Nursing Practice: TAS Assessment on Aging and Client Care in Detail

This assignment delves into the complexities of geriatric nursing care through a comprehensive assessment of Mrs. Hong, a 70-year-old woman experiencing early signs of dementia. The assessment explores age-related physiological changes across various bodily systems, including sensory, cardiac, respiratory, neurological, musculoskeletal, genitourinary, endocrine, renal, and skin integrity, and discusses how these changes impact activities of daily living. The assignment includes detailed assessment strategies for identifying these changes, particularly focusing on Mrs. Hong's neurological and sensory functions. It addresses the impact of aging on medication metabolism and excretion, common stereotypes of aging, and the rights and dignity of older persons. The case study further examines elder abuse, signs of stress and dementia, and appropriate nursing interventions, considering cultural and age-related factors. It explores the implications of short and long-term residential care, advanced care directives, and the information needed for informed decision-making. Finally, the assignment culminates in a comprehensive care summary for Mrs. Hong, including her self-care abilities, identified physiological, emotional, and mental issues, and detailed nursing interventions tailored to her specific needs, incorporating cultural sensitivity and addressing her sensory impairments and early dementia.

Applying Nursing Practice

TAS Assessment Criteria

Questio
n 1
a. List 2 age related physiological changes to each of the following;
 Sensory function: Sensation of vibration and supervisial sensation
 Cardiac function
 Respiratory function
 Neurological function
 Musculoskeletal function
 Genitourinary function
 Endocrine function
 renal function
 skin integrity
b. Discuss how these identified changes can affect the client’s ability to perform
activities of daily living.
Sensory function: Sensation of vibration and superficial sensation like pain,
touch and others decreased. Problems in noticing details about something.
Cardiac function: Thickness of valves inside the heart and a heart murmur
Respiratory function: Cough due to decreased strength in respiratory muscle
and loss of supporting tissues.
Neurological function: Spinal code lose weight, slowing down of passing
information into brain.
Musculoskeletal function: Lack of ability to contract, weakness in bones
muscle and may break easily.
Genitourinary function: Bladder control issues, chronic kidney disease.
Endocrine function: Vascularization disease, increment in connective tissue
content.
Renal function: Loss of kidney function, decrease in renal blood flow.
skin integrity: Sagging and dry skin, lack of ability to protect body from
changing temperature and others.

TASK Assessment Criteria

Question 2
How would you assess the client for any of the identified physiological changes
listed above? List 5 assessments that could be used to identify possible age
related changes.
From above discussed changes it can be said that Mrs Fei
Hong, 70 year old facing problems in remembering
things and this problem of dementia can be associated
with changes in neurological and sensory function.
Assessments Decreased muscle strength
Memory loss
Changes in mental health
Reduction in sensory perception
Decreased cognitive awareness
TASK Assessment Criteria

Question 3 Outline how age can affect the metabolism and excretion of medications. Why is
this important to know?
Response:
Due to ageing it increases blood concentration of drugs
which altered metabolism and also give adverse
reactions of all medicines.
By knowing it patients can changes its diet and can keep
itself healthy.
TASK Assessment Criteria

Question 4
Provide 30 – 50 words of your understanding of each of the following aging theories;
 biological theory:
 psychosocial theory:
 disengagement theory
 social exchange theory
 wear and tear theory
 activity theory
Response:
 biological theory: This theory states that
changes in thoughts, behaviours and personality
features have biological cause. For understanding
changes occurs in behaviours, there is requirement
of studying brain and nervous system.
 psychosocial theory: It believes that
human development is related to interaction
between society and individual. Motivation lead
human development and the way of interaction of
people affect their mind and development.
 disengagement theory: This theory states that
ageing is a mutual withdrawal which lead
reduced interaction between person of ageing
and other person in society. This behaviour is a
natural as well as acceptable.
 social exchange theory: This states that social
behaviour of an individual is a result of an
exchange process. As the way people talk and
give respect is directly proportional they receive
respect in that way.
 wear and tear theory: This theory states that
ageing is a natural process and happens with all
and it is all caused by cells damage, body stops
functioning effectively.
 activity theory: This theory states that people
specially older people remain happy when they
are active and when their body functions in an
effective manner and also when they are active
in social interaction.

TASK Assessment Criteria
Question 5 Discuss some common stereotypes of aging. How might this affect the way care is
provided to an older person?
Response: There are some negative stereotypes of
ageing such as: lack of ability to drive, memory loss,
sexuality inactive, loneliness and others. All these
stereotypes changed the way of providing care to people
with age of 50 and above such as: society members start
to isolate older people.
TASK Assessment Criteria

Question 6 How might the rights or dignity of an older person be affecting by these
stereotypes?
Response:
Due to some negative stereotypes like loss of memory,
society members start to keep away from older people
and it is violation o rights to have freedom to live in own
society and getting equal treatment. People start to
discriminate them.
TASK Assessment Criteria

Question 7 Identify 3 types of elder abuse and possible signs for each one.
How would you advocate for an older client if you observed elder abuse?
Response:
Negligence by family member: Social isolation is a sign.
Emotional and psychosocial abuse: changes in behaviour
of older people is a sign.
Physical abuse: Physical injuries are sign.
If there is an elder abuse then it can be treated by
providing counselling, interaction, medications and
special treatment for making them feel valued.
TASK Assessment Criteria

Question 8
What signs might Mrs Hong demonstrate physically, emotionally or mentally
which may indicate to you that she is feeling stressed about her current
situation. How might you respond to this?
Response:
Mental: hearing and sight impairment
Emotional: Interfere in parenting of twins
Physical: Signs of dementia like confusion, lack of
concentration etc.
By making use of communication skill and keeping her
engaged in counselling she can be made feel
respected and valued. Memory training, social
stimulation, physical activities or exercise are some
non drug therapies which can improve her health.

TASK Assessment Criteria
Question 9 What possible signs and symptoms may indicate to you that Mrs Hong is developing
dementia?
Response: memory loss, hearing problems, interferes in
parenting twins of her daughter was some signs
identified in Mrs Hong. Some behaviour changes were
also a sign.
TASK Assessment Criteria