Posted: July 17th, 2022

Assessment Task Number ONE – Case Study 2000 words

HNN318 Care of the Older Person
Assessment Task Number ONE – Case Study
2000 words – 50% unit weighting
Purpose of assessment task
This assessment task will enable you to evaluate the normal physiological effects of ageing and analyse physical and sociological influences that may increase health risks.
Due date:
31 March 2023
Time:
8.00pm
Location:
Assignment dropbox on HNN318 CloudDeakin unit site
Format: PDF*
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• Please check the document before submitting to the dropbox to ensure the formatting has not changed.
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Case scenario:
Joseph is an 83-year-old migrant who lives alone. He has been depressed since his wife died 8 years ago. His house is old and in need of substantial repairs and is very cold in winter. There is no heating as Joseph feels he cannot afford the power bills to heat the house. Joseph receives an aged care pension payment every fortnight. He is physically frail and is at times unsteady on his feet and has had a few falls. Joseph has hypertension that is managed with medication and no other known medical conditions. He drinks approximately 4 beers on approximately 4-5 nights of the week. He has a strained relationship with his daughter Pricilla who has reported to the practice nurse that Joseph’s drinking has slowly increased since he lost his wife. The practice nurse has noted that Joseph appears sleepy, morose, withdrawn and lacking emotional expression despite the antidepressants he has been prescribed. Joseph has basic cooking skills however finds that cooking for one person is too much bother most of the time. Joseph has had a strong faith and attends his place of worship regularly however he chooses not to socialise as he believes that the community are only offering him pity since his wife died and he does not want people to feel sorry for him.
Assignment Questions:
Based on the above case study, and with reference to evidence-based literature:
1) Evaluate 3 biological theories of ageing that may explain physiological effects of ageing and specifically how these changes may impact Joseph.
2) Analyse the physical changes that occur in the cardiovascular system that may increase health risks for Joseph.
3) Identify factors that may put Joseph at risk of depression and analyse how this may increase health risks for him.
4) Identify and analyse one sociological risk factor that may influence Joseph’s health risk.
Instructions for this assessment task:
• Assignment should be presented with each of the four (4) questions as subheadings (subheadings are not included in word count).
• This task is to be written in third person and each response must be supported with evidence-based literature.
• You are not required to include an introduction or conclusion.
Presentation requirements:
The School of Nursing and Midwifery follows the American Psychological Association (APA) 7th edition referencing style. Presentation requirements of this referencing style are outlined below. For further detail regarding APA 7 referencing style refer to Referencing | Students (deakin.edu.au).
Title Page:
Include the following information on separate lines; Title of Paper (bold font), Student Name/s and student identification number, University Name, Unit Code and Name, Due Date.
Formatting of Title Page: Centred text alignment and double-line spacing.
Font:
Writing is to be in an accessible font. Examples of these include; 12-point type size Times New Roman.
11-point type size Georgia.
11-point type size Calibri.
11-point type size Arial.
Ensure the same font is used consistently throughout the entire paper.
Spacing:
Double-line spacing (Do not insert extra lines between paragraphs or the reference list entries).
Page numbers
Page numbers to be provided on all pages. Place page number in the top right hand corner.
Margins
2.54 cm at the top, bottom, left-hand, and right-hand sides of the page (default page margin).
Paragraph indents
Indent the first line of each paragraph 1.27 cm (using the tab key or paragraph tool).
Exceptions: abstract, block quotations, title page (centred alignment), titles and headings, table titles and notes, references (hanging indent), appendix labels and titles
(Consult with APA 7 style manual for specific detail).
Justification of text
All text needs to be aligned to the left, not justified (right margin remains uneven).
Word Count
Assignments must be no more or less than 10% of the indicated word count, not including title page, in-text citations and reference lists.
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Criterion mode: Points Exceeds expected standard Expected standard Minimum standard Below standard
Starting % 80 Starting % 60 Starting % 50 Starting % 0
Criterion 1
Evaluate biological theories of ageing to explain physiological effects of ageing and relate the theories to the case study. Relevant theories clearly identified and comprehensively evaluated.
All literature selected is peer reviewed, relevant, contemporary, and skilfully used to support the discussion. Relevant theories clearly identified and evaluated. All literature selected is peer reviewed, relevant, contemporary, and used
to support the discussion. Some theories identified and explained.
Literature selected is relevant, contemporary and used to support the discussion.
Irrelevant theories identified or not outlined, no, or less than 3 theories identified.
Literature selected either irrelevant or inadequate and/or not used/rarely used to support discussion.
Points 20
Criterion 2
Analyse anticipated cardiovascular age-related changes and relate the impact of the changes to the case study.
Relevant changes and impacts clearly identified and comprehensively analysed.
All literature selected is peer reviewed, relevant, contemporary, and skilfully used to support the discussion. Relevant changes and impacts clearly identified and analysed. All literature selected is peer reviewed, relevant, contemporary, and used
to support the discussion. Some changes and impacts identified and explained. Literature selected is relevant, contemporary and used to support the discussion.
Irrelevant changes and/or impacts identified or not outlined, or no changes identified. Analysis absent. Literature selected either irrelevant or inadequate and/or not used/rarely used to
Points 20 support discussion.
Criterion 3
Identify risk factors for depression and analyse how these increase health risks associated with the case study.
Relevant risk factors identified with clear and comprehensive analyses of associated health risks.
All literature selected is peer reviewed, relevant, contemporary, and skilfully used to support the discussion. Relevant risk factors identified with clear analyses of associated health risks.
All literature selected is peer reviewed, relevant, contemporary, and used
to support the discussion. Relevant risk factors identified and explanation of associated health risks.
Literature selected is relevant, contemporary and used to support the discussion.
Irrelevant, inadequate or no relevant factors identified with little or no analysis of health risks.
Literature selected either irrelevant or inadequate and/or not used/rarely used to support discussion.
Points 20
4
Criterion 4
Identify and analyse one sociological factor that may influence health risk in the case study.
Relevant sociological factor that may influence health risk clearly and comprehensively analysed.
All literature selected is
high quality, relevant, contemporary, and skilfully used to support the discussion. Relevant sociological factor that may influence health risk clearly analysed.
All literature selected is peer reviewed, relevant, contemporary, and used
to support the discussion. Relevant sociological factor that may influence health risk explained. Literature selected is relevant, contemporary and used to support the discussion.
Irrelevant, inadequate or no sociological factor that increases health risk analysed.
Literature selected either irrelevant or inadequate and/or not used/rarely used to support discussion.
Points 20
Expected Standard Minimum Standard Below standard
Criterion 5
Assignment is presented according to instructions
Most accurately follows presentation requirements Follows most of the presentation requirements Presentation requirements not accurately followed. Not submitted according to instructions
Points 10
Criterion 6
Writing in accordance with standard language conventions
Written at a high level of clarity and fluency, and the work is virtually error-free Written fluently but has several errors e.g. spelling, overly long sentences Writing contains multiple errors in spelling/grammar and/or punctuation that significantly detract from readability throughout
Points 10
Total Points 100 (This total must be manually calculated)

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Introduction

Joseph is an 83-year-old migrant who lives alone and has been experiencing depression since his wife passed away eight years ago. He has hypertension, which is managed with medication and is physically frail, leading to him being unsteady on his feet and having a few falls. Joseph has a strained relationship with his daughter and consumes approximately four beers on four to five nights a week. He appears sleepy, morose, and withdrawn despite taking antidepressants, and has lost interest in socializing. The following essay will evaluate biological theories of ageing, analyze the physical changes in the cardiovascular system that increase health risks for Joseph, identify factors that put him at risk of depression and analyze how this increases his health risks. Additionally, one sociological risk factor that influences Joseph’s health risks will be identified and analyzed.

Biological Theories of Ageing
Three biological theories of ageing are as follows:

1.1 The Free Radical Theory

According to the free radical theory of ageing, ageing is caused by the accumulation of free radicals in cells over time. Free radicals are produced as a by-product of cellular metabolism and can cause oxidative stress, leading to cellular damage and ageing. Joseph may be affected by this theory because he is experiencing oxidative stress due to his hypertension, which is managed with medication.

1.2 The Programmed Theory

The programmed theory of ageing suggests that ageing is the result of genetic programming that controls the rate of ageing. This theory proposes that cells are programmed to divide a limited number of times and that this process leads to ageing. Joseph may be affected by this theory because he is experiencing a decline in cell division, which is associated with ageing.

1.3 The Wear and Tear Theory

The wear and tear theory of ageing proposes that the body wears out over time due to the cumulative effects of damage and repair. This theory suggests that the body is constantly exposed to environmental stresses, such as pollutants and radiation, which cause damage that the body then repairs. However, over time, the body’s ability to repair this damage decreases, leading to

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