Pain and Pain Assessment in the Older Person - Nursing Assignment Help

Assignment Task

Task
This assessment task requires you to watch a video of a conversation between Aged Services Emergency Team (ASET) Nurse, Robyn, and an older man, Max.  This assessment task challenges you to use your critical thinking skills, knowledge of normal ageing changes, patterns of health, social interaction and illness in the older person. It requires you to take a holistic view of the older client and the effective ways to work with an older person to optimise health.
For this assignment we are looking to promote understanding of comprehensive aged care assessment including
(1)Pain and pain assessment in the older person;
(2) Poly pharmacy and medication review;(3) Person centred care and
4) Health coaching.

Most importantly, we are looking for you to apply these concepts to the needs of an older man, Max.  You will critique the ASET Nurse's assessment of Max as she prepares him for discharge from the Emergency Department of a rural hospital.  Max is returning home after readmission for post-operative complications following a knee replacement.  

The video conversation you will need to critically evaluate for this assessment task is found below in this section. Watch the video recording of the conversation with Max at least once and respond to the following questions using current evidence and references to support your critique and suggestions.
Just copy the link in chrome to watch the video.
 
Question 1: Pain and Pain management in the older person
Max mentioned he had some pain during his post operative period. Discuss the impact  pain can have on an older person and identify and discuss one evidenced based nursing related assessment tool suitable to use to identify the presence and intensity of pain in an older person.  (Approx 400 words)
 

Question 2: Poly Pharmacy and Medication Review
Max shares that his wife takes care of his medications. Further discussions with Max,identify that he takes more than five (5) medications a day. Define the term"polypharmacy" and suggest how it is a risk factor for the older person. In addition, select two (2)  prescribed medications from Max's list and provide their actions, contraindications and any patient education the Nurse should discuss with Max and his wife.  Max's medication list is below.(Approx 400 words)
Following a conversation with Max and his wife, the following medications were identified:
Medication Dose Reason Dose time
mirtazapine
Avanza 30mg depression bedtime
aspirin
Cartia100mg  Coronary Artery Disease breakfast
perindopril arginine
Coversyl 10mg coronary artery disease breakfast
atorvastatin
Crestor 20mg  Reduce cholesterol bedtime
Panadol-osteo  2 tabs Pain associated with
Osteoarthritis breakfast and dinnertime
Caltrate bone health 600mg Calcium &
500iu Vitamin D3
1 daily  Bone strength  breakfast

Question 3: Person Centred Care
Part of the ASET Nurse's role is to ensure a person centred care approach is used when communicating with the older adult. Critique the ASET Nurse's use of effective (and/or active) listening in her conversation with Max. Include in your response the techniques used by the ASET Nurse to effectively collect the required information to assist in her decision making processes to ensure appropriate services were arranged for Max prior to his discharge. (Approx 400 words)

Question 4: Health Coaching
In the video on the Subject I2 site, Max reveals some of his health concerns such as depression, osteoarthritis, and medications. Evaluate the ASET Nurse’s use of the principles of health coaching; what extent is it effective in supporting Max to make changes to his own lifestyle?  (Approx 400 Words).
Make sure you review the Assessment 1  information in the NRS221 interact site for information on how to write the critique.
Additional Information
Use these headings and provide responses in third person and, in full sentences, not dot points.
Include an introduction and conclusion in your assignment and material must be referenced according to APA 7th ed.
Support your assignment with a wide range of peer-reviewed and scholarly sources of information. This includes peer-reviewed journals and textbooks, policy/guideline documents, government or educational websites. Inappropriate sources of information include blogs, Wikipedia, general information websites such as "Better Health Channel".
Your prescribed text is a valuable source of information and other references that will assist you with this assignment.
The use of 10 current (less than 7 years old) peer-reviewed and scholarly sources of information is the minimum requirement.

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