Download e-book for kindle: ElderCare Strategies: Expert Care Plans for Older Adults by Springhouse

By Springhouse

Write greater, extra whole care plans and enhance the designated care supplied to older adults through exploring the insights and updated, sensible info that fills this hands-on reference. examine 60 problems, geared up through physique approach, overlaying either acute and protracted illnesses, and study the correct interventions via transparent rationales. Care plans comprise description of the sickness, etiology, evaluation findings, diagnostic attempt findings, and power issues. additionally comprises an outline of the physiological adjustments in older sufferers, in addition to distinctive innovations for acquiring a background and appearing a actual exam, collaborative difficulties, discharge making plans, and sufferer educating.

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Example text

A flat affect signals a disorder of the basal ganglia such as Parkinson’s disease. An older patient who seems depressed may require further evaluation; several assessment tools are available including the Geriatric Depression Scale. Note the patient’s speech. Speech disorders usually occur in response to circulatory disorders and can be readily detected during casual conversation. Assess vocabulary and general knowledge level by discussing current news items or family events. Assess the patient’s memory — his immediate, recent, and remote recall.

Therefore, when you position your hands, slide them toward his spine, raising loose skin folds between your thumbs and the spine. In an older patient, excursion should be symmetrical, but lung expansion may be reduced because of decreased elasticity of the rib cage. Palpate the anterior and posterior chest symmetrically for tactile fremitus. Fremitus is usually most evident near the tracheal bifurcation. Percuss the patient’s lung fields anteriorly and posteriorly from bases to apices. Be certain to percuss in a symmetrical fashion for comparison.

Also evaluate two-point discrimination and position sense. Perception should be accurate and symmetrical. Reflexes You should assess an older adult’s reflexes the same way as you would for other agegroups. The plantar and Babinski’s reflexes are important in assessing for upper motor neuron disease. Hyperactive, diminished, or asymmetrical responses are abnormal. HEMATOLOGIC AND IMMUNE SYSTEMS Assessing hematologic and immune function is the same for older and younger adults. However, when obtaining certain diagnostic tests, be alert to the possibility of changes related to normal aging.

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