NRS221 - Critique of a Nursing Assessment: Assessment 2 Report

This report critically examines a nursing assessment, focusing on a patient's experience following knee surgery and his depression. It identifies three key areas of risk assessment related to age-related physiological changes: sarcopenia (fall risk), osteopenia/osteoporosis, and joint instability. The report discusses relevant assessment tools for each risk, such as the FROP-Com for fall risk, the Calculated Osteoporosis Risk Estimation tool, and plyometric functional activities for joint instability. Furthermore, the report explores the impact of depression on elderly patients, discussing its effects on physical health, sleep, and emotional well-being. It highlights assessment tools like the GAD-7 and PHQ-9 for monitoring depression and anxiety levels, and the effectiveness of treatment. Finally, the report discusses the principles of a strengths-based assessment (SBN), emphasizing collaboration, patient empowerment, and person-centered care as demonstrated in the video provided.

Running head: CRITIQUE OF A NURSING ASSESSMENT 1
Critique of a nursing assessment
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CRITIQUE OF A NURSING ASSESSMENT 2
Question 1 Age-related physiological changes and risk assessments following
knee surgery
In the video, the three areas of risk assessment relevant to Max after surgery include
Sarcopenia, which is an increased risk in falls and disability. Secondly, the patient can
experience osteopenia and osteoporosis. Finally, Max can experience joint instability
(Fernandez, Hars, Trombetti, & Vuilleumier, 2019). The age-related assessment tools for
each of the three areas of risk assessment are as follows. For the risk for falls, the best
assessment tool is Falls risk for older people in the community Screen (FROP-Com). This
tool rates the risk of fa on different factors such as medical history and continence. The risk
for osteopenia, on the other hand, can be assessed using the Calculated Osteoporosis Risk
Estimation too. Finally, joint instability can be determined using plyometric functional
activities.
Question 2: Depression and assessment in an older person
Depression on an elderly patient like Max has diverse negative impacts. First of all, it
affects the physical health of the patient. Studies have established that patients suffering from
depression have a hard time making healthy choices, and this is likely to take a toll on their
physical health. Secondly, depression disrupts the seeping patterns of older patients
(Reynolds, Lenze, & Mulsant, 2019).
Furthermore, it leads to massive weight loss, feelings of hopelessness, and the patient
becomes easily irritated. There exist different assessment tools that can be effectively used to
monitor depression among elderly patients, such as Max. The Generalized Anxiety Disorder
Scale (GAD-7) is one of the devices (Karp et al., 2016). It is a tool made up of 7 questions
also to explore feelings, thoughts, and behavior of the Max if they are as a result of anxiety.
Furthermore, it monitors the extent of anxiety and how well Max responds to treatment.

CRITIQUE OF A NURSING ASSESSMENT 3
Patient Health Questionnaire (PHQ-9) is the other tool, and this is made up of 9 questions
that seek to establish if the thoughts, feelings, and behaviors are a result of depression. It also
seeks to monitor the severity of depression and how the patient is responding to medication.
Question 3: Strengths-based assessment
It is a value-based approach that forms the basis of nursing action while providing
care to persons and family members. Five basic principles guide SBN, person-centered care,
empowerment, health promotion, collaborative partnerships, and finally, innate capacities for
both heath and feeing (Tse et al., 2016). In the video, the nurse utilized collaboration by
involving other healthcare professionals. The nurse also empowered the patient with
information that guided effective decision making. The nurse also included both the patient
and family in care, as evidenced in the video, which is in line with the Principe of person-
centered care.