Lalo 3 and 4 response Due Monday 3pm Influences A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs

Lalo 3 and 4 response Due Monday 3pm Influences

A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs

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Lalo 3 and 4 response Due Monday 3pm Influences

A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence. What housing options would be appropriate for him? Why? What advantages would such housing options offer over living alone?

· 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

As people get old, they have trouble in their daily activities and instrumental activities of daily living. Some have trouble realizing that they need more help than they thought, and some are open to other housing options. Of course, no one wants to give up their independence. Furthermore, there might be cultural barriers that can hinder their decision of choosing to live in other housing options. 
In this situation, because he is able to ADLs but only needs help with meal preparations and transportation, this patient has the option to transfer to a Continuing Care Retirement Community (CRC). He can still have his independence, but now he will have just a little bit of help. Furthermore, he will be in a safer neighborhood and he will be exposed to other people who are maybe just like him who he can interact with and share his interest with. That is one of the advantages of living in a CRC because he won’t be lonely. He also has access to many amenities like restaurants, fitness centers, or pools (Cronk, 2021). Having access to these activities and having more social interactions can prevent the effects of loneliness like withdrawal from others, sadness, and in severe cases, depression. 

Family

Scenario: Family
An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long-term care facility but feels she is not able to care for her.
What is your role in this situation? How might you help the daughter with her decision? What information would you give the daughter?

· 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

My Role in the Situation

My role is to gather enough information concerning Alzheimer’s disease and how to care for a person suffering from the disease. I will help the patient’s daughter identify available options for the mother by evaluating the resources at their disposal towards palliative care. Coming up with different options will make it easy for the daughter to decide on her mother’s care during her last days. Taking the daughter through the advantage and disadvantages of each available option to help her make an informed choice not only for her mother but also for herself. According to Meiner and Yeager (2018), having a care plan is very important as it helps prevent family conflicts when caring for a patient. I will support the daughter in creating a written plan that specifies the roles of those involved in the care of her mother.

Help with Decision Making

It is painful when a person close to you does not recognize you, and in this case, it is her mother. Placing one’s parent in a long-term care facility is not always easy; it takes up many emotions and guilt as people feel that they are not making the right decision most of the time. As a professional nurse, I will help the daughter deal with her emotions as she takes care of her mother. I would ask the doctor to make a referral for the daughter to speak to a social worker or case manager. I would give the daughter different types of long-term care facilities her mother could live in. 

Additional Information

I will inform the daughter on what to expect as her mother’s Alzheimer’s disease progresses. I will also advise her to keep seeing her friends, have an active life outside the facility, and take care of her mother. All these are meant to encourage the daughter to take care of herself in the long run, thus avoiding emotional distress and being burnt both physically and mentally. 
 

Exercise

You are checking blood pressures at a senior citizen health fair. After you check the blood pressure of an older woman, she asks you about starting an exercise program. She has not been exercising, but some of her friends have told her that she should start to exercise regularly. What recommendations do you give her? What precautions do you include in your recommendations?

· 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

Exercise is always fun when is executed the right way. Seniors on the other hand don’t know the importance of it due to their age and their condition.
in seniors, there is always a risk for high blood pressure, and the most effective nonpharmacological way to manage this disease is to exercise regularly to alleviate this disease. my recommendation i will give concerning this issue is physical activity. Studies has shown that doing cardio 3 times a week, 30 minutes help strengthen the heart, manage weight and reduces stress. It also helps a person to feel good about themselves due to the fact that, exercise release endorphins which stimulate the brain. Also, I will be informed her to do low moderate level of exercise like brisk walking, climbing stairs, gardening, cycling and walking.  Considering the age and also some co-morbidity patients might be having, some moderate aerobic, isometric training and strength exercises can be done as well.
Precautions i will recommend for the senior patient is to avoid the high intensity exercise such as weight lifting or sprinting. It’s also important to take frequent breaks to avoid excessive pressure on the heart. Also pay good attention to certain symptoms that might occur when exercising like palpitations, dizziness, chest pains.  I will also recommend that she exercise on her own pace and her capabilities, and not to follow anybody or copy anybody exercise program regime.

Safety

Scenario: Safety
A 77, year old woman is hospitalized for management of her diabetes. She has a history of functional urinary incontinence and poor vision from the diabetes. The nursing staff observes her climbing over the side rails on numerous occasions at night en route to the bathroom. She is quite agitated during this time. The nursing assistant requests that you obtain an order for a body restraint at night to prevent her from falling out of bed.

 Should this patient be restrained to prevent injury? Would you request the order for a body restraint? Why, or why not? What other information is relevant to this case? What nursing interventions could be tried before considering a restraint?
· 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

The patient seems to be in danger due to getting up every night and risking a fall, however, I would not restrain this patient. The patient has a reason for getting up and instead of agitating the client more I would offer my help and figure out the situation. She seems to be needing to go to the bathroom each time and it could be due to her being incontinence from her diabetes. Instead of resorting to the use of restraints I would offer her other ways to make it easier for her to use the bathroom such as inserting a catheter, applying a diaper, or using a bedpan at night. These other options may be uncomfortable but due to her poor vision it may be the safest option. If the client refuses these options I can educate her to use the call light when she goes to the bathroom so that I can go assist her. By restraining the patient at night, she won’t be able to void properly and due to her incontinence it can result in the patient lying in her own urine till the next morning leading to infection. Another way to decrease the amount of the patient from getting up is limiting her intake of fluids closer to bedtime and have her try to completely empty her bladder right before. The nurse can also look at her list of medications and see if it’s affecting her.

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