...© Mizukami, Airisu C. IV- PT * CHAPTER 10 * FUNCTIONAL ASSESSMENT USED WITH OLDER ADULTS Health in Old Age * Is a complex, elusive concept. * Experiencing normal developmental age changes such as gradual changes in endurance, vision, hearing & reflex timing. * Some problems in old age due to a long-term disuse of physical & mental abilities: * Back problems due to lifelong postural habits or long use of sagging mattress. * New widow may struggle to make independent decisions regarding home maintenance. * Traumatic injury may occur such as hip fracture or CVA. * Trauma, whether physical or psychological, occurs in conjunction with chronic & acute disease, normal age changes & changes due to misuse or disuse. * Snow & Rogers describe this complex combination of normal & pathologic changes in old age as a “delicate balance” of adaptation. * The multi-dimensionality of health in old age is reflected in current trends toward multi-dimensional assessment instruments & Geriatric Evaluation Units. * Most multi-dimensional assessments include physical health, functional ability, psychologic health & social parameters. Functional Assessments Used in Occupational Therapy Physical Self-Maintenance Scale & Instrumental Activities of Daily Living Scale * The scales represent measures of two level function, competence, the scales represent measures of two levels of function, with the IADL requiring...
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...The Department of Human Services (DHS) is Arkansas’ largest state agency, with more than 7,500 employees serving Arkansans of all ages. People seeking support will find at least one local DHS office in each of the state’s 75 counties. Arkansans have access to many services that they can apply for in person or online. Those services include ARKids First health insurance for children, the Supplemental Nutrition Assistance Program (SNAP, formerly known as food stamps), Transitional Employment Assistance (TEA) and Medicaid. DHS uses Medicaid that is both federally and state funded to pay for 64 percent of the babies born in Arkansas each year and for the care of 69 percent of the state’s nursing home patients. Additionally, DHS protects children and the elderly who have been abused or neglected; finds adoptive homes for foster children; funds services for the elderly such as congregate and home-delivered meals and regulate nursing homes. While regulating childcare facilities, they also support high-quality early childhood education; treat and serve youth in the juvenile justice system; oversee services for blind Arkansans; runs residential facilities for people with developmental disabilities; manages the Arkansas State Hospital and Arkansas Health Center for those with acute behavioral health issues; and supports nonprofit, community and faith-based organizations that depend on volunteers to continue programs vital to our communities. The agency also partners with community mental...
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...rectify the issues secondary to staffing issues and family participation. The facility has had two critical falls this year, one ending in a patient breaking a hip and the other a death secondary to hemorrhagic bleed to the brain. The facility has had numerous other falls which lead to added procedures, exposure to radiation (radiological exams) and increased lengths of stay, multiple bruises, fractures, pulled out IV which need to be preplaced, and numerous bleeds and skin tears. The unit I work on is a Medical Surgical Telemetry (4 Tower) unit which consists mainly of pre and post open heart patient and pre and post angiogram patients who may or may not have had interventions which include stents, plasty, TCPA, Pacemaker / AICD placement, and EP studies with ablations. The patient population is mainly sixty years of age and above, with a high incidence of diabetes (neuropathy), cardiovascular disease which includes CAD, Dysrhythmias, CHF, HTN. Most of the patient have had some sort of narcotics in procedure and or for pain control after surgery which increases the chance for a fall. The facility uses a fall risk screening tool which is required every shift. The fall prevention kit includes the patient wearing yellow socks, yellow wrist bands, fall...
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...WORD COUNT 4399 The assignment will discuss a critical incident from a nursing management perspective, being an admission assessment experienced during placement. It is not a care study. There will be an overview of the nurse-managers responsibilities during the admission assessment and attention drawn to local and government policy. Particular consideration is given to risk assessment, Essence of Care (DoH 2001) in respect of the Waterlow Pressure Damage Assessment (1985), pressure sores, nutritional screening and delegation. Other issues considered will be communication, partnership working, the therapeutic relationship, and the nurse as an agent of change. Findings will be supported by literature. Identifying factors have been changed to respect patient confidentiality. Mary had no previous psychiatric history. She was eighty-four and lived in residential accommodation. She had two adult daughters who were unable to attend Mary’s admission. Prior to admission Mary’s behaviour had changed over several weeks and she had been refusing to get out of bed during the day. During admission she showed occasional signs of confusion but was able to give consent. Physically, Mary was in a wheelchair, had a history of falls, pressure damage, skin flaps. and needed full assistance with mobility. My mentor facilitated her admission assessment. I observed this in preparation of undertaking future ones myself whilst under supervision. From a management perspective my mentor who was the...
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...CLINICAL ISSUES Acute care management of older people with dementia: a qualitative perspective Wendy Moyle, Sally Borbasi, Marianne Wallis, Rachel Olorenshaw and Natalie Gracia Aim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach...
