Course: NURS 2700 Health Promotion and the Role of the Professional Nurse
Title of Project: Health Historical past/Wellness Assessment-Geriatric In-Residence Practical Assessment
Competency Addressed:
• 7O: Talk about frequent social justice points as they relate to weak people, households, and communities.
Course Outcomes/Upon completion of this task, the scholar will:
• #1: Apply theories and ideas of social and cultural elements to offer prevention-based nursing care.
• #6: Conduct a well being historical past and wellness Assessment to establish dangers and/or determinants of well being.
• #7: Describe behavioral change methods to advertise well being and handle sickness.
• #9: Present protected, holistic client-centered nursing care in selling well being throughout the lifespan.
PREPARATION MAKE SURE YOU HAVE 1 THROUGH 5 COVERED
1. Choose a person to interview:
• An elder male or feminine age 68 years or older, that’s not associated to the scholar
• Lives in his or her own residence or condo
• Single or married
• Strategies: you could choose a pal of one of your kinfolk, a neighbor, or an individual associated to at least one of your pals
• Choose a time to interview – enable your self a minimum of two hours
2. Obtain, print and familiarize your self with required assessments instruments:
• Overview Assessment instruments previous to going to your interview.
• Overview demonstration movies at the following web site:
https://consultgeri.org/instruments/try-this-series
• You might select to make the most of further sources for preparation, together with however not restricted to:
American Geriatrics Society web site
http://www.americangeriatrics.org/about_us/who_we_are/
Wholesome Ageing web site
http://www.healthinaging.org/
Throughout your interview, you’ll use every device to information standardized assessments of numerous elements of your chosen particular person’s purposeful standing. You might need to take notes on these Assessment instruments as you interact along with your chosen elder in his/her house setting.
• Fulmer SPICES (Frequent Syndromes of the Aged)
• Katz Index of Independence in ADLs (actions of every day dwelling)
• Falls Threat
• Get Up and Go Check
• Geriatric Melancholy Scale
• Mini Psychological Standing Assessment
Three. Develop an inventory of open-ended questions previous to the interview date (these questions must be designed to provoke dialog relatively than elicit a sure or no response).
Matters/open-ended questions to think about:
• What’s your cultural background and/or associated preferences?
• How lengthy have you ever lived in your house (or on this condo, or on this complicated and so on.)?
• How lengthy have you ever been married (or, how lengthy have you ever lived alone)?
• Discover whether or not pets are a component of this elder’s life and ask questions on his/her experiences with animals.
• Work historical past: Have been they employed outdoors the house? What type of jobs or work did the elder interact in? Or, if the elder is at present employed, what’s his or her job? What did/does she or he get pleasure from about the work? What challenges did/do they encounter of their work?
• Ask about volunteer actions: The place have they or do they volunteer? What had been/are their duties? What did/do they get pleasure from about volunteering?
• What issues do you love to do for enjoyable? Ask about social outings resembling enjoying playing cards, going to church, assembly for breakfast with mates, going for walks, and so on.
THE ASSIGNMENT
Use the information under to help you in finishing the written task:
Knowledge Assortment Information
Date of Interview: _____________________
Demographic Knowledge:
Age: ______________
Gender: ___________
Lives alone? ________
Lives with:
Partner? ________
Different? ________
Dwelling Scenario:
Personal Residence _________
Residence _________
Helped Dwelling ______
Different _____________
Normal Medical Historical past (questions to think about):
• Do you will have a major care supplier (doctor, nurse practitioner, doctor Helpant) whom you see frequently?
• Do you will have well being care directive, or have you ever talked with a medical supplier about advance directives?
• How typically do you see your medical supplier (doctor, nurse practitioner, doctor Helpant)? When was your final medical appointment?
• Ask concerning medical historical past, latest surgical procedures, and drugs together with prescription and over-the-counter medicine. (You don’t want to record particular names of drugs relatively ask in the event that they take drugs for the circumstances that they report back to you: For instance: in the event that they report having hypertension then ask in the event that they take medicine to manage blood strain.
• Ask about ache. Once they expertise ache, what helps to alleviate the ache?
• Ask if the particular person has a well being care directive or is aware of about making ready a well being care directive.
• Ask about alcohol use and smoking historical past.
• Ask about any issues with listening to, imaginative and prescient or dentition.
• Ask concerning cognitive issues you or the particular person is perhaps involved about. Contemplate issues resembling dementia, confusion, despair, anxiousness, and so on.
• Ask about any conditions, incidents or medical diagnoses that occurred all through your lifespan and have impacted you all through your life or have surfaced in your later years.
• Have they ever obtained, or do they now obtain house care companies or neighborhood companies resembling: Meals on Wheels, Hartland Bus, Silver Sneakers, First Alert for seniors, and so on.?
