Activity Inactivity Relative To Older Adult Patient Cared For In The Hospitalized Environment

2496 words - 10 pages

Aging is a natural part of human life. With modern technologies and medical innovations, the society has been able to prolong life and thus increase the number of older adults in the society. Normal part of aging are inevitable physiological and psychological changes, which need to be understood and addressed by nurses in order to provide appropriate care for older adults. Presenting patient’s description with appropriate data, I will utilize Watson’s Caring theory (2008) to assess the lower order need of activity-inactivity relative to this older adult patient cared for in the hospitalized environment. The integration of theory, research and best practice guidelines will be used to plan nursing interventions and strategies to meet the health needs of older adults in health care. Watson’s (2008) fourth caritas process of developing and sustaining a helping-trusting caring relationship will be used to describe the nursing implementations which were utilized in providing safe and competent care for older adult.
Mr. X is 84 years old. He was admitted to the hospital on January 4, 2014, due to hematuria in his urine and a suspected Transient Ischemic Attack (TIA). After the admission, he was sent for a CT scan, which confirmed Mr. X’s TIA in his right hemisphere. On January 5, 2014 Mr. X was transferred to CP1, an acute care stroke unit. His first TIA episode had been on August 28, 2012. His comorbidities include hypertension and type II diabetes. His activities are limited to bed rest as he has risk of falls; also he is on input-output with a Foley catheter. He has left side weakness and mild facial drooping on the left side. He is alert and oriented; however, he has trouble focusing on many people at one time. His care plan states bed rest, assist with bath, diabetic diet, on intake and output. The vital signs obtained on the morning of January 28, 2014 were 36.7, 85, 20, 92% and B/P 136/65. Mr. X’s Foley was taken out on January 24, and he was on intermittent catheterization every six hours. During catheterization the patient’s urine was dark amber with particles, and totalled 519 ml. The patient is on bed rest and can be lifted to sit using the Hoyer lift. Mr. X’s diet is diabetic with 1600 calories and a regular texture; he eats with 50% assistance, and usually finishes half of his entire meal. Mr. X. is a good candidate for motor recovery; however, his baseline cognitive status may affect his ability to participate in the recovery process. Mr. X scores 13/30 on the Mini-Mental State Examination (MMSE), which indicates moderate cognitive impairment, and 8/30 on Montreal Cognitive Assessment (MoCA) which also signifies cognitive impairment.
In order to be able to provide safe and competent care I had to research the diagnosis of my assigned patient. During the research the high correlation between his co-morbidities and TIA was found. Transient ischemic attack (TIA) is a transient stroke that lasts only a few minutes, usually when the blood...

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