CLINICAL PRACTICE EXPERIENCE ON ELDERLY

Date of birth for the older adult who was assessed:

13^th January 1950

Complete Physical Assessment

Findings:

When pain scale has used the findings were that the older experienced pain and the intensity of the pain had impacted his life negatively.

The observation method showed that the older had signs of pain because of his communication impairment, his narrowed eyes, and the open mouth. Effects such as loose bone density led to pain in the joints and muscles (Urena, Gonzalez, Chiclana, et al., 2018).

Tool(s) Used:

Pain assessment tools used were pain scale observation and direct inquiry.

Psychological Assessment

Findings:

Cognitive impairment findings were that the older had cognitive problems because of his neurological impairment. This implied that his aging has led to brain shrinkage.

Depression findings were poor concentration. He also had reduced interest in daily activities and low self-worth.

Tool(s) Used:

Cognitive impairment tools include; short assessment tools such as mini-mental state examination tool, Rowland universal dementia scale, mini-Addenbrooke’s cognitive, in-deep assessment tools such as nurse observation scale cognitive ability,

depression tools such as Geriatric depression scale and depression Inventory

Spiritual Assessment

Findings:

The older patient took part in in the religious community as it encourages health life and condemns the use of alcohol, tobacco which are the risk factors to cardiovascular disorders (Takáč, Sinčák, Magyar, Cavallo, et al., 2017). Spiritual distress tool showed that the older patient has the least spiritual distress, and this had less impact on his health.

Tool(s) Used:

FICA tool (faith, importance, and influence, community, address in care.) and spiritual distress tool.

Environmental Assessment

Findings:

The older patient aged in the environment within their home and community, the setting that is accommodative with age-associated variations in health and functioning thus he stayed in places away from hazardous areas that might have worsened his health.

Tool(s) Used:

Home assessment tool

Fall risk assessment tool,

Cultural/Ethical Assessment

Findings:

Ethical values such as dignity caring community and closeness were the key value for caring the older patient, thus increasing his life span. The culture was used to increase the responsiveness and competence of older clients during treatment.

Tool(s) Used:

Ethno-cultural assessment tool.

Assessment Analysis

Text:

Physical and psychological assessment affected the older client, mostly due to normal changes in the aging that led to depression and mental disorders (Mohammadi, Alavi, Bahrami, et al., 2017). Environmental assessment affected, to some extent, as home-based care is not available for the older. Spiritual assessment affected to less extend as the older age had built his faith in God. The cultural assessment was the least finding.

Graphic:

GRAPHIC ASSESSMENT ANALYSIS OF 70-YEAR-OLD MAN.

Cultural spiritual psychological physical environmental cultural


Normal age-related changes for an older adult	Pathological changes due to a disease process
1.Nerve cells changes leading to cell apoptosis	1.disease process affecting the Schwann cells causes demyelination
2.loss of bone density hence bones become weak due to low calcium	2.changes that lead to axonal degeneration due to disease affecting the peripheral nerves.
3.the skin becomes less elastic and thinner due to change in collagen.	3.change in pulse rate and blood glucose level due to diabetes type 2.
4.decrease insensitivity of the taste buds on the tongue and mouth produces less saliva, also muscle mass, and strength decrease.	4.change involving thickening of the hypothalamus and upper as a result of sarcoidosis.
Of the above changes, which ones apply to the older adult who was assessed:
Normal age-related changes.
References
Urena, R., Gonzalez-Alvarez, A., Chiclana, F., Herrera-Viedma, E., & Moral-Munoz, J. A. (2018). Intelligent m-health app to evaluate the elderly physical condition. IOS-Press.

Mohammadi, M., Alavi, M., Bahrami, M., & Zandieh, Z. (2017). Assessment of the relationship between spiritual and social health and the self-care ability of elderly people referred to community health centers—Iranian journal of nursing and midwifery research, 22(6), 471.

Takáč, P., Sinčák, P., Magyar, G., & Cavallo, F. (2017). Cloud-Based Affective Loop for Emotional State Assessment of Elderly.