correction HLTENN045

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Delhi School Of Professional Studies & Res *

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Nursing

Date

May 24, 2024

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docx

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1 a) Gladys has several pathophysiological disorders, including:  Breast Cancer: Gladys has been diagnosed with breast cancer that has metastasized to her liver and spine. This is a serious condition as the cancer has spread from the breast to other parts of the body. The prognosis is poor, which can cause emotional distress for Gladys and her family. The progression of the disease may also lead to increased pain and discomfort, requiring careful monitoring and management.  Cerebrovascular Accident (CVA): Gladys suffered a CVA, or stroke, in the past ten years. A stroke occurs when blood flow to a part of the brain is interrupted, resulting in damage to brain cells. This can lead to long-term complications such as difficulty with speech and movement, both of which Gladys seems to be experiencing.  Hypertension: Gladys has high blood pressure, or hypertension. This condition can lead to various health complications if not managed properly, including heart disease and stroke. It may require Gladys to take medication and make lifestyle changes, which can be challenging given her dementia and other health conditions.  Osteoarthritis: This is a degenerative joint disease that can cause pain and stiffness, particularly in the hips, knees, and lower back. In Gladys’s case, it could contribute to her mobility issues and increase her risk of falls.  Cataracts: Gladys has cataracts, which are cloudy areas in the lens of the eye that can cause vision loss. This can affect her ability to engage in activities she enjoys and increase her risk of falls.  These conditions significantly impact Gladys’s quality of life and independence, and they can also place emotional and physical strain on her family and caregivers. It’s crucial for the care team to provide comprehensive support to manage these conditions and alleviate their effects. 2) Psychological needs (list at least two (2) needs): Answer ) Coping Strategies: Gladys may need help developing strategies to cope with her health conditions, particularly her dementia and the distress it causes. This could include techniques to manage stress and anxiety. Her family/carer may also need guidance on effective coping strategies to manage their own stress and emotional responses. Gladys 5) 2)Gladys has poor mobility, incontinence and CVA (Cerebrovascular accident). List five (5) preventative health assessments you will apply to identify her needs in ameliorating care. ys has poor mobility, incontinence and CVA (Cerebrovascular accident). List five (5) presentation identify Gladys’s needs and provide ameliorate care, the following preventative health assessments can be applied:  Mobility Assessment: This can help evaluate Gladys’s ability to move around and identify any areas of difficulty or risk. It can include assessments of her gait, balance, and use of assistive devices like her walking frame.  Incontinence Assessment: This involves evaluating Gladys’s bladder and bowel function to understand the severity and type of incontinence she’s experiencing. It can help in developing a personalized management plan, which may include scheduled toileting, pelvic floor exercises, or specific incontinence products.

 Neurological Assessment: Given her history of CVA, regular neurological assessments can help monitor Gladys’s cognitive function, motor skills, and potential for further strokes. This can include monitoring her speech, strength, coordination, and reflexes.  Pain Assessment: Regular pain assessments can help monitor the effectiveness of Gladys’s pain management plan, especially given her cancer diagnosis. This can involve asking Gladys about her pain levels, observing for non-verbal signs of pain, and regularly reviewing her medications.  Nutritional Assessment: This can help ensure Gladys is receiving adequate nutrition, which is crucial for her overall health and well-being. It can involve monitoring her weight, dietary intake, and any difficulties she may have with eating or swallowing. These assessments should be conducted regularly and the results used to inform Gladys’s care plan, ensuring it continues to meet her changing needs. 16) Explain briefly the importance of providing a safe, physical, social and emotional environment for Gladys and staff members in a dementia-specific area. Creating a safe, physical, social, and emotional environment is crucial for individuals like Gladys who are living with dementia, as well as for the staff members who care for them. :  Physical Safety: Dementia can affect a person’s mobility and perception, increasing the risk of falls or accidents. A safe physical environment with clear paths, good lighting, and appropriate mobility aids can help prevent injuries. For staff, a safe physical environment means less risk of injury while assisting residents and a more efficient work environment.  Social Environment: Social interaction can enhance the quality of life for people with dementia, helping to reduce feelings of isolation and confusion. It also provides opportunities for staff to better understand the resident’s needs and preferences, fostering a more person-centred approach to care.  Emotional Environment: A positive emotional environment can help reduce stress and anxiety for people with dementia. This includes providing reassurance, maintaining routines, and offering activities that the person finds enjoyable and meaningful. For staff, a positive emotional environment can make their work more rewarding and less stressful. By addressing these needs, we can enhance the quality of life for residents like Gladys and create a better work environment for staff.

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