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Nursing homes/retirement homes difference
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Role As A Nurse Supporting The Elderly
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Miss M.A. is a 75 years old Hispanic, female with a long history of hypertension and diabetes. Ms. MA is widowed and lives with one of her daughters. She worked as a receptionist at a doctor’s office till the age of 65, and she is now retired. She reports that her highest level of education is high school level. In addition to, she reports that she does not drink alcohol or smoke and she does not follow any special diet (M. Amparo, personal communication, June 11, 2016). She was born in Mexico, and came to New Jersey in 1940. Now she lives in a one-bedroom apartment on the third floor of a building with an elevator. She has a home helper who comes 3 hours a day. Ms. M.A. receives social security and Medicare while also being supported by her
Senora Vasquez died because of uncontrolled diabetes, Infected wound and diffusing kidneys. With not well-controlled diabetes and acquiring an infected burn wound makes it harder for the patient to get treatment. Thus with the condition of the patient and her current social status, she is unable to afford the treatment and medications needed to alleviate her suffering. Her health conditions worsen and added more suffering to both health and expenditures. By the end of the story, Mrs. Vasquez had below the knee amputation, infected wound and diffused kidneys, which needs dialysis. Also, the co occurring
This discussion board is about the nurse’s scope of practice. The purpose of this posting is to discuss the definition and standards of the nurse’s scope of practice as defined by the American Nurses Association (ANA) and by the Ohio Board of Nursing with an example of how to use the standards of practice. Per the ANA, when determining the nurse’s scope of practice there is no one specific explanation that can be provided due to the fact that registered nurses can have a general practice or a practice that is very specialized. The limits that are placed on a RN’s scope of practice will depend on a registered nurse’s education, type of nursing, years as a nurse, and the patients receiving care. At the basic level, every nurse’s practice
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medication daily. My participant, JR had heart bypass surgery, exactly 4 bypasses, on June 1, 2015, due to 90% of his coronary arteries being blocked. For about two weeks prior to the surgery, he could not walk, felt very dizzy, fatigue, and weak. His legs even gave out and he fainted. He then decided to go to the doctors, got lab work done and found out about his coronary arteries were blocked. If he did not have this surgery, he would have died. This eight-hour surgery was a huge reality check for him. After this surgery, he completely changed his lifestyle by not smoking, not drinking, eating healthy and going on walks. Prior to this surgery, JR had and still has type 2 diabetes, high blood pressure, and high cholesterol for about five years now. As I was talking to him, it was clear that he knew all his medication very adequately especially when to take it, why he takes it and how to take it. He is also fully aware of healthy lifestyle choices. As we were talking I gave some advice to help continue his healthy lifestyle.
Mrs. Nancy Hamilton (changed name for privacy) is 95 years old female who resides in a local continued care retirement community (CCRC) located in the Los Angeles County. I decided to interview Mrs. Hamilton for her successful aging. I have known her for 9 years and her aging process has not been an easy ride but she always maintained a positive sprit that kept her going even today. Mrs. Hamilton moved in to a CCRC in 2006, two years after her husband passed away. Mrs. Hamilton has one daughter and one son. Daughter Margaret lives nearby and visits frequently and takes care of personally needs such as transportation to medical appointments or shopping for skin care products or clothes as necessary. Son, David lives in the Northern California and visits a few times a year.
Diabetes is a prevalent health disparity among the Latino population. Diabetes is listed as the fifth leading cause of death among the Latino population in the website for Center for Disease Control and Prevention, CDC, in 2009. According to McBean, “the 2001 prevalence among Hispanics was significantly higher than among blacks.” (2317) In other words among the Hispanic or Latino community, there is a higher occurrence of diabetes as compared to other racial/ethnic groups such as Blacks and Native Americans. The prevalence of diabetes among Latinos is attributed to the social determinants of health such as low socioeconomic status and level of education. Further, this becomes an important public health issue when it costs the United States $174 billion in both direct and indirect costs, based on the 2007 The National Diabetes Fact Sheet released by the CDC. In turn, medical expenses are twice as high for a patient that has diabetes as opposed to one without. Finally, this high cost becomes another barrier to receiving care for Latinos when some are in the low socioeconomic status.
Nursing is a noble profession where nurses are the front line carer of the patient. To provide competent patient care, nurses use their critical thinking skills in making a decision. In their professional practice, nurses and nursing students have the responsibility to comply with the guidelines provided by NMBA (Nursing and Midwifery Board of Australia). The given case study deals with the responsibility and accountability of nurses and nursing students regarding privacy and confidentiality.
