Case Study Jimmy Dolittle Star is a

Case Study Jimmy Dolittle Star is a 78-year-old Aboriginal man who served as an army electrician his whole life. He is married & his children, grandchildren & great grandchildren all live in his community. He has a history of diabetes, emphysema, and hearing loss. He considers himself to be healthy, describing his emphysema as ‘not that bad, and his diabetes as ‘manageable’. He becomes short of breath doing daily activities which take him longer now. He stills smokes occasionally and understands he should quit but needs to work on it. Jimmy had a toe amputated a month ago, secondary to a wound that didn’t heal due to diabetes. Wound care is provided in an outpatient clinic. The wound care nurse assessed Jimmy, noting that he was not wearing his hearing aids, and therefore could not hear the wound care instructions. Questions 1. According to Erikson, what development stage is Jimmy in and what are the developmental tasks he needs to achieve to be successful in this stage? (2 marks) Provide examples of how Jimmy is meeting or not meeting these tasks. (2 marks) 2. What are the physiological and cognitive changes affecting older adults as this stage? (2 marks) Which of these changes are affecting Jimmy’s ability to maintain his health? (2 marks) 3. Identify the health promotion teaching the nurse can provide Jimmy. Provide rationale for your answer. 4. As the community health nurse performing the assessment, how can you promote effective communication with Jimmy? (2 marks) What other needs may be considered to assist Jimmy in his restorative care? (2 marks) SCIENCE HEALTH SCIENCE NURSING PNH 101

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