Posted: July 17th, 2022

Responses W4 essay

Responses 1
Developing an exercise program encourages older adults to be more active. A good exercise program can be useful for the elders to keep them healthy because the benefits of being active outweighs the risks for most individuals. It is mainly critical to pre-screen all new elderly patients before creating an exercise program for them. Doing that ensures that the exercise I will prescribe accommodates and is adapted to any medical issues, injuries or other risk factors. I would also determine my patient’s level of commitment and motivation. For this client in particular, I would recommend doing exercise that is good for the mind and body’s health that focused on strength, balance and flexibility. I will help create exercises that will be most beneficial when working towards achieving their specific health and fitness goals. I will start my patient on a short and easy exercise because she stated that she hasn’t worked out in a while then gradually increase it to incorporate 150 minutes of exercise a week. Although this may sound like a lot, we can start off by doing only 10 or 15 minutes two times a day. Following a good exercise will improve my patient’s quality of life.
Response 2
I would encourage the patient and tell him/her that exercise and physical activity are great for mental and physical health. I let the patient know the health care provider needs to check his/her body and function to ensure there is no barrier. He/she must make sure if there are any exercises or activities that should avoid and if his/her preventive care up to date. Pre physical activity screening is essential for older adults participating in physical activity. Get Active Questionnaire (GAQ), and a standardized exercise stress test would show the person’s barriers. Research shows physical activity screening can contribute to continued confidence and increase motivation in exercise participation (Stathokostas et al., 2018).
Moreover, due to not having any exercise history, I would recommend him/her to start it in short sections. The beginner needs to know they must warm-up before starting and cool down at the end, hydrate before, during, and after a workout session, even at the lack of thirst, and wear appropriate clothes and shoes due to activity. According to the Centers for Disease and Prevention (CDC), older adults’ recommendation is 150 minutes of moderate-intensity aerobic activity a week. But they should stay as physically active as their abilities and conditions allow. There are many activity options for people with chronic disease or any physical limitation. Walking, swimming, bicycling, aerobic or just walking in the swimming pool are some options.
Responses 3
I believe that there is no need for this 77-year-old woman patient to be restrained to prevent injury. I say this because in my opinion this lady just needs staff to pay more attention to her needs such as Helping her to the bathroom when needed due to her medical history of functional urinary incontinence. With that being said, I would not request the order for a body restraint because restraints are associated with increased weakness if used for a long time, they contribute to increased confusion, causes a high risk for developing pressure ulcers, getting depressed and increases agitation (Meiner & Yeager, 2019). The relevant information to this case is that she is usually only agitated during night time because she cannot see due to the darkness and her poor vision, as well as her frequent need to visit the bathroom. The nursing interventions could be tried before considering a restraint would be providing better lighting for the woman during night. Also, recommending that she uses the call light for Helpance when she needs to use the bathroom. If she fails to notify staff before going to the bathroom a bed alarm would be useful in her case.
Responses 4
I think that safety is very important in this situation, but I do not think that the patient needs to be restrained to prevent injury. Since this patient has poor vision, having someone Help her to go to the bathroom will be helpful. It would be important to teach the patient to use her call light to let the staff members know when she needs to use the bathroom. A bed alarm can also be used in this situation so that way the staff members are notified whenever the patient is trying to get up. Restraints should be used as a last resort, and there are other interventions that can be used in this situation before considering restraints. The least restrictive measures should be used first, such as the bed alarm or utilizing the call light. Educating this patient on falls as well as the injuries that occur with them is important (Meiner & Yeager, 2019). The patient seems to be very agitated during the night time so it is important to come up with a solution with the patient to help manage her urinary incontinence at night. The nurse in this situation should talk with the nursing Helpant about implementing these measures instead of a restraint.

Appendix B
• No single word responses (At least 100+ words in your response. Repeating the question in the answer does not count towards the 100+ words)
• Give questions some thought and answer honestly and sincerely
• Give examples if you have them
• Cite resources
• Worth 20 points / 5%
Directions:
•With the realization that pain is highly prevalent among older adults, please answer the following questions.
Questions:
1. What are some ways you as the nurse can utilize to determine pain in the older adult?
2. What are some of the potential barriers related to self-reporting of pain in the older adult?
3. What is the prevalence of pain in the older adult?
4. Describe and compare your findings for each of the following:
a. Numeric rating scale
b. Visual analog scale
c. McGill pain questionnaire
d. Pain in dementia patients

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