Comprehensive Scholarly Paper Gerontology is the scientific study of old age, the process of aging, and the particular problems of old people. With maturation the elderly suffer from age-related changes that effect their overall health and day to day living. Even those these changes provide limitations that can be lived with, these changes can also exacerbate many medical conditions. The elderly client I decided to evaluate, H.J.is a 76 year old african american female, that has a past medical history of chronic heart failure, myocardial infarction, hypertension, asthma, and renal mass. H.J.also has a past surgical history of a left mastectomy. She is retired and lives at home by herself …show more content…
With her ambulation problems she is definitely at risk for falls at home. “Each year, one in every three adults age 65 and older falls. Falls can cause moderate to severe injuries, such as hip fractures and head traumas, and can increase the risk of early death”. It is important to teach older adults who live at home alone how to decrease the risks of falls. They must remove tripping hazards such as rugs, improve lighting, and add grab bars where needed. Instrumental activities of daily living would be even more difficult to complete for H.J. Assessment of her functional status in the hospital showed that some level assistance would be necessary at home to complete tasks such as medication management, transportation, and bathroom assistance. Upon assessment I did observe some cognitive impairment which I believe was due to the effects of medication. Prior to the administration of methadone H.J was very uncooperative and unable to answer basic questions related to pain rating and orientation. She did not want to be bothered or assessed at all. About an hour and a half later following her medication administration she was much more talkative playful and willing to answer any questions I had to ask. She was also even willing to explain why she refused her MRI which was due to claustrophobia. “Elderly people are more likely than younger patients to develop cognitive impairment as a
Client reported no known allergies to food or drugs. Client reported that she has 8 years daughter. Client indicated her physical health "average". Client reported that she does not have a current primary care physician at the time of assessment. Client reported that she is not currently pregnant and does not taking medication for medical purpose. Client denied any issues in this dimension. Indicated no current condition or medications that would interfere with treatment. Client exhibited adequate ability to tolerate and cope with physical discomfort. No immediate biomedical services are needed at the time of assessment.
In deciding how to treat the issue of the eldercare facility bankruptcy information, it has been determined that Grass Man has an error in his previously issued financial statements due to the timing of available information. One might argue that an error in estimation would be appropriate; however the bankruptcy of the Eldercare Facility was not new information, but rather an, “… oversight or misuse of facts that existed at the time the financial statements were prepared.” ASC 250-10-20 [Emphasis added]
In DC, community based fall prevention programs have been rising to address falls but fall related incident, injuries and the cost has continuously been rising among elderly people (Costello & Edelstein, 2008). In the study conducted by Berland et al. (2012), showed that in home health, not viewing patient safety as primary prevention, lack of investigation causing fall and frailty of elderly adult have been some factors contributing to falls in home health. Falls negatively impacts an individual living in their home by causing them physical, emotional problem, giving rise to additional cost by losing workdays and income.
Falls are highly common amongst the elderly, particularly those who lack mobility, are in hospital, or are living in a nursing home. When an elderly person falls, their activities of daily living may be impacted due to injuries sustained from the fall. It is essential that precautions are put in place to prevent falls in all settings. This essay will discuss the statistics surrounding falls, prevention strategies, and the impacts of a fall on a patient’s ability to complete activities of daily living.
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.
The purpose of the facilitated session is to provide caregivers, seniors and family members with the information needed to prevent the risk of falls at home. The learning outcome will show that participants are able to understand why and how to prevent senior falling at home. The learner will be able to comprehend the various resources and tool that will help in showing the steps that needed to project seniors risk of falls.
Demographics: Patient is a 32-year-old, moderately built Caucasian female; separated once with 2 children. She lives with her children in her mother’s town house in the North-eastern part of the province. She is currently unemployed and receiving disability from the state from sustained back injury. She has Medicaid insurance; speaks English and practices the Baptist religion.
Chapter Two Questions 1.) There are three fields that make up Gerontology, and they include: biomedicine, psychosocial studies, and socioeconomic-environmental studies. Biomedicine studies look at the change in the body that comes with age, including studies of DNA, cells, the body’s systems, stress, and dementia. Biomedicine investigates questions that help them understand the treatment of human diseases. Psychosocial studies look at the changes that take place inside the individual and between individuals and groups.
The aging process in late adulthood is called senescence. People cannot stop the effects of aging but there are alternatives that can help ease the process. These measures are not always followed because people make poor life choices such as smoking. Aging adults will even spend millions of dollars trying to slow the process of aging. No matter how much money they spend aging will occur.
Aging is a universal phenomenon and humans are no exception. Gerontology deals with the psychological, social and biological aspects of aging process. A recent study shows that people aged 85 years and older are expected to augment from 5.3 million people to 21 million as the world reach 2050. In today’s world Gerontology has an enormous role to play so that the senior citizens could be analyzed and their needs may be addressed with compassion and empathy.
Interdependent-Consult physical therapy to assess patient's impaired mobility and the need for gait and balance training. The therapist will also assess the patient's weakness and the need for possible strength training (Ladwig, Ackley, & Makic, 2016, p. 344). Patient's daughter will orient the patient to new surroundings at her home as needed in the home setting. Remove all scatter or throw rugs (or make sure that they have a non-skid backing on them) (Treas & Wilkinson, 2014, p.
In aging and eldercare, researchers have been mistaken to view older adults and caregivers through the same lens as one large group, however, due to the aging population becoming more diverse, including gender, race, and socioeconomic status (SES), these factors should be taken into consideration as well, according to Bookman and Kimbrel
Upon starting this Gerontology course, I was overwhelmed with the course expectations, having to complete an Older Adult Review project, weekly discussion board posts and comments with precise APA format (which I was horrible at) and lots of supplemental reading to fulfill the learning outcomes of this course. Nevertheless, I overcame all those obstacles and have obtained newfound knowledge of what it is like to age, firsthand, coming from one of my favorite patients which has cleared many of the stereotypes I had on the geriatric population. Thanks to this course and interviews with Mary, I have a better understanding of the geriatric population which will benefit my future career as a Registered Nurse.
In the case study of the 75 year old woman these are some of the questions that could be added in the assessment process. The relation to the fatigue I would ask more question to get a better understanding in clarifying the direction. Like how long does it lasts when it occurs? Can you rate the level of your fatigue on a scale of 0-10 ten being the worst? Is it accompanied with a type of activity? Have you had any lifestyle changes? It is a gradual or sudden onset? Do you have any sleep disorders i.e. dyspnea? Do you sleep flat or reclined? This helps pinpoint the fatigue from different types. The types of fatigue are tiredness, exercise, depression, stress, medically like anemia, heart disease, emphysema. (Wilson & Giddens 2009)
My interviewee was a 70-year-old female who was re-admitted to CCC in March 7th, this year. Her primary diagnosis was status post CVA with left hemiplegia. Other past medical history includes major depressive disorder, hypertension, hypothyroidism, COPD, anxiety, GERD,