25 Sep Assignment:2 Do not include the questions from the
Assignment:2 Do not include the questions from the classroom or the forms or tools for the assessments in your assignment paper. Instead, use APA formatted headings to indicate the assessment that was completed and summarize your findings in paragraph format for each of the assessments. Writer, my answers are under the highlighted sections Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified: EV is a 72-year-old male with a history of diabetes, hypertension, peripheral vascular disease, right toe amputation, vertigo, peripheral neuropathy, gout, chronic kidney disease stage II, cerebrovascular accident (CVA) and aneurysm. History of smoking for over 20 years and alcohol. Has been married for over 50 years with 4 children Demographics, lifetime education and career/employment Born and raised in San Antonio, Texas. Graduated high school in 1966 and worked for the San Antonio-News for over 40 years as a pressman. Client mainly worked night shift. Two most significant (positive) times in their lives EV mentions having a son because first two kids were girls. Another positive time is when wife had a kidney transplant, states being grateful because them has given them more time together and improved spouse quality of life, no more dialysis. Involved in the union and helped with minorities obtain equal pay and benefits What past hardship or loss has the client successfully negotiated in the past? EV brother Danny passed away, states this hurt more than losing parents due to viewing brother as a father figure. Felt that parents were not nurturing or supportive. Danny would encourage to be a better person. Another hardship is a aneurysm in 1980. Overcame this and lost his peripheral vision but still could function working as a pressman and providing for family. EV also mentioned having a cerebrovascular accident. EV, had to go to a rehabilitation facility for over a month although EV can walk client has falls on many occasions. Now has remorse over choices made in the past over alcohol consumption and alcohol and not spending enough time with family. Two personal strengths Family. First born daughter is a registered nurse who often follows up with organizing medications and managing doctors’ appointments. Second daughter, contract management in a large insurance corporation and son works in the same company as a home insurance specialist. Engage them in identifying what is healthy versus non-healthy coping skills Unhealthy behaviors is inactivity and reacting with frustration over not being able to take care for self, depending on spouse for care. As far as healthy coping skills, instructed client to listen to music, pray, meditate, Picture your “happy place”, Put on lotion that smells good, smile, and think of something funny Inquire of 2 healthy coping skills they have used in the past and/or now Client does not have good coping skills. In the past client would become aggressive and even violent. Now patient can not get out of the house much due to vertigo, weakness and falling. Three (3) pieces of advice they would give to their younger self if they could? – EV stated go to college, – not drinking alcohol or smoking cigarettes -spend mor time with kids less time working Support the client in taking the Geriatric Depression Scale.pdf Support the client in taking the Fulmer SPICES Assessment.pdf Perform a Mini Mental State Exam.pdf and Patient_Stress_Questionnaire.pdf (attach here) Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient stress questionnaire and the mini mental status exam Writer if you would like, I can email you the answers? (mini mental state exam) -EV, had difficulty remembering with counting backwards, naming three objects and copying the picture EV, could name the places, dates and repeated phrases but noted with difficulty. Took some time, total points 18 out of 30 (patient stress questionnaire)- total points for first section is 14. Client expressed interest in doing things but due to health issues is limited and becomes irritable and at times feels hopeless. (geriatric depression scale) – according to the answers given by patient it suggest depression Perform a Hall, Hall, and Chapman Article.pdf Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult? At the integrity versus despair stage, EV is proud of raising four children and on the other EV questions other parts of life, e.g., the youngest daughter not motivated to work. As EV, reflects on life he has both feelings of satisfaction and some regrets. In addition to a career as a pressman for over four decades, EV raised four children and has good relationships with all the kids. a sense of regret and despair over a life misspent. Personally, sensed the client had more regrets due to health issues Describe at least two nursing diagnoses for this client. 1-Self-care deficit 2-Hopelessness Create a plan of care for the client to include at least three nursing goals with two nursing interventions each. The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials. Note that when citing authors with the same last names, follow the rules in the APA manual (page 176), and also be aware of rules when authors have same last names AND same initials such as Hall, Hall, and Chapman- (Hall, Richard, Hall, Ryan, & Chapman, 2019) is an example .
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