Mr. Robert McClelland, an 81-year-old, is a new admission from the local hospital to your long-term care facility. After Mr. McClelland's last bout with pneumonia and congestive heart failure, his wife of 59 years has decided she is no longer able to care for him at home. Mrs. McClelland states, "He has just gotten too weak and can't help me care for him. I am so afraid he will fall and hurt himself. I am so worn out trying to care for him myself. I have to bathe him and remind him to eat; sometimes I've had to feed him myself or he won't eat. He can be so forgetful. I hope I am making the right decision for him, because he never wanted to go into a nursing home."
1. Why is your admission assessment foundational to the care of Mr. McClelland?
2. Describe the four features of assessment and why they are critical to ensuring positive outcomes within the context of interdisciplinary care for Mr. McClelland.
3. Describe how assessment is essential to the other steps of the nursing process .
4. Using The American Nurses Association Standards of Practice, identify the key concepts/phrases within Standard 1 characteristic to a comprehensive database. Categorize these concepts within the model of full-spectrum nursing..
5. Identify all primary and secondary sources of information that you could use to help gather information about this patient. Differentiate the types of data that can be elicited from these sources.
6. How is the nursing health history different from the medical health history?
7. For each of the following sections of the health history, create a closed question and an open question, to elicit data about that area specific to this patient.
1.The admission assessment is the foundational to the care because it enables to give a clear knowledge on the root cause of the problems and associated conditions and plan care accordingly.
2.The four features of assessment and their critical to ensure positive outcomes are
Physical/Physiological:This will determine the physical health condition of the patient like any medical condition which can limit an activity or decrease its function which needs care.Attending this enables the patient to follow the interdisciplinary team treatment methods
Mental /Psychological :Thus improves the cooperation and satisfaction of the client in the care.
Sociological:This can make an impact on the care by making the patients understand they are treated in equity in the society and no difference or bias exist in the care.
Spiritual :Besides medical care the spiritual assessment and its care can give a positive feeling for the patient
3.The assessment is essential for other steps in nursing process are it helps to find or frame tte nursing diagnosis and plan for care.After this the planning is implemented and evaluated which is possible only when thorough assessment is done.
4.The standard 1 of ANA completely focuses on the assessment of the patient. This part enables one to find out the patients statis from head to foot.
Mr. Robert McClelland, an 81-year-old, is a new admission from the local hospital to your long-term...
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