Discussion Post: Geriatrics
Part I
Your 79, year old female patient suffered a stroke 6 months ago. She is cared for in her sister's home. The patient is dependent for position changes. She is unable to communicate the need to be turned. She must be fed at all meals. She has a stage II pressure injury on her sacral area.
i. Develop a teaching plan for the family to ensure that the patient's needs are met.
Part II
With the realization that pain is highly prevalent among older adults, Answer the following questions.
i. What are some ways you as the nurse can utilize to determine pain in the older adult?
ii. What are some of the potential barriers related to self-reporting of pain in the older adult?
iii. What is the prevalence of pain in the older adult?
iv. Describe and compare your findings for each of the following:
o Numeric rating scale
o Visual analog scale
o McGill pain questionnaire
o Pain in dementia patients
Part III
Musculoskeletal
A 72, year old man lived a fairly sedentary lifestyle as an accountant. Now that he is retired, he recognizes the need to be active to maintain his health as long as possible. He is concerned, however, that it is too late for him to start exercising because he has never engaged in such activities.
i. What encouragement, if any can you give him?
ii. What suggestions can you make for an exercise program?
The response should include a reference list. Using one-inch margins, Times New Roman 12 pnt font, double-space and APA style of writing and citations.