Aging Adult

Aging Adult Case Study

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

  • What is the client’s BMI?
  • Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?
  • Identify two client outcomes that are reasonable, measurable and realistic
  • Identify 3 nursing interventions for each client outcome and give rationales
  • Identify what weakness in the client’s life and supports may be impacting the client’s activity and diet?
  • What referrals would you make and why?
  • Identify your references in APA format. Use references not just opinion.

Assignment Expectations:

Length: 1500 to 1750 words in length

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

 
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Aging Assessment

Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). 

Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult.

500 words, 3 APA format reference. NO Plagiarism.

 
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Agree Or Disagreement This Answer With 100 Words And Because 19174751

 Plagiarising as a nursing student, goes beyond the academics. It reaches to the core and very foundation of trust, and integrity upon which the profession of nursing was built, and affects the very care we give to our most trusting clients, our patients. It attempts to uproot and, make a mockery of it all by taking away the trust the public has in our profession. As students, if we do not carefully research the topics and issues before us, and discover the best way to address and get it under control through proper data collection, giving credit to where it is due, we will not be able to carry these out as nurses. This is exactly what we are going to do for every patients concern. We will have to research or investigate the problem, collect data, analyze it, plan, while advocating for the patient as we present our findings to the physicians. Our implementation of the prescribed care will focus on the patient’s safety, and we will patiently and together with the physician evaluate the outcome of the whole process. This will aid to enhance a much better outcome for these patients.Their trust in the profession of nursing will be strengthened. The issue here is about honesty and integrity in our work as nurses. We are expected to research enough materials and get an excellent  grasp of the researched topic while giving credit to the sources of our acquired wisdom. As we practice doing this at this level of our education, we will easily transfer it to our professions as nurses. As we ethically practice this, we will be able to stand with those great giants in healthcare, and deliver the best possible care with integrity to those that have come to us with trust in their time of illness or trauma.  

 
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Agree Or Disagreement This Answer With 100 Words And Because 19175777

 

Three examples of plagiarism are intentional plagiarism which is when a person knowingly copies the work of another person and purposefully did not give credit to the author. Unintentional plagiarism involves a person having poor writing and paraphrasing skills (de Souza, 2016). Cheating is known as plagiarism and is when another person takes someone’s work and presents it as their own (LaDuke, 2013).

Nursing is a very trusted profession and therefore nurses are meant to provide professional care to members of the community, integrity is essential in this type of work. Poor decision making is led by lack of integrity and dishonesty, this can have poor patient outcomes. I think that since most people who are achieving their baccalaureate degree are full time nurses, time is a big issue. They think cutting corners and copying and pasting will save time. They forget that nursing is a profession passed on integrity and trust, plagiarism can affect their performance and impact EBP created to affect change in patient care (LaDuke, 2013).

Things that I will plan to do to ensure my academic integrity when doing work for my BSN is to use plagiarism prevention software like Turnitin, making sure to give credit to each piece of work by citing authors and dates correctly, and for asking for help if I am not sure if it’s a credible source or if I am citing correctly.

 
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Agree Or Disagreement This Answer With 100 Words And Because 19179593

 Critical thinking and evidence-based practice (EBP) drives nursing practice today. Critical thinking can be defined as incorporating data analysis, synthesis and interpretation of data to determine patient interventions. (Green, 2018) Evidence-based practice is defined as “the integration of clinical expertise, the most up-to-date research, and patient’s preference to care.” (Green, 2018) The nursing process to delivering patient care is dynamic. When a nurse incorporates the nursing process of assessment, diagnosis, planning of outcomes, implementation and evaluation in the setting of EBP patient care is substantiated. It allows the nurse to implement care and evaluate the outcome. It further permits for care to be changed if outcomes aren’t as desired. Critical thinking and critical evaluation are interchangeable. It enables the nurse to gather data and process that data to influence better patient care giving rise to better patient outcomes. Patient outcomes have improved when this process has been implemented. Foley catheter utilization driven by EBP and how it’s decreased catheter associated urinary tract infections (CAUTI) is one great example of its success. Patients no longer have a Foley catheter placed without a medically necessary reason. Risks and benefits have been tested, evaluated and substantiated to Foley catheter usage. This has greatly improved (decreased) CAUTI incidence and decreased negative patient outcomes. (Green, 2018) “EBP is aimed at hardwiring current knowledge into common care decisions to improve care processes and patient outcomes” (Stevens, 2013) This is an outstanding improvement to delivering patient care. As nurses we want to facilitate health and well being without causing harm. Exercising critical thinking and EBP when rendering care will help achieve that goal. 

