A Reflective Nursing Care Study of an Older Adult

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Introduction This is a critical analysis of the nursing-care interventions used for an older adult during practice placement. This care study discusses the patient’s ageing effect of common pathology, critical analyses of the bio-psychosocial issues, clinical implications and how they determine the nurse-patient relationship and care-interventions delivered. Background The patient was an 82year old female (Mrs Smith) in-patient, undergoing treatment for confusion and Urinary Tract Infection (UTI) in a 36 bed, acute ward for care of the elderly (Appendix B). Her past medical history includes, UTI, confusion and Dementia of the Alzheimer’s type (AD). Prior to being admitted to the hospital, Mrs Smith had been living with her daughter who reported that she has become increasingly confused, forgetful and anxious. She also reported that Mrs Smith has been rapidly losing weight and would often accuse her of trying to poison her. On admission, Mrs Smith’s Mini-Mental State Examination (MMSE) revealed a score of 20, indicating mild-moderate with severe memory loss (Burns et al 2010). Whilst in the ward, Mrs Smith continues to display signs of confusion, inappropriate vocalization, refusing her medications, food and fluids stating that they are poison giving to her to kill her. A care plan (Appendix A) was devised for this patient. However, this essay will critically evaluate 3 aspects of the care plan; promoting effective dietary intake, safely managing inappropriate vocalisation and promoting social integration in the ward. For confidential reasons, the names of the patient, staff and trust have been changed in this essay. Care plan/Intervention for Nutrition Mrs Smith’s care plan identified nutrition as an important need in order to improve her physical and mental wellbeing. Psychological, physical and social factors such as social isolation, the presence of chronic

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