Thursday, December 12, 2019

Major Care Priorities

Question: Discuss about the Major Care Priorities. Answer: Physiological changes that occur during ageing often bring about mobility problems. Mobility problems often refer to conditions associated with joint problem, muscle weakness and neurological difficulties. Majority of faults are can be due to faults. They result in broken bones, and can cause major injury or death. Fall injury can result in poor mobility; however it can dampen the existence of medical illness and lead to complex blood circulation and even clot in the legs, decline in the loss of strength, pressure ulcers and pneumonia, (Williams, Szekendi, Thomas 2014). Pressure ulcer is one of the main components which affects most vulnerable patients especially those with congestive heart failure. It has significant impacts on the quality of life of the patient and has major implication cost on the health care costs. Fear grips in for patients who have fallen. This has been studied to show inactivity which often leads to more health related problems. The most important way of helping them is to encourage them on mobility care. Some strengths is crucial in bone mass and muscular formation, which strengthens the firmness during walk time thus preventing more fractures. At times fear grips the patient that if he gets a fall, he/she may not be able to get up again, thus it is always paramount for the older people to get t knows how to get up from the fall, (Patel et al., 2014). . Currently the nursing and treatment interventions available include managing high pressure on the support surfaces and nutritional care, protecting the wound for speedy recovering which involves wound dressing. Pressure treatment often involves multi approach team work of nurses, physicians and care team. Applying practice for the older on falls and preventive care on the floor will help them in a greater way in achieving mobility. The most needed assistance is the use of therapy nurse. The sessions held in therapy assist the patient in mobility. They also help in doing home safety care check and mitigating risks that could lead to falls. Therapy care is needed for patient Chei, as she is experiencing difficult in walk, thus urgent therapy care is needed to assist the patient in walking again. Application on the use of mobility aids has played a key role in the movement of these patients. The equipments used for mobility include wheel chairs, prosthetic limbs crutches and walking sticks. In modern day world they are referred as assistive technology for mobility, (Marasinghe, Lapitan Ross, 2015). They enable mobility for people who have incapacity to walk and use their two legs while walking. In more advance medi care countries, guidelines on the provision of these tools follows a strict guideline which categorises individual diagnosis for the disability extent then allocating to them. Clinical assessments are done prior to allocation of the equipment. Individual medical history, physical state and needs, functional ability, environmental assessments and home accessibility play role in allocation Nursing Care Management Management of nursing care for medical conditions such as poor eye sight and arthritis can affect mobility. Currently patient Mei tends to be taking medications which assist in alleviating pain and swelling event. Due to her state, her vitamin source is clearly decreasing and the drug regime, patient Mei urgently needs traditional foods so as to prevent in micronutrient stores which are replacing multivitamin drug plan. The provision of mobility aids for these case crutches is essential in assisting in the mobility of the patient. As part of management, she should be provided with double handled crutches which will assist her in mobility around and outside the house. An important aspect is that the use of staircase is a risk factor, as part of the nursing management she should avoid stair case in case there is a helper for assistance. Nursing care goals involves the prevention of falls by minimizing the hazards exposure associated with falls, (You., 2013). The encouragement of activity or physical exercise to improve on the mobility of the patient should be initiated. With the care plan module, reports on recurrent faults or near falls to the doctor in charge for further medical evaluation and care appropriate, (Boyle, Cramer, Potter Staggs, 2015). Team care approach is crucial for the treatment of ulcers. Families and the patients and caregivers plays crucial role in managing their health in addressing the wound. The patient in the case study is currently suffering from obesity and her medical condition is worsening day in day out. And experiencing difficulties in walking, which it is patient mobility. References Boyle, D. K., Cramer, E., Potter, C., Staggs, V. S. (2015). Longitudinal association of registered nurse national nursing specialty certification and patient falls in acute care hospitals. Nursing research, 64(4), 291. Marasinghe, K. M., Lapitan, J. M., Ross, A. (2015). Assistive technologies for ageing populations in six low-income and middle-income countries: a systematic review. BMJ innovations, bmjinnov-2015. Patel, K. V., Phelan, E. A., Leveille, S. G., Lamb, S. E., Missikpode, C., Wallace, R. B., ... Turk, D. C. (2014). High prevalence of falls, fear of falling, and impaired balance in older adults with pain in the United States: findings from the 2011 National Health and Aging Trends Study. Journal of the American Geriatrics Society, 62(10), 1844-1852. Williams, T., Szekendi, M., Thomas, S. (2014). An analysis of patient falls and fall prevention programs across academic medical centers. Journal of nursing care quality, 29(1), 19-29. You, L. M., Aiken, L. H., Sloane, D. M., Liu, K., He, G. P., Hu, Y., ... Shang, S. M. (2013). Hospital nursing, care quality, and patient satisfaction: cross-sectional surveys of nurses and patients in hospitals in China and Europe. International journal of nursing studies, 50(2), 154-161.

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