• Ask about security house. Do they really feel protected bodily? Emotionally? Different?
• Are there any obstacles that will stop your means to obtain high quality healthcare?
• Social Justice: Social Justice in phrases of the distribution of wealth, alternatives, and privileges inside a society (Oxford Language, nd.). Lookup the definition of social justice previous to finishing the task. Embrace a supply quotation.
Four. Full this task by compiling the following data from the interview of your chosen elder:
A. A written abstract of data obtained from the Knowledge Assortment Information listed above (One-Paragraph, don’t rewrite every Question Assignment with the shopper’s response following.)
B. Determine an space of this shopper’s present dwelling scenario that will truly or doubtlessly jeopardize or impede their proper to social justice associated to assembly their healthcare wants.
• Clarify your reply.
C. A written dialogue of every standardized Assessment device utilized in your Assessment; deal with the worth of every device (dialogue of what evidence-based analysis finds concerning these standardized Assessment instruments), the cause or causes every device could also be used, and a abstract of your normal findings from every device. (One-two paragraphs per Assessment device.)
D. Summarize your Assessment findings together with a dialogue of
• Potential or precise questions of safety in the house of the elder you visited.
o Residence Security Guidelines
• Your elder topic’s purposeful strengths, limitations, and potential dangers.
• Precise or potential geriatric syndromes your elder topic could also be experiencing or is in danger for experiencing. (These three bullets could also be summarized in one-two paragraphs.)
E. Develop three prevention-based nursing interventions with rationales applicable to the particular person’s scenario.
Interventions should deal with the following:
• Behavioral change methods to advertise well being (See promotion/well being determinants lecture.)
• Sickness administration. (See promotion/well being determinants lecture.)
• Security
5. Submit your accomplished task:
• Health Historical past Wellness Project. This task must be double-spaced and have a canopy web page and Eight-10pages
• Scan and submit the Assessment instruments used throughout your go to,
• You might talk your findings in a story kind.
• Use APA format to quote all references and sources used and; embrace a reference web page. Web site the Assessment instruments
Health Historical past Wellness Project Guidelines
Please make the most of this guidelines earlier than submitting your paper. This may Help to guarantee that you’ve got met all necessities of this task.
Accomplished Assessments Scanned for add to DropBox
☐Fulmer SPICES (Frequent Syndromes of the Aged)
☐Katz Index of Independence in ADLs (actions of every day dwelling)
☐Falls Efficacy Scale-Worldwide (FES-I)
☐Get Up and Go Check
☐Geriatric Melancholy Scale
☐Mini Psychological Standing Assessment
Be sure that your paper contains summaries of all of the following data:
☐Pertinent data from open-ended questions/Knowledge Assortment Information
Pertinent data from normal medical historical past
☐Conditions, incidents or medical diagnoses that occurred all through your lifespan and have
impacted you all through your life or have surfaced in your later years.
☐How the shopper’s present dwelling scenario may very well or doubtlessly jeopardize or impede
upon their proper to social justice associated to assembly their healthcare wants.
☐Your Assessment findings and the worth of the Fulmer SPICES
☐Your Assessment findings and the worth of the Katz Index of Independence in ADL’s
Assessment.
☐Your Assessment findings and the worth of the Falls Efficacy Scale-Worldwide (FES-I)
☐Your Assessment findings and the worth of the Get Up and Go Check
☐Your Assessment findings and the worth of the Geriatric Melancholy Scale
☐Your Assessment findings and the worth of the Mini Psychological Standing Assessment
☐Precise or potential threat to social justice points associated to healthcare wants with clear rationale.
☐The person’s potential or precise questions of safety discovered utilizing the Residence Security Guidelines
☐The person’s purposeful strengths, limitations, and/or potential dangers and precise or
potential geriatric syndromes
☐Three nursing interventions with rationales:
• Behavioral change methods to advertise well being
• Sickness administration.
• Security
SUBMISSION
☐Please submit your typed task into the D2L Brightspace DropBox labeled
Health Historical past Wellness Project.
☐Scan and submit the Assessment instruments used throughout your go to, into the D2L Brightspace
Dropbox labeled Health Historical past Wellness Project.
Rubric: Health Historical past/Wellness Assessment Geriatric In-Residence Practical Assessment
Content material Exemplary Proficient Creating Unacceptable Feedback Factors
6 – 5.47 5.46 – 5.1 5 – Four.68 Four.67 – zero
Completion of Required Assessments
Completes all assessments with accuracy. (5.46 pts) Completes 5 of 6 assessments with some problem.
(5.1 pts) Completes Four of 6 assessments with some problem. (5 pts) Completes Three of 6 assessments with some problem.
