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Assignment on assessment in nursing
Dementia awareness level 2 answers unit 2 answers
Quizlet Nursing Assessment
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From all the assessment tools available in both the internet and the book, I believe one that might help in understanding the patient’s physiological, emotional, and financial circumstances is the OARS Multidimensional Functional Assessment Questionnaire (OMFAQ). This assessment tool, according to Touhy and Jett (2018), evaluates social and economic resources, mental and physical health, and ADLS (p.104). The assessment tool determines the person’s functional capacity in each area by choosing a number between 1 (excellent functioning) to 6 (totally impaired functioning) (Touhy & Jett, 2018, p. 104). The OMFAG assessment tool should be implemented into nursing practice to establish baseline information about the patient, and know about their
available economic resources, physical and emotional stability, and their functional abilities with ADLs. Three differences in health assessment between the older person and a younger person include (1) a thorough physiological assessment, (2) a focus assessment rather than a complete head-to-toe assessment, and (3) a social and financial assessment. A physiological assessment should help nurses obtain information between the normal aging process and any abnormalities from their conditions. Initially, a focus assessment can be done to rule out the patient’s main concerns based on prioritization. After getting done with the focus assessment, then doing a head-to-toe assessment should follow. Touhy and Jett (2018), explains that when performing a physical assessment, the gerontological nurse must be able to quickly prioritize what is the most necessary to know (based on the chief complaint) and proceed to what would be “nice to know” (p. 96). On the other hand, a social and financial assessment can be completed, especially with the older adults, to obtain information about their financial resources and ways to get help in case of emergencies. In addition, one health assessment different from the Comprehensive Geriatric Assessment video is the bony density test to diagnose osteoporosis. This test is often scheduled for the older patients, not necessarily for the young adults.
The patient may need assistance caring for himself following discharge from the hospital. The daughter lives too far to assist her father on a daily basis. The case worker needs to determine how much the daughter is willing to assist her father during the transition. The daughter may be willing to become her father’s caregiver during the initial recovery period. She would also be a good support system by providing medication reminders, encouraging medication compliance, dietary restriction compliance and promoting positive health behaviors.
A cardiac assessment: Listen to heart sounds listening for extra heart sounds, fast heartbeat, and monitor EKG looking for dysthymias. Assess vitals especially BP, BP should be kept low in heart failure patients to put less stress on the heart. Assess the patient for edema as a result of fluid retention. Listen for crackles in the lungs due to fluid built up. Watch I&O’s and weight the patient to assess for edema, ask about activity intolerance. Assess for changes in mental status, cool extremities, pale or cyanotic, fatigue, and JVD (Indications of poor perfusion) (Ignatavicius &Workman, p.756).
Cody was observed on September 14th, 2016.Cody, his mother, his brother, as well as the B.A.T clinical team were present to conduct a descriptive functional assessment, which consisted of direct observation of behavior and an Antecedent-Behavior-Consequence (ABC) narrative recording in the family home.
...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.
...if the caregiver needs a break. Also, talking to the family about friends and family that they have reached out too, or organizations that they are currently using to make everyday tasks easier. In general, the evaluation is going to be based off observation, and the family and patients verbal report of their well being.
Level of Care Criteria: Decision support based off of intensity of services, severity of illness and comorbities.
Morgan read over each patient assessment in their chart, as well as rounding on each patient daily to gather her own assessment. With all of the data, she came up with diagnosis that was required from her. Morgan stated the nursing diagnosis she most frequently uses is risk for falls. Goals are then set depending on individual needs. By collaborating with the interdisciplinary team in a therapeutic way, interventions are implemented to meet each patient’s needs. Evaluations are performed daily by case managers through interdisciplinary rounding and the goals that were made are assessed and any changed to the plan of care are made. Case managers will follow up with outside facilities that patients transfer to after a hospital admission to evaluate their progress. If a patient is readmitted to the hospital within 30 days of discharge, a reevaluation is
In addition, there are guidelines to assist with assessing the quality of the family relationships, indicators of problems that would indicate poor quality of care, and methods to assess the caregiver’s physical and mental statues that could affect their ability to provide care.
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.
The provider will ask the patient to assign a number for the severity of their pain. This is useful for patients with mild or moderate dementia. Zero indicates no pain and ten indicates worst imaginable pain. They will often give patients a chart to look at if they don’t fully understand. The ranges are one to three being mild pain; four to six is moderate pain and seven to ten is severe pain (Chatterjee, 2012). Observation scales, such as the Abbey Pain scale, or PAINAD, is useful for scoring pain when patients are unable to (Chatterjee, 2012). While observing, the patients score questions one to six, for example, vocalization (e.g. groaning), facial expression (e.g. Frowning), and changes in body movements (e.g. resistance to care) (Sherder Ej,
Classroom management is one of the most essential skills to becoming an effective classroom teacher. Teachers who possess the ability to manage their classroom are able to create an environment where learning is the focus (Burden & Cooper, 2004). Although teachers may be well prepared and skilled with classroom management, at some point in time they will encounter a student or students whose behavior hovers authority and the functioning of the class. There is no simple way to deal with these difficult situations, but there are strategies to help. The first step is to identify the purpose of the behavior. A Functional Behavior Assessment (FBA), is a systematic set of strategies that are used to determine the underlying function or purpose of a behavior so that an effective intervention plan can be developed (NPDC, 2014).
The nursing process is based upon five steps. The first step is the assessment phase; this can range from body system specific to head-to-toe assessment. These assessments are both subjective and objective and must be properly documented, organized and validated (Taylor et al, 2011). The second phase of the nursing process is formulating a diagnosis. The nurse identifies the patient’s needs and strengths from reviewing the previous assessments and determines what the nursing diagnosis should be. Then comes the planning phase where the nurse organizes the interventions by priority based upon the assessments and creates a plan for the patient to work on ...
In order to formulate a thorough assessment or intervention a social worker must first evaluate all the contributing factors that influence a client’s life. Problems faced by clients are rarely a result of a single factor or influence. Many individual, interpersonal and environmental factors must be evaluated to fully understand the cause of problems. Multidimensional assessments must be used to determine biological, psychological and environmental issues that contribute to problematic outcomes (Hepworth, Rooney, R., Rooney, G., & Strom-Gottfried, 2013.). Along with conducting multidimensional assessments, social workers must also evaluate stages of development, and assess how age can influence behaviors (2013). All contributing factors must
If I was in a vegetative state with no hope of re-gaining brain function or living a cognitive life, I would want my family to take me off of life support and I believe these scores reflect that. To live my life, I would want to be as independent as possible; to a certain extent. I would not want to worry about accidents from my bowels or bladder and would like to be somewhat independent in the shower. Although I understand that some type a bathing aide might be necessary. I wouldn’t mind receiving help with grooming, dressing,
One of the first things a nurse should assess before any other is how patient communicates. This would include the assessing the patient’s preference for verbal, nonverbal body language, tone, eye contact, hard of hearing, blind, language the patient wants to speak, need for interpreter, and cultural norm for who is decision maker. The second component, educational background, will entail the evaluation of whether member knows how to read, write, what level of education completed, and what is the best learning style for the patient. Lastly, the health related beliefs and practices of the patient. This would include what causes illness or disease, does the patient and family all believe in the same thing, does the patient use herbal remedies or have a need for religious