Background on the Older Adult An older
Background on the Older Adult An older adult has arbitrarily been defined as a person who is 65 years of age or older. People are living longer and as a result our society has large percentage of older adults. It is estimated by 2030 that approximately 20% of the US population will be older adults. In older adults, all organ systems undergo some degree of decline in overall functioning, and the body becomes less efficient. There are normal physiologic changes in structure and function that are seen as a person ages. In caring for individuals across the lifespan, as the nurse we must be able to assess, understand, and address these changes. Part 1: Reflective Questions: Think about someone you know that is considered an older adult and answer the following questions (you may type in your answers or handwrite them, however remember the document will need to be uploaded in a word document for feedback). Have you noticed any age-related changes with your parents, grandparents, aunts, uncles, or someone you know who is older? Identify the changes and what you/them have made to accommodate these changes or what actions you as a nurse might take to assist them with these changes? Ex: may now need to wear reading glasses, chairlift, etc. Part 2: Refer to The aging adult (erikson), the health of the individual, family, and community and maslow hierarchy of basic human needs After a total right hip surgery, Mrs. Brown, 73, was admitted to your facility for rehabilitation. She lived with her family and did all activities of daily living independently before the fall. Her past medical history includes hypertension, stable coronary artery disease, and a history of transient ischemic attack. She is currently on low-dose aspirin, clopidogrel, metoprolol, lisinopril, and pravastatin. After the shift report, now you are going to perform a head-to-toe assessment on Mrs. Brown. 1. Discuss those areas of her assessment that you will concentrate on and the reasoning for doing so (Choose 4 out of the 7. Make sure to include the rationale for the choices). A. Mental status B. Nutritional status C. Peripheral vascular status D. Overall condition of the skin and specifically the wound site E. Fall Risk Assessment F. Current medication G. Assessment of Respiratory System 2. What are the health-related examinations, screenings, and immunizations that are recommended for the aging adult? (How often are the examinations before and after the age of 40, choose 4 screenings and 3 immunizations) These may be bulleted under the appropriate headings. Physical examination: Screenings: Immunizations: 3. What are the age-related changes to the following systems that are associated with the normal physiological changes of the older adult? Vital signs: (Include changes for T, P, R, BP) Describe Changes that occur with temperature, pulse, respirations, and blood pressure in the older adult. General Status: Describe why the older adult is more vulnerable to physical and emotional stressors Integumentary System: Describe 3 changes that occur in the older adult Musculoskeletal System Describe 3 changes that occur in the older adult that may lead to difficulties in managing ADL’s Neurological System Describe 3 changes that occur in the older adult that may lead to difficulties in managing ADL’s Special Senses Describe 3 changes that occur in the older adult that may lead to difficulties in managing ADL’s Cardiopulmonary Describe 3 changes that occur in the older adult that may lead to difficulties in managing ADL’s Gastrointestinal Describe 3 changes that occur in the older adult that may lead to difficulties in managing ADL’s 4. Identify 2 nursing interventions for the following systems to promote health in older adults? Physiologic Function: Cognitive Function: Psychosocial Needs: Nutrition: Sleep and Rest: Elimination: Activity and Exercise: Sexuality:
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