 
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Agree Or Disagreement This Answer With 100 Words And Because 19179599

 Modern day nursing has two intertwined components that influence nursing care and is resulting in change how care is delivered, those two components are critical thinking and evidence-based practice (EBP). In the eBook Dynamics in Nursing Art and Science of Professional Practice in chapter four Sue Z. Green defines critical thinking by saying,“Critical thinking in nursing is the ability to apply the nursing process effectively and purposefully to an identified problem” (Green, 2018). While this is a good definition it seems to be lacking in that it does not clearly indicate or explain the “critical thinking” part. The definition appears more about the problem solving while using the nursing process. The nursing process is a efficient method for solving problems but to define critical thinking a little expanding is required. Critical thinking includes Green’s definition plus requires formulating a solution to the problem utilizing creativity and analysis from as many view points as possible looking for potential alternative responses and outcomes to the problem. In nursing the nurse utilizes critical thinking in every aspect of client care because nursing utilizes a holistic approach. This includes care for the client in the areas beyond just the diagnosis and includes treating psychological and social aspects of a person. The importance of using critical thinking to treat the client in a holistic approach is a source or interference with the healing process maybe beyond physical. Once the nurse critical thinks about the situation and addresses the problems then solutions can be applied, and the healing process can continue.

    The eBook defines EBP in chapter three as, “The integration of clinical expertise, the most up-to-date research, and patient’s preferences to formulate and implement best practices for patient care.” (Dean, 2018). The intertwining of critical thinking and EBP will allow for better client outcomes, shorter stays, and increased satisfaction scores. These will all be accomplished through applying a scientific process to aspects of care and determining if the care is indeed helping, hurting, or no impact on client outcomes.

 
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Agree Or Disagreement This Answer With 100 Words And Because 19180399

 critical thinking is defined as a purposeful self regulatory judgment by( facione 1990) and as purposeful, goal directed thinking by (Halpern 1989) just to mention a few. In the field of nursing critical thinking is paramount, since at any given moment nurses are faced with complex situations that requires accurate judgment calls. Evidence based practice is defined as a continuous interactive process involving the precise, careful, thorough and well thought-out consideration of the best available evidence to provide care.” As is evident from these pragmatic definitions, the focus is primarily on the best ways to find and apply research evidence by (The Canadian Nurses Association). Critical thinking and evidence based practice goes hand in hand to promote better patient outcome and the ability to treat patients and their families on an individual basis (Youngblut & Brooten, 2001}. Clinicians chose the field to care for others and to do so effectively and appropriately they must stay up to date with current research and information and by furthering their education. 

 
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Agree Or Disagreement This Answer With 100 Words And Because 19180403

 

Critical thinking is essential skill in nursing. Nurses use their critical thinking to anticipate the need of patient. For providing quality and safe care to patient nurses need to think in critical way. With proper assessment of patient and analyze whole data to see better picture of patient problem .So think about the ways to solve patient problem. Like patient came to you with complains about pain in his chest so now you need to do quick action without wasteing time because that’s priority may be its life threatening so ask about pain characteristics and level of pain is it emergency or he can wait how is his vital sign so it should be quick decision to prevent complication or you can save his life with your best efforts “Critical thinking in nursing is the ability to apply the nursing process effectively and purposefully to an identified problem. Since becoming a student, the nurse learns to apply logical and empirical reasoning when making important decisions regarding patient care” (Sue, G)

Evidence based practice to nursing care is very significant to improve patient health or recovery of a sick person. It’s always depending on research evidence or clinical expertise .Patient preference is also a part of it. “EBP is described as the integration of clinical expertise, the most up-to-date research, and patient’s preference to care. This assists the nurse in understanding and substantiating care when needed.” (Julie, D)For example in back days in hospitals they used to put tuberculosis patients with other patient without any isolation precautions then more cases noted from hospital employees and other patients got infected  So through research nurses were able to prove it’s not safe to admit tuberculosis patient with other patient room and without any precautions .After long research they discover its true direct contact with patient could affect care giver and other patients. So after that tuberculosis patient admitted in different ward with negative air pressure to prevent contamination of air. So if you want to promote wellness you need to follow these two rules critical thinking while working with patient and always use evidence based nursing at your work .

