Discuss Mrs B physical, psychological, and social needs Assignment

Assignment Task

Description

Using the clinical scenario provided (see below), develop a care plan for Mrs B which incorporates a thorough nursing-focused assessment.
Review the information available for Mrs B and develop a care plan that captures the relevant information required for Mrs B to ensure a positive person-centered outcome in the acute care setting with supportive high-quality contemporary literature.

Case study

Mrs. B, an 85-year-old woman, who lives in a assisted living facility presented to the emergency department with her son.  She is experiencing an increase in paranoia, visual hallucinations, and agitation. Her son had taken her to her gp when facility staff reported concerns about these symptoms. Mrs b. Angrily accused the gp of trying to euthanise her when the discussion progressed to treatments that may alleviate her current complaint. The gp, concerned, encouraged the son to take her to ed and he would fax a referral.  

Mrs b had been living in an aged care facility for approximately 3 years. She initially was doing well in the facility until she was hospitalized 2 years ago with agitation. At that time, she was diagnosed with moderate degree of alzheimer’s type dementia with delusions, depressed mood, and behavioural disturbance. She returned to the aged care facility and had been stable until a few months before her current hospitalization, which was precipitated by gradually worsening paranoid delusions, visual hallucinations, severe restlessness, and difficulty in being redirected.

Question

• Outline Mrs B’s current presentation/issues; and briefly describe Mrs B’s history
• Identify and discuss Mrs B’s physical, psychological and social needs
• Describe the main issues/risks/needs that need to be addressed and how will you manage these issues
• Critically discuss the assessments and tool/s best used for Mrs B

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