To analyze:
An 80-year-old Gertrude is unable to get the proper taste of the food. She is also facing trouble in vision and hearing. She is unable to read the menu given by the nurse to select the food of her own choice and cannot hear low speech sound of nurse. She ask her to speak loudly and turn off the buzzing sound. Determine the knowledge of nurse about special senses and aging that help to explain the comments made by Gertrude.
Introduction:
With age, the functioning of the sense organs declines gradually. This occurs due to the improper functioning of the receptors of those organs. Aging is the sequential or gradual change in an organism that leads to an increased susceptibility of ability, disease, and death.
Want to see the full answer?
Check out a sample textbook solutionChapter 17 Solutions
Principles of Anatomy and Physiology
- Mrs. Giammo Mrs. Giammo is a 59-year-old woman who was brought to the emergency department. by her husband. Mr. Giammo noticed that suddenly, his wife “was slurring her speech and her face was drooping on one side.” Mrs. Giammo told her husband that she felt some numbness on the right side of her face and in her right arm. Mr. Giammo was afraid his wife was having a stroke, so he brought her to the hospital. Case Study In the emergency department, Mrs. Giammo is alert and oriented. Her vital signs are temperature 98.28F (36.78C), blood pressure 148/97, pulse 81, and respiratory rate 14. Mrs Giammo has a history of Rheumatoid Arthritis and GERD. She is 5’4” tall and weighs 175lbs. She had her gall bladder out 15 years ago. She has never smoked but enjoys a glass of wine with dinner. Mrs. Giammo is still complaining of “numbness” of the right side of her face and down her right arm. Her mouth is noted to divert to the right side with a slight facial droop when she smiles. Her speech…arrow_forwardTommy Jones is an 8-year-old boy referred to the student health center where you are working. This is the 4th time this week you have seen him and the 8th time this month. His teachers report that he has been inattentive in class and provoking his peers. When you talk with Tommy and ask him if he took his medications methylphenidate (Ritalin) today, he replied, no that his mommy “crushes it and puts it up her nose” she says, “it’s the only way to get through the day.” (Learning Objectives 1,5, 15, 17) What additional questions do you want to ask Tommy and why? What do you think the main issue is in this event and why?3. Describe what nursing actions you would need to take in this case and why?arrow_forwardSgt. Eddie Johns leaned back against the chair in the outpatient... Sgt. Eddie Johns leaned back against the chair in the outpatient orthopedic clinic. His head was killing him! He wasn't sure which was worse, the "morning after" headache or not being able to sleep at night. At least when he had a few beers under his belt so he could catch a few hours of sleep. It had been like this since he was air evacuated back stateside from Afghanistan after the roadside bomb went off. He was thankful that he had only broken his leg in a couple of places and gotten a bad bump on the head. They called that traumatic brain injury but he didn't know what that was and really didn't believe them anyway. He was still thinking just fine. His friend Joe wasn't so lucky! How was Joe going to learn to walk on those artificial legs? He was still in the hospital in Washington, DC. That was pretty far from his home. Eddie wished he could visit Joe. They had been in the same platoon for 9 months. But, Eddie…arrow_forward
- You are caring for a 13 year old girl. Her mother is consulting with the physician in another room. Upon returning to the exam room you find the girl and her boyfriend in a heated discussion. You hear him calling her names, threatening her and holding her by the wrist. What do you do ?arrow_forwardMrs. Scott, a 28-year-old year teacher, schedules an appointment complaining of persistent hoarseness. She has recently experienced difficulty swallowing food and her daily vitamin pills. She teaches English as a second language and is concerned that the persistent hoarseness is affecting her job. Mrs. Scott’s medical history is unremarkable except that her mother was treated for thyroid cancer at age 30. During the physical examination the physician palpates a hard painless lump on the thyroid gland and orders a series of thyroid scans, blood studies and histologic examination of the thyroid tumor. Diagnostic studies conclude that Mrs. Smith has a medullary thyroid carcinoma. How and why is the histologic study of the tumor obtained? What connotation does the term “medullary” have in describing a thyroid cancer? What is the primary treatment for a medullary thyroid cancer? What are the possible good prognostic factors?arrow_forwardYou are assigned to care for Mr. Cruise, 85, who has Alzheimer's disease. He often wanders from room to room and tries to open the outside doors. He frequently becomes agitated and restless, especially in the evening. Most of the time, Mr. Cruise is unable to feed himself and is often incontinent. He keeps on repeating, “Help me! Help Me!” all day long. Why would it be ineffective to o remind him of the date and time of your shift? Why is he more agitated in the evenings? What part of Mr. Cruise’s behavior would be most difficult to tolerate?arrow_forward
