Sally Mae Fisher Case Study Essay

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.

More people are living much longer lives than in years past. People are very surprised to be living much longer lives than they thought they would. Health care has played a large part in patient longevity. There are many normal changes that come along with aging, however, because people are living longer these normal changes can become chronic problems. Common aging problems that can make the older adult a vulnerable population are reviewed in Gerontological Nursing (Tabloski, 2014) and can include nutritional needs, medication management, sleep changes, oral or mouth care, renal problems and musculoskeletal concerns. According to A Profile of Older Americans: 2013 (http://www.hhs.gov), there are a large amount

Many elderly and their family cannot determine what are normal aging and what are not; therefore, educating them is the key role for nurses to promote safety and health for older adults. Not only assessing physical changes but also mental health assessment is important because those age-related physical changes may cause depression in older adults, which leads to other problems like “difficulty with sleeping,

Rosa Lee is on several different medications for seizures and for her full blown AIDS. Not long ago she was admitted into the hospital for taking too much of one of her medications. This is due to

Orem’s Self-Care Deficit Theory views every individual as practicing “self-care, a set of learned behaviors, to sustain life, maintain or restore functioning, and bring about a condition of well-being.” (Creasia & Friberg 2011) The nurse uses her/his abilities to assist the patient to overcome current self-care deficits and help the patient achieve her/his best level of self-care. As time passes many of the elderly need more assistance with the activities of daily living. Taking care of themselves physically becomes more difficult, sometimes there is decreased mental acuity, as well as a loss in social contact. In every one of these areas the nurse assists the patient to achieve her/his highest level of self-care. This includes diet, eating, elimination, activity, social interaction, education, awareness of obligations, and the promotion of health. Where possible the nurse will help the patient achieve self-care. Since there are no true cures to the aging process the nurse will be needed more and more

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

According to Kelly & Tazbir (2014), there are two nursing implications when caring for aging adults with chronic

Past Health History – The client has a history of congestive heart failure, diabetes mellitus and asthma. Her husband states her asthma and diabetes are well under control. She has a pacemaker. The client’s husband states she is up to date on her immunizations and get the flu shot every year.

The purpose of this assignment is to identify one client problem and provide an evidence-based plan of care for the individual. The purpose of care planning is to show a logical and systematic flow of ideas through from the initial assessment to the final evaluation (Mooney and O’Brien, 2006). The nursing model that will be incorporated in this care plan will be the Roper, Logan and Tierney’s model

As our nation’s elderly population continues to live longer, advanced practice nurses will provide primary care for many of these individuals for years to come. Chronically ill elderly patients often have multiple comorbidities that affect their quality of life. Eventually many of these patients experience a decline in their physical or cognitive functioning that requires around the clock assistance and nursing care provided by a long term care facility. When the transition to a facility occurs, the patient often experiences a loss which can have a negative effect on the patient’s psychological status. “For many people a lack of control over their lives and loss of independence are the inevitable (or perceived) consequence of ageing and of

For the home visit requirement of NURS482, I have chosen to visit an older adult. As a baby boomer myself, I am looking forward to maintaining an active and healthy lifestyle as I age. My role as an RN has been non-traditional, therefore, I am looking forward to the learning opportunity this assignment will provide, helping to me to better understand the challenges that an older adult may face while still maintaining a positive and fulfilling lifestyle.

My definition of aging, disability, and chronic illness has defiantly changed since taking this course. The definition of aging includes many physical and psychological changes that I have forgotten since obtaining my nursing degree. Furthermore, although these changes are a decline in status, I have realized that one can still maintain optimal wellness. Additionally, these definitions of aging, disability, and chronic illness have elaborated to include the many theories of aging and the seven dimensions of wellness. Also, disability is much more involved than the physical impairment, it involves caring for the disabled using guidelines and BSN Core Competencies.

The soaring gerontological population across the world demands attention from health care professionals to optimize health and quality of life. Over the years, various screening tools have been developed to screen for multifactorial facets of health. These tools will aid an older adult to augment health concerns. To view perspectives through the lens of an older adult, health care professionals must delve into a personal level in the world of old age. The purpose of this paper is to provide information based upon an interview with a senior over the age of 70, determine strengths and weaknesses, outline personal needs and family needs, analyze and provide interpretations of an assortment of assessments, deliver nursing diagnoses, problems, and interventions, and validate interventions. A nurse must provide specialized care with the gerontological client.

Nurses have been at the forefront of caring for elderly people; however, as the number of aging adults and life expectancy continues to increase the demand for specialized knowledge in this growing population has also increased. Consequently, gerontological nursing emerged as a discipline that focuses on all older adults from about the age of 65 years. Following the principles of evidence based practise, gerontological nursing care aims to address the physiological, psychosocial, spiritual, and developmental needs relating to the process of aging and care of older adults (National Gerontological Nursing Association, 2001). To insure competent care, gerontological nurses must undergo formal education, clinical experience, and follow best practice guidelines.

This “Well Elder” project began in October with the goal of becoming familiar with a well elder living in the community, in their own home. The purpose was to apply a few of the clinical concepts learned throughout the course such as: clinical judgement, patient education, coping, functional ability and mobility, nutrition, communication, and safety. The experience that the student should achieve is that of a nurse in the role of home care nursing. In this paper, I will be discussing the psychosocial needs, physiological needs, and nursing concepts such as patient education and clinical judgment of my Well Elder, whom I will refer to as Lola. On the first day that I met Lola, I was greeted by a strong looking lady who seemed to be in her early fifties; I was astonished to know that she was seventy-one years old. Lola had been living in the Philippines for most of her life, she moved to America in 2008, as a widow, where she established her life with her daughter and son-in-law in a two floor single family home in Joliet, Illinois. Lola has been fortunate to have had very few health problems over the years. She is independent, eats well, and keeps herself occupied by working as a home health caregiver.