HLT54115: Nursing Care Plan - Miss Alice Jones Case Study - Implement and Monitor Care of the Older Client - Assessment Answer

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Miss Alice Jones Case Study Assessment Answer

Assignment Task: HLT54115 Miss Alice Jones Case Study - Miss Alice Jones is an eighty-nine-year-old female who resides at the Minnows aged care facility. She has lived here for 1 year and prior to this she lived with her sister in their own family home. Once her sister died, she was finding herself becoming increasing socially isolated and finding it difficult to manage at home. She has only only one brother, who visits her infrequently. She has never married and has no children. She used to work as a beautician and has always taken pride in her appearance. Her past medical history includes. HLT54115 Myocardial infarct (MI) Diagnosed 10 years ago - Hypertension Diagnosed 10 years ago - Osteoarthritis, particularly in her right knee. - Anxiety and depression Diagnosed 2 years ago She has more recently been diagnosed with Alzheimer’s Dementia and urinary incontinence (urgency incontinence <12 months) She ambulates with a 4 wheeled frame; however, staff often find that she leaves the frame and is found walking in the hallways. Alice requires one nurse to assist with personal care, including dental care (full lower/ partial upper dentures). HLT54115 Staff encourage her to attend social activities with other residents, however she tends to stay for only short periods and leaves the activity. Alice tends to wander around the facility and often forgets where her room is and requires staff to reorientate her often several times per day. Staff have also noted that she is wandering through the night, and spending time asleep during the day due to her night time wandering. Alice complains that she has increasing pain in her right knee, however when asked about the pain she does not appear to be able to be to give accurate information to staff. Her answers often seem quite confused. HLT54115 She has had two falls this year, both resulting in no injuries. Alice is able to eat her meals without staff assistance, however more recently the staff have noticed that is eating less and at times forgets her even there. Often her meals are returned completely uneaten. She has had a recent weight loss over the last 2 months) of more than 1kg, from 56.6 kg to 55.6 kg. She saw a dietician on admission, however she has not had a follow-up review. HLT54115 Medications: HLT54115 Prn Panadol 1grm tds Voltaren Emulgel daily to right knee Tramadol 50mg PRN Atenolol 100 mg mane You have been assigned to care for Miss Alice Jones on morning shift. Here is the handover you receive from the night staff: Miss Jones, in room 27, has been awake for periods overnight. Staff checked on her at 12 pm and they noticed her light was on and she was sitting in her bed. Staff asked her what she was doing, and she replied that she was getting ready for lunch. Staff helped her to use the toilet and they noted that she was incontinent of urine. Staff reapplied an incontinence aid and she assisted to bed. She seemed quite confused and required reassurance that it was time for bed. Staff then noticed her up at 2am and required redirecting to her bed. At time of report, she is having a shower with the night Personal carer as she was up and at the nurses’ station requesting to go to the shops. She was quite upset this morning stating that she was looking for her sister. Staff offered reassurance and redirection. HLT54115 Part A - HLT54115 Medical diagnosis – using the information you have been provided with describe the persons past medical history. Include the impact that this past medical history may/will have on the person. Theory of ageing – using the information you have been provided with and by doing further research determine which theory of ageing you believe is most appropriate for this person. Provide justification for your response. Physiology of ageing – using the information you have been provided with, explain the physiology of ageing and how it relates to this person’s disease process Primary health services – identify which primary health services you believe would be appropriate for this person. Justify your response. You must identify at least two (2) primary health services that are appropriate for this person. Strategies and Interventions for dementia/challenging behaviours – describe at least four (4) strategies or interventions that you may be able to utilised to assist you to care for an individual with dementia. Ensure that you have linked this back to the person in the case study (what behaviours have you identified in the case study that would need to be managed?). Include communication strategies in your answer. Oral hygiene – using the information you have been provided with, identify why this person may be at risk for not having their oral hygiene needs met. What strategies could be implemented to ensure that this person’s oral hygiene needs are met? HLT54115 Pain – using the information you have been provided with, identify how you would determine if this person was in pain. What may cause this person pain? How would you manage this person’s pain? Identify any complementary therapies that you think this person may benefit from. Justify your response. Part B – HLT54115 Nursing care plan, based on the clinical reasoning cycle  Look, collect, process, decide, plan, act, evaluate and reflect.

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