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(PDF) Challenges Faced by Older Adults With Cognitive Impairment

   

Added on  2021-06-15

13 Pages3173 Words31 Views
Running head: CARE OF OLDER PERSON WITH COGNITIVE IMPAIRMENTCARE OF OLDER PERSON WITH COGNITIVE IMPAIRMENTName of the student:Name of the University:Author note:

1CARE OF OLDER PERSON WITH COGNITIVE IMPAIRMENTTable of Contents1.Introduction:........................................................................................................................22.Discussion:..........................................................................................................................22.1Issue Related to Delirium:...........................................................................................22.2Best Practice Recommendations:................................................................................32.3Nursing Management of Post-operative Delirium in Older People:...........................82.4Impact of the Recommendations on Nursing Management:.......................................93.Summary:............................................................................................................................9Reference:................................................................................................................................11

2CARE OF OLDER PERSON WITH COGNITIVE IMPAIRMENT1.Introduction:Cognitive impairment is a condition of illness in which a person faces difficulties inremembering, concentrating and learning things and lacks ability of taking decisions in theirregular life (Rock et al., 2014). The symptoms affect the daily life of the patient in aneffective way. Older people are more prone to the symptoms of cognitive impairment(Mitchell et al., 2014). There are different forms of cognitive impairment such as dementia,delirium and depression (Freitas et al., 2013). The chosen form of cognitive impairment forthe essay is delirium. The following paper will provide a brief idea about the relevant issueregarding delirium, evidence supporting the issue, recommendations related practice andclinical situation, evaluation of such recommendation regarding quality, clinical relevanceand applicability, nursing recommendations and a summary of the findings for face-to-facetutorials.2.Discussion:2.1Issue Related to Delirium:There are many issues related to delirium in adults and older people. One of the mainissues regarding the older person is delirium management of older people in hospital.Delirium is common in the hospitalized patients, mostly in the older person (Kalish, Gillham& Unwin, 2014). The main problem is to recognize the illness, as the symptoms are alikedementia. The fluctuating nature of the person makes it difficult to recognize the propersymptoms (Gélinas et al.,2013). Thus, clinicians face some complexity to understand thatwhether the person is suffering from delirium or dementia. The main reason of suchdifficulties is the use of inadequate cognitive assessment and poor management in thehospital (Freitas, S., Simões, Alves & Santana, 2013). It is important to diagnose the disease

3CARE OF OLDER PERSON WITH COGNITIVE IMPAIRMENTproperly as a patient with delirium has high mortality rate. Hence, the poor deliriumrecognizing process and the hospital management become a headache in order to manageolder person with delirium.2.2Best Practice Recommendations:Best Practice Recommendation 1:Proper diagnosis of delirium is important as the condition may lead to end of life issuein the older people. Diagnosis need to be done in the basis of history of the patient,because in many cases the symptoms arise due to effect of some past head injury, strokeor other accidents. Hence, mental status assessment and some physical and neurologicaltests are required to determine the nature of the illness. Cognitive testing need to beprovided to the patient to understand the different risk factors and to differentiate betweendementia and delirium (Hosie et al., 2013)Quality and Level of the Evidence:The recommendation is not based on high quality evidence. Many questions can beraised regarding the clinical guideline. For example, whether the screening process is costeffective or not, if it is acceptable to the patient and the role of such screening indecreasing the mortality rate. However, researchers have stated that such screening test isimportant to understand the severity of delirium and provide effective treatment to thepatient. Clinical Relevance of the Evidence:The recommendation regarding proper diagnosis of delirium is highly recommendedin the clinical practice. Cognitive test of every old age patient in the hospital beforeadmission is important to identify delirium within him or her. It will help to understand

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