NRS 434V Week 4 DQ2 Discussion: Reducing Health Risks of Middle-aged Adults
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For the middle-aged adult, exercise can reduce the risk of various health problems. Choose three health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidenced-based literature.
NRS 434V Week 5 DQ 1 & DQ 2 Example Solutions
NRS 434V Topic 5 DQ 1
Describe the elements of a comprehensive health assessment of a geriatric patient. What special considerations should the nurse keep in mind while performing this assessment?
The elements of a comprehensive health assessment for the geriatric patient should include establishing an appropriate, comfortable, non-judgmental environment which provides for privacy and patient dignity. A complete and comprehensive health history should be taken. This history is to include the patient’s chief complaint, a history of this complaint, any past medical history family history, social history, as well as a systems review (Baid, 2006).
There are many factors for the nurse to consider when assessing the geriatric patient. It is important for the nurse to have a working knowledge of the normal aging process, but chronic illnesses that go along with it. Assessments that a nurse may include in this process would be mental health, functional, social, and economic status (Functional Assessment of the Older Adult, 2016). It is important to note that part of the normal aging process includes decreased muscle mass, thinning skin, hearing loss, unstable gate, changes in vision, along with others.
Baid, H. (2006, July 13). The Process of Conducting a Physical Assessment: A Nursing Assessment. British Journal of Nursing, 1-6. Retrieved from http://eds.a.ebscohost.com.library.gcu.edu:2048/ehost/pdfviewer/pdfviewer?sid=0a3af62e-8122-4a4b-9703-85bc5a314ab0%40sessionmgr4002&vid=1&hid=4110
Functional Assessment of the Older Adult. (2016). In C. Jarvis, Physical Exam and Health Assessment (7 ed., p. 831). St. Louis, MO: Elsevier.
NRS 434V Topic 5 DQ 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, the majority of 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 in end-of-life care and in supporting their desires. Support your response with evidence-based literature.
Reasons that elderly do not die in their own home are partly because no Advance Directive is available which allows the patient to state their wishes in end of life issues. Statistics show that the elderly are dying more in hospitals than at home which is the preferred place of dying for most elderly patients. Planning ahead is key when it comes to where a patient prefers to die (Ahearn, Nidh, Kallat, Adenwala, & Varman, 2013). As a nurse treating a patient in the hospital Advance Directive is part of the planning process. Usually the social worker will come in and present this to the patient and the patient will either fill it out then or look it over and set aside. This writer would sit with the patient when family members are present and discuss the reasons Advance Directives are important for all involved. Yes, this is a sensitive issue to discuss, but something that must and should be done.
Ahearn, D. J., Nidh, N., Kallat, A., Adenwala, Y., & Varman, S. (2013). Offering Older Hospitalised Patients the Choice to Die in Their Preferred Place. Retrieved from http://www.medscape.com/viewarticle/777008 Discussion: Reducing Health Risks of Middle-aged Adults