- The dilemma involves fidelity to a client who is unable to communicate. Mr. and Mrs. Smith have been married for sixty years. Now in his mid-eighties, Mr. Smith has suffered several strokes that have rendered him semicomatose. Mrs. Smith is legally blind, walking with the aid of a cane. She remains perceptive, however, and makes all of the financial decisions for the couple. She also oversees all of Mr. Smith’s medical decisions. Mr. Smith was recently admitted to the hospital with pneumonia and bedsores, but Mrs. Smith has elected, even in her current state, to take him home.
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Elderly Case Studies Samples For Students
38 samples of this type
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The aging process occurs during a person’s lifespan. Nobody can escape this process and it happens to everyone. Aging is associated with maturation, growth, and discovery (Cohen et al., 2015). Many abilities of human beings peak before the age of 30, but there are other abilities that continue to grow and develop throughout the life of a person. Most people who are over the age of 65 are healthy, fully independent, and happy while others start experiencing signs of deterioration. These changes are normal and not harmful. The hair thins and start turning gray and skins thins and ...
Nursing Community Advocacy
The elderly are quite a vulnerable group within the society. They are exposed to quite a lot of challenges. However, it is worth noting that these people are quiet important to the society. As such, they should not be left alone to suffer or go through painful experiences all alone. There should be plans to make sure that these people are well catered for and are protected from any form of abuse. The community should at least do something ion order to make sure that these people enjoy their sunset years as it is only good to do so. The essay ...
Solving Medicare crisis
Medicare a communal insurance program offers health insurance coverage to people aged 65 years and above, people who meet a special criterion, permanently disabled people and individuals who have a congenital physical disability. The United States government administers the Medicare program. Medicare covers over to 40 million elderly and disabled people. Over the past few decades the program has helped, the program has helped countless retirees and disabled people stay health thus saving countless lives. This paper provides an in-depth discussion about the crisis facing the Medicare health insurance program.
“Is Medicare in a state of crisis?”
Over the last few decades, the Medicare health insurance program has been ...
There are a lot of health complications that come about as an individual advances in age. As such, it is important to be keen on maters affecting the health of an elderly person. The major factors considered in this case are health and nutritional issues. As well known, nutrition plays a major role in the life of an individual and more so at the later years of life. This essay seeks to establish how the elderly can be assisted so as to deal with health issues related to iron balance in the body.
Helping the Elderly
Schaie and Willis (2002) present a situation concerning the ...
Organizational culture relates to the values and norms that are involved in the running of an organization (C. Ferrell, Fraedrich & Ferrell, 2012). Through a proper and established culture, an organization can have the capable to realize its goals and objectives. The ethics portrayed while running an organization are used in the evaluation of the organization’s corporate culture. Ethics in corporate culture can be evaluated via a number of ways. Encouraging employees to devote themselves in the running of the organization and top-level management effectively communicating with their subordinates creates a proper, ethical climate in the organization.
Summary
The case study presents an ...
Pain: State in which the individual experiences and communicates the presence of severe discomfort or an uncomfortable feeling.
Related factors: Pain resulting from musculoskeletal disorder; in this case, osteoarthritis; immobility
Features: Verbal communication of pain descriptors, level 8-9 pain reported by patient
Evidence: Mrs. Hardy experiences great knee pain when climbing stairs, a symptom associated with her osteoarthritis. Osteoarthritis cannot be cured, but pain can be controlled.
The primary client-centred goal for Mrs. Hardy is pain management (Bijlsma, Berenbaum and Lafeber, 2011). Expected measurable outcome is that Mrs. Hardy will experience relief of pain as evidenced by Mrs. Hardy’s ...
Overview of the Case Study
Over the years, the Singapore government had been operating on a two airline policy that had promoted efficient interaction between the government-owned Singapore airline, and its national competitor, Silvertail Airlines. For about 10 years, the duopoly worked so well until 1990 when other competitors joined the airline industry, following the airline deregulation policies adopted by the government. Consequently, the share price of Silvertail Airline Company started changing due to the friendly services such as low cost charges offered by its major competitors. This wind of change prompted a transformation in the company’s board of directors, which was replaced ...