(Four.84 pts) Completes 2 of 6 assessments with some problem.
(Four.68 pts) Completes 1 of 6 assessments with some problem.
Two or extra assessments are usually not precisely accomplished and/or not accomplished in any respect.
5 – Four.6 Four.59 – Four.25 Four.24 – Three.9 Three.89 – zero
Interpretation of
Assessment Knowledge
Is ready to completely synthesize data gathered from all assessments.
Is ready to synthesize Assessment knowledge with few gaps in data. Minimal synthesis of Assessment knowledge. A number of gaps in data. Is unable to synthesize Assessment knowledge and/or lacking this portion of task.
6 – 5.47 5.46 – 5.1 5 – Four.68 Four.67 – zero
Abstract of Normal Medical Knowledge, Together with well being standing throughout the lifespan
Clearly identifies normal medical knowledge and conditions, incidents that occurred all through your lifespan and lifelong results. Identifies normal medical knowledge and conditions, incidents that occurred all through your lifespan however doesn’t establish lifelong results. Lacking one element of medical knowledge or conditions, incidents that occurred all through the lifespan.
Doesn’t deal with normal medical knowledge and/or doesn’t relate medical knowledge to lifespan.
Content material Exemplary Proficient Creating Unacceptable Feedback Factors
Three – 2.76 2.75 – 2.55 2.54 – 2.34 2.33 – zero
Social justice points
Clearly describes precise or potential threat to social justice points associated to healthcare wants and present a transparent rationale. Consists of description of precise or potential threat to social justice associated to healthcare wants and/or doesn’t present clear rationale.
Doesn’t clearly describe precise or potential threat to social justice associated to healthcare wants and/or doesn’t present clear clarification. Minimal description of precise or potential threat to social justice associated to healthcare wants and/or doesn’t present clear clarification as to how. Or omits both element.
7O: Talk about frequent social justice points as they relate to weak people, households, and communities.
*This competency should be met to move the course.
5 – Four.6 Four.59 – Four.25 Four.24 – Three.9 Three.89 – zero
Residence Security Guidelines
Clearly evaluates house security house security and discusses the shopper’s purposeful strengths limitations and potential dangers, and precise or potential geriatric syndromes. Evaluates house security house security however minimally focus on the shopper’s purposeful strengths limitations and potential dangers, and
precise or potential geriatric syndromes.
Evaluates house security however omits a number of of the following:
Practical strengths limitations and potential dangers, and
precise or potential geriatric syndromes. Doesn’t consider house security and/or omits a number of of the following:
purposeful strengths limitations and potential dangers, and precise or potential geriatric syndromes.
2 – – zero
Proof-Primarily based Help of Findings
Helps Assessment findings using evidenced-based sources (contains citations).
N/A
N/A Doesn’t help ALL Assessment findings using evidenced-based sources.
Content material Exemplary Proficient Creating Unacceptable Feedback Factors
6 – 5.47 5.46 – 5.1 5 – Four.68 Four.67 – zero
Synthesis-Interventions
(Interventions based mostly on shopper Assessment knowledge.)
Formulates Three clearly articulated and efficient interventions + rationales that embrace:
-A behavioral
change
method
-Sickness
administration
-Security
Formulates Three interventions + rationales that embrace:
-A behavioral
change
method
-Sickness
administration
-Security Interventions + rationales don’t correlate with Assessment findings.
Omits a number of interventions and/or rationales and interventions don’t correlate with shopper knowledge.
Three – 2.76 2.75 – 2.55 2.54 – 2.34 2.33 – zero
Group of Content material Group of content material is obvious, logical, and organized. Full introduction, growth, and conclusion of concepts.
Not more than 10 whole pages in size (Together with cowl web page & reference record).
Content material is obvious and organized. Minimal areas lack growth or transition between concepts. Minimal group. Lack of transition between concepts. Content material solely in a position to comply with with effort. Concepts don’t circulation. Group of content material is disorganized.
Four – Three.68 Three.67 – Three.Four Three.39- Three.12 Three.11 – zero
APA/Mechanics Presentation has uncommon mechanical, grammatical, and APA errors.
(2 or much less errors) Presentation has occasional mechanical, grammatical, and APA errors. Further modifying would have been useful.
(Three-Four errors)
Presentation wants enchancment and consideration to enhance mechanical, grammatical, and/or APA format.
(5-6 errors) Presentation has vital mechanical, grammatical, and/or APA errors; threat for illegibility or plagiarism.
(> 6 errors)
Met Not Met Met/Not Met
Health Survey/Interview
Completes all elements of task and meets required competencies. Doesn’t full all elements of task and/or meet required competencies at Proficient stage.
