Elderly Client Project Essay

1738 Words Dec 10th, 2012 7 Pages
Elderly Client Project
Winston Salem State University

Nursing 3303 October 17, 2012

Elderly Client Project
Mrs. F. Nowell is a ninety-four year old mother, grandmother and great grandmother living in a skilled nursing facility. She has several co-morbidities which are managed medically and chemically within a detailed nursing care plan. She is diagnosed with type II diabetes, hypertension, coronary artery disease, pedal neuropathy, and arthritis. Within this paper we will explore her age related changes, concept of health and wellness, one chronic disease, diabetes, along with the care and health maintenance associated with this chronic illness, compare and
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However given Mrs. Nowell’s physical limitations daily exercise is minimal at best. Researchers are now giving acceptance to bariatric surgery among diabetics faced with morbid obesity, which has shown rapid blood sugar levels and decreased pharmacological intervention needs. However given Mrs. Nowell’s advanced age, she is not a bariatric candidate. Current medical care of Mrs. Nowell includes keeping her hemoglobin A1c below 7% per her primary care doctor and nursing supervision. Yet it is evidenced that the aging adult is more vulnerable to hypoglycemia, and combined with Mrs. Nowell’s cardiovascular disease, recommendations are pointing to an A1c below 8%. The Mayo Clinic also has an online tool developed for diabetics which includes low blood-sugar risks, weight changes, blood sugar testing requirements and costs which help the physician and patient weigh the risks and benefits of diabetic medication therapies.
Health Promotion, Safety and Special Concerns
Mrs. Nowell’s promotional health needs are met through nursing care provided and maintaining an optimal sense of wellness. Mrs. Nowell’s immunizations are up to date including her flu and pneumonia vaccinations. She receives assistance with activities of daily living (ADL’s) to maintain meticulous skin care and foot inspection to reduce risks of diabetic ulcers. Her diet remains well balanced per the ADA guidelines for optimal nutrition, to further reduce risks of pressure ulcers, which

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