Comprehensive Evaluation Of An Elderly Client

I will now talk about each patient needs as they all differ from each other. Nusrat Patel is 19 years old and has learning disability. This means Nusrat has difficulties in keeping knowledge and skills to the expected level of those the same age as her. Nusrat also has epilepsy which is neurological brain disorder when someone has epilepsy, it means they tend to have epileptic seizures, a seizure is a sudden attack of illness. Nusrat has left residential school to receive full time carer from her mum who has stopped working to care for Nusrat. At times this can be stressful so Nusrat attends the community centre on Tuesday and Thursday which allows Nusrat mother to have a break. Maria montanelli is 34 years primary school teacher who is much like Nusrat mother and takes care of her 96 years old mother who has dementia. Dementia is memory loss and difficulties with cognitive development. Being a primary care for her mother Maria feels she not performing at her best ability because of her lack of sleep which occurs when she assists her mother to the toilet several times. The last patient I would like to mention is Alice Fernandez she is 74 years old who recently lost her husband who had lung cancer. Alice doesn't use her pension the right way as she purchases many drinks as an alcoholic and has increased since her husband passed away. She has been prescribed antidepressant tablet by her G.P but made her lethargic this means she's become slow and sluggish.

Quality of life is a concept that has been becoming a more integral part of health care and nursing theories as time passes by. Improving quality of life is one of the most important outcomes of nursing interventions and practice. The rising number of older adults with chronic diseases, the increased expectations and demands for a good life, and major changes in our healthcare system, has led to increased concern for the enhancement of quality of life of our aging population, but the ambiguous nature and subjectivity of this term leads to a lack of clarity on how this should be accomplished. (Plummer & Molzahn, 2009). The purpose of this paper is to

In 2009, An Bord Altranais published guidelines for nursing older people, person centred care and its provision was discussed in depth as a Standard in Nursing Practice, it is also the number one Standard in Nursing Practice. Person centred nursing care is provided within the organising framework of assessment, identification of needs, planning, implementation and evaluation (An Bord Altranais, 2009). Besides her hair going grey and wrinkles appearing a number of other changes are slowly happening within the body during the ageing process. These include changes to the cardiovascular system, the digestive system, cognition and memory, the bladder, bones, the senses and sexual function. (www.mayoclinic.org/healthy/lifestyle/healthy-aging/in-depth/aging/art-20026070 ).Their functionality may slow down, or begin to fail, leaving the older person in the care of a nurse. I t is the nurses duty to deliver person centred care in doing so recognise the individual and their unique interests, qualities, needs and preferences, rather than solely focusing on the illness. (

Long-term care can be defined as a broad set of paid and unpaid services for people who are mentally or physically disabled, or whose chronic illness places them in need of medical or personal assistance for long periods of time. “It is estimated that there are more than twelve million Americans of all ages whose mix of serious disability and chronic illness places them at the high risk for functional decline, hospitalization, or nursing home placement.” (Benjamin) Several different populations require long-term care services, and the needs of these populations vary. In addition to the elderly, many of the long-term care users are younger persons with physical disabilities; persons with developmental disabilities; and persons with chronic

1. Comprehensive Nursing Care, Revised 2nd Edition. (2012). Ramont, Reberta P.; Niedringhaus, Dolores M.; Towle, Mary A.

A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.

Introduction: Prior in tasks one, two, three and four, I have clarified the services given by my chosen service provider, investigating and describing the three areas in wellbeing and social consideration, multi-agencies that work with my chosen client and targeted and universal services. Furthermore, I have evaluated my client's physical, intellectual, emotional and social needs. In this task I will be evaluating how effective the service provider is in minimising the barriers to accessing care services. I will also provide some realistic suggestions of what the service provider could do to further improve access to services.

The Department of Healthy formed a National Service Frame for Older People (2001) which was established to look at the problems for the elderly people so they get the best quality of care. This helps to minimise age discrimination in elderly people and it promotes independence and provides person centred care. The framework has four underlying principles which are; respecting the individual, intermediate care, providing evidence based specialist care and promoting an active healthy life. There is also National Care Standards which aims to improve the quality of life of the patients by the level of care and support provided. The frameworks and legislations help to guide Alice’s care.

