Please write a Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.
The medical history focuses special attention on medication use and the risk for malnutrition, falling, incontinence, and immobility. The nurse examination seeks to identify specific diseases or conditions for which curative, restorative, palliative, or preventive treatment may be available. Special attention is directed towardvisual or hearing impairment, nutritional status, and conditions that may contribute to frailty and falling or difficulty in ambulation.
Cognitive, behavioral, and emotional statuses are evaluated, paying close attention to detecting dementia, delirium, and depression.
Social and Economic Status
The social support network includes the accessibility and capability of caregivers, the elderly person’s economic resources, and other bases of support such as cultural, ethnic, and spiritual resources. It also includes the individual’s own assessment of their quality of life.
Functional status is measured by the ability to accomplish basic activities of daily living (ADLs) and to participate in behavioral and social activities referred to as instrumental activities of daily living (IADLs). ADLs include bathing, dressing, toileting, transferring, continence, and feeding. IADLs require a higher level of cognition and judgment than physical activities and include preparation of meals, shopping, light housework, financial management, medication management, use of transportation, and use of the telephone.
Evaluating the patient’s physical environment regulates the safety of the living environment. It also assesses the patient’s availability and use to essential services, such as shopping, pharmacy, and transportation.
What special considerations should the nurse keep in mind while performing this assessment?
It might take a little more time to complete the assessment and need to make sure that we are doing it at an optimal time, They might tire easier and when they take and what medications that they are taking. We need to make sure that we have them use any assistive devices that they normally use such as glasses, hearing aids, pocket talkers, walkers, and provide written explanations if needed. Be prepared to use interpreters instead of family members for non-English speaking patients. Make sure that when testing for mobility to have a safe clear and enough room. Be respectful of their environment and their things as well as the need for pain relief.
Jarvis, C., (2016), Physical Examination and Health Assessment, Seventh Edition, Elsevier., MO.