Aged Care and Multiple Diagnosis
Added on 2020-04-15
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Attention Students:This is an editable word document.This word copy of assessment is for student to work offline. Please DO NOT upload this document in Student Hub. You can copy and paste answers from this word document to your online assessment. AssessmentsStudent:Jewel Vafee - S1710650Course:Diploma of NursingCourse Offer:17VDONB7Course Unit:HLTENN013 Implement and monitor care of the older personAssessmenttype:Theory AssessmentDisplaying 1 to 18 out of 18 total. 1. Mrs James is a 65 year old woman admitted to your aged care facility five days ago. Mrs James has a history of Alzheimer’s disease and UTI. Since arriving Mrs James has been prescribed 40mg Frusemide (a diuretic) for 8.00 PM. You have noticed in her notes that she has recently had trouble sleeping and is appearing dehydrated.1.1What might you communicate to the RN and why?I would tell the registered nurse that the drug has side by effects that are very serious and life threatening to the patient. Dehydration of the patient means that the patient is experiencing kidney issues and therefore it is important to stop the patient from continuing using this drug.
2. You overhear one of the nurses in the aged care facility talking about older people during which she states “As you get older, you get more set in your waysâ€.2.1Determine the different commonly referred to stereotype statements that you may come across regarding aged people and how these may adversely impact the older person (in 50-70 words). One of the stereotypes of regarding old people is that they cannot perform well sexually. This is stereotype because sexual performance of an individual mainly depends on the health of that person. This stereotype may affect the older person in that they may lose their confidence and may fail to get a sex partner.There is also a stereotype that older people have blood pressure. Although older people are more likely to develop blood pressure, the stereotype that most or all old people have blood pressure affects the people in that they will get worried and may get depressed.2.2Identify 2 (two) external factors associated with ageing and briefly describe how these external factors could adversely impact an older person. One of the external factors that is associated with ageing is heat waves from the sun. Heat waves affect the skin of an individual and also have various other effects in the body and hence contribute to faster ageing. Heat waves impact on older persons by causing their skin to age faster and also may cause illnesses such as cancer.Exposure to toxic air and water also contributes significantly to ageing. It affects old people in that it may affects some of their body organs and may interfere with body functions such as urinating.3. Imagine that you are working with Kevin Mills, 78 years old, who lives alone in an independent living unit. Mills has type 1 diabetes. You visited Mills today to check his bloodsugar and ensure that he maintains his health in his best possible way in relation to the agreed NCP. Mills’ daughter is at home now and she visits Mills two days a week to ensure his welfare.3.1Mills’ blood sugar is 10.2mmol/L at 10:00 am. He had his breakfast at 08:30am (2
toast, raspberry jam and tea with two sugars). Mills stated that he did not document the previous blood sugar values and doesn’t want to follow the diabetic diet plan as he feels the diabetic diet is †̃boring’. Provide 2 (two) examples of strategies you would implement as a nurse in promoting the health maintenance of Mills. The blood sugar level of Mills is very high. The major strategy of regulating the blood sugar level of Mills is controlling his diet. I need to ensure that Mills does not consume sugary foods that raise blood sugar.The other strategy is ensuring that Mills exercises regularly. This will help in breaking down the sugar in the blood and hence she 3.2Identify and describe a community service/resource Mills and his daughter could access in promoting his health maintenance in relation to the identified issue in addition to the home nursing services. The community service program that Mills can access is that of receiving injections andmedical advice from the community health nurse. The nurse will be visiting Mills on regular basis to ensure that he is getting injections and complying with the health related issues.3.3Briefly describe in 40-60 words, how you could apply advocacy skills in relation to this scenario. My advocacy skills would be important in helping Mills deal with the blood sugar condition since I would offer him advice and guidance on healthy living that will help him to overcome the illness and live a better life. The skills would be used to offer him advice on diet as well as medication.4. Elder abuse has been a recurring issue and area of concern among`st the elderly.4.1Define elder abuse and the possible different forms of elder abuse you may come across in your nursing career (in 50-70 words) In my nursing career, some of the forms of abuse on the elderly people that I have witnessed include:Physical abuse: Non accidental use of force against elderly people is very common. Hitting and shoving of old people is very common.Emotional abuse of old people happens through intimidation, ridicule and humiliation.
Habitual behaving and blaming old people for negative occurrences.Neglect is another form of abuse for old people. Most old people get abandoned by their family and relatives and they end up suffering a lot.Psychological abuse is also very common among elderly people. Isolating the elderly people and the stereotypes against the old people also affects them psychologically.4.2Identify the legal requirements and possible ethical issues in aged care practice in regards to elder abuse (in 40-60 words) One of the ethical issues for aged care practice is reporting cases of harassment and abuse of aged people to authorities. Aged care practitioner need to report any suspected cases of abuse on the elderly to the authorities.The victim of an abuse has a right to self determination. The victim has to make a conscious decision on whether to report the case or not and to admit that they have been abused.4.3List 4 (four) possible signs of elder abuse. Unexplained burns, cuts, bruises and bleedingSprained or bones that have been brokenThe victim becomes withdrawn and distressedInjuries that keep on recurring time and time again5. Analyse possible non-pharmacological therapies used in the possible treatment of dementia patients (in 50-70 words).There are various non-pharmacological therapies that are used to treat dementia. One of these methods is the standard therapies. Standard therapies are applied on the patients to help them relieve pressure of the brain and therefore help to recover from the disease.Behavioral therapy is also important in treatment of dementia. Behavioral therapy involves
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