...Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers (those born from 1946–1964) reach retirement age (as of 2011) A large group of people born between 1946 and 1964, in the time after the Second World War. * What are the five racial groups listed in your text? African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander/Asian, Hispanic, White * How would you perform discharge teaching to an Hispanic patient Teach the family as well because more than likely, pt is going home and family is his/her primary caregivers. * Apply effective and respectful communication strategies in the care of older adults and their families. * List some...
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...STUDY GUIDE for C475 Care of Older Adult Objective Assessment Exam questions are taken from the Learning Objectives under the 9 Competencies: #1 Competency 742.1.1: Compassionate and Respectful Care of Older Adults The graduate integrates principles of compassion and respect for patients and their families into the planning and delivery of care to a diverse population of older adults and into advocacy for vulnerable older adults. This topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers * What are the five racial groups listed in your text? * How would you perform discharge teaching to an Hispanic patient * Apply effective and respectful communication strategies in the care of older adults and their families. * List some of the changes of aging that could affect therapeutic communication * Note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairments, or aphasia and dysarthria. Be familiar with the types of hearing devices. How should you address the older adult during therapeutic communication? ...
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...A Spirituality Assessment Sanda Stanhope Grand Canyon University Spirituality in Health Care HLT 310V Patricia Mullen February 02, 2011 A Spirituality Assessment Spirituality is an imperative component in a patient’s assessment and care that can enhance the quality of life. Acknowledging and supporting a patients’ spirituality can make their health care involvements more encouraging in promoting health, reducing depression, it aids in patients coping with challenging illnesses, and increases the quality of life. Patients do want their health care providers to discuss their spirituality with them. A study found that 40% of patients felt that physicians should discuss pertinent religious issues with their patients, however only 11% of physicians frequently or always did (Maugans, 1991). Assessment Participant One has always worked with the adult population, so to enhance the experience; a fifteen year old female, which has been brought up in the Baptist faith was given a spiritual assessment. Summary of Assessment Findings As with most youth, life consists of the here and now with a philosophy regarding life to be “live life to the fullest without breaking rules”. While there is a true belief in God, family and peers would be sought for support and comfort. Prayer is something best done with family and a familiar pastor, but would be too prickly with a hospital provided clergy. Suffering means to have physical and emotional pain. Instances of emotional were explained...
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...facility with 180 beds Joint commission accredited facility A for profit-non-sectarian, and private funded organization Client Population: mostly 65 and over Catchment area: Includes many residents of Bergen-Hudson-Passaic County. Also patients from Hackensack Medical Center Regent Care Mission Statement Regent Care Center’s mission is to provide the best possible quality of care and quality of life for our long-term residents and sub acute patients. We are also committed to improving quality of life for our staff and family members of our residents. All staff, through team work and the interdisciplinary process, will provide the highest quality service compassion and respect to residents and their family members. The staff of Regent Care Center fulfills its mission and produces a first-class facility by practicing the key concepts on a daily basis: C= Commitment to residents, families, self, and career L= Leadership – setting a good example A= Attitude – positive at all times S= Service – only the best S= Support through team work Regent Care Center is a team of health care professionals committed to quality. Types of Care Offered: Sub acute Care (On the Road to Recovery) Offers short-term rehabilitation and complex medical care…treating a wide range of patients recovering from accidents, injury, surgery or...
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...may also hinder optimal physical, psychological, and cognitive functioning for patients (Sun et al., 2008). Pain is experienced by 30% to 50% of cancer patients receiving treatment and by 70% to 90% of patients with metastatic or advanced disease. In almost every cancer-related case pain is inadequately managed due to a lack of patient and professional knowledge of optimum management (Sun et al., 2008). This paper will discuss how nurses can help provide adequate pain management in advanced cancer patients. Patient and family needs Support for the patient and family may include education and information, coping skills, counseling and psychotherapy, and family meetings, etc. Patients, as well as their family have psychological needs. Family members’ psychological distress can be as severe as that of the patient. Studies of psychological distress have found that the psychological distress of patients and their family paralleled over time so when you help the family to manage their distress may have a beneficial effect on the distress...
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...Review of Literature Essay When a person is placed on hospice, it is generally seen as a comfort measure instead of a curative measure (Villet-Langomarsino 2018). Pain management of the hospice patient is of great importance because it is one of the few things that can be done during the end stage of life when treatment of a disease is no longer desired. Pain is a common symptom in health care and should be one of the easiest to treat due to its popularity, but unfortunately it is not. Since pain is so unique to person, assessment and treatment must be custom tailored to each patient. The problem with pain management is its specificity to each person and disease plus the numerous ways to treat it. Without one specific roadmap of treating...
