| Subject Code : | NUR2402 | Country : | Australia |
|---|
ASSIGNMENT TASK:
TASK:
Case study
Maria Russo is an 83-year-old lady with a rich Italian background. She migrated to Australia when she was 51 years and ever since has lived and worked in Australia, she is a widow who lives alone in her unit and has been independent with her activities of daily living. She has two daughters Gianna and Bianca who live nearby and are fully involved with the care of Maria. Mrs Russo presented to emergency department (ED) via ambulance following a fall in her garden. She had fractured her left NOF and has been to operation theatre (OT) for total hip replacement (THR). Mrs Russo is now day 7 post op. Mrs Russo has a medical history of osteoarthritis and had a major stroke 5 years ago but managed to recover well after months of rehabilitation. She has moderate congestive cardiac failure, a mild cognitive impairment, NIDDM for ~ 20 yrs, with pain associated to neuropathy. She has had two recent transient Ischaemic attacks (TIAs) at home and managed to recover well after few days of staying in bed. Since she lost her husband, Mr Russo 7 years ago, she cycles through depression if she forgets to take her antidepressants. She wears glasses for her vision impairment related to glaucoma, cataracts, and diabetic retinopathies. She also wears bilateral hearing aids. During her stay in acute care ward, the nurses documented in her progress notes that Mrs Russo is:
– Underweight with a BMI of 14
– On admission looks quite dishevelled and dehydrated indicating possible neglect and poor care
– Very frail with multiple skin tears on her lower limbs and stage 1 pressure injury to her sacrum
– Old scars to lower legs with possible history of healed venous/arterial ulcers
– Might have been on the ground for over 8 hours before a neighbour found her
Questions
1. Outline the statistics (incidence and prevalence) of contemporary ageing in Australia and the impact of the ageing population to the health care system. In your discussion explain why nurses need to be culturally competent to care for older adults in Australia (approx. 200 words)
2. Upon discharge, Mrs Russo and her daughters were given vital information and health education regarding her health issues and wellness. Explain why health promotion is important in the care of older adults (approx. 200 words)
3. Identify the conditions that lead to hearing impairment of Mrs Russo and discuss the associated challenges for her as an older adult (approx. 200 words)
4. Consider Mrs Russo’s chronic pain. What assessments will you undertake and what actions will be implemented to reduce/eliminate the pain (approx. 200 words)
5. The occurrence of dementia, delirium and depression are common in older adults as seen in the case study of Mrs Russo. Explain in detail why the nurse needs to be able to distinguish between the three conditions (approx. 200 words)
6. Mrs Russo’s progress notes highlighted some possibility of neglect and poor care at home. From your weekly readings and possible experiences, discuss the risk factors of the older adults that makes them more susceptible to elder abuse (approx. 200 words)
7. Considering the transfer of Mrs Russo to an aged care facility, describe what attributes the registered nurse will need to have in order for Mrs Russo to adapt to her new and final home (approx. 200 words)
8. Considering frailty of Mrs Russo, it is possible that she might enter her palliative/end of life care phase in the near future. Discuss the nurse’s role in end-of-life care
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