asssessment of older adults

1. HOLISTIC ASSESSMENT OF THE
OLDER ADULTS
PRESENTED BY:

2. Objectives
• Assessment of older adult keeping in view the holistic approach
• Awareness about the dimension of holistic approach
• Making goals for each dimension and giving recommendations for each area
• Developing teaching plan for your subject of study

3. General history :
Mrs. X, 78, lives alone in a council-owned flat in a
West Midlands town. Mrs. X's husband worked at
an engineering factory and died in the mid-1990s.
Mrs. X has been living alone since 2001, when she
relocated from their family home to a smaller
first-floor municipal apartment. Mrs. X is the lone
survivor of a family of six siblings. Mrs. X is the
mother of two children and the mother of a 56-
year-old daughter who died of breast cancer. The
two sons of Mrs. X, who live in the area. Mrs. X
has relied on the government's welfare system
and a little private pension from her husband's
company for financial help since she married.

4. social Assessment
A little community of old people lives in the same building as Mrs. X's flat.
Mrs. X, who knows her neighbours, refuses to attend these occasions
because she "doesn't want to associate with them specifically." Mrs. X went
to local shops every day to get food and a newspaper; she does not go out
for social events unless she is invited to tea or to church from one of her
sons. Mrs. X hasn't gone out much in recent weeks since she hasn't been
feeling well.

5. Spiritual Assessment
Mrs. X identifies as a 'Christian' and visits her local
church every Sunday. She relies on her son to drive her
and another member of the church to bring her home;
she is unable to attend if her son is at work.

6. Physical Assessment
Medical history:
Mrs. X's medical history was rather routine until she reached retirement age, at which point she
had hip surgery to repair a fracture caused by a fall. Mrs. X's health has deteriorated since then,
and she has been diagnosed with hypertension, type 2 diabetes, a stroke in 2006, and more
recently, at the request of one of her sons, she has consulted her GP regarding her memory. Mrs.
X has slight cognitive impairment as a result of her stroke, which is the source of her memory
issues, according to her doctor. Mrs. X smoked heavily until she suffered a stroke in 2006. Mrs. X
takes antihypertensive and antihyperglycemic drugs.

7. Psychological Assessment
Mrs. X is single since her husband died , and her only daughter died the year before. She
hasn't left her house in years, and she hasn't had any guests. She is a very private person who,
in general, does not seek assistance from the assisted-living facility's personnel and has, on
occasion, declined assistance when it has been provided. She doesn't appear to consume a lot
of food or drink. When I come to meet her in the morning, she seems befuddled and unable to
maintain a conversation. Mrs. X has developed a mild cognitive impairment as a result of her
stroke, and this is the cause of her memory problems

8. Cultural Assessment
The information gleaned from a cultural assessment will aid the patient and
nurse in developing a treatment plan that is both mutually acceptable and
culturally relevant. The cultural assessment's primary concept is that patients
have a right to their cultural ideas, values, and practices, and that these
characteristics should be recognized, respected, and taken into account while
providing culturally competent treatment. Mrs. X was a old aged cultural women
and identifies her as Christian lady and have strong values and believes.

9. Developmental Assessment
Mrs. X is a friendly women but due to older age and dependency on his sons she was not
much involved in development activities. Mrs. X was kind and accepting, and when it was told
to her that the author was a student, she agreed to participate in the learning process and
agreed to discuss about herself and her health problems. Mrs. X suffered a stroke and was
diagnosed with a mental health problem (cognitive impairment), both of which might
contribute to a person's inability to make decisions for oneself due to a lack of capacity. As
Mrs. X was totally dependent on his son for even going to church. Mrs. X did not work after
she married and has relied on the government's welfare system

10. Interpretation of diagnosis
Abnormality diagnosed: cognitive impairment
Reason/cause: stroke
Impact on life:
Mrs. X was unable to perform her daily routine activities like taking
medication on time .Strokes are common among the elderly, and data
shows that over 110,000 people in England and Wales suffer a stroke
each year, with a further 30,000 people having further strokes
(Department of Health, 2001). Stroke is the leading cause of severe
disability and the third leading cause of death in the United Kingdom
(Wolfe et al, 1996).Memory issues are a typical cognitive complaint after
a stroke (das Nair and Lincoln, 2008), and it is not unusual for those who
have memory problems to progress to more serious disorders like
dementia (Maud, 2006).

11. Stress:
cognitive impairment
Coping Recommendations:
 Try not be stressed and anxious as
stress causes more and more
memory loss
 Stop drinking
 Have a regular routine, try to use
charts calendars for help
Coping

12. Teaching plan:
Psychological goal Enhancement of positive
feedback
Teaching
strategy/recommendations
 Allow Mrs. X to verbalize her
feelings
 Don’t permit rumination of
false ideas
 Participate in activities that
enhance self-esteem

13. Teaching plan:
Physiological goal Promoting Physical Fitness
Teaching
strategy/recommendations
 Engage in a program of gait
training and physical
exercise
 Take healthy diet
 Take calcium supliments

14. Teaching plan:
social goal Enhance social participation
Teaching
strategy/recommendations  Join social group meetings
 Attend social/community
parties
 Donate your old clothes

15. Teaching plan:
cultural goal Avoid impaired social
interaction
Teaching strategy  Allow confidence and
independence
 Take participation in social
activities

16. Teaching plan:
spiritual goal Enhance spiritual intelligence
Teaching strategy  Participate actively in
religious services.
 Make it a habit to pray
every day.
 Maintain a spiritual diary.
 Forgiveness should be
practiced.

17. Teaching plan:
Developmental goal Develop emotional
intelligence
Teaching
strategy/recommendations
 Creativity: Take an art class
or become engaged in
gardening at the local
senior centre.
 Fun activities: Every month,
based on community
recommendations, try a
different restaurant.

18. Evaluation planAccording to given recommendations Mrs. X was able
to improve her cognitive impairment as well as
social interaction was improved. Mrs. P
started participating in social activities a sense of
independence enabled her to perform her daily
activates and spiritual activities more perfectly as
she was unable to go to church or any other place
without her son

19. Thompson, H. J., Demiris, G., Rue, T., Shatil, E., Wilamowska, K., Zaslavsky,
O., & Reeder, B. (2011). A Holistic approach to assess older adults' wellness
using e-health technologies. Telemedicine and e-Health, 17(10), 794-800.
Demiris, G., Thompson, H. J., Reeder, B., Wilamowska, K., &
Zaslavsky, O. (2013). Using informatics to capture older adults’
wellness. International journal of medical informatics, 82(11), e232-
e241.
Nicholson, N. R. (2012). A review of social isolation: an important
but underassessed condition in older adults. The journal of primary
prevention, 33(2-3), 137-152.
Ruzicka, S., Sanchez-Reilly, S., & Gerety, M. (2007). Holistic
assessment of chronic pain among elders. American Journal of
Hospice and Palliative Medicine®, 24(4), 291-299.
REFERENCES

20. Any question
Thank for
your
attention