Over the last few years, I shadowed a Primary Care Adult Nurse Practitioner whose office is located in the underserved urban area of Irvington, NJ. She also takes care of patients from the surrounding areas of Irvington, Newark, and East Orange, all of which have very large underserved populations including African Americans, Latinos, and patients from the Middle East. During my clinical shadowing, I gained a appreciation for the complexity of treating long term chronic conditions such as asthma, diabetes, HIV, and hypertension. In many cases these conditions were exacerbated due to poor nutrition, non-compliance, and lack of education about healthy lifestyle choices. I gained a keen understanding of the importance of patient education and the ability to connect patients with community services to help them with their economic and social challenges.
There are many who believe that the next shortage will be worse and the demand for nurses will increase. There will be more jobs available especially with the baby boomer nurses retiring. Wood believes that when nurses retire, the next shortage could be even worse than the previous shortage. According to Wood this would lead to an “intellectual drain of institutional and professional nursing knowledge” (Wood, 2011, para 15). Staiger agrees as well that a shortage of nurses is expected again when nurses retire and since the economy will be more stable full-time nurses will go back to being part-time (Huston, 2017). Huston expects for the supply of nurses to grow minimally in the next couple of years and for a large number of nurses
African American senior citizens face a health care crisis too. They have worked all of their lives to secure retirement, but their retirement has been threatened because of the rising cost of long-term medical care. Insurance companies have failed to provide affordable long-term care, protection that most senior citizens need. This lack of long term care and affordability has been a serious problem for the health care system. In some cities, the shortage of hospital beds is so serious that it is common for patients to stay in emergency rooms before they can be admitted to an inpatient room (Drake 109). More than one thousand hospital beds are occupied by people who could be better care for in nursing homes or through home health care (Drake 110). Of the disabled elderly 1.3 million reside in nursing homes (Drake 10). These patients are unable to perform two or more of the basic activities of daily living without assistance.
R/s Marshall Cobun is a diabetic with high blood sugar. Mr. Cobun has a pace maker, he has cancer in his left eye and a cancerous tumor in his left arm. R/s physically Mr. Cobun can’t cook for himself nor can he bathe himself. R/s Mr. Cobun has to use a walker to get around. R/s Mr. Cobun lives in a trailer with his son Harold. R/s the trailer has no electricity, no water, no stove, no refrigerator, no washer &dryer, and the hot water heater has not been installed. R/s the family is using an extension cord to get power from Mr. Cobun’s daughter home. R/s there are holes in the trailer. R/s the home is not accessible for a handicapped person. R/s Mr. Cobun was supposed to receive meals from Meal on Wheels but they don’t come. R/s Harold will
R. was immediately told about the patient and that there would be a meeting to review the case. When Dr. R arrived home later that day, her strength was totally depleted. For two days thereafter she could not get out of bed, lost her appetite and could barely get 2 to 3 hours sleep per night. This is Dr. R’s second episode of severe exhaustion. The first occurred at the end of her psychiatry residency, while preparing for board certification. She has never smoked cigarettes and does not drink alcohol. She performs most of the household chores, entailing substantial physical exertion, but engages in no recreational physical activity. Her parents are retired physicians, in good health, and live in another town. She is an only child. Most members of her genetic family are healthy, to her
Within this family, there have been a number of different diseases present from generation to generation. Heart disease is very prevalent on both the maternal and paternal sides. S.S.’s mother and father both were diagnosed with high blood pressure, and high cholesterol when they were in their 50’s. S.S.’s mother has also been diagnosed with Ulcerative Colitis, Crohn's disease, breast cancer, and colon
The following method involved getting volunteers that met the criteria as being a healthy adult who live in a private household. There were 191 volunteers for the study. The researchers assigned volunteers to one of to two groups; one contained adults aged
On Tuesday November 15th 2016, I had met a patient named E.K. at the GP’s office. E.K. is a 77 year old Irish woman living in Dublin. Throughout her life, E.K. had been through a lot of unfortunate medical events. At an early age she was diagnosed as blind and went to a school for the blind. She went to college, worked in a factory and eventually had a daughter who had given her two grandchildren. A few years ago EK, had gotten into an accident on the bus where she had fallen and fracture her hip. She had many infections and had arthritis but currently she is easily coping with it. Blindness and a hip replacement is not her main worry in life. About one year ago, E.K. suddenly