Describe the elements of a comprehensive health assessment of a geriatric patient. What special considerations should the nurse keep in mind while performing this assessment? Nurses and healthcare professionals need to pay close attention to different things while performing a comprehensive assessment on the older population. The comprehensive assessment includes mental and functional status, social and economic status and the actual assessment of the body functions (Jarvis, 2012). It’s important to observe mental status changes and functional status changes, this can determine how well the patient can take care of themselves and deal with their health promotion on their own.
We must monitor the clients behaviour and ensure we check their mobility hasnt deteriorated . If this happens they may need futher assessments so that equipment becomes available. If the manager does not feel we are meeting the clients needs he/she will arrange for the client to be moved to a more suitable home. The manager has to ensure all staff are trained to prevent accidents and also ensure their are suffient staffing levels. 2.2 Know how to address conflicts or dilemmas that may arise between an
Also reports will need to be written up. If the correct procedures are not followed then you could face suspension or dismissal. 2. Describe what a care worker must do if unsafe practice is reported but nothing is done to ensure it is corrected. They should firstly report it again to the next level of management remembering to document it all down.
3. describe action to take if monitoring suggests that the procedure needs to be changed or is no longer needed. c. Where monitoring indicates a change to the care plan is necessary then this should be entered in the daily record and further should be referred back to the team leader and any other professionals that may be involved so that a more effective care plan for the client can be instituted. A record of responses should be kept to ensure those have been made aware and have the situation in hand. Checking the care plan at the start of each visit will alert the carer of any changes that might have been made in their
Aiii: The principles to be followed for safe moving and handling are that there needs to be risk assessments and procedures done to minimise the risk of injury to the employee. This may include recommended amount of people required to move an object, specific equipment needed and training to safe about handling equipment safety. Aiv: It is important to follow the care plan and communicate with each individual when assisting and moving as moving them incorrectly may cause them to be injured or discomfort. You need to inform and discuss with the person in concern about how to be moved, provide help and equipment when required. Av: Doctors are responsible for prescribing medication.
So i reported Mrs. A request to the nurse in charge, because i am not trained so i can‘t make changes. Every effort should be made to support Mrs. A to be moved in the way she wantsto be moved. She has the right to make choice. So the nurse on duty reviewed the risk assesment first and work out if it is safe foe all involved for Mrs. A to be moved in the way she wishes. From now on we are following a updated risk assesment plan and moving Mrs.A how she requested.
Nurses need to keep themselves cognizant of changes in the nurse practice acts and how they are affected by these changes. “Nurses need to be able to read and understand legal language in order to analyze how that language will affect their practice and conversely their patient.” (Furlong. P.31) The nurse practice act is always changing. New technology changes and increased workload, nurses are required to stay up to date with the changing scope of practice. Resources: Brekken, S. A., & Evans, S. (2011).
Our patients may be receiving or need care from other organisations who will need information from us in order that we can work together. We have to share information with the NHS to ensure that treatment is properly funded and carried out. The information may not identify individual patients and is usually to help plan future needs of the NHS to check that we are performing satisfactorily, or that a type of treatment is effective. Our patients have the opportunity to refuse to have any students take part in their treatment. •Part of the students’ training may involve reviewing some patient records and test results.
You could come to a compromise and suggest she uses a walking stick for a while instead to see if she can manage and in the meantime you can monitor the situation. All of the changes should be documented including any risk assessment that’s been carried out. If at any point the individual still insists on walking unaided you need to get them to sign consent to document they are aware of the risks. If an individual refuses to take their medication you would need to voice the benefits and again advise them of the risks if they don’t take their medication. If the individual still refuses it would need to be recorded in their medication administration record also it would need to be recorded in their communication notes to be discussed at handover so other staff members are aware if a problem arises.
What can we do as a class to support ALS? Nursing Diagnosis: Ineffective coping – Nursing interventions: encourage verbalization of feelings and use positive approach when discussing progress Nursing Diagnosis: Impaired verbal communication – Nursing interventions: use of word boards and letter boards if patient can’t use arms and consult speech therapy and OT for further evaluation of needs. We can make sure that we are using positive communication about progress. Making sure that they have everything they need at any given moment. Make sure to communicate frequently with them to make sure needs do not change.