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. Psychosocial Needs Assessing Lola revealed a few family health problems including diabetes and heart failure. Although these conditions do not pertain to Lola currently, it became a necessity to teach Lola the dietary precautions that must be taken to prevent the occurrence
Nursing should not be looked upon or practiced as a mere physical approach to healing. Nursing should encompass the aspect of restoring each individual patient to his/her maximum physical and emotional state of being. In order to achieve such a goal, a patient must be able to bond with her caregiver on a personal level (Blais & Hayes, 2011). Jean Watson’s caritas factors sets an environment where the patient can obtain optimum health benefits (Blais & Hayes, 2011). The goal of this paper is to state my philosophy of nursing, the important dynamics and values that led me to adopting this philosophy, and the reason why I choose nursing as a profession. I will further explain how Jean Watson’s principles of philosophy is
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
The delivery of Healthcare is a high touch enterprise that calls for interaction among every stakeholder within the healthcare sphere. Communication, whether interpersonal or intrapersonal, is a crucial part of these dealings and may be transformed by the intellectual use of communication tools. Information is the means of support of healthcare. Therefore, communication systems are the backbone that supports the whole idea. Care of patients in the nursing homes now almost unavoidably entails many different people, all with the need to share patient information and talk about their organization. As a result
Family nursing is not all about patient centered care, it is focused on the needs of the family as a whole (Nursing theory). The main goal for family nursing is to improve any health concerns by assessing the needs,problems,influences, and strentghs of the family (Journal of nursing). There are four four types of approaches to family nursing. The four types of approaches to family nursing are, family as context, family as client, family as system, and family as component of society (the book). The purpose of this paper is to define, discuss, and give examples of the four types of approaches to family nursing.
The long-term care services delivery system in the United States has changed substantially over the last 30 years . There are approximately 17,000 elderly and disabled persons are receiving care in nursing homes (NNHS, 2004). The number of people using nursing facilities, alternative residential care places, or home care services are projected to increase from 15 million in 2000 to 27 million in 2050 (HHS, 2003). Identifying the best nursing home that would fit their needs can be difficult and time-consuming. Although nursing homes usually provide certain basic care that patients need, some nursing home facilities provides special care for certain types of individuals with special needs. For example, people with dementia, AIDS, ventilator-dependents,
Long-Term Care is the retirement crisis that no one is talking about. There is an increasing demand for long-term care services because Americans are living longer with chronic health conditions. For Example, Veterans may live with family or alone and need services that their caregiver can no longer provide or may outlive their primary caregiver. Nursing home placement seems like the only option.
The Canadian government has implemented measures to increase the availability of in home care givers in Canada. The laws that have been created have allowed for many people to become fully pledged Canadian citizens. Many of the people coming into Canada to fill in in house care givers vacancies have been predominantly Pilipino women. These women are given the promise of become a Canadian citizen. After an extensive and costly application process these women from the Philippines are placed in the homes of their employer. The migrant work must live within the employers home for a period no shorter than two years, and must maintain only one employer in the two year waiting .l period. Only once the two year commitment is fulfilled is the migrant worker allowed to apply to Canadian citizenship. Many of these workers come to canada with the promise of have social upwards mobility through the program. However, although the program sounds promising the reality of the program is to
People are living longer and want to live independently as long as possible, but the aged people living alone with chronic diseases face threats on their safety and well-being. The patient Salle Mae Fisher featured in “The Home Visit with Sallie Mae Fisher” (Grand Canyon University, 2016), is an eighty two years old woman who has been recently discharged from hospital after her chronic disease conditions are intensified. She has been scheduled for a homecare visit by the nurses. In this paper prioritized problems and identified risks during the home visits, will be described with evidence, as well as the recommendations and interventions to help make Sallie Mae safer at home.
Action for Social Justice for those Aging-Out of the Care System There is a need to acknowledge that youth who age-out of the Government care system in British Columbia, at the age of nineteen, are inadequately supported. These children have already undergone much pain and suffering due to abuse, neglect or abandonment by their parents. Many of these children spend years within the care system, often demonstrating emotional, social and behavioral issues, which tends to lead to multiple placements. Many of these youths have various medical diagnosis and demonstrated behaviors caused by the abuse, neglect and abandonment, not only from their family of origin but the multiple placements and dysfunction that they have experienced in their young lives. These issues do not disappear at the age of nineteen.
Many seniors live in areas where cold weather is a way of life, especially in winter. These are not the chilly breezes that come off the water in Florida, these are freezing temperatures that can cause severe hardships, loss of power and electricity, frozen pipes, and loss of services. In-home care personnel can help your senior loved ones prepare for the cold weather.
I worked with a 97-year-old female patient admitted to our skilled nursing facility due to frequent falls at home and exacerbation of Congestive Heart Failure. She was born and brought up in a small town in Texas. Her husband was in navy when they moved to Alameda (California) during the second world war. Ms. Jones (Pseudonym) was a homemaker and took care of the family most of her life. She lived with her son and grandchildren. She was independent in basic activities of daily living, cooking, light household chores prior to hospitalization. She used to cook and bake until a few weeks ago when her condition started to deteriorate.
The role of the expert palliative care nurse is complex and unique. The nurse functions as an integral part of a Multidisciplinary team, providing expert skilled assessment and nursing care, supporting the patient and the family to make informed choices thereby encouraging the patient to continue to make autonomous decisions about their care towards the end of their life.
A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate
This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.
Teaching is a vital part of nursing; with home healthcare on the rise teaching by nurses is only becoming more important to insure the patient has the best outcome even when they are not supervised 24 hours by a registered nurse. It is because of proper patient education that patients can now go home with conditions that would have previously insured longer hospital stays. There are various treatment plans that can be performed at home with the correct education and guidance. On 7/14/15 I implemented a teaching plan and taught it to my patient during clinical hours. My patient was a 46 year old Caucasian female from Cary where she was a preschool teacher. She was alert and oriented to self, person, place and situation. K.Y. recently obtained her bachelors in social science. Family is extremely important to my patient, so taking care of her body and remaining healthy are among her top priorities. She and her family were surprised to find out she had a hepatic adenoma at a routine yearly exam. K.Y. followed instructions and directions from her primary care doctor which landed her at UNC hospital receiving a left sided hepatectomy on 7/8/15. Since the surgical procedure K.Y. has been unable to defecate, is having expected surgical pain and is worried about her incontinence worsening due to her current condition.