Chronic illness and Older Adults Older Adults Aging population Surviving acute illness Living with chronic illness Becoming more educated and resourceful More ethnically diverse Demographics

Process of patient teaching Assessment of learning needs involves 4 main areas: Physical factors What is the patient’s age? Is the patient acutely ill? Is

Teaching-Learning Process Nurse as Teacher Required competencies Knowledge of subject matter Communication skills Teaching and caregivers has many challenges, including; Lack of time – Can

Patient and Caregiver Teaching Role of Patient and Caregiver teaching General goals for patient teaching include Health promotion Disease prevention Illness management Selection and use

Outline for physical examination General survey Observe general state of health Vital signs Record vital signs such as: Blood pressure Pulse rate (apical/radial pulse) Respiration

Types of Assessment Emergency assessment Limited to assessing life-threatening conditions (e.g., inhalation, injuries, anaphylaxis, myocardial infarction, shock, stroke) This involves a rapid history and examination

Objective Data General Survey Physical Examination Techniques Inspection Visual examination of a part or region of the body to assess normal conditions or deviations and

Nursing History Subject Data Important Health Information Past health history Major childhood and adult illnesses, injuries, hospitalizations, and surgeries Medications Past and current medications, including

Role of Nursing Personnel Role of Registered Nurse (RN) On admission, complete a comprehensive assessment. Obtain patient’s health history by interviewing patient and/or caregiver. Perform

Investigation of Patient-Reported symptoms Factor Questions for Patient and Caregiver Record P Precipitating and Palliative Were there any events that came before the symptoms? What

12 Step Program The 12 step program is a set of guidelines designed as a guide towards recovery. They are as follows: We admitted we

Nursing diagnosis Risk for trauma/falls Due to impaired physical mobility, Loss of muscle strength, disorientation, presence of illness, use of medications Hypothermia Age-related changes in