Nutrition and hydration. The aim of this assignment is to identify factors that may inhibit good nutrition and hydration. In order to do this I have based this scenario around one of my clients who is a 70 year old gentleman with Parkinson's and the difficulties that he is experiencing and suggestions that may help both him and staff caring for him. For confidentiality reasons I have changed his name. I have backed this up with relevant findings from reliable sources, in a bibliography which can be found at the end of this assignment.
The activity book should then be kept in your portfolio as evidence for your Diploma. Competence will be assessed in the workplace by health and social care assessors. [pic] [pic] Understanding and meeting the nutritional requirements of individuals with dementia. Dementia involves a gradual deterioration of brain function and over a period of time this will have an increasing impact on the person’s ability to eat and drink. As nerve cells die and/or overall brain size shrinks there will be many changes which affect the individual such as difficulty recognizing food, altered appetite, choosing what to eat and remembering if they have eaten or not.
Hospitalisation is often the cause of deconditioning, particularly due to the focus on bed rest in order to recover from illness, or the limited mobility resulting from surgery. As some degree of functional decline is inevitable in ageing (Killewich 2006) older people hospitalised in an acute setting are at greater risk of the problems caused by inactivity. This is due to the changes in body composition and function, including sarcopenia, demineralisation, loss of aerobic capacity, loss of vasomotor stability and changes in respiratory function which occur as individuals age (Killewich, 2006). Functional decline of older patients is the leading complication in hospitalisation of the elderly, as the decreased activity associated with bed rest can lead to accelerated bone loss, dehydration, malnutrition, delirium, sensory deprivation, skin breakdown and incontinence (Kleinpell, Fletcher & Jennings 2008). Deconditioning during hospitalisation occurs rapidly in older people, with functional decline from baseline apparent by day two (Kleinpell, Fletcher & Jennings 2008).
My Family Health Assessment Paper The author of this paper interviewed a family using Gordon’s eleven Functional Health Patterns: Health Perception/ Health Management; Nutrition; Elimination; Activity/Exercise; Sleep/Rest; Sexuality-Reproductive; Cognitive-Perceptual; Role-Relationship; Self Perception/ Self Concept; Coping- Stress Tolerance and Values-Beliefs. By using these Gordon’s eleven Functional Health Patterns the nurse can better assess the family health status and help create a comprehensive nursing assessment of the family (Kriegler & Harton, 1992). The completed family assessment on the Roncal family using the 11 functional health patterns created by Gordon. The Roncal family consist of 4 members, the husband name Gerry, the wife name Merly and their two children age 11 and 15 Joy and John. The family were asked questions from each category of the functional health patterns, findings will be briefly discuss in this paper.
The discharge plan will include a discussion of the relevant topics from the course; I will make a reference to services available in the community to meet the complex needs of the client, and incorporate evidence from literature to support my discharge plan. Complex health challenges facing Mr. Patrick Mr. John Patrick was a 65 year old man who lived at home with his wife. He was admitted to the facility with increased shortness of breath on exertion, increased fatigue, and moderate swelling to abdomen, ankle and legs. After Electrocardiogram, chest X-ray, and laboratory work, Mr. Patrick was diagnosed with CHF exacerbation. Mr. Patrick has a history of Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), high blood pressure, and depression, and he is on Ramipril 2.5 mg daily, Spironolactone 12.5 daily, Bisoprolol 25 mg daily, Digoxin 0.125 mg daily, Furosemide 20 mg daily, Citolapram 10 mg daily, and Hydralazine 50 mg daily for his health conditions.
REFLECTIVE ESSAY on Learning Outcome No 3 Nutritional support refers to any method of giving nutrients which encourages an optimal nutritional status. It includes modifying the types of food eaten, dietary supplementation, enteral tube feeding and parenteral nutrition. One of the most common types of enteral nutrition nowadays is the percutaneous endoscopic gastrostomy (PEG) feeding which is dominantly used for someone who are unable to swallow or eat enough and needs long term artificial feeding ( Nelson, 2000). As an ONP student adapting in the UK, I felt that learning the proper technique in PEG feeding an elderly client is an important aspect of my nursing practice hence the reason why I made this as one of my learning outcomes. Enteral feeding is already a familiar procedure for me since in my past experiences as a nurse in the Philippines I have encountered patients whose nutrition is met through the use of it.
Running head: EPIDEMIOLOGY; THE ELDERLY AND INFLUENZA Epidemiology; The Elderly and Influenza NAME University of Phoenix DATE Epidemiology; The Elderly and Influenza Introduction Any compromise of wellness becomes a significant concern to the elderly, related to their advanced age, housing arrangements and limited income. Those three things often preclude appropriate treatment and speedy recovery. This paper will discuss epidemiology as well as the types of epidemiology to identify a health problem, the triangle of epidemiology and the relationship between this process and the elderly with influenza. Relevant Population and Disease Elderly people have much more difficulty warding off contagious illnesses like influenza and must pay particularly close attention to even the smallest changes in their overall sense of well being. Those over the age of 65 years old and with compromised immune systems are considered prime candidates for influenza.
It is evident that ageism and marginalization is widespread in health care, the media, and the workplace, and gradually the elderly individuals are disregarded because of it. These are the three issues we will discuss throughout this paper. Oppression labels the elderly with false perceptions and views of ageism. Oppression is defined as “the cultural, institutional and individual set of practices and beliefs that assign different values to people according to their age, thereby resulting in different treatment” (Watson, Tracy 2009, p.1). Ageism occurs because the young and middle-aged feel distaste for aging.
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.
The focus of this assignment will be placed on the authors’ assessment by eliciting information of the patient’s presenting condition. In accordance with the Nursing and Midwifery Council Code of Professional Conduct, (NMC, 2008) confidentiality will be maintained. To do this a pseudonym will be used and the patient would be known as Mr Alba. Mr Alba was a 27 year old man who presented to the medical centre complaining of abdominal pain in the right iliac fossa (RIF), with nausea and vomiting for the past 24 hours. On arrival to the medical centre the author introduced himself while observing Mr Alba posture for clues about aetiology.