NURS 126 Nursing Care of Special Populations: Geriatric & Psychiatric Nursing

1. Age and Developmental Stage- 73 years old (Integrity vs Despair)

1. Gender- Female

1. Marital / Significant Other Status – Widow

1. Living situation (house, apartment)- Lives at home with Daughter and Grandson

1. Cognition and Mood- Mental status is intact and mood is stable

1. Communication:
   1. Content of verbal / non-verbal- No verbal or non-verbal issues
   2. Tone of voice- high pitched voice
   3. Eye contact- Very good eye contact
   4. Body language- open-ended body language when in conversation

1. Personal Hygiene:
   1. General Appearance- Upkept, clean
   2. Bathing- at least once a day, mostly in the morning
   3. Toileting- uses bathroom by herself, does not require assistance
   4. Dressing- dresses herself

1. Eating:
   1. Diet preferences ~ food allergies? No
   2. Appetite- normal appetite/needs a snack before every main meal
   3. Problems with swallowing/chewing/wears dentures? Yes, wears dentures
   4. Needs assistance with eating? No
   5. How important is mealtime? Very important because of need to take medications
2. Where are meals eaten?  Must be in front of TV

1. Mobility:
   1. Independent or Uses assistive devices- Independent no use for assistive devices
   2. History of falls- Fell once at church

1. Sensory:
   1. Any deficits? Blurry vision at night
   2. Use of glasses? (wore glasses before eye surgery, doesn’t wear anymore, reading aids (No), hearing aids (No), other

1. Shopping- needs assistance doing this activity

1. Transportation- Bus and taxi

1. Meal Preparation- cooks for herself

1. Housekeeping- Cleans herself

1. Medication Management
   1. What medications? Diabetic (Metformin), cholesterol medications, hypertension medications, Insulin
   2. Who organizes medications? Herself
   3. Any medication allergies? No

1. Leisure Activities / Hobbies- Just goes to church and cleans the house

1. Religious preference / activities- Christian/ used to be Sunday school teacher

1. Time spent with…spouse, partner, family, friends, neighbors- Spends time with friends from church and family

1. Sources of support- Daughters and grandchildren

1. Where does the older adult learn about community resources for activities, health education, or issues regarding the elderly? From the church

1. Childhood: Memories, parents, siblings, school, hometown
2. Used to run track & field, won Jamaican house track trophy

1. Current view of health status- views herself in good health regarding history of HTN, diabetes, and high cholesterol

1. Self-identified safety risks– imbalance in walking sometimes, Vision is foggy at night went out on the town

1. Future: Plans, hopes, dreams, fears, anxieties? Wants to come to US to see family

1. What is most important to you? Health and strength is most important

a.        Spiritual- Devoted Christian

b.       Physical- Free of any age-related disabilities

c.        Intellectual- short-term and long-term memory is still intact

d.       Emotional- does not stress, worry, and stays in good spirit because of relationship with god

e.        Socio-cultural- connects with her community through the church and cooking for those in the neighborhood on Easter

Integrity vs Despair- feels accomplished in life because all daughters and grandchildren are safe, sound, and in good health in the United States

Esteem- has self-respect and respect from others as leader in community church