ElderCare Strategies: Expert Care Plans for Older Adults by Springhouse

By Springhouse

Write greater, extra whole care plans and enhance the detailed care supplied to older adults by means of exploring the insights and updated, sensible details that fills this hands-on reference. examine 60 problems, prepared via physique approach, masking either acute and persistent illnesses, and examine the right kind interventions via transparent rationales. Care plans comprise description of the ailment, etiology, overview findings, diagnostic attempt findings, and power issues. additionally contains an outline of the physiological alterations in older sufferers, in addition to targeted options for acquiring a background and acting a actual exam, collaborative difficulties, discharge making plans, and sufferer educating.

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Elevated liver function tests indicate decreasing liver function. Ⅲ Urinalysis — shows proteinuria and elevated specific gravity. Collaborative team Ⅲ Ⅲ Ⅲ Ⅲ Ⅲ Ⅲ Pulmonologist Physical medicine and rehabilitation Dietitian Clergy Home care Nephrologist Nursing diagnosis Decreased cardiac output related to altered heart rate, rhythm, preload, afterload, decreased contractility, and fluid overload NURSING PRIORITIES Ⅲ Maintain optimal cardiac output. Ⅲ Increase tissue oxygenation by optimizing cardiopulmonary perfusion.

Ask the patient to stand for a few seconds without support. ● Do you notice any swaying? While the patient is standing, push lightly on his sternum. ● Can the patient resist without losing control? Method #2 Use this method if time is severely limited. Ask the patient to sit in an armless chair without upholstery, get up without using his hands, walk to the end of the hallway, turn around, and walk back to the starting point. Note any difficulties the older patient experiences during the exercise, including inappropriate stances, limited ability to lift his feet, or swaying arms.

Have the patient stop current activity, and place him on bed rest in a semi- to high Fowler’s position to minimize ischemia produced by increased myocardial workload. Ⅲ Administer oxygen as ordered to provide optimal oxygenation to the myocardium. Ⅲ Obtain a 12-lead ECG immediately during acute chest pain to document ischemic changes. Ⅲ Stay with the patient during chest pain episodes to decrease anxiety and promote comfort. Nursing diagnosis Activity intolerance related to angina NURSING PRIORITY Ⅲ Promote gradual increase of activity.

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