NRSG266 - Principles of Managing The Care of Older Adults Case Study - Nursing Assignment Help

Assignment Task

The following three (3) case studies are designed to demonstrate the integration of various principles of managing  the care of older adults.  
Each case study has two (2) questions attached.  
Students are to answer all six (6) questions, remembering to include a critical analysis of the role of the nurse as  relevant to the question.  
Answers are expected to be around 250 words for each, to a total of 1500 words.  
All answers need to be written as academically structured paragraphs and supported by current, credible research  with intext citations.  
Case Study 1 
You are a RN working in ED, looking after Edith, an 87-year-old with an admitting diagnosis of Acopia. All acute  interventions have been completed for Edith, but the wards are full, so she will spend the next 8 hours (+) on an  ED trolley in a corridor.  
Case Study 1. The implication in this scenario is that a diagnosis of 'acopia' is a diagnosis based on functional  abilities and is a form of labelling.  
1. What is the impact of a diagnosis based on the labelling of a patient?  
Answer this using online learning materials provided and other peer reviewed evidence. Acopia itself is more of a  symptom of underlying changes than a diagnosis. Acopia' refers to decreased ability to cope/ manage activities of  everyday life and is a symptom of increasing frailty. Edith is 87 years of age. Normal ageing process eventually  leads to frailty. We studied frail aged in week 8 tutorial (review recording if you have forgotten) and in week 6  online material. Nurses role - Include an analysis of how this labelling impact the care Edith receives. (250 words)  
2. How do normal changes of ageing increase the risk of Edith developing a pressure injury in this scenario? Here you need to consider normal physiological changes that occur as part of ageing to body systems that increase  the risk of developing pressure injury. We covered this in week 6 and week 10 online learning and in additional readings. You could easily relate at least 3 systems to this answer. Nurses role - Also analyse the role of the nurse  to prevent pressure injury for Edith. Remember the scenario context. (250 words)  
Case Study 2 
You are a RN working in community care, visiting Amita, a 76-year-old with a chronic and painful venous ulcer on  her lower leg. She takes multiple medications for chronic illness, and a codeine-based medication for pain.  Amita lives alone in her own home.  
3. How would Amita’s chronic pain impact on her ability to maintain a safe environment?  Consider how chronic pain, particularly a leg ulcer may make it difficult for Amita to maintain a safe  environment. Key points - chronic pain, what is a ‘safe’ environment and the impact on Amita’s ability to maintain  safe environment given this scenario. Falls is only one concern, but what impacts this risk? Nurses role – analyse  the nurse’s role in facilitating Amita to achieve a safe environment and consider facilitators, barriers and what you  can do as a nurse. (250 words) 
4. Why is Amita, as an older adult, more vulnerable to adverse drug events?  
We looked at this in week 7online learning. We also see normal physiological changes that occur as part of ageing  to body systems and the impact of socio economic factors, polypharmacy. Consider the immune system, renal system and the digestive system (liver, stomach). Consider how the vulnerability may be related to the issues associated with changes in pharmacokinetics and pharmacodynamics of the older person’s body. Nurse role – analyse with respect to Amita being more vulnerable to adverse drug events. (250 words)  
Case Study3 
You are a RN working on an acute medical ward, looking after Oliver, an 80-year-old with painful cellulitis from  hand to shoulder resulting from a small left hand scratch sustained while gardening. He is admitted for 7 days of  QID IVABs via a right cubital fossa PIVC. Because of the cellulitis, PIVC and IVAB regime, Oliver’s mobility is  limited. 
5. Outline the normal changes of ageing on the respiratory system in predisposing Oliver to pneumonia  during his hospital admission.  
Here you could consider normal physiological changes that occur as part of ageing (Oliver is 80) to the respiratory  system and other related systems. Consider functional and anatomical changes that will be evident in 80 year old  Oliver. Nurse’s role - analyse how the nurses understanding of changes to the respiratory system impact care they  provide for Oliver. (250 words) 
6. What are the benefits of increasing the mobility of an older adult during hospitalisation? How should the  RN encourage incidental exercise during Oliver’s admission?  
This question has 2 parts.  
Part 1 is straight forward. There is a lot of literature about the physiological and psychosocial benefits of increasing  mobility of the hospitalised patient, but make sure you apply your discussion to Oliver.  
Part 2 is also a straight forward question but again you must apply your nursing interventions and rationales to  Oliver’s scenario. (250 words for Q 6 Part 1 and 2 combined)  

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