A Nursing Intervention for 83 Year-old LC (USA in 1991) (Essay Sample)

Instructions:

Description

INTERVIEW WITH AN OLDER ADULT: PART 1, WRITING ASSIGNMENT
Overview:
In this three-part assignment, spanning Weeks 3-5, you will interview an older adult (age 70 and above) and ask him or her to respond to a series of assessment questions. The
information you obtain will be summarized in your final paper. In the final paper (of the three-part interview assessment), you will write a Nursing Intervention Plan of Care for the older adult based on the responses collected during the two interviews.
Directions
1. Use the following assessment tools referenced in your textbook to interview the client; NOTE: as you record the client’s information, use only their initials:
a. Complete a social history – using the topics listed in Chapter 3, page 54
b. Nutrition Screening Initiative Checklist (Chapter 5; figure 5-3, page 111)
c. Katz Index of Independence in Activities of Daily Living (Chapter 1, page 14)
d. Mini-Mental Status Exam – attached to course
e. Fall Prevention Scale – (Chapter 18, page 492)
*NOTE: Due to copyright restrictions, assessment instruments cannot be published. Refer to the textbook pages listed to obtain the interview questions.
Using these questions, conduct your interview and compose your summarization from the information obtained in the interview. You are not required to attach the completed instruments to this assignment paper.
2. Complete assessments as listed above. (NOTE: you will use these scores or summaries in the writing portion of your final paper; record selected numeric scores in your assignment document if applicable; NOTE: as you record the client’s information, use only their initials.)
3. After completing the assessment tools, write a brief paper summarizing each of the assessments results including any numeric score if applicable. NOTE: as you record the client’s information, use only their initials. Answer the following questions about the client: What is your overall impression? Identify at least one actual or potential nursing problem (not medical issues) that the client may have currently and/or what are the factors that may be causing or contributing to these problems? What do the scores of the assessment tools say about the older adult currently?
4. Create a table of the client’s medications to include: name of medication(s), client’s knowledge of reason for use of each medication in the client’s own words, describe the timing of the medication (frequency and how taken in client’s terms). Please list any herbal/supplement/OTC products. Review the medications and determine any areas of concerns that you may have as a nurse with the medications listed in the table as the last column in the table.
5. You will need to use 2 references (One will be your textbook).
• Use APA style format; paper should be neatly typed and without errors.
• Write a brief paper, approximately 5-6 well-developed paragraphs in your own words,
summarizing your impressions of the client. NOTE: as you record the client’s
information, use only their initials.
• Create a table to record the client’s medication(s) list.
As you write your paper for week 3, Please consider using the rubric heading as headers in
your paper so that you do not forget to cover all elements in the rubric –
Book
Remember to write an introduction (including a purpose statement of the paper and
conclusion at the end. References should include the tools.
Please use these headings:
1) Introduction
2) Assessment Tools (headings are bolded and centered)
a.Social history (Bolded – left justified)
b.Nutrition Screening Initiative Checklist
c.Katz Index of Independence in Activities of Daily Living
d.Mini-Mental Status Exam
e.Fall Prevention Scale
3) Summary of Overall impression
*Cover the following topics in this section:
-What is your overall impression?
-Identify at least one actual or potential nursing problem (not medical issues)
that the client may have currently and/or what are the factors that may be
causing or contributing to these problems?
-What do the scores of the assessment tools say about the older adult currently4) Medication List
Create a table of the client’s medications to include: name of medication(s), client’s
knowledge of reason for use of each medication in the client’s own words, describe
the timing of the medication (frequency and method in client’s own words). Please list
any herbal/supplement/OTC products. Review the medications and determine any
areas of concerns that you may have as a nurse with the medications listed in the
table as the last column in the table.5) ConclusionReferences –You should have a minimum of two references – You need to reference the tools
–either textbook or name of tool and retrieved from course with url link. I did the assessment with some score at the bottom of each. Can you make sure the writer uses the headings I provided for this writing?
Please, let the writer know that he will write based on the tables and interview but not allowed to put the tables on the paper?
But for medication list heading, he will create a table for this and I created the table and uploaded it.
Please, the assessment tables should not appear on my paper

source..

