Assignment: Mrs. Simmons, an 84-year-old widow, is brought to the office by her daughter. The daughter claims that her mother seems to be depressed. There is a history of depression approximately 5 years ago, shortly after Mrs. Simmons’s husband died. At that time, she was successfully treated with antidepressants. Currently, the daughter states that her mother’s memory for appointments and events has declined severely, and she can no longer drive because she does not remember the route to the store or other familiar places. The daughter also noted that her mother’s house seemed very disorganized and dirty, there was a limited amount of food in the kitchen, and the checkbook had not been balanced for several months. Mrs. Simmons appears slightly disheveled, she has a flat affect, and she does not maintain eye contact during your interview
Assignment: Mrs. Simmons, an 84-year-old widow, is brought to the office by her daughter. The daughter claims that her mother seems to be depressed. There is a history of depression approximately 5 years ago, shortly after Mrs. Simmons’s husband died. At that time, she was successfully treated with antidepressants. Currently, the daughter states that her mother’s memory for appointments and events has declined severely, and she can no longer drive because she does not remember the route to the store or other familiar places. The daughter also noted that her mother’s house seemed very disorganized and dirty, there was a limited amount of food in the kitchen, and the checkbook had not been balanced for several months. Mrs. Simmons appears slightly disheveled, she has a flat affect, and she does not maintain eye contact during your interview
Mrs. Simmons, an 84-year-old widow, is brought to the office by her daughter. The daughter claims that her mother seems to be depressed. There is a history of depression approximately 5 years ago, shortly after Mrs. Simmons’s husband died. At that time, she was successfully treated with antidepressants. Currently, the daughter states that her mother’s memory for appointments and events has declined severely, and she can no longer drive because she does not remember the route to the store or other familiar places. The daughter also noted that her mother’s house seemed very disorganized and dirty, there was a limited amount of food in the kitchen, and the checkbook had not been balanced for several months. Mrs. Simmons appears slightly disheveled, she has a flat affect, and she does not maintain eye contact during your interview.
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As geriatric patients age, their health and functional stability may decline resulting in the inability to perform basic activities of daily living. In your role as a nurse practitioner, you must assess whether the needs of these aging patients are being met. Comprehensive geriatric assessments are used to determine whether these patients have developed or are at risk of developing age-related changes that interfere with their functional status. Since the health status and living situation of older adult patients often differ, there are a variety of assessment tools that can be used to evaluate wellness and functional ability. For this Discussion, you will consider which assessment tools would be appropriate for a patient in a case scenario.
RESOURCES
[elementor-template id="165244"]Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
Review this week’s Learning Resources, considering how assessment tools are used to evaluate patients.
Your Instructor will assign a case study to use for this Discussion. Review the case study and, based on the provided information, think about a possible patient evaluation plan. As part of your evaluation planning, consider where the evaluation would take place, whether any other professionals or family members should be present, appropriate assessment tools and guidelines, and any other relevant information you may wish to address.
Consider whether the assessment tool you identified was validated for use with this specific patient population and if this poses issues. Think about additional factors that might present issues when performing assessments such as language, education, prosthetics, missing limbs, etc.
Consider immunization requirements that may be needed for this patient.
BY DAY 3
Post an explanation of your evaluation plan for the patient in the case study provided, and explain which type of assessment tool you might use for the patient. Explain whether the assessment tool was validated for use with this patient’s specific patient population and whether this poses issues. Include additional factors that might present issues when performing assessments, such as language, education, prosthetics, etc. Also explain the immunization requirements related to health promotion and disease prevention for the patient.
Read a selection of your colleagues’ responses.
anonymously. Please check your post carefully before clicking on Post Reply!
Kennedy-Malone, L., & Groenke-Duffy, E. (2023). Changes with aging. In Advanced practice nursing in the care of older adults (3rd ed., pp. 2-7). F.A. Davis.
Kennedy-Malone, L., & Groenke-Duffy, E. (2023). Health promotion. In Advanced practice nursing in the care of older adults (3rd ed., pp. 8-26). F.A. Davis.
Kennedy-Malone, L., & Groenke-Duffy, E. (2023). Nutritional support. In Advanced practice nursing in the care of older adults (3rd ed., pp. 32-46). F.A. Davis.
Kennedy-Malone, L., & Groenke-Duffy, E. (2023). Exercise. In Advanced practice nursing in the care of older adults (3rd ed., pp. 27-31)). F.A. Davis.
Kennedy-Malone, L., & Groenke-Duffy, E. (2023). Comprehensive geriatric assessment. In Advanced practice nursing in the care of older adults (3rd ed., pp. 58-67). F.A. Davis.
Kennedy-Malone, L., & Groenke-Duffy, E. (2023). Symptoms and syndromes. In Advanced practice nursing in the care of older adults (3rd ed., pp. 68-132). F.A. Davis.
Centers for Disease Control and Prevention. (2020). Recommended adult immunization schedule for ages 19 years or olderLinks to an external site.. https://www.cdc.gov/vaccines/schedules/downloads/adult/adult-combined-schedule.pdf
Hartford Institute for Geriatric Nursing. (2020). General assessment seriesLinks to an external site.. In Try This: Series. Author. https://hign.org/consultgeri/try-this/general-assessment
U.S. Preventive Services Task Force. (n.d.). Information for health professionalsLinks to an external site.. https://www.uspreventiveservicestaskforce.org/uspstf/information-health-professionals
U.S. Preventive Services Task Force. (2019). Appendix III. USPSTF LitWatch processLinks to an external site.. https://www.uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/procedure-manual/procedure-manual-appendix-iii-uspstf-litwatch-process
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