Comprehensive Assessment and Management of Older Person's Needs

This report presents a comprehensive assessment and management model for an older person with complex needs, focusing on a case study of a 60-year-old woman with a history of diabetes and frailty. It applies a comprehensive geriatric assessment (CGA) framework, encompassing functional capacity, physical examination, psychological, social, and environmental domains. The report identifies reduced function and medical history including the functional capacity and mental capacity of the patient. The care plan addresses medical, functional, and social needs, including medication reconciliation using STOPP/START criteria. The report emphasizes person-centered care, immediate and long-term care plans, and the importance of multidisciplinary teamwork in managing chronic conditions, frailty, and polypharmacy. The conclusion highlights the challenges faced by both patients and healthcare professionals and emphasizes the need for effective management plans to improve the quality of life for older adults. The report draws on evidence-based practices, clinical guidelines, and the application of frailty screening tools, offering insights into the challenges and opportunities in gerontological nursing.