#1What risk factors were identified by the nurse that prompted the nurse to use the assessment tool? The risk factors that were identified were. The patients recent hip replacement and continuing physical therapy schedule. #2 How was the safety of the patient fostered by using the tool? One of the ways the patient safety was fostered is. By being able to answer yes or no, meaning independent or dependent. And if Independent the patient got a number 1.The total number went up to six from bathing,dressing toileting, transfer, incontinence feeding. Using this method to score older adults helped the nurse see which ADL’s the patients need help with. #3 What did you learn from this activity that surprised you? What I learned from this activity that …show more content…
Some ways other students can use the tools are. While on rotation at click ask instructors if the could follow the patient on the floor while doing Ot or PT. to limit the times the patient has to keep dematrating their abilities to complete the task asked. It limits the repeat time and patients energy. Best practice information on care of older adults: www.ConsultGeriRN.org. Graf, C. (2006). Functional decline in hospitalized older adults. AJN, 106(1), 58-67. Hartigan, I. (2007). A comparative review of the Katz ADL and the Barthel Index in assessing the activities of daily living of older people. International Journal of Older People Nursing, 2(3), 204-212. Katz, S. (1983). Assessing self-maintenance: Activities of daily living, mobility and instrumental activities of daily living. JAGS, 31(12), 721-726. Katz, S., Down, T.D., Cash, H.R., & Grotz, R.C. (1970) Progress in the development of the index of ADL. The Gerontologist, 10(1), 20-30. Katz, S., Ford, A.B., Moskowitz, R.W., Jackson, B.A., & Jaffe, M.W. (1963). Studies of illness in the aged: The index of ADL: A standardized measure of biological and psychosocial function. JAMA, 185(12),
...the tools meet both CPA and Health of the Nation outcome scales requirement (DOH 2007). The Risk is assessed using the Face Risk Profile. This tool is really easy to use as it has Five sets of Risks indicators, these are then coded as present or absent and a risk status (0-4) is judged (DOH 2007). The problem with this assessment is that the patient would sometimes need to be involved and at present because of Julie’s presenting problems this would not be able to happen but parts of the Risk Profile can be filled in by the Nurse who is in charge of Julie care and wellbeing. The problem with the actuarial approach is that sometimes these tools may not give a conclusive answer to the problem. However many researchers would suggest that the use of both actuarial and clinical risk assessment would be better for a nurse to use to come up with an accurate risk assessment.
There are six set standards of the nursing practice; assessment, diagnosis, outcome identification, planning, implementation, and evaluation (ANA, 2010; pp. 9-10). Throughout a typical shift on the unit I work for, I have set tasks I am expected to complete in order to progress the patient’s care, and to keep the patient safe. I begin my shift by completing my initial assessment on my patient. During this time, I am getting to know my patient and assessing if there are any new issues that need my immediate intervention. From here, I am able to discuss appropriate goals for the day with my patient. This may come in the form of increasing mobility by walking around the unit, decreasing pain, or simply taking a bath. Next, I plan when and how these tasks will be able to be done, and coordinate care with the appropriate members of the team; such as, nursing assistants and physical therapists. Evaluating the patient after any intervention assists in discovering what works and what does not for the individual. “The nursing process in practice is not linear as often conceptualized, with a feedback loop from evaluation to assessment. Rather, it relies heavily on the bi-directional feedback loop...
Many nurses face the issue of understaffing and having too much of a workload during one shift. When a unit is understaffed not only do the nurses get burnt out, but the patients also don’t receive the care they deserve. The nurse-patient ratio is an aspect that gets overlooked in many facilities that could lead to possible devastating errors. Nurse- patient ratio issues have been a widely studied topic and recently new changes have been made to improve the problem.
