Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Geriatric assessment case study
The geriatric assessment is a multidimensional, multidisciplinary diagnostic instrument designed
The geriatric assessment is a multidimensional, multidisciplinary diagnostic instrument designed
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Geriatric assessment case study
There are several assessment tools nurses use in in the field to assess geriatrics along with the rest of the population. Three most common assessment tools are, the pain scale, fall risk scale, and the depression scale.
To provide the best care for their elderly patients, nurses must incorporate pain assessment into their daily care of patients. Pain assessment is a key aspect of the nurse’s role. There are many factors to consider when assessing patients’ pain such as if they are verbal or non-verbal, what language they speak, their age and their cultural background. There are many tools that a nurse can use to assess a patient’s pain but one of the most common tools is the 0-10 scale. This tool can be asked verbally by asking what their pain level is on a scale of 0 to 10 with 0 being no pain and 10 being the worst pain they have ever had. You may also use this tool in a visual manner with faces that correlate to the numbers. 0 being a happy face and 10 being a very sad face. Elderly patients from diverse cultural backgrounds are increasing in long term care facilities so it is important to have a 0 – 10 pain scale written in their native language. Some patients are stoic and do not express their pain as much as other people so it is important to understand that a 0 – 10 pain scale might not always be sufficient and could be combined with observing any physical signs that the patient might be in pain such as facial expressions and guarding. Nurses must have a good base of knowledge and attitude towards pain and always take what the patient reports their pain scale to be as truth. If the patient does report pain it would be important to treat the pain or if it is a new occurrence to follow this assessment up with another val...
... middle of paper ...
...chronic illnesses which makes people more at risk for falling. Unfortunately falls are very common in the elderly which makes the fall risk tool very important. Last but not least the depression scale is used a lot in the elderly because depression is a very common diagnosis. Elderly lose their loved ones, they have decreased social interactions, etc. By using these assessment tools they will make a person a better, accurate nurse.
Works Cited
Meiner, S. E. (2011). Gerontologic Nursing (4th ed.). St. Louis, MO: Elsevier Mosby.
Potter, RN, MSN, PhD, FAAN, P. A., Perry, RN, EdD, FAAN, A. G., Stockert, RN, BSN, MS, PhD, P. A., & Hall, RN, BSN, MS, PhD, CNE, A. M. (2013). Fundamentals of Nursing (8th ed., pp. 969-975). St. Louis, MO: Elsevier Mosby.
Wilson, Susan. (2009). Health Assessment for Nursing Practice (5th ed., pp. 520-521). St. Louis, MO: Elsevier Mosby.
Strasser, Judith A., Shirley Damrosch, and Jacquelyn Gaines. Journal of Community Health Nursing. 2. 8. Taylor & Francis, Ltd., 1991. 65-73. Print.
Falls in nursing homes residents are associated with morbidity, mortality, and healthcare costs. The centers for Medicare and Medicaid indicate falls as the quality indicator. (Leland, Gozalo, Teno, Mor, 2012). Factors such as new environment, medication, cognition, and non-compliance contribute to falls. A significant number of falls occur from wheelchairs. (Willy, 2013). Newly admitted residents to long-term care facilities are confused with the change. The new environment and the new unfamiliar faces increase the level of anxiety. Pain may also contribute to falls. In order to take tailor made preventative measures, fall risk factors for each resident should be evaluated periodically. Tools scoring risk factors can be utilized.
Loiselle, C. G., Profetto-McGrath, J., Polit, D. F., Beck C. T., (2007). Canadian essentials of nursing research (2nd ed.) Philadelphia: Lippincott Williams & Wilkins.
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Forsyth, K., Taylor, R., Kramer, J., Prior, S., Richie, L., Whitehead, J., Owen, C., & Melton, M.
Black, B. P., & Chitty, K. K. (2014). Professional nursing: Concepts & challenges(7th ed.). St. Louis, Missouri: Saunders.
Findings. Pain has many different meanings to many people. What is important to know as a nurse or health care provider is that pain is what the patient says it is. It is not the nurse or provider’s place to determine what the patient’s pain is but rather take an in-depth history and assessment. Using this assessment and history can therefore help treat your patient’s pain accordingly. Also pain theories have been proposed and used the implications of nursing practice in regard to pain.
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins
Harkness, G. A. & Demarco, R. (2012). Community and public health nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
The elderly in long-term care are predisposed to falling and can fall from various reasons. Examples of Predisposing factors are, unsteady gait and balance, weak muscles, poor vision, medications, and dementia, poor lighting, loose rugs, poorly fitting shoes, floor clutter, and beds or toilets lacking handrails or bars may cause falls. Fall prevention starts before a fall actually occurs. A comprehensive falls risk assessment must be done on the first day of admissions, and this can help identify a patient’s risk for falling, and corrective measures can be put in place in advance, for example, alarms. fall risk assessments should also be completed when a patient is transferred to a new unit or when level of care changes. risks assessment should focus on a patient’s history of falls, medication use and comorbidities, and should include a comprehensive physical exam evaluating mobility, joint function, muscle strength, visual activity and more. Once completed, the patient’s care team must put in place a care plan that carefully addresses each risk factor identified in the assessment.
.... Professional nursing: Concepts and challenges (6th ed.). Philadelphia, PA: Elsevier Science Health Science div.
An important step to decrease an ageist attitude is to take a step back and recognize biases and preconceived ideas that one has about older adults (DeBrew, 2015). Recognizing biases in combination with furthering one’s education about the effects of aging and the specific needs of older adults will help increase compassionate care. To allow for effective interventions it is important that the nurse understand that illness and infection manifest differently in older adults than they do in the younger population (DeBrew, 2015). In addition, through ethnographic study it was found that when nurses spend time doing activities with older adults it helps strengthen relationships and sense of community between care providers and elderly patients (DeBrew, 2015). According to the article, “occupational therapists who worked with older adults felt ‘stigmatized’ by their peers because their work was viewed as less challenging and requiring less skill and intellect than caring for other populations” (DeBrew, 2015). To promote compassionate patient care it is important that nurses and other professionals get support from their peers to confirm that their work is not insignificant and looked down upon. Finally, include the older adult while creating the plan of care to show them that they are a valued part of their healthcare
The nurse should educate the patient of the importance of pain control and how controlling pain is essential to a patient’s wellbeing and recovery. It needs to be a balance of what the patient says and what the nurse observes and interprets while always respecting the wishes of the patient. Nurses have a variety of assessment tools available to assess pain in their patients. One dimensional pain scales such as visual analog scale, verbal descriptor scale, numeric pain intensity scale and the combined thermometer scale all measure the intensity of the pain (Jensen, 2011). Other pain scales such as McGill pain questionnaire, brief pain inventory, and brief pain impact questionnaire take into account aspects beyond intensity (Jensen 2011). There are additional pain assessments specialized for children, older adults, patients who are unable to respond, and patients with opioid tolerance (Jensen, 2011). The nurse should be familiar with these methods of pain assessment and know the appropriate use of each. Incorrect medication and treatment choices due to inaccurate or poor pain assessment cause patient suffering (Jensen,
Technology is having a significant role in various professional positions and will contribute in dictating the future of care delivery. Privacy is
Taylor, C., Lillis, C., LeMone, P., Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams &