Geriatric Category Patients and Their Treatment Essay

Geriatric Category Patients and Their Treatment - Essay ExampleHealing, e special(prenominal)ly, has been identified as an issue in the elderly due to characteristic age related changes in skin texture, reduce processes of provoke healing which are clearly distinct from the rapid healing in young long-sufferings (Gosain & Dipietro, 2004 321). The circumstance patient shortlisted for this assessment belongs to the geriatric category as he is an 80 years old man, with an naturalized diagnosis of Chronic Obstructive Pulmonary Disease (COPD), probably precipitated due to a history of luxuriant smoking. The man has also suffered an episode of shingles, as revealed from his medical history sheet. Due to the multiple comorbidities he is distress from, he is currently being administered a combination of medications, which complicate his care further due to the multifaceted side-effects associated with them. Taking history of a patient is an art which needs to be mastered by severall y nursing professional. It needs preparation of a proper environment, good communication skills of the nursing practitioner, and is a thoroughly systematic, sensitive and professional activity (Lloyd & Craig, 2007 42). The Calgary Cambridge Framework, a widely accepted standard for collecting the anamneses of a patient is generally recommended and includes five stages which summarize the history taking process (Lloyd & Craig, 2007 44). ... tween the patient and the nurse for establishment of a true interaction, proper planning for shared decision making with the patients compliance, and closing the interview amiably in accordance with the patients expectations (Lloyd & Craig, 2007 44). Unhelpful interview techniques involving questions which are too probing, offensive, shoddy or inappropriate are expressly prohibited in the Calgary Cambridge Framework. The framework advises against the use of defensive responses and vogue to jump to conclusions. A properly structured sequence of questioning aimed at obtaining comprehensive information round the patients condition yielding pertinent data should be strictly followed. Discretion should be employed dapple obtaining answers to sensitive questions such as sexual and social history, and while gathering details about alcohol, tobacco plant or substance abuse (Lloyd & Craig, 2007 47). The patient shortlisted for assessment is dependent on PEG tube for sustenance but is fully capable of taking care of his toilet and bathing needs with some guidance. shortly he suffers from cellulitis, especially in the lower body and the resultant wounds in both legs are causation considerable pain. The severely affected left leg is kept raised to reduce his discomfort and the wound is dressed aseptically on a daily basis. On immediate observation, the patient is afebrile, has a blood stuff (BP) of 140/95, a respiration rate (RR) of 20-37, and a heart rate (HR) of 80 beats per minute. His wellness parameters have consistently remained at this level for the last few days with only slight variations. However, as the patient was a regular smoker with an established diagnosis of COPD, he is in need of special care and oxygen therapy due to his compromised respiratory system