Discussion: Wellness Assessment Plan For Elders

Discussion: Wellness Assessment Plan For Elders ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Wellness Assessment Plan For Elders I’m working on a nursing project and need support to help me learn. St Pauls School of Nursing NUR 100 Wellness Assessment Plan For Elders Paper Your assignment is to develop a therapeutic relationship with a well elder in the community to learn about the aging process, and to develop skill and experience with the nursing process. This will be the foundation for assessing elderly individuals who are ill. You will assess the communication and safety needs of the well elder, and you will keep a self-reflective journal documenting your experience with the assessment process, and evaluating your use of the nursing process. attachment_1 St. Paul’s School of Nursing NURSING 100 Well Elder Rubric Communication Assessment 40% Initials Height and Weight Age / DOB Gender Education level Occupation Home Assessment Income/Health Insurance Primary Care Provider Diet Level of Independence Use of Assistive devices Use of visual or hearing aids Hobbies/interests Smoker/Alcohol/Drugs Medications (OTC and RX) Ethnicity/religion/culture Language Spoken Marital Status/Children PMH/PSH Identification of health risks Teaching Plan 40% Identify teaching needs Identify two learning objectives Identify teaching resources used Identify domain of learning Content of teaching plan Teaching strategies Evaluation of teaching plan Completion of Self Reflective Journal 20% Describe your interaction with the elder Feeling during assessment Use of Communication Saint Paul’s School of Nursing Staten Island, New York NUR 100: Well Elder Assessment Your assignment is to develop a therapeutic relationship with a well elder in the community to learn about the aging process, and to develop skill and experience with the nursing process. This will be the foundation for assessing elderly individuals who are ill. You will assess the communication and safety needs of the well elder, and you will keep a self-reflective journal documenting your experience with the assessment process, and evaluating your use of the nursing process. LEARNER OBJECTIVES Assess the communication and safety needs of the well elder. Identify factors (physical, developmental, financial, religious, and psychological) that impact the elder’s ability to meet these needs. Describe the communication and safety concerns you have identified. Develop a Teaching plan to meet the identified needs. GUIDELINES Use the focus interview questions to guide your assessments. Try to use open ended questions. Avoid judgmental responses. Write in your journal after EACH encounter with the elder. Choose one topic; communication or safety and develop the Teaching Plan. SELF REFLECTIVE JOURNAL In the journal, describe your interactions with the elder and your feelings during the assessment and analyze your use of communication. FORMAT This assignment MUST be typed. GUIDELINES FOR WELL ELDER TEACHING PLANS Step 1 Identify a teaching need that you have assessed (communication, safety, nutrition). Ex. Nutrition: low sodium diet Step 2 Identify TWO learning objectives to meet this teaching need. Using the following domains of learning, identify TWO domains of learning that will address the learning objectives. Cognitive learning domain is exhibited by a person’s intellectual abilities (what learner is able to do). Affective learning domain addresses a learner’s emotions towards learning experiences (what learner chooses to do. Psychomotor learning domain refers to the use of basic motor skills, coordination and physical movement (what learner can perform). Ex. 1. The learner will identify 3 foods low in sodium. Cognitive domain The learner will substitute foods high in sodium with foods low in sodium. Affective Domain The learner will prepare a low sodium meal using a recipe from Health Eating Cookbook. Psychomotor Domain Step 3 What resources will you use to implement your teaching plan? Ex. Family member; significant other; printed material from the Internet Food Pyramid Web site; American Heart Association website; DASH diet; Health Eating Cookbook. IMPORTANT: A copy of printed material from one resource must be handed in with the assignment. Step 4 What do you want to teach? Content Outline: Define low sodium diet St Pauls School of Nursing NUR 100 Wellness Assessment Plan For Elders PaperFood Pyramid Foods low in sodium Foods high in sodium DASH diet Product labels and their sodium content How to prepare a low sodium meal Step 5 What teaching strategies will you use for each domain of learning? Ex, Cognitive Domain : Discussion on what a low sodium diet consists of. Review components of the food pyramid. Use printed materials to reinforce teaching (Food Pyramid, DASH diet). Identify learner’s knowledge of low sodium products through discussion. Allow time for questions regarding printed material. Affective Domain: Discussion identifying foods low in sodium and high in sodium. Role playing – how to read product labels. With household food products, role -play with learner to identify sodium content on labels. Have learner / family members select 3 food products they commonly use that are high in sodium. Discuss substituting these items with low sodium products. Permit learner to express their acceptance of substituting the products. Have learner practice preparing a low sodium meal whole providing feedback. Psychomotor Domain: Demonstrate how to prepare a low sodium meal using recipes from Healthy Eating Cookbook. Choose a recipe that learner will be able to prepare for lunch or dinner. Assist learner in making a shopping list of low sodium items. Have learner practice preparing a low sodium meal while providing feedback. Step 6 How successful was your teaching? Evaluate each learning objective. What changes did the learner make to meet each objective (be specific; identify positive and negative comments. St Pauls School of Nursing NUR 100 Wellness Assessment Plan For Elders Paper Communication Assessment Identify a relatively healthy individual 65 years or older. Obtain permission for the interviews from the elder. Using the following questions as a guide, assess the well elder’s ability to communicate. Keep in mind the influence of culture, age, gender and developmental level. Client’s initials____________ Age/ DOB___________________ Height and Weight________ Gender_____________________ Education level/Where did you go to school? __________________________ Occupation __________________________ Number of years_____________ Home assessment (who does the client live with? Do they own or rent their home? ) Living arrangements___________________________________________________ ___________________________________________________________________ Income/Health Insurance (does the client have an adequate income? Health insurance? What type?)