Introduction
Sub- capital fracture of the femoral neck is a common injury among the ageing population and is regarded as “unsolvable fractures”. This is a growing health concern in every country as the healthcare expenditure is very high. The surgical options, especially for elderly population, highly depend on the patient’s profile, their preference and the experience of the surgeon . Mrs. Pollard, 75- year- old, sustained a left sub- capital fractured neck of femur. Due to her age and her other complications such as hypertension and Type- 2 diabetes, a total hip replacement might be a better surgical option as ...
Patients with Chronic Kidney Disease
Patients with Chronic Kidney Disease
Pathophysdiology
The following paper is interested in the effects of hyperglycemia on geriatric diabetics patients with chronic kidney disease, In doing so, it reflects three distinct disease entities. They are hyperglycemia, which serves as the dominant variable; geriatric diabetes and chronic kidney failure. Consequently, the pathophysiology of these three entities will be addressed separately.
Hyperglycemia
When hyperglycemia occurs, it represents a medical emergency. However, the extent to which blood sugar is elevated can be directly related to underlying disease conditions. These may include kidney failure, infections and systemic disease. While disease processes may be obvious, this ...
Introduction
Occupational therapy focuses on increasing participation in a client’s daily activities. It involves the identification of environmental barriers that limit the customer’s ability to perform his or her daily activities and eliminating them. This is done by modifying the tasks, educating and teaching the skills to the client to enhance his or her daily activities. More emphasis is placed on the needs and goals of the client.
Young@Heart is a film about a chorus composed of senior citizens. They sing contemporary songs as well as pop and classic rock songs. Eighty is the average age of ...
Policy supports to Alexandra Hospital
Singapore is a country that advocates for equal opportunity for all. There are people of diverse cultures and races in the country. The state supports for non-discrimination of persons based on religion, gender, age or race. To encourage the participation of the elderly in the workforce, the country's legislature passed the Retirement Age Act in 1999. This law led to the raise of the retirement age from 60 to 62 years.
In 2006, the Tripartite Alliance for Fair Employment Practices got established to promote non-discriminatory employment practices. Another aim of the coalition was to change mindsets among employees, employers ...
Description of Issue:
The main point of concern in the current case is that Marla Gilson, a former president and CEO of the Association of Jewish Aging Services of North America (AJAS), was fired because of disability discrimination (she suddenly found herself being sick for leukemia). On returning from the second round of chemotherapy, she asked AJAS for permission to carry out her managerial activity from home for six months until she would finally recover. She had been notified that she was fired instead (Shin, 2011).
A decision of the board seems to be neither logical nor well-grounded since Gilson was hired ...
Directions
The provided case study illustrates the case of one Mr. Red Smart, a hospitalized, elderly diabetic patient who equally suffers from hypertension and a host of other medical conditions. Mr. Red uses crutches due to an earlier fall and he experiences a sharp pain at home and falls unconsciousness and upon the doctors diagnosis, Myocardial infarction (MI) is detected. He is admitted to the hospital for three weeks but he considers to return home contrary to his family opinions. He also suffers from memory lapses.
Scenario
Red is a 60 year old man who lives with his elderly wife aged ...
Preventable hospital re-hospitalizations are key quality and patient safety concerns. Statistics suggest that one in every five Medicare enrollees is re-hospitalized within 30 days of discharge from an acute care facility, and an estimated 75% of these readmissions are avoidable. Readmissions are expensive costing the United Sates (US) healthcare system an estimated $17 billion annually. The 2010 affordable care act established the Medicare Hospital Readmissions Reduction Program. This program offers a financial incentive to hospitals to reduce excess readmissions (Robert Wood Johnson Foundation, 2013). In efforts to avoid Medicare penalties, hospitals around the country have implemented programs aimed at ...
