1 Describe the characteristics of the aging process. Explain how some of the characteristics may lead to elder abuse (memory issues, vulnerability, etc.). Discuss the types of consideration a nurse must be mindful of while performing a health assessment on a geriatric patient as compared to a middle-aged adult. 400 words reference within 5 years
2 End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature. 400 words reference within 5 years
Expert Solution Preview
1. Introduction: As people age, their bodies go through various changes that cause them to become more vulnerable physically and mentally. These changes may result in some of the characteristics that can lead to elder abuse, such as memory issues and susceptibility to falls. A nurse performing a health assessment on a geriatric patient must be mindful of the types of considerations that are different from those for a middle-aged adult.
The aging process is characterized by several physical and mental changes. Physically, the body becomes more susceptible to chronic diseases such as heart disease, cancer, and diabetes. The immune system weakens, making older adults more prone to infections. The skin becomes thinner, more fragile, and less elastic, which makes it more susceptible to cuts and bruises. Mental changes include declining cognitive function, memory issues, and mental health concerns such as depression and anxiety.
These changes can lead to elder abuse in several ways. For example, older adults who have memory problems may be more susceptible to financial abuse or neglect, as they may forget to pay bills or take their medication. Vulnerability caused by aging-related physical changes, such as reduced mobility, can make seniors more susceptible to falls, which can result in physical abuse. Nurses must be mindful of these issues when performing health assessments on geriatric patients.
When conducting a health assessment on a geriatric patient, nurses must consider several factors that are different from those for middle-aged adults. For example, they must take into account the patient’s mobility and vision issues. They must also be aware that cognitive decline and memory problems can affect the patient’s ability to provide accurate information about their health. Nurses should take extra time to explain procedures, ask the patient’s permission for each step, and ensure that they feel comfortable and secure.
2. Introduction: End-of-life care is an important issue for elderly clients, who often have specific preferences and desires for their final days. Despite the emergence of palliative care and hospice programs, most elderly people do not die at home as they would prefer. There are several reasons for this trend, but nurses can help support their clients in accordance with their wishes.
One reason why elderly people often do not die at home is that they may have complex medical needs that cannot be met by family members or community-based services. Additionally, many families live far away from their elderly loved ones, making it difficult to provide the necessary care. Economic factors can also play a role, as the cost of round-the-clock care at home can be prohibitive for many families.
As a nurse, there are several things you can do to support your clients regarding end-of-life care in accordance with their wishes. First and foremost, you should talk to your clients and their families about their preferences and desires for end-of-life care. Documentation of such information is critical to ensure clients receive the care they want. Additionally, you can educate your clients and their families about the options available to them, including palliative and hospice care. You can also advocate for your clients’ wishes with other members of the healthcare team, including physicians and hospice providers.
In conclusion, the aging process brings about a variety of physical and mental changes that can make elderly individuals more susceptible to abuse and neglect. Nurses must be mindful of these changes and take appropriate steps when conducting health assessments on geriatric patients. End-of-life care is an important issue for elderly clients, and nurses can play an important role in supporting their clients’ wishes regarding this matter.
