Demographics, lifetime education, and career

Demographics, lifetime education, and career

Denis, 67 years was born in California, where he went to a neighboring school Lowell high school. After completion, he worked at his grandfather’s car and repair store. At the age of 22, he was recruited to join the military where he worked until his retirement age.

Two most significant (positive) times in their lives

The two most notable moment of his life is the time he got married to his wife, Elizabeth. And also the time when he was phone called from his wife that he was a dad, and more so his firstborn was a boy which he even loved more

Past hardships the client has negotiated successfully in the past.

Family disputes between the mother and the father of the client tended to develop a lot of hardship while he was growing up. Additionally, the land was an issue since the family did not agree on the division of the property where they sold it and since the divided money was not enough to purchase land he had to live with his grandfather.

Two personal strengths

One of the strongest personal strength of the client is decision making. He claims he is not fast in decision making where he collects all the information available to make an effective conclusion in most of the day to day activities that he engages in. The other strength is the ability to hear if he can concentrate he can hear sounds from afar where most normal people would not be able to do, he calls it sharp ears

Engaging the client in assessing healthy and non-healthy coping skills

With regards to the question, Mr. Denis was unable to differentiate between the two clearly. However, he gambled for answer where he stated that healthy skill is eating a balanced diet while non-healthy skill was not excessing regularly as the doctors prescribed.

Two healthy coping skills that the client have applied in the past and how

The greater part of the coping skills was requesting advice from an outsider or a senior who might give savvy counsel and direction; they likewise included shouting out the issue. The undesirable adapting skills included brutality and blaming others, excessive alcohol drinking a lot to get over the issue, being discouraged and secluding themselves from others and on occasion individuals would escape their homes.

Three advice pieces the client could give to the younger people

The central piece of information that Denis would give to himself at 20 is that life is very short to chase money and glory, just live it. The other point would be, to be gracious and grateful for everything no matter how small it is since nothing is permanent. Lastly, saving is the best thing to do when you are young, instead of purchasing all the trendy stuff at the moment.

Support the client in taking the Geriatric Depression Scale.pdf

Geriatric Depression Scale is a self-report assessment lasting for thirty minutes that is administered to assess elderly people level of depression (Marin, Rodrigues, Druzian & Cecílio, 2010). Since Denise is visually impaired and also the memory ability to think fast and remembered, the Geriatric Depression Scale would be the best option to take. Additionally, the client would be more comfortable to answer short questions because of the stammering condition brought about by his age.

Support the client in taking the Fulmer SPICES Assessment.pdf

The reason I would advocate for Mr. Denis to make the Fulmer SPICES Assessment is due to the break down in his skin, evident problems in eating and feeding, lack continence as well as increased confusion when it comes to remembering. Fulmer SPICES Assessment could help evaluate other unhealthy conditions (Fayers & Machin, 2013).

Perform a Mini Mental State Exam.pdf and Patient Stress Questionnaire.

The following was the test assessment

  1. I would like you to count regressive from 20  to 10 by two number difference for example  (20, 18, 16, …)
  2. I want you to Spell exams  backward
  3. What is the year today? Which Season? , and what is the Day of the week?
  4. Which sate are we at? Continent? Town?  And street?

According to Milisen, Foreman, Abraham, De Geest, Godderis, Vandermeulen & Broos, (2001);

  • If the score 0 to 5 the situation is normal
  • If the score is above five suggests depression
  • If the score is beyond ten is almost always indicative of depression

Perform a Hall, Hall, and Chapman Article.

Findings

The elderly, Mr. Denis, seemed less depressed since he managed to gather a score of below 10 in the geriatric depression scale; in the mini-mental status assessment test he was able to attain a moderate score of 13 points

Describe at least two nursing diagnoses for this client.

One of the nursing diagnoses for Mr. Denis is regular body exercise as a way to keep the body fit; the exercise might be very aggressive such as jogging. However, the client can implement day walks from one place to another instead of staying in the house.

The other recommendation is to have someone to keep him company on a regular basis. The approach is helpful if the client  can exercise his memory consistently as well as keeping his mind engaged 
Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

According to Zadikoff, Fox, Tang‐Wai, Thomsen, de Bie, Wadia, and Marras (2008) monitor vital signs at least every 2 hours and above is needed. Monitoring baseline vitals is done to ensure the Client will remain free from symptoms of infection by the end of the shift, objective.

Administer antihypertensive medication as ordered. To promote wellness, with the objective to improve body function as evidenced by independent mobility.

Teach patient about the possible side effects of medications and symptoms of the body problems to report. This is to be achieved through promoting knowledge and compliance. The objective is to achieve within one week patient will display strength and ROM.

Reference

Fayers, P. M., & Machin, D. (2013). Quality of life: the assessment, analysis, and interpretation of patient-reported outcomes. John Wiley & Sons.

Marin, M. J. S., Rodrigues, L. C. R., Druzian, S., & Cecílio, L. C. D. O. (2010). Nursing diagnoses of elderly patients using multiple drugs. Revista da Escola de Enfermagem da USP, 44(1), 47-52.

Milisen, K., Foreman, M. D., Abraham, I. L., De Geest, S., Godderis, J., Vandermeulen, E., … & Broos, P. L. (2001). A nurse‐led interdisciplinary intervention program for delirium in elderly hip‐fracture patients. Journal of the American Geriatrics Society, 49(5), 523-532.

Zadikoff, C., Fox, S. H., Tang‐Wai, D. F., Thomsen, T., de Bie, R., Wadia, P., … & Marras, C. (2008). A comparison of the mini-mental state exam to the Montreal cognitive assessment in identifying cognitive deficits in Parkinson’s disease. Movement disorders, 23(2), 297-299.

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