Elder Assessment Findings General Assessment General assessment of Mr. McKay raises a few red flags that may indicate potential elder mistreatment. Dried stool and dirty sheets are noted on more than one occasion. This reveals that Mr. McKay is not getting adequate and timely care and the care takers are neglecting to tend to him on a more frequent basis. Pre albumin and albumin are used to interpret individual’s nutritional status. Mr. McKay’s pre-albumin was within a normal range with 16.0 to 35.0 mg per dL being the norm (Beck & Rosenthal, 2002). His albumin level, used to monitor long term nutritional changes was below the norm. However, these levels are dependent on other factors like hydration status as well as kidney function and are not as sensitive to …show more content…
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A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was
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
Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice
Caregiver assessments ought to incorporate a family centered perspective, which should be comprehensive of the needs and preferences of both the caregiver and care receiver (Feinberg & Houser, 2012). Caregiver assessments outcome is a plan of care that was established collaboratively by both the caregiver and practitioner (Feinberg & Houser, 2012). An effective and complete assessment is a important part in deciding on suitable support services for caregivers, particularly when the care receiver’s plan of care dependent upon the contributions of family members and/or close friends. (Feinberg & Houser, 2012).
Enforcing laws in nursing and care facilities will directly benefit both the elderly patients and the care physician. With laws enforced, and families and patients informed, a world of worry dissolves from the patient and the family. When patients and families don’t need to worry about the safety or livelihood in a nursing or care home, it benefits everyone. The census bureau states, “According to the U.S. Census Bureau, people 65 years of age and older accounted for 12.5% of the US population in 2000” (Sellas M.D.). It would be a huge relief for everyone if laws were enforced. Also, the work environment for the care and nursing physicians would greatly benefit from the enforcement of elder abuse safety regulations. As stated previously, most acts of violence in the nursing and care fields occur when employees collect low wages and feel miserable because of their working environment. When the government enforces laws, it creates a better working environment and then a safer environment for patients. In many cases, nurses and other caregivers may not know exactly what forms elder abuse can take. They need to be informed, in a variety of ways. According to the Oxford Journal, “There is an annual world Elder Abuse Awareness Day and the
According to the Centers for Disease Control and Prevention (CDC) (2015) every year there are 800,000 individuals who have strokes. There are 610,000 first time cases and 185,000 recurring stroke individuals. It is important for caregivers to note that the increased risk of another stroke is higher after the first (CDC, 2015). It is also critical for the caregiver to ask questions of the physician, such as what aspects physiologically and emotionally have been affected and treatments
Mrs. Audine Blue is my client for this “Elderly Adult Survey.” Interviewing this lovely lady was delightful as she revealed her birthday of August 15, 1933 and is 84 years young. The lovely Mother Blue originally from North Carolina was afforded to live for a while in California, as well as, in New York before returning to North Carolina. Married to Mr. Henry Shelton Blue at very young age, they have one daughter, one grandchild, and one great grandchild. Asking about her parents, Mother Audine became sad considering they died while she was young. The cause of their death was hard work and cruel treatment that Mother Audine had to witness as a child. However, she recalled how they put their trust in God and
Treatment of stroke, in general and ischemic stroke specifically, in particular, is aone of the most pressing issues in both nursing and medical science today. This is due to the fact that there are very few available treatment options for the various kinds of stroke. Acute ischemic stroke carriesis a prominent medical issue with a high risk of death or morbidity (Kakma, Stofko, Binning, Liebman & Veznedaroglu, 2014). Stroke, including ischemic and other types, is recognized, further, as a one of the most prominent leading causes of disabilities (Saver et al., 2015). While cerebral infarction resulting from thrombotic occlusion of brain arteries is the most common stroke type, ischemic stroke is also quite common. Each year ischemic stroke affects over a half-million victims in the United States alone;. o Of this group, about 150,000 deaths occur, along with 300,000 victims suffering from any number of disabilities following a stroke (CITE)after the fact.
Stroke, or brain attack, is the number four killer of adults in the world. In the United States, 160,000 deaths occur each year. From 1999 to 2009, the death rate from stroke gradually lowered as improvements to medicine and testing developed. Yet, 800,000 Americans continue to have strokes and survive the event. Worldwide, about 15 million experience stroke with 6 million who die and 5 million who become permanently disabled. (Robinson, Richard & Odle, Teresa G. & Frey, Rebecca J. & Odle, Teresa G. , 2011) The statistics in America are better for surviving a stroke because of rapid response and better interpretation of symptoms. Nevertheless, surviving a stroke often brings on dilapidating effects; which means a change in lifestyle and lifelong rehabilitation through physical therapy.
The tool used for the presentation of the Health Promotion Project pertains to the video titled: Know Stroke: Know the Signs. Act in Time, published on the website of the National Institutes of Health (NIH) (National Institute of Health, n.d.) to help educate the public about the symptoms of stroke and the importance of getting to the hospital quickly. This video reflects the current standards of practice and is easily accessible from the NIH website under the stroke material: videos, television, and radio public service announcements. The content of this video is objective, easy to understand and follow. The authenticity of this video is supported by the fact that it contains the stories told by the
To better understand the scope of the problem, it is crucial that society knows what is considered as elder abuse and why it is important to resolve this issue. Elder abuse refers to any intentional or negligent act by a caregiver or any other person that causes harm or a risk of harm to a vulnerable adult. There are many forms in which an elder can be abused, “Elder Abuse and Neglect” Journal of Psychosocial Nursing & Mental Health Services distinguishes between the five most common types of elder abuse as well as their effects and/or common signs and symptoms for each. These types of abuse include physical abuse,
A frequent sign of nursing home neglect is dehydration and malnourishment. As such, monitor the appearance and weight of your loved one. If you notice a steep decline in weight loss this may be an indication as to improper nutritional intake by your loved one as well as point to some emotional abuses in the care of your loved one.
Stroke is noted by Lee, Shafe and Cowie (2011) to be a major cause of both morbidity and mortality in the United Kingdom. It is estimated that close to 110,000 incidences of stroke occur in England annually (National Audit Office,2004) with recent studies reporting that the rate of incidence ranges between 1.36/1000 per year (Hippisley-Cox , Pringle , Ryan, 2004) and 1.62/100 per year between 2002 and 2004 (Rothwell et al,2004). Even though cases of deaths from stroke has decreased in the United Kingdom over the last forty years, stoke accounted to close to 46500 deaths in Wales and England in 2008 (accounted for 9 percent of all death cases (Lawlor et al,2002; Office for National Statistics,2008). The current United Kingdom health policy places a lot of emphasis on the reduction of stroke (Department of Health,2007,2008). Key to realizing this is the importance and need for better management of the vascular risk factors such as hypertension, high cholesterol, obesity, diabetes and atrial fibrillation. In this paper, we present an essay based on the assessment of care of an elderly patient suffering from six different pathologies with stroke (non-haemorrhagic) being our pathology of choice. A rationale for this choice is provided followed with the underlying pathophysiology of the chosen aspect of care and finally an evidenced based analysis of the nursing interventions required for the selected aspect of care.
Participation in the study will lead to results clarifying the best treatments for individuals that have experienced a stroke with impact to cognitive functioning. This information will be extremely useful to society as many individual’s experience strokes in their lifetime. The data obtained from the study will allow health professionals to partake in evidence based practice, reinforcing the concept of best practice for their patients. Referencing the study will allow the professionals to select the intervention with the strongest results, therefore leading to most improved cognitive functioning in individuals post
Stroke is seen as a major health concern and this is due to the fact that every year, as many as 110,000 individuals suffers from strokes making it a key issue. (NHS 2014)