Adapting to Health Changes Assignment Example | Topics and Well Written Essays - 2250 words

Adapting to health Changes - Assignment ExampleIt also includes the topics tie in to elder abuse. Introduction The most tight challenge a nurse could face is caring for an senior(a) ill lymph node (Alexander, 2004, p. 1005). Due to develop noetic changes in physical and mental state, some of the clinical manifestations of certain diseases be hard to detect. One of these diseases is the diabetic ketoacidosis. Emergencies related to endocrine diseases account for approximately 1.5% of all hospital hint admissions in England the majority is related to diabetes and its complications (Dunning, 2005, p. 113). Mortality rates among elderly are 20% (Jevon, 2010, p. 9). Diabetic ketoacidosis (DKA) is a life-threatening diabetic condition caused by deficiency in insulin and results in severe hyperglycemia (Sinclair, 2009, p. 198). Diabetic ketoacidosis ordinarily occurs in younger people with type 1 diabetes. Fortunately, older diabetics are less prone to DKA although a few cases exist (Roach, 2001, p. 324). Assessment Elderly people require individualized assessment ranging from simple screenings to in-depth evaluations. Health providers, particularly the nurses must be very knowledgeable and skillful in detecting deviation among elderly (Wold, 2004, p. 105). In the clinical scenario stated, the man is approximately in mid-sixties of age. The man is confused upon bringing him to the emergency department. He was not able to provide any information about himself or his condition so the staff called him Nic. He kept on insisting to leave the department and go home for dinner party yet was unable to state his address. The hygiene was described as poor due to disheveled and uncombed condition. His appearance and odor suggested that he had not washed for some time and his breath had an acetone odor. The client frequently scratched his rectify upper arm and examination revealed that he had a hematoma (50 cents size) on the right aspect of his forehead and he repeat edly stated that he wanted to pass urine. Base on observation, the patient has an indication of a fall due to hematoma possible concussion due to surprise is exhibited. Nursing assessment undertaken are measuring of vital signs for blood pressure elevation and tachycardia, blood glucose take aim for determining hyperglycemia, neurological observations such as Glasgow coma scale to determine the clients mental state, and mini-mental state examination (MMSE) for possible dementia (Melillo, 2011, p. 279). Plan of Care The plan of care for Nic depends upon the nursing diagnosis that has been found out and has been prioritized according to the assessment findings. The nursing diagnosis and each plan of care are elaborated below Nursing Diagnosis 1 Risk for Injury related to unfamiliar surroundings and physical or mental limitations secondary to disease condition Assessment The client is confused and unable to provide information of previous environment. He frequently scratched his ri ght upper arm and has a litre cents-size hematoma. Expected Outcome The client will be free from further injury. Interventions and Rationales 1. Orient the client to his environment. druthers help oneselfs provide familiarity. 2. Instruct the client to wear slippers with nonskid soles and to avoid newly washed floors. These precautions can help hold foot injuries and falls from slipping. 3. Teach him to keep the bed in the low position with side rails up at night. The low position makes it easier for the client to get in and out of the bed. 4. unclutter sure that personal belongings are within easy reach. Keeping objects at hand prevent falls from overreaching and overextending. 5. Instruct the client to request assistance whenever needed. Getting needed help with ambulation and