By Springhouse

Write larger, extra whole care plans and enhance the distinctive care supplied to older adults through exploring the insights and up to date, functional info that fills this hands-on reference. examine 60 problems, equipped by means of physique process, protecting either acute and protracted illnesses, and research the correct interventions via transparent rationales. Care plans contain description of the illness, etiology, evaluation findings, diagnostic try out findings, and capability issues. additionally comprises an summary of the physiological alterations in older sufferers, in addition to distinctive suggestions for acquiring a background and appearing a actual exam, collaborative difficulties, discharge making plans, and sufferer educating.

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Extra info for ElderCare Strategies: Expert Care Plans for Older Adults

Example text

Urine output of less than 30 ml/hour suggests decreased renal perfusion. Nursing diagnosis Acute pain related to coronary ischemia NURSING PRIORITY Ⅲ Prevent or relieve pain. PATIENT GOALS The patient will: Ⅲ remain free from pain or discomfort Ⅲ verbalize relief from pain and discomfort Ⅲ maintain stable vital signs. INTERVENTIONS AND RATIONALES Ⅲ Assess for signs and symptoms of pain. Administer nitroglycerin, narcotics, or analgesics as ordered to relieve pain and to decrease myocardial oxygen demands through vasodilation and preload and afterload reduction, thus decreasing cardiac workload.

Check the patient’s ability to perceive pain, using the sharp and dull end of a safety pin; temperature, using hot and cold substances; touch, using a light touch of the hand; and vibration, using a vibrating tuning fork. 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.

Ascertain if the edema is pitting or non-pitting, and grade the degree. Edema may result from numerous causes, so further evaluation is necessary. GI SYSTEM Begin your assessment of the older adult’s GI system as you would any other person’s assessment: inspect the belly; note shape, symmetry, scars, masses, pulsations, distention, or striae. The abdomen may be described as obese, scaphoid, or distended. Auscultate all four quadrants for bowel sounds. Listen over the abdominal aorta for bruits.

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