Content:

A Nursing Intervention for 83 Year-old LC
Name
Institution
Course
Introduction
Once an adult attains the age of 70 s/he needs much more nursing attention than younger adults. The care required is vast and ranges from medical, diet, hygiene, and social care. All these aspects of nursing have to be administered or carefully monitored by a trained individual or a person with such knowledge. Best care will be assured to the elderly adult once the nursing needs are taken care of by such professional. A trained professional is capable of understanding the needs of the elderly adult, administer medication on schedule and keep progress records of his/her client. When handled by a professional, such nursing results in a more satisfied client. However, most families might not be able to afford the services of such a nurse. Despite these nursing challenges, a lot of caution has to be taken when administering nursing routines to the elderly (Fulmer, Foreman, & Walker, 2001, p. 84). This nursing intervention plan focuses on an 83-year-old, LC, has Congestive heart failure (CHF), and hypertension.
Assessment tools
Social history
83-year-old LC came to the USA in 1991 was married and lived most of her life as a housewife. English is her second language even though her English is excellent and she speaks just as natives. She got married, had six children, four girls and two boys. All her children are married and have given LC fifteen grandchildren. Her eldest son is now the head of the family. He coordinates the activities concerning LC.
She is currently living with her third daughter. Even though she lives in her daughter’s house, all her children contribute to her needs. Being 83, her children take caution not to allow her to drive. She is also aware of the fact that she cannot drive herself at her advanced age. Consequently, her children drive her to places she wishes to visit or when she wants to visit a friend. LC has friends, but she prefers not to go to popular places all the time and is not active in community activities. She goes to church a lot and participates in church activities. She is proud of the fact that her family respects the elderly.
Social assessment
Given that LC is widowed and stays with her daughter, it follows that she has little authority on most decisions on her nursing. She agrees with whatever decision her children make concerning her life. This could be the reason she does not prefer going to social places. The lack of freedom of choice is an issue that affects her, but she endures it. This is deduced from the responses she provides to the social questions. It is important that an elderly adult gets the freedom of choice.
Even though most elderly adults are victims of neglect, LC has not been overlooked. She is nursed by her children and has not been isolated in a nursing home. Her preference to stay with her third daughter is a family arrangement. This shows that her children are concerned about her and want to be closer to her.
Nutrition Screening Initiative Checklist
LC scored quite well on her nutrition. However, there are areas she where her score went up to 3 to 4. This indicates a moderate risk for her nutrition. LC has a tooth and mouth problems that make it difficult for her to consume certain foods. Consequently, she takes over the counter nutritional supplements or drugs to cater for some of the nutrition she would get directly from food. LC also feeds herself even though she is not able to cook her meals. The conclusion here is that when there is no one around to prepare meals for LC she will most likely skip that meal or take it later. Her daughter might not be around at all times.
Elderly persons need close monitoring when taking their meals. When LC feeds herself and most of the time eat alone, there are high chances that she could be dehydrating or developing nutritional problems, yet no one will notice (Milner, 2009, p. 377). Having LC unattended to by a nurse would put her in a state where she doesn’t receive professional care. A professional nurse would use his/her expert knowledge and tools to check and determine her nutritional requirements. Since she scored 3 and four on some assessments, it follows that if extra caution is not taken these scores will persist and put her health at a higher risk.
Katz Index of Independence in Activities of Daily Living
At 83 years of age, LC has scored tremendously high on the Katz index of independence in activities of daily living. Having scored 6/6, she is highly independent. This score implies that during her early years, LC lived a healthy life. Her past healthy living improved her chances for a healthy old age. She probably took advantage of recommended preventive health services and made healthy lifestyle changes (Katz et al., 1970).
Mini-Mental Status Exam
Despite the fact that LC couldn’t make up or write a sentence containing a verb and a noun, and also failed to copy the intersecting polygon, she scored so high. Having scored 28 out of 30, LC’s cognitive is not impaired. As tested by this tool, LC is aware of her environment, can make deductions, and her sight is good. For a person of her age, she stands out as she requires minimal assistance and monitoring.
Fall Prevention Scale
Getting a total of 4 on Hendrich’s fall risk model, LC is amazingly strong. However, she experiences some dizziness on rare occasions. She doesn’t need help when standing up, and she does it in one pushup attempt. Most elderly adults will be assisted to get up or try several times. LC neither struggles nor is she assisted in getting on her feet. She is not at high risk of falling and is stronger as indicated by her scores in the model.
Overall Impression
LC is a unique case of study among the elderly adults. She is a rare case, given that her score on assessment tools are very impressive. She passes for a healthy and independent elderly adult who needs minimal supervision.
A nursing issue of concern is on LC’s nutrition. She admitted to taking her meals alone most of the time and using over the counter prescribed drugs. Elderly adults need close supervision when taking their meals. LC’s family might be misled by the fact that she appears heal...

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A Nursing Intervention for 83 Year-old LC (USA in 1991) (Essay Sample)

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