make the discussion 1-2 pages please except discussion 5
Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction.
Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest.
Mr. D tells the physician that he wants all measures taken to save his life
imagine that you are the nurse assigned to provide care to Mr. D, and address the following:
- Considering Mr. D’s advanced age, what are the benefits/risks associated with providing life-sustaining measures?
- What factors should you consider based on the Mr. D’s age and health history?
- If Mr. D were your family member, how would you respond to his decision?
Discussion 2 – Use the concept map Worksheet attached please for this discussion
Example is attached on how to fill out if confused
Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.
Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.
The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.
During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:
- Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
- The client is noted to have moderate functional issues and ambulates with a cane.
- The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
- Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.
Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.
Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B’s blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation.
The cardiologist ordered an echocardiogram and stress test which revealed heart enlargement and a reduced ejection fraction (volume of blood pumped out of the heart per minute). As a result, the cardiologist started Mr. B on a beta-blocker (metoprolol 25 mg by mouth daily).
A few days after taking the new medication (in addition to the hydrochlorothiazide ordered by the primary physician), Mr. B suffered a fall at home. Upon arrival at the emergency room, Mr. B’s blood pressure was 80/50. The emergency room physician suspected the cause of Mr. B’s fall was hypotension secondary to the medications he was taking. The ER physician recommended that Mr. B follow up with his primary care physician and cardiologist, but hold the medication until seen by them.
As recommended, Mr. B visits his primary care physician for a follow-up. During the visit, Mr. B’s blood pressure is found to be elevated (160/90), so his physician tells Mr. B to restart taking his blood pressure medication.
Imagine that you are the nurse attending to Mr. B and that he indicates that he’s afraid to restart the medication because of his recent fall.
- What considerations/actions should the nurse make regarding the client’s refusal to restart his blood pressure medication?
- What considerations/actions would have helped the healthcare team to prevent the client’s fall?
Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.
In your initial post, address the following:
- Describe ageism and its impact on societal views of older adult clients.
- Explain how ageism can influence the healthcare provisions of older adult clients.
- As a healthcare provider, how can one best assess and confront attitudes, perceptions, behaviours, and biases toward older adults?
Discussion 5 This a 2- 3 page
Purpose of Assignment:
It is important for nurses to reflect on experiences and new knowledge gained in order to promote professional growth.
Answer the following
- Analyze the increased complexity of care among older adults.
- Compare care models for nursing practice specific to the older adult.
- Design plans for care specific to the older adult.
- Identify local, state, and national resources which facilitate safe and effective transitions of care for older adults.
- Incorporate professional values, attitudes, and expectations regarding ageism when caring for the older adult.
- Outline the importance of advocating for older adults in the management of their care.
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