Nursing Assignment Case Study: Healthcare Setting

Added on - 28 May 2020

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Running head: DIPLOMA OF NURSINGNursing care plan-IntroductionName of the StudentName of the UniversityAuthor Note
1DIPLOMA OF NURSINGIntroductionThe case study in this assignment refers to an elderly patient Ms. Islam, who iscurrently a resident of the geriatric unit in the healthcare setting. Appropriatepermissions and consent was taken from the health administrators and supervisors ofthe elderly ward where the clinical placement took place, for gathering exhaustiveinformation on the patient that would facilitate formulation and development of thenursing care plan. Mrs. Islam is 78 years old. She lived with her husband in Bangladeshtill 2015. However, sudden demise of her husband due to lung cancer made her onlyson bring her to this city. Her son is an IT professional and she stays with his family. Onchecking her medical records and making a thorough assessment, she was found tosuffer from several psychological abnormalities such as, depression and mood disorder.In addition, her admission to the hospital was following an incident where she suffered afall. Her son’s family was out of town for few days and returned to find bruises in herhands and feet, black eye and difficulty in walking. Suspecting probable fractures in herleg, she was admitted to the geriatric ward. Upon admission, a surgery was carried outand she was later shifted to the geriatric ward for recovery.Falls are considered as the most common reasons that contribute to injuriesamong senior citizens. People belonging to age group >65 years are at an increasedlikelihood of getting hospitalized due to falls (Robinovitch et al., 2013). These fallsaccount for more than 87% fractures among older people (Alexandre et al., 2012).Fractures and head injuries are considered as the most serious consequences ofelderly falls that can eve lead to death (Meijers et al., 2012). The most bone fracturesoccur in the humerus, forearm, pelvis, vertebrae and femur, as a result of these falls.The severity of injuries is related to height of the fall.Poor lightning due to inadequateluminance, stairs without handrails, uneven rugs on floor surfaces, poorly fitted shoes,and lack of adequate equipments such as, walking frames, sticks or Zimmer frames arethought to be responsible for these elderly falls (da Costa et al., 2012).Studies have portrayed old age as a time of reflection, rest, and analysis ofopportunities that could have been utilized while pursuing careers or raising families.
2DIPLOMA OF NURSINGHowever, aging process are often accompanies by late-life events such as debilitatingmedical disorders, loss loved ones and restricted mobility. Prevalence of mooddisorders is also a substantial problem forthe older population (Mojtabai, 2014). Theyrepresent the most common forms of psychiatric morbidity among older adults, andinclude unipolar subtype (depressive disorder) and bipolar subtypes (manic-depressive), with different degrees of their intensity (Hegeman et al., 2012).Research evidences also suggest that clinical depression is quite commonamong the elderly and affects more than 6 million people belonging to the targetpopulation. It can be deduced from research findings that depression increases thesusceptibility of cardiovascular abnormalities, thereby increasing risk of death (Haywardet al., 2013). Moreover, the ability of an elder person to rehabilitate also gets reduceddue to depression. This in turn increases the chances of development of suicidalideations (Almeida et al., 2012).According to the National Institute ofMental Health,depression is considereda major public health problem among older people (Gallo etal., 2013). Thus, the emotional disorder associated with geriatric depression reducesthe quality of the life among olders. Research evidences suggest that a family history ofdepression, low levels of the neurotransmitter serotonin and norepinephrine may alsocontribute to development of such mental disorders.The Tidal Model theory developed by Professor Phil Barker and colleagues isbased on a recovery model that aims to promote mental health among all individuals.This theory is built upon the continuous change process that is inherent in all people.Thus, it can be defined as a mental health recovery model, primarily utilized forinterdisciplinary mental health care (Storm & Edwards, 2013). It is based on aphilosophical approach that helps people discover their mental health. It gives specialemphasis on providing assistance and help to people, by reclaiming their personalaccounts of mental distress. This model enables disadvantaged individuals to use theirlanguage and voice for expressing meaning of their lives. Thus, the theory can beconsidered as the first initiative towards facilitating people take control over their lives.This model is therefore utilized by nursing professionals for delivering tailored careservices to their patients (Kidd, McKenzie & Virdee, 2014). The chaos theory forms the
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