Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Assessing and Planning Care for an Elderly Person
Interview of Chosen Elder Adult
Age: 72
Gender: Male
Introduction and Information
A 72-year-old Mr. Rey is an ex-soldier who has mostly recognized by the government as the best military man who has accomplished many missions assigned to him. Rey has visited a lot of places around the world, such as Vietnam, which has made him be confident and have many survival skills when compared to the individuals in his age set. Moreover, in Mr.Rey’s entire life, he found himself to be one of the most energetic, purposed, and values an individual who is driven by positive vibes about life. Also, Mr. Rey has two children; one son and one daughter, and his wife died about ten years ago after suffering from Parkinson’s and hypertension disease. Mr. Rey’s family was in so much grieve after losing their loved member of the family in 2009 since Mr. Rey had to take full responsibility for the two children, which made him continue staying strong to focus on giving his children time, attention, and care they need.
As mentioned earlier, it is clear that Rey is an ex-soldier, which means he still had to sacrifice a lot of things to keep his family in touch and alive. According to Rey, in life where an individual finds a purpose of living, it makes them maintain independency to the age and other daily routines. Studies argue that a purposeful life is essential for the wellbeing of an individual since they can minimize some of the elderly prone diseases and receive some better sleeping patterns. There is a drastic increase in the number of elderly individuals in the United States when compared to the past population census conducted by the government.
Preliminary Issues
Some of the possible issues that can be related to the above case scenario are the risks of falling, backache, insomnia, and constipation.
Since the score cleared that the essentials or risks of lessening to the patients are somehow reasonable, which argues that the patient might be at lofty peril or low risk, also age contributes a lot to someone’s health. An individual might experience the risks severely at sudden without even showing signs and symptoms. Insomnia is so much common among the most elderly individuals when compared to other age group people within the society. Also, older adults can experience the toileting problem, which can be accompanied by backache, which results in difficulty in standing and walking. Last but not least, the elderly might also experience a high risk of bowel issues and constipation.
The elderly individuals might suffer from depression due to the stress conditions since they might lack someone to speak to or share their problems and feelings about life and so forth. Therefore proper dietary intake has to be emphasized among the older people to minimize their risk of suffering from those diseases and always be accompanied by caregivers when going somewhere since they need energy.
Alterations
Some of the health alterations in this case scenario as observed by the viewer are;
- Intestinal problems
- Loss of taste of buds and
- Speaking difficulties
Personal Cultural Awareness
Some of the common cultural aspects to the Native Americans include valuing a corporation and always staying oriented in the present. Also, spiritual values and great values of the families is among the common cultural aspect so the native Americans and believe that there is a state of health which still lives or exists whenever an individual’s decision to live in total harmony with nature. Moreover, diseases are viewed by the Native Americans as not the alteration in human beings’ physiological state (Wallace & Shelkey, 2007). Still, they are seen as the act of imbalance between the supernatural forces and the ill person, which makes them consult medicine man or even a lady known as a shaman.
Cultural Competency
There are so many challenges and opportunities that have grown in the health care providers, policymakers, and health care systems due to the increase in diversity of the country when it comes to delivering ethnically proficient services. Enlightening competency is all about the capability of both the organization and the provider to efficiently provide health concern services that can convene the cultural, linguistic and social requirements of the people.
Additional Questions
Rey Perspective on the Word “Too Old”
Age is not about the natural purpose of the figure of existence that an individual has lived or even the physiological changes that human beings bodies go through in life but is the invention of the community norm and other prospect that are applied in every phase of life. Also, age is considered as the representation of the wealth of life experiences that are behind the shaping or transformation of someone to become who they are in life. Through much medical advancement that prolongs human being, the older adults in the society can get high-quality medical care, which can make them escape some diseases (Roquebert, Kabore & Wittwer, 2018). However, some of the aging aspects experiences in life depend on race, gender, social class, and other social elements.
Beliefs about Health and Illness
As people or patients age also the optimistic attitude towards standard of living changes can drastically advance the eminence of life they are living. Most of the older patients around the world, and the United States tend to seek health promotion and wellness counseling more often from various health practitioners to have the best of their health. Moreover, having regular physical exercises throughout life is vital when it comes to the maintenance of a healthy body since it enhances mental well-being and prevents early death. However, wellness counseling and health promotion are considered as the best patient’s interests when it comes to the older generation.
Something that Helps Him Live So Long
What makes Mr. Rey continue living and maintaining good health is through the motivation he gets from his children. Also, the death of his wife made him to be much focused to his children and continue having good health to be there for his children in case they need him.
References
Roquebert, Q., Kabore, R., & Wittwer, J. (2018). Decentralized policies and formal care use by the disabled elderly. https://www.cairn.info/revue-d-economie-politique-2019-6-page-1031.htm#
Wallace, M., & Shelkey, M. (2007). Katz index of independence in activities of daily living (ADL). Urol Nurs, 27(1), 93-94.
APPENDIX
Patient Questionnaire
- Age = 72
- Gender = Male
- Profession = ex-soldier
- Family Members = 3 alive, 1 deceased
- Are you filling in this questionnaire for:
- Which of the following best describes the reason you saw the doctor today?
- How good was your doctor today at each of the following?
Poor Less than satisfactory Satisfactory Good Polite · Listening keenly · Good explanation about your condition ·
Let you feel easy · Arranging best treatment for you ·
1. Tinetti Balance and Gait Evaluation
Balance Section Gait Section The subject is seated in hard armless chair The individual is moving with variable paces (usual to fast) Balance in Sitting 1 Indication of gait 1 Rises from the Chair 2 Step length and height 1 Attempts to rise 2 Foot clearance 1 Immediate standing Balance 2 Step symmetry 1 Standing balance 2 Step continuity 1 Nudged 1 Path 2 Eye Closed 1 Trunk 2 Turning 360 degrees 0 Walking Time 1 Sitting down 2 Balance Scores = 13/16&Gait Score = 10/12
Total Score = Balance Score + Gait Score = 23/28
TinettiTool Score = Moderate, since the value is 23 so the risks of fall are moderate.
2. Katz Index of Activities of Daily Living
Activities
Independence
1 pointDependence 0 point
NO supervision, direction or personal assistance. WITH supervision, direction, personal assistance or total care. Bathing 1 0 Dressing 1 0 Toileting 1 0 Transferring 1 0 Consistence 1 0 Feeding 1 0 Total Score (Wallace, 2007)
High 06
Low 0
3. The Barthel Index
Activity Score Feeding 10 Grooming 5 Stairs 10 Bladder 5 Toilet Use 10 Transfers from Bed to Chair & Back 10 Bowels 5 Dressing 10 Mobility 5 Bathing 5
Total Score = 75/100
Assignment Components
Contrast of client’s responses with findings in current literature
Assignment Components
Inadequate 1
Emerging 2
Proficient 3
Exemplary 4
Score 20 pts. each
Identified and described the interviewed individual ü
3×5= 15
Identified and described the cultural implications for the identified individual. ü
4×5= 20
Performed a comprehensive functional (physical and mental) assessment utilizing the 4 tools ü
4×5=20
Compared and contrasted the age-related changes of the interviewee to the expected changes ü
3×5=15
Identified and described 4-6 preliminary issues assessed from the interview ü
4×5= 20
Identified and described 3 alterations in health that you would propose ü
4×5=20
Identified and described three comprehensive interventions for each identified problem. ü
3×5=15
Total score = 125/ 140
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. 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