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Geriatric assessment case study
Geriatric assessment case study
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Circumstance: Ayden will maintain contact with medical team monthly. Ms. Smalls (MHP) and Mrs. Wigfall (MHS) discuss Ayden’s recent medical appointments and therapy. Action: MHS report Ayden will start physical therapy at an outside clinic. MHP and MHS discuss Ayden receiving all therapy at the same clinic to reduce several therapy appointments during the week. MHP and MHS review reports given since last week.
Examination Constitutional Weight 175 pounds. Height 5 '3". Respirations 12. Pulse 69. General
Through this course I have learned that history taking and performing a physical assessment and being able to differentiate normal from abnormal findings is one of the most important roles of a health care provider. If an accurate physical assessment is not performed, whether for baseline data or when the patient’s condition changes, then the patient is not receiving the level of competent care he deserves. Family Nurse Practitioners are expected to safely provide and meet the healthcare needs of people across the lifespan and diverse cultures through evidence-based care. Assessment is the first step in the process of individualizing care. To site a few examples, it is important to know a patient’s allergies to medications or food to avoid
The following sources and data used to formulate the diagnostic impression: comprehensive exiting examination, clinical interview, mental status examination. According to Susan Nolen-Hoeksema (2013), a clinical interview is an important
Response to Lewisetta In practice, educators use many terms or labels to discuss children and families who live in poverty. Gloria Rodriguez and James Fabionar (2010) assert that the many terms we use should serve "as a reminder of how often we are called on in education to talk about -- but not necessarily to" -- our students and their families who live with low incomes (p. 64). As educators, we must be sensitive to the effects of poverty on our students' state of mind and ensure that we separate their developing sense of self from their living conditions. As a starting point, we must be extremely careful how we talk about children who live in poverty.
Michaela P. Capulong NU 333-01: Physical Assessment for the Nursing Professional June 29, 2015 Journal 7 When I do my assessment on admission, I always include the assessment findings that I expect to be abnormal if the patient has definite cardiovascular problem. I notify the MD and the nurse practitioner immediately if I find abnormal findings or values. I ensure to chart the education and the correction in response of the abnormal findings. In addition to that, tests and labs should be done to rule out problems. It is essential to know the patient’s health history before conducting the physical exam.
Descriptive, prospective cohort quantitative approach. The study population consisted of 62 patients in the postoperative period of cardiac The postoperative period can be characterized by having a pattern of pathophysiological disorders resulting from surgery and anesthesia. Researchers claim that severe gastrointestinal complications can occur about 1-2% of the postoperative period of cardiac surgery. (Guaragna, 2005). Nausea and vomiting are common postoperative disorders, but can and should be avoided because of the complications and discomfort, especially after a few specific types of surgery.
In addition to the broad spectrum of disorders considered
10. medications found to work well in younger persons may not work in the older age group? Give at least three reasons why. Majority of the elderlies have more than one medical disorders. Most common ones are high blood pressure, diabetic, or Arthritis.
Prior to performing his physical assessment, I gathered information about Marfan syndrome and additional diagnoses such as scoliosis and heart murmur. First I introduced myself to B. and his parents ask them if he wanted his parents to stay in the room for the physical assessment. I explained the process of assessing him starting from his head to his feet and if he had any questions to feel free to ask. I was able to determine the main focus when assessing B. and the characteristics
It is essential that these diagnosis’ become more accurate so that the consequences can be understood and that the markers of clinically affected individuals be identified to support appropriate diagnosis and
The patients are questioned about their family history and past habits, such as smoking, drinking, or drug usage. Next, a physical exam is performed on the patients. The physical exam consists of a complete check up with an added neurologic exam, which involves memory testing. The physician observes how the patient behaves during the physical exam. The patients’ vital signs, respiratory rate, temperature, and blood pressure, are obtained.
The Elder Assessment Instrument is a fifty-one item Likert-scale checklist that can be completed in an office setting by any healthcare provider. One of the most widely used tools is the Brief Abuse Screen which consists of five questions and takes less than one minute to administer. (Wang, Brisbin, Loo & Straus,
For my interview, the aging individual is a person I have known my whole life. Though she is not blood related, she is considered family, and an important person in my life. I chose her because I have seen her go through the aging process in a positive, and inspirational way. She has defied the norm that a woman needs a man in her life, yet she has lived her life without being in a single relationship. I have structured this interview to make it more like she is telling me her story.
For middle stage dementia this is where people start to really take note of behavior and language changes. This stage is characterized by a worsening in the ability to not only follow stories but also regular conversations. They will often ask for a repeat of simple instructions, have problems using the right volume for certain settings, and will sometimes not understand expressions of those around them. It is in this stage when you start to notice the repetition of stories and questions. For most caregivers the repetition is what they notice and associate with