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...specialists •Colleague •Community psychiatric nurse •Doctors •Family •Friends •Manager •Occupational therapist •Pharmacist •Physiotherapist •Social worker •Speech and language therapist Element - 2 Understand the aims, principles and policies of end of life care 4 Explain the stages of the local end of life care pathway End of Life Care Strategy (DH 2008) •Step 1 - Discussions as the end of life approaches •Step 2 - Assessment, care planning and review •Step 3 - Co-ordination of care •Step 4 - Delivery of high quality services in different settings •Step 5 - Care in the last days of life •Step 6 - Care after death 5 Describe the principles of advance care planning encourage people to consider, discuss, and document their future wishes for care; discussing treatment preferences with the patient; the range of assessment tools, ways of gathering information; assessment of pain and other symptoms, pain history, appropriate physical examination and relevant investigation; multi-disciplinary assessment and information sharing; holistic assessments including: •Background information •Current physical health and prognosis •Social/occupational well-being •Psychological and emotional well-being •Religion and/or spiritual well-being, where appropriate •Culture and lifestyle aspirations, goals and priorities •Risk and risk management •The needs of families and friends, including carer’s assessments; take account of changing needs, priorities and wishes, and ensure...
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...a diminished sense of self and reduction in the quality of life, not just for said patient but also for the families or caregivers. In order to better understand dementia and those who suffer from it, let’s look at potential strategies and challenges to engage dementia clients, how to conduct a biopsychosocial assessment of dementia clients, and take ethical consideration into account in respect to a single client that I have chosen, EP. EP is a sixty-nine year old African American female who was previously diagnosed with dementia as well as depression. I met EP after she was admitted to the short-term involuntary psych unit at the hospital to which I am employed as a mental health associate, making me one of her immediate caregivers. She was admitted after proving to be a danger to herself during screening, where it became known that the patient stopped taking appropriate dosages of her medication and became unable to appropriately care for herself as a result. When EP is doing well with her medications, she is able to live a very independent and healthy lifestyle, but this lasts only temporarily as this is not the first time that she has been admitted here. Her independence is very important to her. EP was born and raised in lower- middle class New Jersey, used to be a nurse, was previously married only once, has two kids and several grandkids. It seems that she does not maintain close ties with anyone in her immediate family because they don’t ever seem to answer her phone...
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...Concept Analysis: Healthcare Related Quality of Life Tarren Evans, RN BSN APSU/RODP NURS 5000 March 21, 2015 Quality of Life Concept Introduction The phrase “health care related quality of life” (HRQOL) or “quality of life” (QOL) is often used in healthcare. The perceptions of the meaning can vary depending on who is explaining it. The reason for this selected topic is to research other disciplines and see if indeed significant variations in the meaning exist. The purpose of this concept analysis is to define, research, and analyze if the dissimilarities improve or hinder a patient’s plan of care. This paper will examine the significance of a concept to advance understanding (McEwen, 2014). Literature Review Can quality of life be defined to have a uniformed definition? The first known research on quality of life was published in 1957 that surveyed mental health adults in the USA. The Oxford English Dictionary (2010) defines QOL as “the standard of health, comfort, and happiness experienced by an individual or group”. There are several influences that can alter the definition of QOL. The acronym “HRQOL” is a narrowed term when characteristics relating to an individual’s health status are likely to be affected (Sandau, 2014). The literature review discussed some domains that render the effects on the perception of this concept. A collaborative study done by doctors and nurse practitioners discussed that physical, social, emotional, cognitive, and spiritual...
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...Gordon’s functional health patterns form the standardized format for family assessment using a systems approach with emphasis on developmental stages and risk factors (Edelman, Kudzma, & Mandle, 2014). In this family interview, I completed nursing assessment by using values/ health perception, nutrition, sleep/rest, elimination, activity/exercise, cognitive, sensory-perception, self-perception, role relationship, sexuality, coping patterns to assess the Sobolew’s family. Health perception and values are focus on family’s perception of health, health management, and preventive practices (Edelman, Kudzma, & Mandle, 2014). In Sobolew’s family, religion plays an important role. They value health as being alive and being able to live out their...
