Critique of Nursing Assessment for Older Person

This paper aims to discuss the critique of nursing assessment for an older person who has undergone knee replacement surgery. It explores age-related physiological changes, risk assessments, and medication risks. The paper also emphasizes the role of nurses in providing person-centered care.

Title Page
Subject name: Life-Stage Considerations: The Older Person
Subject code: NRS221202060
Assessment title: Assessment 2 : Critique of nursing assessment
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Introduction
Introduce your paper here, including what the paper aims to discuss 100 – 150
words.
The paper aims to discuss about Max and older aged patient who is going to be
discharged soon from hospital after a knee replacement surgery. The paper will discuss about
Age-related physiological changes and risk assessments following knee surgery. It has been
analysed that older patients are at more risk of facing issues after such a critical surgery.
Report also aims to provide risk related to medications that can be faced by Max while
consuming them after surgery. Report will also lay emphasis on care that has been provided
by nurses and also their role related to person centred care will be discussed.
Question One:
Write your response to question one here approx. 400 wds
It has been analysed that the Max has been discharged from rural hospital after the knee
surgery. Max is returning home after readmission for post-operative complications following
a knee replacement. There are certain type of risk that can be faced by Max because of his
age and also because he has gone through such critical surgery. The risk that can be faced by
Max after the surgery includes the following:
1.Falls risk (stairs into the house): It has been analysed from the case study that Max has
gone through a knee replacement surgery, so one of the risk that can be faced by Max at
home can be risk of falling down. It can be either from stairs and beds. It has been evaluated
that If an individual fall on the knee soon after surgery when the joint replacement is still
healing, they may damage the prosthetic implant (Reichert, (2016).. It has been analysed that
after this patient can also face physical complications like intense pain. It can reduce down
the quality of life and well-being of patients. Thus, it can result into failure of the knee
replacement surgery. There are various age related risk assessment tools that can be used by
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care worker and also family members in order to save patients from falling. They can make
sure that Max do not walk alone on stairs as there is risk of falling down.
2. Depression: It has been analysed from the case study that Max has gone through knee
replacement surgery and there are also various other problems that has been faced by him.
There are chances that because of surgery Max can feel sad and depressed. This can reduce
down the quality of life of Max. In these health care professionals can be engaged in making
use of open communications so that Max can share his feelings and thoughts post surgery.
They can also make use of cognitive behavioural theory as an age related risk assessment tool
for psychological changes faced by Max.
3. Allergic reaction to anaesthesia: It has also been analysed that there are risk related to
allergy that can be faced by Max after the knee replacement surgery. People who have knee
replacement surgery require anaesthesia to prevent them from feeling pain during the
operation. In this the person can face consciousness after the surgery.
Question Two:
Write your response to question two here approx. 400 wds
Poly-pharmacy is the concurrent use of multiple medications by a patient. Poly-pharmacy is
most common in the elderly, affecting about 40% of older adults living in their own homes. It
has been analysed that there are several medications that has been taken by Max. These
medications can increase the risk to elderly aged patients. It has been analysed that
intellectual disability can be faced by Max when he is more exposed to the medications. It
has also been analysed that there are also several other allergic medical reactions that can be
faced by elderly aged patients. It has also been evaluated that patient can also face problem
related to medication management and can be exposed to several type of risks.
Avanza: It has been analysed that Max is also been involved in taking 30 mg medicines for
depression during the time of bed. There are several risk related to this medication which can
reduce down quality of life of patients and also it can affect their well-being. They can face
issues such as dry mouth and constipation. It has been analysed that they can also face mild
fever and it can rest for couple of weeks and after the knee surgery facing all these type of
problems can also be critical. This medication is been given in order to treat depression and
for some time it can also be given in order to anxiety. It has also been analysed that this
medication can also cause heart related problems if the adequate dosage is not been given. It
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can cause problem related to high blood pressure which can reduce down quality of life of
patient. It has also been analysed that patient needs to take medication as prescribed by the
health care professionals.
Cartia: It has also been analysed that Max is also provided with 100 mg cratia in order to
prevent heart stroke. There are also certain type of risk that is been related to this medication
which can affect the quality of life and well being of Max. In this patient can face problem
like dizziness, nausea, vomiting. This can affect quality of life of patient and also it has been
analysed that this can reduce down their health outcome (McCormack, (2017). It can also
cause headache and they can face several skin allergies. This is the medication review of
Cartia.
