KYYY 2567 Response Due Monday 3pm Scenario: Elder Abuse • Mr. CO is a 75, year old male. He was admitted to your unit with Pulmonary Fibrosis. As you are

KYYY 2567 Response Due Monday 3pm Scenario: Elder Abuse
• Mr. CO is a 75, year old male. He was admitted to your unit with Pulmonary Fibrosis. As you are

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KYYY 2567 Response Due Monday 3pm Scenario: Elder Abuse
• Mr. CO is a 75, year old male. He was admitted to your unit with Pulmonary Fibrosis. As you are walking towards his room to administer medications you hear his son say to him in a nasty tone of voice: “Stop being so stubborn. I need you to give me access to your bank accounts. You’re going to die alone unless you start cooperating”. As you enter he room, the son leaves quickly and you notice the patient has tears in his eyes. You ask “Is everything okay?” Mr. CO shakes his head yes, but remains nonverbal and does not make eye contact. You administer his medications and leave the room.
•What types of elder abuse did you notice in the scenario? (give examples and explain)
•What signs, (in the scenario) if any suggest that the nurse should ask some follow up questions?
•As a nurse in this scenario what is your next action?
•How can older adults protect themselves from ever becoming victims of abuse or mistreatment?

· Your response should be 70+ words
· Read the scenario and the post below, then respond to the post

· Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree

  In this scenario, it is evident that Mr. CO’s son is displaying psychological and emotional abuse, financial exploitation, and abandonment because he verbally attacks his father by calling him “stubborn” and demanding access to his bank accounts. He also tells his father that if he does not give him access to the bank accounts, he will abandon him and let him die alone. Signs and symptoms associated with psychological and emotional abuse are agitation, withdrawal, and emotional distress. In this situation, Mr. CO had tearful eyes, remained nonverbal, and did not maintain any eye contact, which are all signs that the nurse should ask follow-up questions. The nurse should also be suspicious of elder abuse when the son walks out of the room as soon as she enters. 
            It is important that nurses know their state and hospital laws about reporting elder abuse because nurses are mandated reporters for older adults. Mr. CO is clearly upset, therefore before asking more follow-up questions is it important that the nurse provides emotional support and provide patient safety. After these interventions, the nurse can ask the patient about the situation, how often it happens, if the patient feels safe and what the nurse can do to help. The nurse must have thorough, unbiased, and objective documentation about the case. 
            Older adults can protect themselves from becoming victims of abuse and maltreatment by having advanced directives, which are legal documents that explain how the patient wants their medical care when they are no longer able to make decisions for themselves. Another option is to have a power of attorney, or someone who will make decisions regarding the patient’s care when they are no longer competent to make decisions. Advanced directives and power attorneys can also be used to protect against financial abuse.

Movie Review (Bucket List)
• Give a summary of the movie
• How was the older person and aging portrayed?
• Would you want the life that the movie projected of the older adult?
• What were your overall feelings after watching the movie?

Movies:
• Group 1: The Notebook
• Group 2: The Bucket List
• Group 3: UP
• Group 4: The Curious Case of Benjamin Buttons
• Group 5: The Intern

· Your response should be 70+ words
· Read the scenario and the post below, then respond to the post

· Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree

The Bucket List is the story of two older adult cancer patients who were at crossroads in their lives. One is corporate billionaire, Edward Cole, played by Jack Nicholson and the other is working class mechanic, Carter Chambers, played by Morgan Freeman. They share a hospital room and discover they share a desire to spend the time they have left doing everything they ever wanted to do before they “kick the bucket” and an unrealized need to come to terms with who they are. Together they embark on the road trip of a lifetime, becoming friends along the way and learning to live life to the fullest. Each adventure adds another check to their list, all done with insight and humor.
They were portrayed has having come to terms to with who they are and the reality of their situation and chose to live out their dreams and garner as much happiness from the time they have left. They are depicted as going against the stereotypes of aging that is present in our society today. The movie shows that a person is never too old to do what makes them happy in life.
My overall feelings are that I should live everyday like it’s my last regardless of what people think. Why do we wait until something tragic happens in our lives or till we come to the end of our lives before we realize we haven’t actually done the things that make us happy but have been focused on things that get us through life? While reality makes it hard to live everyday like it’s your last, there has to be a better balance between getting through life and living everyday like it’s your last.

Directions: Musculoskeletal
• A 72, year old man lived a fairly sedentary lifestyle as an accountant. Now that he is retired, he recognizes the need to be active to maintain his health as long as possible. He is concerned, however, that it is too late for him to start exercising because he has never engaged in such activities. What encouragement, if any can you give him? What suggestions can you make for an exercise program?

· Your response should be 70+ words
· Read the scenario and the post below, then respond to the post

· Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree

First, I will let him know it’s never too late to start exercising as many studies show the benefits of exercising. It is especially beneficial for him to be active since he’s retired because even if he doesn’t realize it, working was a form of activity for him previously and not working out actually means he’s more than just sedentary, he’s actually not active at all. I will stress the mental benefits of exercise for him as well, as an aging adult as depression is common in this group as studies have shown.
I will suggest he consults with his doctor before he starts an exercise regimen to make sure what kind of exercise will be most beneficial and have less stress on him physically. I will suggest he starts slowly and not push himself too much at first. I will tell him to keep it simple and not be overwhelmed so he doesn’t become discouraged and revert to not doing anything at all. I will tell him to be consistent just like he was with his job before retirement. I will tell him to think beyond formal exercise and not limit his activity to structure workouts and embrace the opportunities to incorporate activity into his daily routines, like parking a little farther away, and taking the stairs more frequently. He might also want to consult with a trainer who is experienced working with older adults and can modify his exercise regimen to suit him individually.

Directions: End of Life
• An 80, year old woman was admitted to the hospital with pneumonia and weakness. She lives alone. Her children are supportive and help her around the house but do not live with her. Her husband of 51 years died within the last 6 months. She is grieving the loss, but she is relieved and feels guilty as he was an abusive spouse. How do you assist her in coping with her loss?

· Your response should be 70+ words
· Read the scenario and the post below, then respond to it

· Response should ask for clarification or describe a situation that illustrates the points being made. Simply agree or disagree and state why you agree or disagree

Establishing a nurse-patient-family relationship that allows for successful communication is key. To assist the patient and her family in verbalizing their feelings, therapeutic communication is used. This would establish a trusting relationship between the patient and the nurse. I’d examine her sentiments of remorse for being freed of her abusive husband’s death. While screening the client for indicators of difficult grief and coping methods, inform the client that there is no right or wrong way to grieve and that it is an individual journey.
To help her overcome her guilt, I would advise her to reassess her relationship with her spouse. I’ll encourage the patient’s family to spend time with her and try to show her the wonderful things in her life so she can stay cheerful. After the mother gets home, I will recommend the patient and family to community resources for support, as well as the children and caretaker.

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