Disasters most commonly elicit the response of city, local, state, and federal aid agencies to meet the mitigation of destruction during various phases of an emergency event. Public health legal authority, during a hazardous substance discharge, may call for both public and private agency involvement. Thrusting personnel and materials in the area must operate under the auspices of inter-jurisdictional protocol and legal authority. The objectives in this written exercise are to alert the learner, in anticipation of future professional behavior, about gaining an understanding for legal protocols in public health/hazardous emergencies while maintaining the highest levels of public safety during a ...
As Chief of Staff, my assignment is to create a response for you on the topic Medicare Crisis. I understand that you have been requested to take an interest in a board dialog and give a reaction concerning the Medicare financing crisis. The board examination will concentrate on the proposition of diminishing Medicare uses by enlisting members in HMO's. The National medical coverage framework for Americans started back with President Teddy Roosevelt, his stage when he kept running for president in 1912 included health care coverage. Roosevelt's thought for a national health arrangement was put on hold until U.S. ...
Introduction
According to Naharcı et al. (2012), osteoporosis is pretty common among the elderly persons due to wearing on the bone tissue with age. As Rachner, Khosla & Hofbauer (2011), asserts, this condition in its early stages is devoid of symptoms, however, in its advanced stage, it may lead to chronic back pain and an increased risk of falls especially for the elderly.
Scenario
JN is a 66 year old Hispanic male who was diagnosed with osteoporosis 10 years ago. JN is a retired flight attendant and a divorce living alone. Nonetheless, her daughter has been persistently emphasizing that at his age ...
Part 1
Notably, the abuse of older people has been observed to gain ground in recent times. The minority groups have mostly been on the receiving end and, in particular, the Hispanic community. In general, the abuse of older people may either exist as an act of omission which is also referred to as neglect or as an act of commission (Rodriguez, 2015). The harm may be intentional or unintentional. Such abuses occur in physical, psychological or financial forms. Whichever the case, such abuses are likely to result in sufferings, pain and injuries which would have been prevented in the first ...
Question 1
Alzheimer is a disease that mainly affects the elderly. Individuals who suffer from this ailment usually experience irreversible and progressive brain function impairment. This leads to reduced intellectual ability.
Several signs and symptoms may occur in an individual, and these may lead to a probable diagnosis of Alzheimer’s disease. The most common of these include changes in behavior, mood and memory loss. Apart from there are several other occurrences that may lead to a probable diagnosis. Most of the are cognitive disturbances and include things such as failure to identify and recognize common objects, disturbances in planning, sequencing, organizing and ...
a) cow(herbivore).
lion(carnivore).
?- cow(herbivore).
true
b) cow(herbivore).
lion(carnivore).
?- cow(carnivore).
false
c) cow(herbivore).
lion(carnivore).
?- cow(vegitarian).
false
d) cow(herbivore).
lion(carnivore).
?- cow(What).
What = herbivore
e) ?- write(welcome).
welcome
f) ?- write(welcome),write(to),write(“PROLOG”),write(world).
welcometo[80,82,79,76,79,71]world
g) ?- write(welcome),nl,write(to),nl,write(“PROLOG”),nl,write(world).
welcome
[80,82,79,76,79, ...
Introduction
Creating overall viable plan for the development of the company requires thorough consideration of the peculiarities of business, strategy-friendly organizational structure and the ways to enhance employees’ engagement level, as well as proper management tools. For the purposes of this assignment I will research into above-mentioned issues with respect to elaborating on the overall business strategy for the enterprise under study. To make the discussion more practical I will view the organization as a problem-solving mechanism (Coperrider&Srivastva 149), and identify issues and the way to solve them for each of the questions of the case study
Organization structure
The business under study ...