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... TABLE OF CONTENTS Table of Contents……………………………………………………………2 Introduction: Aim, Objectives, Rational…………………………………….3 Comprehensive list of Criteria for Assessing a Toy………………………...5 Safety………………………………………………………………………...9 Play Value…………………………………………………………………...9 Ease of Storage……………………………………………………………..10 Value for Money……………………………………………………………10 Long-Term Value…………………………………………………………...10 Evaluation…………………………………………………………………...11 Detailed Assessment of the role of the adult ………………………………. Considered Recommendations for Changes or Improvements or Alternative Uses for the Item: Conclusion………………………………………………12 Recommendation for changes or improvement……………………………..13 References…………………………………………………………………...14 INTRODUCTION : AIM, OBJECTIVES AND RATIONALE Aim The Aim of this assignment is to choose a toy and critique it using a range of important criteria. Objectives In order to complete this assignment I intent to: * Compile a comprehensive checklist of assessment criteria with which to assess any toy, equipment or play space. * Use the checklist to assess my chosen toy. * Write up and evaluate my findings. * Outline and evaluate the role of the adult in relation to the toy. Below an imagine of my chosen toy –Duplo Deluxe Box of Fun Rationale I hope that this will allow me to have a more comprehensive understanding of the development and play value of the toy...
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...Nursing 122 Fundamentals of Neuro-Sensory nursing --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Review major structures and functions of both central and peripheral nervous system. (Carolyn Jarvis, Physical Examination and Health Assessment, 3rd ed., pages 688-692 Structure and function of the CNS and PNS --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Potter and Perry, Fundamentals of nursing (8th), Chapter 16 p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements...
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...In order to study for an undergraduate degree in social work you will require, 5 GCSEs (A-C) including maths and English, at least 2 A levels, or an equivalent qualification such as BTEC National Diploma or NVQ Level 3 in Health and Social Care. You will need to have relevant experience in a social work or social care setting before being accepted on to the postgraduate course. That is why it is necessary you gain as much work experience as possible, either through paid work in community care settings or voluntary work. Some specialised universities specify a minimum amount of time to be spent gaining experience During social work training you will have to divide your time between studying and 200 days of supervised work placements. During you work placements you will be trained to work with different new service users. While training, in your university you will be made aware of the HCPC’s standards of conduct, performance and...
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...A911 Health and Social Care And Early Years Provision Controlled Assessment Task Task 1: Preparation: As part of my coursework I will be investigating a service in the Early Years sector. The following are the aims for my coursework: The range of care needs of your client group (The choice of health, developmental and social needs of babies and children) I would questionnaire parents and also questionnaire different staff for each service (Primary Research). I also would research from health and social care fact books (Secondary Research).The reason I would questionnaire parents and staff is because they have the knowledge and understanding of young babies and children and know what the choice of needs are for them. The other reason is because they have also the experience in which they can and give to me. The reason I would research from health and social care fact books are because people who have taken degrees in these subject have written these books and would be more reliable that me searching on the Internet for this aim. The ways your client group can obtain care services and the possible barriers that can prevent them from gaining access to these services. (The customs that babies and children can gain from care services and the achievable barriers that can stop babies and children from getting hold of access to these services). I would research on the internet and questionnaire service providers. The reason I would research ask services is because they do offer...
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...mental disorders are among the most common causes of disability. The first goal of this paper is the examination of the vulnerable population of the mentally ill. Second, this paper will review the goals and agenda of Healthy People 2020 as it applies to mental illness. Third, this paper will review my work place assessment for barriers for the care and treatment of mentally ill patients. Finally, this paper will review a short presentation I gave to co-workers in an effort to aid in better treatment for the mentally ill. Recent figures suggest that in 2004, approximately 1 in 4 adults in the United States had had a mental health disorder in the past year, most commonly anxiety or depression ("Healthy People 2020 ", n.d.).. It is estimated that only about 17% of U.S. adults are considered to be in a state of optimal mental health ("Healthy People 2020 ", n.d.). An estimated 26% of Americans age 18 and older are living with a mental health disorder in any given year, and 46% will have a mental health disorder over the course of their lifetime ("Healthy People 2020 ", n.d.). Mental health disorders often have a serious impact on physical health and are associated with the prevalence, progression, and outcome of some of today’s most pressing chronic diseases including diabetes, heart disease, and cancer. Mental health disorders can have harmful and long-lasting effects—including high psychosocial and economic costs. These effects apply not only for the people living with the disorder...