 
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Agree Or Disagreement This Answer With 100 Words And Because 19180411

 

The profession of nursing has been redefined as compare to previous times. It is well recognized and respected due to the fact that it now involves extensive knowledge, study, research obtaining a degree. The nurses have different fields of skills and specializations such as advanced nurse practitioner, nurse anesthesiologist, wound nurse, nurse case managers, etc. But there are other factors too, such as society and environment, culture. In some cultures, nursing is not considered an ideal profession because income is not satisfactory, work condition is tough. Nurses have less autonomy and respect and their image is negative because people are not aware that what nurses are capable of. Governments and institutions are not providing enough awareness and knowledge about the dignity of this profession. Only students low income and poor families are coming to this profession.

The factors that can influence the perception of nurses is continuing education and awareness. In my opinion, the public perception of nursing is based on who a nurse portray herself while providing patient care. A knowledgeable, well prepared and patient-focused nurse will have respect, dignity, and value. The attitude also plays an important role as this differentiate one nurse from the other. People always respect the nurses who are professional, knowledgeable, focused kind and respectful with a positive attitude.

There are several factors that can influence the scope of nurses including individual factors relating to professional development and continuity of education and preparation in the field. The other factors are work-related factors including a relationship with the doctors, health professionals, and other interdisciplinary health care team. The organizational factors like policies, practices, and providing benefits and acknowledging the contribution of nurses and providing respect and autonomy. The nurses should be a part of the legislative committee policy-making and shared governance so they can have a more defined role in their future. The general public should be educated about the role and importance of nursing through print and electronic media.

 
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Agree Or Disagreement This Answer With 100 Words And Because 19181697

 

Nursing has been seen by the public in many different ways depending on the timeframe (Grand Canyon University, 2018).From the time when nursing was performed by medicine men to current day, the public’s opinion has been swayed by cultural and media factors (Grand Canyon University, 2018).How many times have we seen movies where someone who is ill is being taken care of by a witch doctor or a nurse in a skimpy outfit?There are several factors that play into how the public perceives nurses and how they care for patients.

In some cultures, those who care for the ill are thought to have healing powers (Grand Canyon University, 2018).In a particular study it was shown that “the public sees nursing as combining knowledge, skill, and professionalism with caring” (Donelan, Buerhaus, DesRoches, Dittus, Dutwin, 2008, p. 149).There have been movies and magazines that have shown nurses as sex symbols and drug addicts (Grand Canyon University, 2018).There are also times when nurses are seen as heroes.Recently, I had a coworker on a transatlantic flight and the pilot asked if there were any medical personnel on board to assist in a situation.Two nurses were on board and were able to assess a passenger and recognize that there was a cardiac issue.They used the available equipment and were able to stabilize him until an emergency landing was made.News stories about nurses helping in emergency situations and crises can have a positive impact on the public’s perceptions (Donelan, et al., 2008, p. 150).

As nurses, we have the power to influence how the public views the nurse’s role today.This can be accomplished by educating our patients and their families in our day to day practice.A task-oriented nurse can go in a patient’s room and hang an IV and take vital signs without even saying a word to the patient or family.The family may have questions and concerns; however, if a nurse does not even make eye contact the perception of nursing may be negative.A nurse that makes eye contact with the patient and family, explains what they are doing, and in turn asks if they have any questions or concerns can help put the nursing profession in a positive light.The role nurses have is multi-faceted. We care for, nurture, educate, critically think, and advocate for our patients.This is how we can influence the public’s perception of nursing.

 
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