Essay 4: Providing care for older adults

As a nurse, you will be providing care for both older adults and their family or friends, particularly at end of life. Using the case example of Julia Morales, create an end of life care-plan for her. Identify the areas of holistic end of life care including utilization of the interdisciplinary process, end of life progression and symptoms that may be encountered during end of life.

STEP 1: REVIEW THE FOLLOWING CASE INFORMATION:

julia_intro_mon_script.pdf

Download julia_intro_mon_script.pdf

Additional information for Julia:

Medications are: Atrovent inh, 2 puffs daily, albuterol nebulizer 2.5mg in h every 2 hours as needed, morphine extended release 30mg po twice daily, msir 20mg/ml 0.25ml sl every 2 hours as needed, dexamethasone 4mg po daily, 02 at 2l as needed, miralax 1 tbsp po daily, acetaminophen 650mg po every hours as needed, lorazepam 0.5mg po/sl every 4 hours as needed, furosemide 40mg po daily.

Assessment: A& O x3, L/s diminished throughout, rales in bilateral lower lobes, productive cough with yellow/brown sputum production large amount, grips are equal and weak, in bed 20 out of 24 hours, only eating bites, no taking liquids but is able to swallow, b/s are + x4, last bm three days ago, c/o fatigue, 2+ pitting edema bilaterally. Would like to see chaplain for spiritual needs. Experiencing nightmares once weekly.

STEP 2: CREATE A PLAN OF CARE FOR LUCY

ASSESS: 1) Identify assessments that you will complete for Julia using your textbook or other resources.(they must be cited in your references)

DIAGNOSE/PLAN: 2) Prioritize at lead three nursing diagnoses including the caregiving situation.

ACT or INTERVENE: 3) Develop nursing actions for the nursing diagnoses you have identified that are person focused for Julia.

EVALUATE: 4) Create anticipated outcome or evaluation statements for the plan.

STEP 3:

Once you have developed the plan of care, create a concept map/illustration/document of the care plan. This should be a simple, and easy to understand plan that you would share with Julia\’s family/caregiver.

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You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument