Nursing management

Nursing management

  • Nurses play a critical role
    • Conducting a comprehensive history and physical assessment
    • Participating in plan of care
    • Teaching patient and caregiver
    • Symptom management
    • Evaluating patient and family outcomes
  • Nursing assessment
    • First attend to primary needs
    • Ensure assistive devices are used
    • Allow plenty of time
    • Interview family or caregivers separately
    • Involves an inter-professional approach
  • Planning
    • Identify strengths and abilities
    • Priority goals
    • Gain a sense of control
    • Feel safe
    • Reduce stress
  • Nursing implementation
    • Modify approach based on the older adult’s physical, functional, and mental status
    • Safety first
    • Health Promotion
    • Acute and Ambulatory Care
    • Care transitions can be challenging
    • Re-hospitalization is a risk
    • Traditional Care Model: evidence-based and innovate care coordination and management model
    • Medication use
      • Medication use in older adults requires thorough and regular assessment, care planning, and evaluation.
      • Older adults may have difficulty due to cognitive impairment, altered sensory perceptions, limited hand mobility, and the high cost of many prescriptions.
      • Nonadherence to medication regimens is common.
      • Many older adults are unable to read prescription drug labels or understand the health information that is provided to them.
      • Older adults may have difficulty managing medication regimens due to cognitive impairment, altered sensory perceptions, limited hand mobility or dexterity, and the high cost of many drugs.
      • Polypharmacy, overdose, and addiction to prescription drugs are major causes of illness in older adults.
      • Errors from (1) administration of both brand and generic medications, (2) refilling medications too soon or too late resulting in taking the medication incorrectly, and (3) drug-drug interactions can be prevented by having a pharmacist review the medication regimen regularly.
      • The American Geriatrics Society Beers Criteria are designed to reduce problems with medications in older adults.

Share:

More Posts

Symptoms of Food Poisoning

KEY POINTS The most common symptoms of food poisoning include diarrhea, stomach pain or cramps, nausea, vomiting, and fever. Signs of severe food poisoning include

Preventing Tick Bites

  KEY POINTS Reducing exposure to ticks is the best defense against tickborne diseases. Tick exposure can occur year-round, but ticks are most active during