1 a.) I have been performing my fieldwork at Whittier Health Network in Haverhill, Massachusetts. There many different types of patients and clients receiving services at my fieldwork site, from patients receiving rehabilitation services, to residents receiving dialysis. Some of the patients that my fieldwork supervisor and I have been meeting with have ranged in age from mid-forties to late eighties, and have had various diagnoses. One patient that my supervisor and I have met with was a women in her mid-fifties. She has recently had knee surgery, and has been suffering from respiratory problems. She also has been experiencing high levels of anxiety, which appears to be due to her inability to breathe properly and easily. Another patient we have been seeing who has been experiencing difficulties with respiration and breathing is a man in his early seventies. He has been ill, and was experiencing difficulty with breathing. He is currently using a tracheostomy tube, which has allowed him to breathe, and make great progress throughout his stay at the facility. Another patient we have been seeing is a women in her mid-sixties. This patient had obtained an injury to the lumbar region of her spinal cord, and in turn has recently had spinal surgery. Other patients that we have seen have been experiencing various injuries that they are working on recovering from; are experiencing various ailments such as dementia, confusion, and Alzheimer’s; or are experiencing difficulties with

This paper will review the many aspects of long-term care problems and many challenges there are within Long-Term care. We will look at rising costs within long-Term Care, patient abuse, will look at the quality of life, shortages of nurses and demand that the elderly are putting on the medical field. The type of care that Long-Term Care had been giving to its patients and the changes within Long-Term Care.

ethics to be truthful, courageous, showing compassion and commitment at all times to provide safe and effective care for our client. Failure to know the physical state of the clients and to communicate with the team could result in bad practice. For example a health service that does not listen to complaints is unlikely to reflect its patients’ needs. One that does will be more likely to detect the early warning signs that something requires correction, to address such issues and to protect others from harmful. A classic example is The Francis Report (2013) “They were failed by a system which ignored the warning signs and put corporate self-interest and cost control ahead of patients and their safety” therefore as nurses, emphasizing the physical state of clients is essential because it enables to rule out any changes in behaviour before administering the medication (NICE, 2015). The NHS constitution cited from British Journal of Nursing, 2015 has launched that clients and their safety should come first in providing care and is also and ethical principle as nurses, we are obliged to do no harm or to minimise the risk of harm. As a learning disability nurse we have the professional and legal duties to always check clients’ medication against their treatment plan, prescription and clients’ information in accordance to name of drug, administration routes and duration, time of administering, the required dose, and expiry date on the medication before administering, we also need

For the purpose of this paper, I will name my client Rudolf in order to protect his confidentiality. Rudolf is a 56-year-old Hispanic male, currently living at the nursing home. He does not have any signs of mental illness, but he is at the nursing home due to his physical disability ( unable to walk properly/ losing eyesight), and not being able to take care of himself. The presenting concern is that Rudolph has to get surgery in a few months and he does not want to be alone. Though Rudolf has support from the nursing home staff, he is seeking for family support.

Nicholas is a72 year old male, who has been referred to me at Communify, a community organization which provides services and activities to enhance quality of life to both individuals and families (Communify, 2014). Nicholas’ quality of life is diminishing, and has reported issues such as loneliness, depression and dementia, which has caused severe mood swings, difficulty in personal care, incontinence, forgetfulness, confusion, leg weakness and loss of mobility. These issues are in fact, all symptoms of vascular dementia – a condition which Nicholas has been diagnosed (Alzheimer’s Society, 2014). Nicholas has also been diagnosed with a progressive heard problem, to which he has recently had surgery.

As individuals age changes occur physiologically that are part of normal aging. These changes occur in all organ systems and can impact an individual’s quality of life. The changes related to aging can be attributed to an individual’s genetic make up, lifestyle, physical activity, and dietary lifestyle. Being able to differentiate between normal changes in aging against disease process is important because it can help clinicians develop a plan of care (Boltz, Capezuti, Fulmer, & Zwicker, 2012). Creating an accurate plan of care for older adults will greatly impact their quality of life.

As a community nurse, identify the risk factors for Thi and his physiological conditions, age, environmental barriers, medication effects and these factors makes his life in risk. For doing a nursing assessment, firstly identify age related changes, risk factors and functional consequences on Thi. Hunter, (Ed). (2012) states that the functional consequences theory is based on person age, health of older adults and emphasis on the concepts of wellness, health promotion and holistic care. A clinical reasoning skill requires care and to make a decision on patient’s complex health and this skills will develop through practice and experience (Levett-Jones, 2013). Recent researches shows that more than 75 years old being male, who is living alone,