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...conditions can be addresses to ensure a quality if life for an older person so that they can participate and be considered ‘active living’ within their society. Contents. 1. Introduction 2. What is the condition? what are the physical and psychological changes that occur for the older person with this condition? 3. Exploring the persons needs in relation to the condition. 4. The Role of the carer and the multidisciplinary team in assisting the person with the condition, the practices implemented and the care settings that are available. 5. The Current approaches towards developing quality services for people with the condition. 6. Conclusion 7. Bibliography 8. Appendix Introduction This project is about dementia specifically in cases relating it to older people. It is the attention of the author to discuss the issues that a person with this condition from both a psychological and physical standpoint. The needs of this person will also be outlined in a physical, social, emotional, spiritual and intellectual, financial and environmental basis. The Role of the carer and the role of the multi-disciplinery team and their approach to meet a person’s needs. The author will be discussing the care settings available for people with the condition. The research conducted in this assignment will be form a range of sources such as the appropriate books, websites, leaflets and work placements. What is the condition? What are the physical and...
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...Gladwell illustrates how a cultural legacy of failure can be transformed into one of success. Korean airlines for example was once known as a very dangerous company to fly with because, due to Korea’s cultural hierarchy there was often a power struggle and lack of communication in the cockpit. However, in realizing this, Korean airlines has increased its safety ratings by having pilots complete courses on equal communication to one and other. A quote to outline part two would be,”Who we are cannot be separated from where we are from.” I find this one particularly important because a lot of people, more so those who have risen from nothing, seem to wish to put their past behind them. However, they have their culture and the way they were raised to thank for their failures, and successes. Gladwell explores the negative and positive effects of culture through the southern American “culture of honor” whose pride hinders true success and the hard work of the cultivation of rice paddies that foster patient problem solving in...
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... RN, FAAN . how the model is differentiated from . . traditional clinical instruction roles and . . responsibilities, and the benefits to the . . . collaborating clinical agency and school . . of nursing. . . . ................................................ . he shortage of nurses and nursing faculty experienced throughout the nation provides opportunities for increased collaboration between clinical agencies and schools of nursing (Rice, 2003). Recently, nursing schools across the nation have increased enrollments to address the nursing workforce demands (American Association of Colleges of Nursing [AACN], 2003b; National League for Nursing, 2004). Clinical agencies have responded to these expanded enrollments by adding clinical placements and developing creative strategies to meet the need for increased clinical instructors (AACN, 2002, 2003a; Close, Koshar, & DelCarlo, 2000; Roche, Lamoureux, & Teehan, 2004). The University of Colorado at Denver and Health Sciences Center (UCDHSC) School of Nursing and the University of Colorado Hospital (UCH) in Denver, as well as surrounding hospitals and community...
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...This essay aims to reflect on an incident that took place during my six weeks practice placement on an elderly day care hospital. I chose this incident because it had a big impact on me due to the fact that I was not aware of the serious nature of feeding patients diagnosed with dysphagia as would be demonstrated in the critical incident. The model I have chosen to use is Gibbs (1988) reflective model because it gives a framework which I am able to follow in order to develop my understanding of the situation. Reflection is a process that involves gaining practical knowledge, the ability to get used to new situations, developing self-esteem and satisfaction as well as valuing professional practice (Taylor 2006). For the purpose of confidentiality and to protect the patient’s anonymity I have called her Tee, these measures are in accordance with the Nursing and Midwifery Council (2008) guidelines regarding consent and confidentiality. I was assigned to help feed Tee during lunch time, Tee had suffered a stroke, resulting in very limited speech, suffered from dysphagia. Dysphagia is a medical term for difficulty with swallowing and is common in patients with neurological disease, dementia and parkinson’s disease (Chang and Roberts 2011). Tee has a pureed diet and thickened fluids. I collected her meal and dessert from the trolley, sat next to Tee then started to feed her. After the first helping I proceeded and gave her a second helping while she still had food...
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...1.1 Explain current legislation sector skill standard influence on organizational policies and practices for promoting and maximizing the rights of users of social health and social care service. 1.2 Analysis the factors affect achievement the promoting and maximizing the rights of users of social health and social care service. 1.3 Analysis how commutation between individual and health care worker contribute to promoting and maximizing the rights of users of social health and social care service. 2.1 Explain the factor they may contribute the loss the independence non participation and social exclusion for vulnerable people. 2.2 Analysis how organizational systems and processes are managed to promote participation and independence of the users of health and social care service. 2.3 Analysis the tension that arise when balancing the right of individual to independence and choice against the care provider’s duty to protect. 3.1 use a case study from a health or social care setting to identify the extent to which individual are at risk of harm. 3.2 Explain the role peoples play in a team and how can work together to achieve the shared goal. 3.3 Analysis the effectiveness of policies, procedures and managerial approach within a health or social care setting for promoting the management risk, review current legislation, codes of practices and policies that applies in handling of medication. 3.4 Suggest alternative ways to complete task...
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