Interview With Older Adults

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Interview with Older Adult Part Two I have selected an older adult who is an 84-year-old female to continue my interview with. This older adult, MK, is alert and oriented, lives with her spouse of 56 years in their single-story house, is quite independent, and has a couple chronic illnesses. MK suffers from hypertension and high cholesterol, along with osteoporosis, and hypothyroidism. Despite her chronic illnesses, she is able to keep wellness in her daily life and is living life to its fullest by traveling and spending time with friends and family. The purpose of this paper is to continue conducting assessment tools such as the geriatric depression scale, the geriatric pain scale, and the assessment of her environment and advanced directives.…show more content…
214). MK has a history of bunions and hammer toe as well as surgery on her right foot for a bunionectomy. The surgery did not go as planned and she suffered from infection at the surgical site and due to her history of osteoporosis, she needed pins which dislodged after surgery causing foot deformity and pain. She describes her pain in her feet as intermittent, dull, and aching. At the time of the interview, she had no pain. The worst her foot pain had been in the last 24-hours was a five and the best was a zero on a zero to ten scale. Any pain less than a seven is considered an acceptable pain level for her and if the pain is seven or greater then she takes a pain medication. Being on her feet with certain shoe causes her pain to increase and changing her footwear, elevating her feet and taking Aleve or Tylenol helps alleviate her pain. Proper foot care and footwear can help reduce pain and increase or maintain mobility which can encourage independence, according to the article Chronic Foot Pain in Older People (Menz, 2016). (MK. Personal communication, July 6,…show more content…
According to Falls Among the Elderly (Marks, 2014), patient mobility and independence are reduced due to falls and complications such as hip fractures, brain injuries, and internal injuries can all be associated with patient falls. Risk factors presented by the article Falls in the Elderly (Al-Aama, 2011), include previous falls, taking more than one medication, difficulty with walking due to gait impairment and pain. I would include these risk factors as well, her being female, the antihypertensive medications she takes, and her complications from her foot surgery when discussing the potential for falls topic with MK. All of these risk factors will require teaching, as well as the potential for issues related to the assessment tool from the patients’ environment. In my patient teaching, I would encourage proper use of her medications, continued exercise, appropriate nutrition, yearly eye exams, proper footwear at all times, and a continued safe home
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