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...Hospice Care When a loved one dies, the place of death may have important implications for families’ experience of death and subsequent bereavement, although it may not be the sole factor impacting this experience. (Siden, 2008) Home hospice helps the entire family and family members are encouraged to take an active role in providing supportive care to the patient. In doing so, the family experiences fewer feelings of helplessness and the patient is not relying solely on strangers for all of his/her care. The goal of hospice care is to achieve the best quality of life not only for patients, but also for their families. Enabling death at home, if this is the patient's choice, is often seen as part of ensuring the best possible quality of life. There are hospitals which have a hospice program to give terminally ill patients access to support services and other health care professionals. Many hospitals have a special hospice unit. These units provide intensive medical and psychological support to patients who need aggressive symptom management. Home hospice provides end-of-life care in a setting which is familiar to the patient and their family therefore making their final days more comfortable and beneficial to all. Excellent end-of-life support, in the location of choice, is in itself, an essential aim but my goal is to determine which choice provides the best care for the patient and the family. Palliative care It has been noted that the most common answer to the question "How...
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...normal life, and what physical, mental, and social deficits might the patient experience even if treatment succeeds? i. With treatment, Jamilah’s chances for a return to a normal life are lower than someone younger and with less medical illness. The recovery time will be longer and harder, but she will be alive and back in her home. If she receives no treatment at all she will die. 2. On what grounds can anyone judge that some quality of life would be undesirable for a patient who cannot make or express such a judgment? i. Her children may be judging the quality of life she has. They may feel that since their father passed away, she lives in an extended care facility, she...
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...with stress in a variety of ways. Some people handle stress better than others. Through the experiments we read about throughout the class we learned people handle stress differently and are influenced by the behaviors of others when it comes to a stressful situation. Introduction On the Holmes and Rahe self-assessment I scored a 120. This gives me a low chance of becoming ill in the future. On the Holmes and Rahe college student self-assessment, I don’t remember my exact score, but it was less than 150 which indicates mild stress. Nothing really stood out to me the most when I took these assessments. I completed these same assessments in the last course I completed at SNHU. My results did not surprise me. What I found most interesting is that the items that gave me the most points were things that I did not see as stressful events. To me Christmas and vacation are fun and relaxing events. I never really stress about either of those events. I do see where some people might find them stressful though. I seem to have a good handle on things, my life has been calm lately and I don’t have much stress to deal with. For the most part I don’t have a lot of stress in my life. There are days at work that are stressful, mainly due to the weather, but other than that things are going well. For example, if I have 5 yards to mow on Tuesday and we get a torrential rainstorm Monday night, then those yards will...
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...Running head: FAMILY HEALTH ASSESSMENT April 09, 2011 FAMILY HEALTH ASSESSMENT Family Health Assessment The family of my choice is the Jones family. Sarah Jones is 40years African American, born into the Jones family with both parent alive and grandparent alive. The Jones family are devoted Catholic, they believes strongly in their Christian faith. Sarah Jones family has history of diabetes, hypertension, constipation, alcoholism and long history of smoking. Sarah Jones has history of diabetes, chronic obstructive pulmonary disease and a long 2 history of smoking cigarette ,chronic back pain, insomnia,depression and she weighs 300lbs and height 4.5ft tall , has never being married and has no children. Sarah Jones lives with her parents and she is an unemployed student, Sarah’s parents are retired. Health perception and Health Management In regards to the data collect on Ms Jones , it is noted that she has a long family history of smoking . Sarah Jones also has history of smoking cigarette, Sarah Jones has history of congestive obstructive pulmonary disease, which will result in failure to nourish tissues(Gordon, 1987). Nutrition and Metabolic Ms Jones data collected indicated a history of being obese and diabetes and she is unemployed and lives with her parents who are retired , Sarah Jones has problem of insufficient fund which makes it difficult for her to purchase food that are recommended for diabetic client and also she is unable to make good selection of food...
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...Personal Health Assessment The six dimensions of health are: physical wellness, emotional wellness, intellectual wellness, spiritual wellness, interpersonal and social wellness, and environmental or planetary wellness. I would have to say that out of these six dimensions my strongest three would have to be emotional wellness, spiritual wellness, and interpersonal and social wellness. Being not in any particular order I am going to discuss why I feel these are my three strongest dimensions of health. Once I read that the qualities of emotional wellness were trust, self esteem, self acceptance, self confidence, self control, satisfying relationships, and one having the ability to share feelings, I knew right away that this dimension was one of my strongest areas. I am a kind loving trust worthy person, therefore I have tendency to feel that all individuals are trust worthy as well. I love the relationship that I am currently in with my significant other as well as with my family it is a very satisfying one for all parties involved. I am able to share the feeling that I have about by mate to him as well as with others around us. We love and enjoy each being with each other, and this is a very good feeling. Due to my current and pass relationships I have good self esteem and self control. I have also accepted myself for who I am and I love myself for being the woman and mother that I am becoming. Personal Health Assessment 2 My second strongest dimension...
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