Sample SPICE Assessment Paper

Changes due to the aging process also need to be addressed. Calcium reabsorption increases especially in women after the menopause, this decreases bone density. Lean tissue decreases as fat increases with age; there is also a decline in the percentage of body water meaning that body temperature is more difficult to control. Thirst decline and decreased renal function means that older people can become dehydrated (Copeman 1999). The function of the bowel reduces, meaning that the elderly are more susceptible to indigestion and constipation. The risk of constipation is also increased with Parkinson’s disease (Parkinson’s UK 2011). The final consideration is the deterioration of the sensory system. Taste, smell, vison, pain and touch all decline meaning that food may not be as appealing (Copeman 1999).

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,

As a person ages, theirs body cannot perform the way it used to. This will cause many elderly people to loose their job or choose to go into retirement. Both of these options cause a loss in health care as well and a reduced or exterminated income. Here alone lies a reason that the elderly population is challenged. The elderly population also has a tendency to develop a chronic illness that can be life threatening if not treated or controlled properly. This means that need for health care treatments also increases. At least 40% of those over age 65 will have nutrition-related health problems requiring treatment or management (Gigante, 2012). It is important to realize that 10% of people over the age of 65 and will develop Alzheimer’s disease and 50% of those over the age of 85 will develop this disease (Gigante, 2012). More elderly African American men and women use government aid than white men and women. Therefore, this population will be vulnerable because of the lack of funding, proper health care and insurance.

Much of this timing is based on genetics, lifestyle, and access to health care. In general, people have learned stereotypes regarding the elderly. Some of these stereotypes are accurate, but they do not pertain to all the elderly population. Health care providers have come to expect changes in the elderly. However, it is important not to make assumptions, and to use assessment tools to identify changes the elderly may have encountered. Some of the areas the clinician may expect to find changes include: mobility, ambulation, nutritional intake, continence, and skin changes (Tabloski, 2014). The result of these changes includes a multitude of challenges for the elderly. It is important for the clinician to obtain an accurate functional and psychological assessment of the geriatric patient prior to deciding a plan of

The applicant requests an upgrade of his general, under honorable conditions discharge to honorable. The applicant states, in effect, his discharge is unfair, because his mental condition was not acknowledged or considered. The applicant states, in effect, he had two separate offenses related to Spice, but he was never found guilty of possession, using, or purchasing Spice. The applicant contends he admitted to having tried Spice before when he was in a deep depression/anxiety state, after he was wrongfully assaulted by an El Paso, Texas, Police Officer. The applicant states, in effect, he was slammed face first into the concrete by an El Paso, Texas, Police Officer, causing severe dental fracture. The applicant contends his resulting appearances cause him to isolate himself and seek treatment from behavioral health services for atypical behavior. The applicant contends that after months of seeing a psychiatrist and psychologist, he was making progress until his identical twin brother separated, and his support system immediately deteriorated. The applicant contends he started binge drinking, even though he was under age and when he could not get alcohol, he would go ballistic. The applicant states, in effect, he unfortunately turned to Spice, which led to him be spotted

The loss of autonomy increases exponentially with age. Throughout an individual’s life, the choices made that deteriorate health accumulate and decrease the quality of life. The study of gerontology, or aging, focuses on the elimination of premature disability and the characterization of the mechanisms regulating aging. As scientists study to understand the burdens that emerge within the aging population, it is up to a healthcare team to improve the quality of life for their patients by alleviating their daily burdens. The cognitive, behavioral, and psychological wellbeing of an individual are often compensated for when the signs and symptoms associated with aging materialize into diseases and disabilities. New therapeutic and pharmacological

Recognition, evaluation and treatment of this population requires interdisciplinary approach. The interdisciplinary approach collaborate with various groups to provide adequate resources to the vulnerable population. The internal and external factors impact health status of older adults and contributes to vulnerability risk. The internal factor occur due to physiological changes such as increasing age, gender, sensory impairment, memory impairment, substance abuse along with medical co morbidities, malnutrition, decrease in performance of activity of daily living or dependency on care giver or

We have all seen them walking down the street, dowsed in what seems like a can of Lynx Africa body spray, dressed in skin tight clothing - presumably purchased on a previous ‘lads night out’ from Topshop, hair gelled into an ice gem with a ridiculous amount of hair gel, huaraches on their feet and heading for a cheeky Nando’s (which I can assure you will be banterous). Yes, these ‘spiceboys’ are annoying, but what threat do they actually pose.

As people grow older, they develop dental problems which lead to nutritional intake issues. Cognitive function declines affecting memory, decision making, conversing, and problem solving. In addition, falls can occur with mental status disturbances. Lack of social interaction, depression, and anxiety also crop up in the elderly. Sleep patterns are altered by restless legs, snoring, and disrupted breathing sequences. At times, pain can be constant from arthritis, osteoarthritis, or other medical issues (Tabloski, 2014).

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.

Delirium, Depression, and Dementia are some of the most common psychological diagnoses in the elderly today. The three D’s are difficult to differentiate between in older adults because they overlap with each other and can all exist in the same patient at once. Delirium, Dementia, and Depression all affect the elderly’s quality of life and often increase the risks for one another (Downing, Caprio & Lyness, 2013). For the purpose of this paper I will be focusing primarily on the diagnosis of Dementia, the prevention, and nursing measures associated with it, but first I would like to differentiate between Delirium and Depression because Dementia is often associated with the two in the older adult population.

Reported Edmonton Frail Scale (REFS). The REFS derived from the Edmonton Frail Scale which defined frailty using the accumulation deficit model. The REFS evaluated ten domains for screening cognition function, general health status, functional independence, social support, medication uses, nutrition, mood, incontinence, self-reported performance. A total REFS score is 18, the scores of 12–18 is severe frailty, score 10–11 is moderate frailty, scores 8–9 is mild frailty, scores 6–7 is apparently frail and scores 0–5 is non-frail (Hilmer et al.,

Chronic disease and conditions are usually defined as those diseases which last for more than six months and which have a severe effect on the life of the individuals (Chronic Conditions and Injury, para.1). While chronic diseases can affect people of all ages and demographics, these types of diseases are very often found in the elderly. Chronic disease are also characterized by "…multiple risk factors, long latency periods, a prolonged course of illness and functional impairment or disability" (Key indicators of progress for chronic disease and associated determinants, 2011, p. 1). Chronic disease is also found to be more prevalent in the ageing demographic of most countries.

Unlike modern medicine, herbal drugs can be adjusted according to the condition of each patient. The diagnostic approach depends on the tailored requirements according to the