
required to visit the nearest health center for a checkup. The nursing management plan for the
above mention nursing problem for Mr. George include various control and preventive measures
for symptoms like being put into medication, control of high blood pressure and also eating
healthy. (Ford, et al, 2016, pg. 2727).

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Medication will help Mr. George to control the symptoms associated with the coronary artery
disease which might result in other complications. Use of drugs like aspirin as it helps to get
more blood which flows to legs hence prevents blood clots in the blood vessels. It also blocks the
production of cyclooxygenase enzyme hence makes the body less likely to produce chemicals
which causes inflammation. (Williams, et al, 2016, pg. 1759).
Healthy eating as a management plan will help Mr. George to avoid consuming excess fats
by minimizing fatty food substances. Excess fats in the body might block some of the blood
vessels as they will clot on the wall of the blood vessels hence hindering blood circulation in the
body. Through this nursing management for Mr. George will help to control symptoms
associated with the coronary artery disease. (Khera and Kathiresan, 2017, pg. 331).
Physical exercise as a nursing management plan will be recommended for Mr. George since it
will help to burn out excess calories in the body. Excess fats in the body will block blood vessels
hence through physical exercise, they will be burnt down to energy hence will not block the
blood circulation system. Physical exercise will also help to keep the body fit to reduce the
chances of Mr. George contacting other infections which are linked with body fatigue like
swelling of limbs. Through physical exercise, Mr. George will be free from old age
complications like paining joints and other diseases. (Klarin, et al, 2017, pg. 1392).
Nursing problem 2
The second nursing problem to be managed by the nurse in charge thus according to Mr.
George’s health history is the concern about his smoking habit which has been identified as the
risk factors for other diseases like lung infections or cancer since smoking affects the air sacs
which free responsible for oxygen exchange in the body. The management for this nursing

Health of older adults 7
problem experienced by the medical practitioner in attempt to control and prevent further
symptoms related to the coronary artery for Mr. gorge thus following his smoking habit is
identified as a rehabilitation program for Mr. George somas to help reduce the number of
cigarettes he takers per day. (Kumar, Pachori and Acharya, 2017, pg. 307).
By reducing the rate of his smoking, nursing management plan for Mr. George will be easily
management due to reduced smoking rate which has been identified as the risk factor for
contacting coronary artery disease and other respiratory disease which might arise due to
inhalation of the smoke which affects the air sacs that are responsible for air circulation in lungs.
(Valgimigli, et al, 2017, pg. 50).
To control his smoking habit, the nurse in charge of his medication should refer him to the
counselling department to be counselled according to his condition. Counselling will help him to
manage his smoking habit since during the process, he will be guided on the possible ways he
can use to deal with his condition without him directly changing his lifestyle. (McPherson and
Tybjaerg-Hansen, 2016, pg. 577).
Being admitted to the rehabilitation center is also identified as the alternative health
management plan which will help to manage his smoking habit. Rehabilitation centers have
been identified as one of the places where people who are addicted to drugs like Mr. George are
being taken to help them move away from their normal environment which might make them to
long for such drugs. During this session, Mr. George will be moved away from the smoking
environment where he will not be able to access his cigarettes hence will help to control his
smoking habit which has been his health problem. (Naylor, et al, 2018, pg. 80).

Health of older adults 8
Discharge planning
The discharge planning for Mr. George will depend on various health and social and
economic factors. Based on health, Mr. George is likely to be discharged from the hospital upon
completion of his treatment plan which was prescribed by the medical practitioner thus following
relieve from the symptoms he had earlier complained about. According to the identified nursing
planning, Mr. George will be discharged from the hospital after full management of his
condition, for instance, he will be released form the rehabilitation center after he has stopped his
smoking habit which was identified as the major health challenge thus following his health status
since it is a risk factor for coronary artery disease which he was diagnosed with. (Patidar, Pachori
and Acharya, 2015, pg. 8).
Based on socio-economic factors, Mr. George’s discharge plan will be done or processed
upon payment of the hospital bill incurred in the course of his treatment program. Based on the
diagnosed disease, Mr. Gorge must be able to clear all his medical bills and services he was
offered while at the hospital since the hospital was a profit-making organization which also
concentrate on the profit maximization objective as one of their key operational goals.

Health of older adults 9
Conclusion
Coronary artery disease being not curable, Mr. George has a personal responsibility to
change some of his lifestyle which will help to control symptoms of the disease. His past
lifestyle of smoking 15 cigarettes daily should be immediately stopped since it has been
identified as the risk factor of the disease diagnosed during the test that is coronary artery
disease.
Due to his old age, Mr. George should exercise daily to help the body to get rid of harmful
chemicals in the body and excess salt and fats to help prevent swelling of limbs and blockage of
some of the major blood vessels which are responsible for blood circulation.
Lastly, Mr. George should regularly visit the hospital for a medical checkup. A regular visit
to the hospital for body checkups will help to control some of the symptoms of the coronary
artery disease and also help in early diagnosis of any illness to enable nurses to develop a nursing
plan for his condition. This action is recommended by the nurse following his old age which
makes him vulnerable as he can be infected easily due to the weak immune system.

Health of older adults 10
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