The Nurse Role in Promoting Optimal Health of Older Adults

Questions: 1. What assessment findings will be relevant to share? 2. What referrals might be appropriate? 3. What are three possible care plan strategies for Mr. E.? Answers: 1. What assessment findings will be relevant to share? Mr. E is 47 year old, widowed, and a bilateral amputee. He has three children and a sister who takes care of her. He was admitted to the emergency unit of the hospital facility after he was found lying on the bathroom floor unconscious.He received intravenous insulin to reduce his blood sugar. The nursing stuff discovered an infected diabetic ulcer wound on his left stump. A round of intravenous antibiotics was administered to treat the condition.Mr. E is appears to be suffering from depression. He is constantly into tears and is angered by the sight of his children. He feels rejected by the society and his own family. He has completely withdrawn from people and is currently glued to television programs where he spends his day watching. He has lost appetite for food and only eats chocolate bars. He does not agree to idea of placement in assisted living. He is always in tears and shows signs of hopelessness. Mr. E does not talk while his children are around. .Mr. Es wound has taken so long to heal but refuses physical therapy. 2. What referrals might be appropriate? According to the information obtained from the sister and children it seems that Mr. E is undergoing potential stress and depression that results to his current situation. I would refer Mr. E to a family councilor to assist him to come in good terms with his family. His eating habits are also deteriorating and thus important for Mr. E to be referred to a nutritionist to advice on the same. 3. What are three possible care plan strategies for Mr. E.? Insulin level management is a high priority in managing the care of Mr. E. He is refusing food and eating a lot of sugary products that raises the risk of the blood sugar level. It is essential that insulin levels is administered efficiently as it can have a substantial influence on a patient's physical and psychological state and significantly affect her ability to perform any activities of daily living.Wound care is also a crucial component in Mr. E's management. He has a wound in his left stump that is taking long to heal. He should also be talked into physical therapy to reduce his risks.Furthermore, nutrition and hydration is a key element to the recovery of Mr. E. Mr. E has lost appetite for food and only consumes chocolate bars which might not be the best option for his condition. A less sugary diet is advisable so as to deal with his constant surge in blood level. She is complaining of nausea and only tolerating sips of water orally. Well balanced diet is a crucial component in ensuring that he develops energy to fight infections. Good nutrition is too important to promote wound healing .Finally, Mr. E's morals need to be critically examined. He is extorting his sister and deliberately urinating in the house to anger her. His relationship with the children is bad and may need improvement so as he can receive proper attention while at home. Critical thinking It's not safe to assume that the patients care is similar. Patients may be experiencing different effects depending on the environment they are coming from. Their communication approach may be different due to their different abilities to conceive things. It's also important to note that age does not place individuals in the same conditional bracket and thus different care should be administered. 2. Secrets of Living Longer The national geographic video Secrets of Living Longer profiles and highlight the secrets of longevity by analyzing the eating and living habits of the world healthiest people. According to the national Geographic's Blue Zone survey project, diet is perhaps the most important factor as long as longevity is in question. The people in Ikaria, are unique in that they consume a lot of potatoes and beans. These people consume a kind of greens called horta thats most highly connected with healthy aging. Short naps reduces one chances of heart attack by about a third a person who doesn't. Another secret learnt from the video, is the fact that long lived people do not necessarily involve in strenuous exercise, but rather involve in activities such as gardening where throughout the crops life, these people use the hand tools to tend the crops. In Okinawa, Japan, the secrets of longevity are myriad. they live in walk able communities; they live with a purpose with good friends. Sweet potatoes with high flavanoids and turmeric lowering cancer rates are among their interesting foods of longevity.Another aspect of longevity is friendship and having great people around you. according to the Okinawa people in Japan, people living a lonely life reduce eight years of living. They are connected and have each other's back in tough times. For all communities reached, one thing is common, they really obtain their proteins from animals. Their source of proteins are foods with high protein contents such as beans. Their proteins are prepared in a special way to give an astonishing taste. Among other things learnt include the fact that people who engage in sex at least twice a week after the age of 50, lower their mortality by half compare to those who don't. On the other hand moderate drinkers outlive non-drinkers. Wine has high levels of polyphenols and antioxidants. The alcohol in the wine also helps lower cortisol levels, a hormone associated with stress.