Posted: August 11th, 2023

NURS 5163 – Comprehensive Care of the Older Person Assessment

NURS 5163 – Comprehensive Care of the Older Person

Assessment 3 – Portfolio

Your Name & Student Number

Table of Contents

Learning Activity 5 – Ageing Population

Learning Activity 19 – Policies & Guidelines

Learning Activity 22 – Recommendations from the Royal Commission

Learning Activity 23 – Physical Assessment

Learning Activity 27 – Spiritual Assessment

Learning Activity 33 – Health education & Health promotion

Learning Activity 34 – Quality use of Medicine

Learning Activity 35 – Best Practice- Reflection

References

Learning Activity 5 – Ageing Population

Do you believe that an increasingly aging population poses a serious threat to the Australian government’s capacity to provide health and social care services to older Australians? If so, why? If not, why not?

What steps do you believe need to be taken to plan for the future provision of health and social care to older Australians and their families?

In what ways do you think the healthcare system needs to change in order to better meet the needs of older Australians in the future?

How do you think population aging will influence the roles and responsibilities of health professionals?

Learning Activity 19 – Policies & Guidelines

High-level strategic policies give effect to the visions and directions of the government and guide the whole direction and culture of the department or the portfolio. Policies inform staff of their working arrangements in terms of process, content, attitude, priority, and urgency. To assist in answering the following questions, review the SA Health Policies and guidelines.

Please review the title of each policy and identify which ones are specifically related to the older person and make a note of your findings.

After you have identified the policies that are applicable to caring for the older person, which ones are you not familiar with? Identify those policies and list three key messages that are related to that policy.

In your opinion, are there any policies or directives that are missing in the care of the older person? What are they, and why do you think they are needed?

If you could change ONE thing about our healthcare system regarding caring for the older person, what would that be? And how could it be implemented?

Learning Activity 22 – Recommendations from the Royal Commission

This topic will examine: Reform agendas in aged care. Learning objectives: At the completion of this topic, you should be able to:

Critically discuss key reforms that have occurred in caring for older people and aged care services in Australia.

Be aware of the recommendations that have been made from the Royal Commission in Aged Care Quality & Safety and how this will influence reform in the way we care for our older persons in Australia.

Learning Activity 23 – Physical Assessment

Bob Tomlinson sustained a hip fracture from a fall as he was taking his rubbish bin out. After surgery, he is admitted to a surgical ward for recovery. He is 90 years old and lives alone since his wife’s death three years ago. He has a son who lives in Australia, with whom he seems to have little contact. Mr. Tomlinson desperately wants to go home. He often talks about his 10-year-old Labrador, who is being looked after by neighbors. He has started walking with a frame but has developed continence problems, and it is likely that he will require support with activities of daily living after discharge. You are one of the healthcare professionals looking after Mr. Tomlinson on the ward and have been tasked with writing a care plan for him.

Which questions would you ask Mr. Tomlinson regarding his physical health?

Which tools, tests, or screening would you use to assess the physical domain?

What other domains of health need to be assessed to ensure holistic care?

How do Mr. Tomlinson’s physical issues affect the other domains of health?

Which health professionals need to be involved in Mr. Tomlinson’s care?

Learning Activity 27 – Spiritual Assessment

Take a moment to reflect on practice – your own and/or that of other members of staff – to identify whether the spiritual needs of older people are met in your workplace. Consider the following questions:

How well is spiritual care assessed in your workplace?

What barriers prevent you or your colleagues from assessing the spiritual needs of the older people under your care?

What could be done to improve the assessment and evaluation process in terms of spiritual care provision?

Learning Activity 33 – Health education & Health promotion

Jeffery is 76 years of age and lives in an outer Adelaide Southern suburb.

Discuss the interventions that will be applied in this situation (from a Health education & Health promotion perspective) that will help manage, improve, and maintain Jeffery’s health.
Learning Activity 34 – Quality use of Medicine
Please review the following resources on:

Medications & Older Adults
Medications and Adverse Outcomes in Older Adults
Once you have reviewed these resources, you will be in a good position to undertake the following case study:

Mrs. AB is 95 years old and has a past medical history of osteoporosis, ischemic heart disease, and atrial fibrillation. She has spent the last couple of years in a care home. Her current medication is:

Aspirin 300mg daily
Bisoprolol 2.5mg daily
Alendronate 70mg weekly
AdcalD3 1 tablet twice daily
Simvastatin 40 mg at night
Paracetamol 1g four times daily
Questions:

Please rationalize Mrs. AB’s medications.

What are some of the barriers to implementing strategies to limit the potential harms due to polypharmacy?

Provide some strategies that you could use in your role as a healthcare professional to overcome the barriers that you identified.

Learning Activity 35 – Best Practice- Reflection

Leaders play an essential role in the healthcare of older adults. Please read the following article: Senior manager leadership competencies for quality residential aged care: an Australian industry perspective. Do you agree with the authors’ findings that the differences of views of leaders’ role and competence, and especially the increased focus on personal characteristics, may have an impact on the healthcare provided to older adults? Please justify your response.

References
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