Nutrition is an indispensable component of care. It is from food intake that the body obtains the micro and macro nutrients needed to maintain and improve health. Diet is also an area of regulation for the management of chronic diseases such as diabetes. Care plans focused on nutrition necessarily must be individualized to take into account unique needs arising from specific medical conditions, the client’s developmental stage, and cultural preferences. Developing a care plan entails evaluating for nutritional risk, defining the goals of nutrition therapy, identifying interventions and expected outcomes, implementing the interventions, providing education, and promoting safety.
Evaluation of Nutritional Risk
The ...
After decades of uncontrolled hypertension, Ms. Griffin was diagnosed with left-sided heart failure. Although her heart failure was diagnosed eight years ago, she is currently in nursing care and cannot move from the bed or wheelchair because angina and dyspnea episodes often occur even during periods of rest. Over the past 2 years, she has been losing weight and is currently at 93 pounds, which is a 58 percent reduction compared to her previous weight of 160 pounds, so a percutaneous esophageal gastronomy (PEG) tube was inserted in her.
According to the New York Heart Association (NYHA) functional classification system, ...
Betsy Case Study
Betsy Case Study (4)
1. Body Composition
Aging is known to be accompanied by many body composition changes. Some changes will happen no matter what preventative steps are taken but all can be delayed. Some of the changes commonly seen are decreased muscle mass, decreased muscle strength, and increased body fat. All of these problems can be counteracted with resistance exercise and eating enough protein (Little & Phillips, 2009). A good diet including enough protein and some exercise won’t make you stay physically the way you were at 50, nothing can do that, but these two steps ...
In the case study involving the flu strain spreading in urban Minnesota, there certainly is a moral dilemma, as there would be in any situation where one has a vaccine for a potentially deadly disease but not enough of that vaccine to protect all of the members of a given population. In the case of the influenza, it is a frightening disease. Between September of 1918 and June of 1919, 675,000 Americans died of either pneumonia or influenza, easily more than the number of Americans killed in both World Wars, Korea and Vietnam (Redican). Intriguingly, though, it was the young adults, normally among ...
Nursing Older People: Dementia
The International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10) defines dementia as (1) a syndrome that is caused by a chronic or progressive disease of the brain, that (2) causes multiple disturbances of higher cortical functions, and (3) is characterized by impairment in memory without impairment in consciousness. Dementia affects all areas of the brain and can occur at any age but is more common in people over 65 years of age, affecting 20% of those aged over 80 (Gulland, 2012).
A clinical diagnosis of dementia is made when a patient develops cognitive impairment severe enough to ...
In this ethical case study, I review the case of Miss S., an elderly patient recovering from severe physical injury and paralysis who advocates for physician-assisted suicide. In reviewing the case, the potential ethical issues and potential ways to address the issue at hand are provided, discussed through the lens of the ANA Code of Ethics. Assisted suicide is a complex issue, especially from a nursing perspective, and this case study provides one potential way to address it.
Facts
Miss S. is an elderly woman who has recently developed severe paralysis following a cervical spine stabilization surgery. Because of partial ...
A nurse in a nursing home care facility observed that there is an increasing incidence of urinary tract infection (UTI) among its elderly residents. Most of those who got infected happened to be using catheters. Thinking that the UTI may be caused by catheter-associated urinary tract infections (CAUTI), the nurse looked up the Internet to see if there are ways to minimize the incidence of CAUTI among the residents. The nurse discovered that CAUTI is one of the types of infections in long-term health care facilities that are most common (Nicolle, 2014; Matthews & Lancaster, 2011).
Fortunately, the nurse saw ...
Google has been developing many various technologies that can improve human life and make it easier and handy to use. The company has been present in the market a long time and has so far provided many interesting and useful technologies. With the evolving of sophistication of information technologies the more complex systems are being built for individual usage. Almost everyone on this planet in developed world has the access to the internet or the communication tolls that are sometimes needed in the rear to use the google technologies. The research paper will examine five Google technologies implemented or ...