- Tommy Jones is an 8-year-old boy referred to the student health center where you are working. This is the 4th time this week you have seen him and the 8th time this month. His teachers report that he has been inattentive in class and provoking his peers. When you talk with Tommy and ask him if he took his medications methylphenidate(Ritalin) today, he replied, no that hismommy “crushes it and puts it up her nose” she says, “it’s the only way to get through the day.” (Learning Objectives 1,5, 15, 17) 1. What additional questions do you want to ask Tommy and why? 2. What do you think the main issue is in this event and why? 3. Describe what nursing actions you would need to take in this case and why?arrow_forwardJuan is Ms. Hayes’s nurse. She puts her light on and asks for something for pain; she tells Juan that the abdominal pain she has is a 9. Juan brings her morphine 4 mg and gives her the IV push (IVP) dose. He comes back 15 minutes later to evaluate the effectiveness of the pain management plan. Ms. Hayes is calm, smiling, and reports the pain at 0. Juan examines the abdominal dressing, the IV site, and listens to Ms. Hayes lungs. He notices the crackles in the lungs and is concerned. He observes that her respiration is shallow and rapid, and he asks her to breathe deeply and notices it triggers a cough; he also sees a pain response in her expression with the cough. He realizes that she has been under anesthesia for 3 hours and has been on an operating room table, a stretcher, or in her bed for the last 24 hours. And he also appreciates the effects of incisional pain on her respirations. Ms. Hayes complains of dyspnea, feeling cold, and coughing up green phlegm. Her pulse oximetry is…arrow_forwardJohn accompanied his wife Stacy to the clinic today seeking a walk-in appointment. He explains that STacy slipped and fell on some ice while walking to her car last night. John informs you that aside from a some cuts and bruises on her body, her "arm socket" is really hurting her. He states that "she may need an X-ray" and some "drugs" to help her with the pain. You notice that Stacy is consistently looking away from you as her husband talks. She seems very tense and axious. You make the decision, after looking at the schedule, that stacy can be seen in about 20 minutes. You inform John and Stacy and ask them to take a seat in the waiting room. You are going to perform necessary triage and vital signs on Stacy and call her name in the waiting room. John immediately stands up tp escort Stacy. You inform John that there is limited space in the triage area for him to accompany Stacy and will bring stacy back to the waiting room after you obtain vitals and gather other basic information.…arrow_forward
- A young Hispanic mother comes to the local clinic becauseher baby is sick. She speaks only Spanish and the nursespeaks only English. What should the nurse do?a. Use short words and talk more loudlyb. Ask an interpreter for helpc. Explain why care can’t be providedd. Provide instructions in writingarrow_forwardA patient began noting inability to recognize the faces of family members. He described their faces as looking the same, like “looking at the faces of monkeys;they all appear similar.” His lesion is in the Both left and right area 1,2,3. Both left and right area 17 Parietal lobe Fusiform gyrusarrow_forwardJoyce was sitting in her English Literature class having a tough time concentrating. She had just been home for a long weekend to visit her parents and had noticed some peculiar things going on with her mom. When she and her mom were out shopping, her mom had been walking a bit funny. Her foot kept slapping against the ground. Joyce also had noticed that her mom was talking with a slight slur, something she had never heard before. At first, Joyce found it amusing. But this continued throughout the day and during her entire visit home. Joyce also noticed some twitching in her mother’s forearms.Joyce started to wonder what was going on. She went to her computer and started reviewing any studies and artciles on the brain. She read about how the brain is made up of billions of neurons, which are the basic cellular units of the brain. These neurons help people to think, respond to the environment around them, maintain homeostasis, and move. “Aha!” Joyce said to herself. Maybe her mom’s…arrow_forward
- Medical Terminology for Health Professions, Spira...Health & NutritionISBN:9781305634350Author:Ann Ehrlich, Carol L. Schroeder, Laura Ehrlich, Katrina A. SchroederPublisher:Cengage LearningMicrobiology for Surgical Technologists (MindTap ...BiologyISBN:9781111306663Author:Margaret Rodriguez, Paul PricePublisher:Cengage Learning