Question Three:
Write your response to question three here approx. 400 wds
It has been analysed that nurses in order to enhance health outcome of Max, they need to be
involved in providing them with person centred care. In this the Nurse to effectively collect
the required information to assist in her decision making processes to ensure appropriate
services were arranged for Max prior to his discharge. It has also been analysed as Max is an
older aged patient, it is necessary for health care professionals to be engaged in providing him
with holistic care. They need to be engaged in making use of various risk assessment tool so
that risk of falling from stairs and also from bed can be reduced down. As these risk can lead
to failure of surgery. It has also been analysed that nurses in order to enhance health outcome
of Max can also be engaged in providing him and making use of the evidence based
interventions so that health outcome of Max can be improved. In this nurses can be engaged
in making sure that effective communication is been done by them so that patient can feel
comfortable and also solution to their problem is been analysed by them. Nurses by making
use of effective interaction can be able to know and analyse needs and demands of patients
which is really necessary so that better services can be provided by them. In person centred
care nurses should make sure that dignity is been provided to patient and Max must be treated
with respect (Stokes, (2017). They also need to ensure that no type of personal questions is
been asked by health care professional which makes patient uncomfortable. Person health
care rights also need to be followed by nurses. They must make sure that every decisions
which is made by them must include patient and no decision needs to be taken without
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consent of patient. It has also been analysed that in order to treat Max better, nurses needs to
be involved in providing them with evidence based interventions. They can also include
multi-disciplinary team so that health outcome of Max can be enhanced. It has also been
analysed that high quality of care facilities needs to be provided by them so that the well
being of patient can be improved.
Question Four:
Write your response to question Four here approx. 400 wds
Max reveals some of his health concerns such as depression, osteoarthritis, and medications.
It has also been analysed that in order to treat Max principle of health care coaching needs to
be provided to Max in order to treat other problems that has been faced by him. They also
need to make sure that patient must be made feel comfortable so that better services can be
provided. Nurses also need to be engaged in assessing risk that can be faced by Max after the
knee surgery. This will assist nurses in enhancing well being of patient and they will also be
able to make Max fit. It has also been analysed that nurse in order to enhance health outcome
of patient must make sure that their needs and demands are been known by them. This will
also assist them in curing depression that has been faced by Max (McNaughton et.al., (2019).
In this nurses can be engaged in making sure that effective communication is been done by
them so that patient can feel comfortable and also solution to their problem is been analysed
by them. In order to enhance health outcome Max also needs to be engaged in following the
principles of health coaching. In this, Max needs to be engaged in having better nutrient so
that his problem of osteoarthritis can be solved. It has also been analysed that Max also needs
to be engaged in doing regular exercise so that depression can be cured and the side effects of
medications can be lowered down. This will assist nurses in Max in overcoming problem that
has been faced by him (Moyle, (2014).). It has also been analysed that Max does not needs to
be involved in consuming alcohol as this can also cause allergic reactions to medication that
he has been involved in taking. All these principles will improve Max health outcome. It has
also been analysed that Max can also be engaged in having cognitive behavioural therapy so
that depression can be reduced down. This will assist Max in enhancing their well being and
quality of life will also be improved because of this. All these principles needs to be followed
by Max.
Conclusion;
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Identified what your paper has discussed here 100 -150 words
From the above study it has been summarised that from the case study that Max has gone
through a knee replacement surgery, so one of the risk that can be faced by Max at home can
be risk of falling down. It has also been summarised that there are also other risk that can be
faced by the patient after post knee surgery like depression has also been faced by them. It
has also been analysed that there has also been several side effects related to medications
which can be faced by patient. This can reduce down their health outcome.
References
List only those works you actually cited (used), listing them in alphabetical order by author.
Example
Moyle, W. (2014).Principles of strengths-based care and other nursing models. In W. Moyle,
D. Parker & M. Bramble(Eds.),Care of older adults: A strengths-based approach (pp.
33-48).Cambridge University Press.
Stokes, G. (2017). Challenging behaviour in dementia: a person-centred approach. Taylor &
Francis.
McCormack, B. (2017). Negotiating partnerships with older people: a person centred
approach. Routledge.
Reichert, F. (2016). Students’ perceptions of good citizenship: A person-centred approach.
Social Psychology of Education, 19(3), 661-693.
McNaughton, D., Light, J., Beukelman, D. R., Klein, C., Nieder, D., & Nazareth, G. (2019).
Building capacity in AAC: A person-centred approach to supporting participation by
people with complex communication needs. Augmentative and Alternative
Communication, 35(1), 56-68.
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