Length:2000 words +/- 10% (excluding references)Markers will stop reading at the maximum allowable word count
Referencing:At least 5 high quality, current resources (published within the last 5 years), integrated in CDU APA 7th style
Relevance:High quality aged care is dependenton a holistic and integrativeapproach to patient assessment and care planning. Assessmentthreeis designed to meet the learningoutcomes: 1,2,3,4,5,6
Instructions
- For assessment three read the following case study and supplementary documentation and respond to the following questions:
You are working in a general practice (GP) clinic as a registered nurse. Your next patient is Mr Alexander Kumar and his Wife Sarah. Alexander is 85 years of age and is the main carer for his wife who has dementia. Alex has not attended the clinic for himself in over 3 years, but normally attends with his wife for regular check-ups.
When Alex and Sarah arrive, you notice that Alex is limping and both Alex and Sarah look underweight. You also notice that both their clothes look a little dirty, which is unusual for them. When you read their medical file, you note that they have no services in place and their children all live interstate. When you ask Alex, what has brought him in, he tells you he has a wound on his leg which he has been dressing at home for three months, but it is not getting better. Alex tells you he hasn't seen a doctor about his leg earlier as he can no longer drive and finds it difficult to catch public transport with his wife, who sometimes becomes agitated and upset.
1.Aged care services and interdisciplinary care
- Identify and discuss aged care services and interdisciplinary referrals that you would make as a registered nurse to promote Alex and Sarah independence. Provide a rationale for the services you have selected and link this to the case study.
2. Age related changes and Patient assessments
- Identify five body systems you would like to assess with specific linkage to the case study. Provide a description of the assessment and possible age-related changes (specific to the body system) that the patient may be experiencing and how this is impacting on the patient’s quality of life.
- Identify five different assessments (not body systems) you would perform on Alex and link these assessment to the case study. With each assessment provide a rationale as to why you would perform this assessment.
3. Medication management
Examining the patient’s medication history answer the following questions:
- Identify and describe the age-related changes that impact on pharmacokinetics (Absorption, Distribution, Metabolism & Excretion)
- The older person is vulnerable to adverse drug events. Identify and describe what factors in the case study increase the risk of an adverse drug event.
- For each medication describe what the medication is used for and any potential complications that Alex may experience while taking this medication.
4. Reflection
- Reflecting on the case study evaluate the impact of your own personal experiences and beliefs on how you would feel in this situation.
- Your writing should adhere to academic writing standards including a high standard of grammar, spelling and punctuation. Referencing must adhere to CDU APA 7th referencing conventions.
- You do not needto include an introduction or conclusion for this assessment
- Please refer to the instructions below on submitting your work through SafeAssign in the draft submission point a few days prior to final submission.
- Please read through the attached task rubric for guidance on maximising your marks- this is our marking guide.
Referencing APA 7th styleWord count 2000words excluding referenceno need for Introduction and conclusionFor part 2 use 5 body parts from this , relating to the case studyBody function and process Changes Cardiovascular Heart pumps less effectively. Left ventricle enlarges. Valves stiffen and thicken. Fatty deposits and fibrous tissue are deposited. Digestive Delayed swallowing and time taken to swallow. Decreased gastric pH leads to slower adsorption Endocrine Increase in insulin resistance and lower thyroid function leads to increased risk of type II diabetes Immune T cells become less responsive. B cells produce fewer antibodies, leading to diminished immune response and lowered resistance to infection. Integumentary Skin texture changes as fat layer lessen, leading to skin wrinkling, thinning and becoming drier and less elastic. Clustering of melanocytes leads to pigmentation spots on skin. Hair bulbs lose pigment leading to loss of hair colour. Increased calcium deposits leads to nails thickening and becoming ridged. Fewer sweat glands equates to less perspiration Musculoskeletal Bones become less dense and depleted of calcium and minerals. Thinning and curvature of the spine leads to loss of height. Stiffening and loss of joint cartilage leads to loss of flexibility. Diminished muscle mass, tone and contractility leads to muscle weakness and slower movement. Nervous Shrinkage of nerve cells within brain and spinal cord means slower transmissions of messages. Sensory Eyes: loss of visual acuity, difficulty seeing closer objects. Ear: thickening of the eardrum can result in hearing loss. Taste and smell: Tongue and olfactory bulb atrophy leads to loss of taste and smell. Genito-urinary Female: Shrinking and atrophy of reproductive organs: diminished secretion of female hormones Male: Diminished blood flow creates penile erection difficulties . Enlarged prostate glad contributes to urinary frequency. Both: Diminished blood flow leads to changes in renal function, less urinary output and excretion of waste. Diminished bladder tone and capacity, weakness of bladder muscles increased urinary frequency and urgency and incontinence.