Nursing Assignment: Care Process for an Aged Patient with Physical and Mental Disabilities

Running head: NURSING ASSIGNMENT
NURSING ASSIGNMENT
Name of the Student
Name of the University
Author Note

1NURSING ASSIGNMENT
Introduction
Mr. Williamson is a 90 year old person admitted in the Autumn Days Residential Aged
Care Facility for 6 weeks with the complaint of fall injury and a hip replacement surgery has
been conducted due to his fracturing of NOF. The condition of the patient indicated that he has
Alzheimer’s and the condition leading to vascular dementia. Moreover, the patient is
immobilized due to the surgery and the fracture and he could not memorise to use the wheelie
walker as of the Alzheimer’s. For his memory problem and immobility he could be able to
control his urination as well. Along with all these aspects he also lost his hearing ability which
makes the understanding ability of the carer difficult for the patient. Furthermore, the history of
the patient has highlighted that he has an attitude of self-independence which leads to the
condition of not considering the help of the carers for guiding him to the shower. In the
following section the highlighting issues of the patient and also the reflection on the issues would
be discussed.
Problems
Problem 1
On the basis of the case study it can be seen that the patient is affected with immobility
due to the surgery of NOF. The immobility of the patient was affecting several aspects of daily
routine of the patient. Such as the situation of incontinent urine, not been able to reach to the
shower and not been able to move by him (Gosch et al., 2016). Hence, the he needed support
from his carer and as of his psyche he was a self independent person. This attitude hampers the
mobility and other daily needs of the patient as well. The immobility can affect the psychological
development of the patient and could be able to develop pressure injury as well (Curley et al.,

2NURSING ASSIGNMENT
2018). Hence, the mobility development of the patient should also be considered with priority.
Otherwise the management of the mobility of patient should also be considered for the health
management of the patient.
Problem 2
The patient also has Alzheimer’s which affects the memory of the patient. In this
situation the patient cannot recall different aspects such as using the wheelie walker, taking
medication at time and also he can forget his own name and the cause of his hospital admission
(Almeida et al., 2015). On this context it can be stated that the factor of the vascular dementia
and the age of the patient is causing this situation (Musiek et al., 2018). However, there is no
significant medical history or family history found, it can be stated that the disease can be
inherited as well. On this context it can also be stated that the immobility and incapability of
working on his own can affect the psyche of the patient and the frustration can cause the
psychological disorder. Based on this concept it can be sated that the process of the care of this
patient should be considering the mental stability of the patient as well (Atri et al., 2018).
Problem 3
The process of the ageing of the patient affected the hearing of the patient. The hearing
loss is a problem that affects the understanding and also the therapeutic relationship development
of between the patient and the carer. Hence, the care process of the patient can be affected. On
this context it can be stated that the process of the communication can play a crucial role in the
caring of the patient (Cohen et al., 2017). Moreover, the hearing loss can also affect the
Alzheimer’s condition of the patient. Based on this context it can also stated that the
understanding of the patient about his surrounding also been affected. Thus it can be stated that