Gerontology Essay

1624 words - 7 pages

A Complete Patient Assessment
Susan Eisen RN
Ramapo College of New Jersey

A 63 y/o African American female presents to the emergency room

complaining of shortness of breath worsening over the past week. Patient states

she becomes severely short of breath while preforming everyday activities and

has noticed that her legs have been “getting bigger”. Patient had been sleeping

with 3-4 pillows a night for comfort and occasionally sleeping in a recliner.

Patient states this evening she got up to use the restroom and had a sudden onset

of severe shortness of breath. Felt as though she wasn’t moving any air. Patient

...view middle of the document...

Patient lives off of social security in a

senior citizen complex. Patient’s family also resides in the same state and come

to visit often.

Family History: Father died by suicide at age 48. Mother died at 82 of

pneumonia. Two sisters both who suffer from Hypertension. Patient had Six

children alive and well

Physical Exam as follows: height 5’5”, weight 310lbs.

Vitals: Blood pressure 224/118, Heart rate of 121 irregular, Respiratory Rate 30

labored, O2 saturation on room air is 88%, on CPAP 97%. Patient is afebrile at

98.3 Head is normocephalic, eyes, ears, nose and mouth are within normal limits.

Neck is + for JVD. Lungs have scattered rhonchi throughout the lung fields,

diminished at the bases, crackle about halfway up. Patient has frothy productive

cough. Abdomen is obese, soft and non tender. Bowel sounds are present in all

four quadrants. Genitalia is intact with no obvious deficits. Bilateral lower

extremities show 4+ pitting edema extending to the knees. Pulses intact.

Neurologically patient is awake and oriented times 4 with no motor or sensory

deficits.

EKG shows atrial fibrillation with a ventricular rate of 121.

Chest Xray shows cardiomegaly with diffuse pulmonary infiltrates consistent

with pulmonary edema.

Laboratory Results as follows: WBC 7.2, HGB 9.4, HCT 28.1, platelets 233.

Glucose was 278, BUN 22 Creatine 2.1 Sodium 130 Potassium 3.2 Bicarbonate

ABG on room air was pH 7.30, PaO2 55, PaCO2 28. Creatine Kinase 197

Troponin 0.11 and BNP of 3398.

Patient was subsequently admitted to Telemetry for Congestive Heart Failure.

There are multiple priorities when caring for patients with congestive

heart failure. It is imperative to treat the current symptoms while maintaining

their current state of functioning. Frequent hospitalizations from poor

medication management or follow up will lead to increased hospitalizations and

decreased levels of functioning. Assessment tools such as the Katz index of

Independence in Activities of Daily Living is key in assessing function during

hospitalization to improve deficits upon discharge.

Another assessment tool to be used with the diagnosis of congestive heart

failure is Urinary Incontinence Assessment in Older Adults: Part 1 Transient

Urinary Incontinence. The use of diuretics in the prevention of heart failure

episodes can lead to problems with incontinence. Daily bladder charting can

identify deficits and allow for adjustments in medications to prevent further

incontinence.

Oxygenation: Elimination Nutrition
Admit 5/1/10 CHF Nocturia preferences
Increased fatigue I&O bmp results
Sob 3-4 days stress incontinence daily weights
O2 3l nc Diaper 2g na diet
Smoker
Hypertensive
Moderate resp distress
Crackles CHF
Elevate hob
Sleep 3 pillows 1. Decreased Cardiac Output
Vs q4 hours 2. Fluid Volume Excess...

Other Essays Like Gerontology

Research Propropsal Essay

774 words - 4 pages data for graphs. One problem I know I will experience and will ask help from my professor will be how to stay on topic including nursing homes as a whole and not just pinpoint one nursing home. Or can I talk about one nursing home in general for an example. Bibliography Hirst, S., Lane, A., & Reed, M. (2013). Personhood In Nursing Homes . Indian Journal of Gerontology, Vol. 27, No. 1, pp. 69–87. Klauber, M. (2001). The 1987 Nursing Home

Research Proposal For Development Of Training Manual For Senior Directors

8959 words - 36 pages purpose of this paper, several key words were used to search Google, Questia and other suitable online sources for information on the current trends in senior health care service, particular within the context of senior centers. The keywords used for the research are health care for the elderly, senior health care services, senior centers and health care, gerontology and health care, and health services for elderly. Other formulations of the main

When Is Too Old To Drive?

1412 words - 6 pages older people put themselves and others at risk everytime they get behind the steering wheel. Studies done by the American Geriatric Society conclude that driving skills tend to diminish after the age of 75 and as early as age 60. Recent study performed by the Journal of Gerontology found that the number of harmful crashes, driver fatalities, and pedestrian fatalities per mile traveled increases dramatically once a driver reaches the age of 65

Demographics Paper

1209 words - 5 pages the elderly can be stress free. References Rogers,A. , Raymer,J. (2001) ., Immigration and the Regional Demographics of the Elderly Population in the United States. Journal of Gerontology , vol 56B. No.1, 544-855,pS44 retrieved

Technology And Older Adults

1808 words - 8 pages .. (1991). Theoretical perspectives on cognitive aging, Hillsdale, NJ, Lawrence Erlbaum Associates. White, Heidi; McConnell, Eleanor; Clipp, Elizabeth; Bynum, Louise; Teague, Carmen; Navas, Luis; Craven, Sara; and Halbrecht, Herbert. (1999). Surfing the net in later life: A review of the literature and pilot study of computer use and quality of life. Journal of Applied Gerontology, 18(3), pp. 358-378. Zeithaml, V. A. and Gilly, M. C. (1987). Characteristics affecting the acceptance of retailing technologies: A comparison of elderly and nonelderly consumers, Journal of Retailing, 63, p. 4948.