___________________________________________________________ ` _____________________________________________________________________ Primary Care Provider (how often does the client see the physician? Does he/she go to a clinic? Is this a primary health care provider or does the client see a different provider each time?)________________________________________________________________ _____________________________________________________________________ Diet_____________________________ Level of Independence______________________ Use of Assistive devices_________________ Use of visual or hearing aids__________________ Hobbies/interests___________________________________________________________ _________________________________________________________________________ Smoker (# number of years? Packs per day) ______________________________________ Alcohol use (# number of years? Amount per day) ________________________________ Present, past drug use? ______________________________________________________ Medications (OTC and RX) List the medications and their uses. Include vitamins, cold medicine, herbal remedies) ___________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ Ethnicity – where was the client born? If an immigrant, how long has the client lived in the US?)_____________________________________________________________________ What is client’s primary language? Knows English?-Ability to read and write in primary language? ________________________________________________________________ _________________________________________________________________________ Religion – with what religion does the client identify? ____________________________ Does the client engage on a regular basis in specific religious/spiritual practices that may impact on health? ________________________________________________________ St Pauls School of Nursing NUR 100 Wellness Assessment Plan For Elders Paper Culture – Does the client engage in cultural practices that impact on his/her health perception? ______________________________________________________________ ________________________________________________________________________ Marital Status/Children Is the client married? _______________________ How many years? _______________ Is the client’s spouse living? _________________ Does the client have children? _____ List the children by age and if they are a source of support for the client/ Do they live nearby? _______________________________________________________________ ______________________________________________________________________ Health (Past medical/surgical history) How does the client define health? _____________ _________________________________________________________________________ _________________________________________________________________________ Who makes decisions regarding the client’s health? _______________________________ What are the client’s health risks? ______________________________________________ _________________________________________________________________________ Home Safety Assessment Home exterior Home interior (cont) Bedroom Hallways Sidewalks: Even Flooring wood Conventional Cluttered Smooth Tile Hospital bed Free from clutter Cracked Floor mats Lighting Lighting Missing Overhead Overhead Steps: Number Furniture sturdy Wall units Wall units clearly marked Broken Countertop Countertop Even spread Wall night light Wall night light Broken Telephone Floor night light Floor night light Handrail 1 side Smoke detector Flooring wood Flooring wood 2 sides CO2 detector Carpeting Carpeting None Secured area rugs Secured area rugs Handicap ramp Bathroom: Furniture Lighting: 0utside door Wheelchair access Sturdy Miscellaneous Inside door Toilet: Broken Assistive devices None Convenient Cluttered Walker Raised seat Free of clutter Cane Home interior Grab bars Telephone Crutches Steps: Number Sink free standing Near bed Wheelchair clearly marked Counter top Far from bed Air conditioning Even spread Tub/shower Smoke detector Wall units Broken Grab bars Central air Safety mat Living Room Heating Gas Kitchen/dining Medicine cabinet Furniture Oil Appliances Free of clutter Sturdy Fire extinguisher refrigerator Cluttered Broken Portable heaters Stove/microwave Expired meds Cluttered Candles Dishwasher Lighting Free of clutter Fireplace All grounded Overhead Television Personal emergency response unit Frayed wires Wall units Grounded Near sink Countertop Frayed wires Wall night light Lighting Sensory deficit Safety Cabinets: within reach Floor night light Overhead Counters: cluttered Flooring: tile Wall units Hearing deficit Free from clutter Floor mats Countertop Right ear Wall night light Left ear Plumbing: Other: Floor night light Visual Hot/cold water Flooring wood Reading glasses Leaks reported Carpeting Distance glasses Secured area rugs Transfer/Ambulation Lighting Telephone Independent Overhead Smoke Detector Partial assist Wall units Total Assist Countertop Gait: Steady Wall night light Unsteady Floor night light St Pauls School of Nursing NUR 100 Wellness Assessment Plan For Elders Paper TEACHING PLAN Develop a Teaching Plan based on the assessment of the well elder’s communication, safety or nutrition (choose one). Identify the domains of learning (cognitive, affective, psychomotor) for the learning needs. Incorporate teaching strategies used when the Teaching Plan was implemented and evaluate the effectiveness of the Plan. Learning need (1) Domain of learning (2) Resources/significant others Content of the Teaching Plan ___________________ Learning objectives (2) ___________________ Teaching strategies Evaluation of Teaching Plan St Pauls School of Nursing NUR 100 Wellness Assessment Plan For Elders Paper SELF REFLECTIVE JOURNAL Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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