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Promoting Health in Extended Care

   

Added on  2020-04-07

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Running head: PROMOTING HEALTH IN EXTENDED CARE1Promoting Health in Extended CareInstitution’s NameDate

PROMOTING HEALTH IN EXTENDED CARE2IntroductionTreatment of older adults is one of the most important acts in the field of nursing. In that, the elderly must not only be treated in a manner that is not erroneous, but they must as well be handled concerning maintaining the dignity and even the cultural background of the older adult. The two most important theoretical framework for achieving this, more particularly in nursing, isthe application of the theory of Miller, commonly denoted as Miller functional theory which aims at coming up with factors that influence older people and their degree of function (Hvalvik, & Dale,2013). Additionally, Levett-Jones clinical reasoning cycle is another concept that assists nurses in forming a sound judgment on treating an older adult. Therefore, this essay elaborates on a given case scenario of the patient by the name of Mr. Ratin Bhai. In addition to that, the paper aims at coming up with some of the best practices in maintaining the dignity of older persons while treating them (Ramprasad, Chaudhary, & Bandopadhyay, 2014). The case scenario will thus give an opportunity used to demonstrate how the two concepts can effectively be utilized by nurses in treating the old people.Case Scenario, Theories, and DiscussionThe case scenario is of Mr. Ratin Bhai who is a widower and has an Indian background. The patient has Parkinson Disease and has also been diagnosed with hypothyroidism four years ago, making him be under medication in those years. Moreover, his wife died twelve months ago, and since the two never had children, he is living alone (Mynarikova, & Ziakova, 2014). Even though there are close relatives that live not far from him, he decides not to be involved with them for the notion of becoming a bother to them. Thus, he sustains his life by self-managed superannuation that pays his bill. The disease worsens as days progresses, and this is

PROMOTING HEALTH IN EXTENDED CARE3demonstrated by the fact that he canceled his holiday this year since his mobility is severely compromised (Joffe, Pearce, Hennessey, Ryan, & Stern, 2013). He is not able to cook, buttoning his shirt and shoe laces because of a slight tremor. More threatening to his well-being is the fact that he has started contemplating about the uncertainty of his future. Lastly, he is currently under medication, which is presumably for his two conditions.Miller’s functional theory can be helpful in this case in many ways, more importantly, it helps in coming up with ways of assessing and managing older adults (Hunter, 2016). As for thecase scenario, the slight tremor and altered mobility are some of the conditions of, Parkinson Disease. The conditions at its worse may make one unable to get out of his or her chair or drag someone’s feet when trying to walk. Research also indicates that tremor, as one of the first symptoms of the disease causes most embarrassment to the patient. Additionally, Mr. Bhai suggests that even though he has been going for a holiday, he did not do it this time round as a result of increased altered mobility. As for the case of his thought about the uncertainty of the future, this can be attributed to depression and mood fluctuation that comes as a result of hypothyroidism (Hunter, 2016). Other symptoms of hypothyroidism include joint or muscle pain,sluggishness, cold sensitivity, frequent constipation, dry hair and dry skin. Also, patients also experience slower metabolism of alcohol, cold sensitivity and weight gain in the absence of any intake of calories (Parsaik et al., 2014). Thyroxine is for treatment of hypothyroidism while Carbidopa/Levodopa and Entacapone is used for the treatment of Parkinson disease. As a nurse who not only want to help Mr. Bhai but also has the understanding of the basic principle for treatment of such people, and after analyzing all the details of his case, his character is largely attributed to his ailments. One of the things that one can note is his mobility and tremor. Mobility and tremor affect most people suffering from conditions associated with

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