For the last six years, Elsie has been working as the customer service manager in a microfinance institution. She agreed to give an interview concerning the elements of her job and the problems she has encountered over the six years. Elsie says that her job involves direct contact with the customer on a daily basis. She is often the first person to have immediate contact with most consumers. Elsie is very proactive in developing good relations with the buyers and has created a solid customer base in the region. She has encountered different problems during her tenure as a ...
The organization I volunteered with is Whitman Senior Living Community (Whitman slc) in Washington Pullman. From its website, the mission statement of this organization is: “To offer retirement and assisted living options with compassionate care in a professionally managed, carefully designed retirement community” (Whitmanslc.com, 2014). In our service learning experience we socialized and provided manicures to senior citizens. I found the service learning experience not to relate to my career field since I am majoring in Finance since it involved humanitarian work. I made several observations from my experience and these include:
- That the institution had many senior ...
Red Bull was established by Dietrich Mateschitz in year 1985. Company introduces energy drink exclusively in Austria in year 1987. After five years of exclusive operation in Austria Market, Company expanded its business in European market. Company decided to slowly enter into foreign markets in order to create buzz and anticipation. This paper intends to analyze brand equity and other related aspects of Red Bull.
Answer 1
Brand Equity
Brand Equity reflects value premium earned by the company from its product that has well recognized and establish brand name in the market as compare to competitors. Company creates brand equity ...
This case study entitled “Airborne Infection Control Case Study: Bay Oaks” (n.d.) describes a rare success story in the fight against Hospital Acquired Infections (HAIs) or “superbugs” as they are sometimes called. This Miami assisted-living facility has virtually eliminated HAIs, using a system called Novaerus HAI Eradication Technology that filters and processes all the air within the building, including all common areas and the rooms occupied by the home’s residents. A typical resident in Bay Oaks is 84 years old and female, and the oldest resident is 102. A spokesperson noted that if a resident becomes ill and needs hospitalizing, they ...
Overview
Ulcers of the lower leg are common incapacitating wounds amongst the elderly in the United States. For women over 65 years, there is relatively 1.43 percent. These ulcers can be broadly split into two main types with the ones originating from poor arterial perfusion occurring less times and the ones taking place due to venous problems making relatively 70 percent of the presented cases. The etiology of the ulcer is identified through measurement of the ankle/brachial pressure index (ABPI). The ulcers that have an ABPI of more than 0.8, are perceived to be appropriate to be treated with compression ...
Strategic Planning Process Issues
Steve Cantwell, the external consultant hired by Mueller-O’Keefe Home. His task was to assist Mueller-O’Keefe in developing a long-term plan for the house, which would plan further capital development and consider the possibility of including new services. Steve Cantwell’s analysis of the situation and the method of evaluation is consistent with the strategic planning process. Thus, he spent significant amount of time analyzing external market environment and the internal situation in Mueller-O’Keefe. His suggestions were made with consideration of the organizational capabilities and the alternatives available in the market.
However, the process used by Cantwell lacks a ...
Luke Flatt is an elderly married man who had a previous history of aspirating some peanut husks when he was young. he used to smoke but quit 10 years ago, 5 years before he started having shortness of breath initially on exertion which has now worsened to dyspnoea on mild exertion. he also has chronic productive cough which is painful.
the above history is does not indicate a neoplasm. although he has a prolonged history of smoking, which has been associated with lung cancer, he could be suffering from Chronic Obstructive Airway disease which also has a history of prolonged smoking as a ...
Abstract
In this paper, I will describe the case of Mr. Henry Spirk. He is a a 72-year-old man who has recently broken his hip and does not have the ability to take care of himself. In addition, he was diagnosed diabetes, hypertension, and partial hearing loss. However, Mr. Spirk refuses to believe in his current condition and claims that he is able to take care of himself. I will describe the discharge planning and identify which obstacles prevent us from discharging Mr. Spirk without additional home care. I will identify which health conditions need to be addressed and discussed with the ...