Construction Of The Hero In A Piece Of Writing

1826 words - 8 pages , Elizabeth A L, Leirer, Von O, Andrassy, Jill M, Kahn, Jack 1997, ‘The role of reader age and focus of attention in creating situation models from narratives’, The Journals of Gerontology: Series B: Psychology sciences and social sciences, Volume 52B, Issue 2, pp. 73-80, Viewed 24 March 2008, ProQuest 5000, Document ID: 11212376, . Pearson, Carol and Mark, Margaret 2001, The Hero and The Outlaw: Building Extraordinary Brands Through the Power of Archetypes, McGraw-Hill, New York.

Exploring Human Services

1565 words - 7 pages science, gerontology, and other related fields, the requirements are well worth the achievements. References Bureau of Labor Statistics, U.S. Department of Labor. (2011) Occupational outlook handbook: social worker (2010-2011 ed.) Retrieved from http://www.bls.gov/oco/ocos060.htm eLearnPortal.com. (2010). Thinking of becoming a social worker? Retrieved from http://www.elearnportal.com/online-social-work-degree/thinking-of-becoming-a-social-worker Rampur, S. (2010, July 30). Social worker requirements. Buzzle. Retrieved fromhttp://www.buzzle.com/articles/social-worker-requirements.html

From Number Crunching to Nursing

1688 words - 7 pages student was intimidating, but the challenge was refreshing. I began the Associate’s Degree in Nursing program after completing Anatomy and Physiology. My first year of nursing school at Wytheville Community College included studies in Geriatrics, Psychology and Maternity nursing. I knew from the beginning that Gerontology Nursing was not for me. Clinical experiences only proved me correct. I enjoyed working with the elderly, but I needed a

chronic disease

1566 words - 7 pages innovations increasing productivity in the medical staff. References: http://www.helpguide.org/elderly/independence_living_Senior_reitrement.htm http://www.oxfordjournals.org./content/31/4/754.fall http://www.isbub.com/journal/Theinternet-journal-of-geriatrics-and-gerontology/volume-3-number-1/health-of-elderly-importantance -of -nursing-and-family-medicine-care.html Buchbinder, S.B., & Shanks, N.H. (2011

In View of Singapore’s Aging Population, What Can Hr Dept Do to Help Their Companies Function Effectively When Most of Their Employees Will Be 50 Years Old and Above

1450 words - 6 pages . Educational Gerontology, 26(6). 4) Robson, William B.P. & BNAC, 2001. Aging Populations and the Workforce: Challenges for Employers. British-North American Committee. Winnipeg, Manitoba. 5) McMahan, S.G., and Sturz, D.L. September 2006. Clinical Kinesiology: Journal of the American Kinesiotheraphy Association. 6) Sylvain Schetagne, 2001. Building Bridges Across Generations in the Workplace: a response to aging of the workforce. Vancouver, BC, Canada.

Quality Data Collection

1733 words - 7 pages , strategy, and tools (2nd ed.). Chicago, IL: Health Administration Press. Shumway-Cook, A., Silver, I. F., LeMier, M., York, S., Cummings, P., & Koepsell, T. D. (2007). Effectiveness of a Community-Based Multifactorial Intervention on Falls and Fall Risk Factors in Community Living Older Adults: A Randomized Trial. The Journals of Gerontology, 62A(12), 1420 -1427 Westbrook, C. E. (1991). Control Chart Analysis: Art, Science Combine to Monitor Process Variation. Pulp & Paper, 65(5), 56-59.

Related Papers

Reversing The Effects Of Ageing And Hgh

2130 words - 9 pages http://www.biehealth.ca/Research5.asp Binstock, R.H. (2004). Anti-Aging medicine and research: A realm of conflict and profound societal implications. Journal of Gerontology: Biological Sciences, 59A(6), 523-533. Haber, C. (2004). Life extension and history: The continual search for the fountain of youth. Journal of Gerontology: Biological Sciences, 59A(6), 515-522. Harman, S.M., & Blackman, M.R. (2004). Hormones and supplements: Do they

Reflection Essay

1065 words - 5 pages future of the nurse practitioner and how I, as a future adult-gerontology primary care nurse practitioner, will advocate for my patient population. Philosophy and Beliefs of Nurse Practitioners Due to the fact that nurse practitioner is a branch of advanced practice nursing, the two professions often share many of the same philosophic beliefs. The overall philosophy of both professions is centered on four key concepts of person, society, health

Senior Citizen In College Essay

2566 words - 11 pages take hard work and dedication, but with the support from community colleges, universities, and government everyone helps alone the way will help senior citizen adult’s students to meeting their educational goals. Work Cite Page Kingston, Albert J. "Attitudes and problems of elderly students in the university system of Georgia." Educational Gerontology: An International Quarterly 8.1 (1982): 87-92. Web Kingston, Albert J. "The senior

When Billy Broke His Head Essay

837 words - 4 pages introductory anthology of anarchy in the academy. London: Routledge. 2009. Angus, J. and Reeve, P.: Ageism: A threat to “aging well” in the 21st century. Journal of Applied Gerontology 25 , pp. 137-152. 2006. Aufderheide, Patricia, "Public Intimacy: The Development of First Person Documentary,"Afterimage, Vol. 25, No. 1, July-August, 1997. Butler, R.: Age-ism: Another form of bigotry. The Gerontologist 9 , pp. 243-246. 1969. Golfus, B., Simpson