“Vulnerability is at the core, the heart, the center, of meaningful human experiences” (Brown, 2014). Vulnerability can be regarded as a constant human experience that can be affected by physical, social and psychological dimensions (Scanlon & Lee, 2006; Malone, 2000) Deconstructing the concept of vulnerability and how it relates to client care is imperative for nurses due to their dynamic role in health care (Gjengedal et al.2013). In this paper I will provide a theoretical overview of the nursing concept vulnerability. I will explore how a thorough understanding of vulnerability informs the nursing concept of vulnerability and informs the nursing practice and the nursing profession. I will identify the gaps in the nursing
The RLT model is holistic, as it identifies five components, including the activities of Daily living (ADL), life span, dependence/independence, factors influencing AL and individuality in living, which are interrelated (Healy & Timmins, 2003; Holland et al, 2004; Roper et al, 1996). Roper et al (2000) view the patient as an individual that lives through the life span, with changing levels of dependence and independence, depending on age, circumstances and the environment (Healy & Timmins, 2003). The twelve ADL are influenced by five factors, namely; biological, psychological, sociocultural, and environmental and politico economic (Healy & Timmins, 2003; Holland et al, 2004; Roper et al, 1996).
Assisted living is an effective type of care facility programmed towards helping older individuals with their increasing disabilities. “The fit between individual capacity and the availability of satisfying activities within an environment is an important aspect of positive aging and an especially salient issue for ALF [Assisted Living Faculty] management, given the role of activities in the consumer selection of assisted living”.2 This isolation of this quote is “positive aging”. Positive aging is important since it leads individuals to have a happier and more fulfilling life, and it can be supported through everyday activities and through the living environment. In nursing homes, each individual needs help with making sure that they are given care that meets their needs. This varies through different states and also communities. The purpose of the quote is to show that each person should be evaluated individually, meaning everyone needs a different approach to deal with the aging process.
Langston, J. W. and W. C. Koller. The next frontier: Presymptomatic detection. Geriatrics, Aug. 1991: 5-7.
...th professionals, were significantly more cynical toward and distrustful of older adults” (p. 63). The findings in Meisner’s (2012) conveyed that physicians demonstrated attitudes about older patients including feelings of these individuals being “disengaged and unproductive” while assuming that these characteristics applied to all of the older patients regardless of each person’s actual abilities (p. 63). Combing all older adults into one category defined by disability and dysfunction is detrimental to the well-being of each patient. Chronological age is not the determining factor relative to treatment; functional age is a better testament to expected outcomes for a patient. It is imperative that physicians understand what is “normal aging” rather than searching for pathologies based on symptoms that are just part of this aging process. According to Meisner
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
One of the most common problems in elders is dementia. The Alzheimer’s Association describes dementia as a range of symptoms rather than just one single specific disease. The symptoms of dementia range from memory loss as well as a decline in thinking skills to severe symptoms that lead to the decline of that person’s ability to perform activities of daily living (What
Understanding the incidence of disability in the oldest-old is a critical step in identifying methods of reducing disability in this at-risk age group. We examined incident disability in a large cohort of participants aged 90 and older, The 90+ Study. As part of their participation in The 90+ Study, participants are followed longitudinally, with detailed information about functional abilities obtained ye...
Activity programs are very essential for residents in long term care activities. The programs can engage residents in different types of activates. Activity is defined as Active or passive involvement of patients in any activities, outside the activities of daily living, that provide meaning and personal enrichment (Singh, 2015). To assess their effectiveness is by providing significant activities that can attain numerous goals. In order to evaluate the effectiveness of the programs long term care steps must be followed. (1) Promote a sense of well-being, (2) build self-esteem, (3) give pleasure, (4) create a sense of personal fulfillment, (5) provide a sense of accomplishment, (6) promote physical and mental fitness, and (7) accomplish social
Twenty-eight individuals agreed to participate in this longitudinal clinical pathological study of gaining in Alzheimer’s disease. They agreed to annual clinical evaluations as well as to donate their brain to the research once they had died. The average age of the participants was 85 and the range was from 66 to 103. The annual clinical evaluation was to assess what group the participant belonged to. Obviously there was a specific criterion to check for if a person fell under the early Alzheimer’s category. There was no official criterion for those with mild cognitive impairment so those who fell under that category w...
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
Stathakos, D. (2005). Greek centenarians: Assessment of functional health status and life-style characteristics. Experimental Gerontology, 40(6), 512-518.