Care of the confused client case study

Ms M was given Dilaudid 4 mg IV for the first time post-op for complaints of pain rated 9 on a scale of Fifteen minutes later, the student nurse enters the room and finds Ms M on the floor.

Care of the confused client case study

While the proportion of mental health problems is approximately the same for younger adults, older adults are more vulnerable than younger adults to develop psychological problems resulting from factors that impact the quality of life such as stress, ill health, loss, decline in cognitive skills, and changes in living situations.

The Aging Body Although aging affects everyone, its rate and extent varies from person to person. Changes in childhood and adolescence are stepwise and predictable, but advancing age means increased diversity. In the latter decades of life, people age at very different rates.

For this reason, there is no such thing as a "typical seventy-year-old. With age, cells become less able to divide and reproduce. Over time, cells lose their ability to function, or they function abnormally.

There is an accumulation of pigments and fats inside the cells. Cell membranes change, impairing the ability of tissues to get oxygen and nutrients, and to rid the body of carbon dioxide and waste products. Heart, blood vessels, and capillary walls thicken slightly.

Connective tissue becomes increasingly stiff, which makes organs, blood vessels, and airways less flexible. Green tea may lower lipofuscin and lower oxidative stress in the brain.

Aging organs gradually lose function. Up to a point, this loss goes unnoticed, because people seldom use organs at full capability. This means that in day-to-day life, a person may function normally, but when placed under stress, demands on the system exceed capacity.

When demand exceeds capacity, organ failure occurs. Loss of reserve also makes it harder for the body to maintain homeostasis and restore equilibrium. This means prolonged reactions to stress and longer recovery times from illness. The immune system may decline, causing changes in interleukins which can alter mental status for months after an illness.

Pylori infection is associated with mood swings. Therefore infection in the gums can cause mood problems. Kidneys lose about 6 percent of capacity every decade after This means reduced capacity to detoxify the body and eliminate waste. This can affect medication dosages also, and toxic buildups are common in this population.

About 20 percent of women and 8 percent of men over 65 will experience urinary incontinence. This has a great impact on their sense of control, and also leads to anxiety, embarrassment, and social isolation.

The most significant changes occur in the heart and lungs. With age, the heart loses elasticity, which reduces capacity. Thickening of the aorta decreases delivery of blood to the muscles. Lungs lose function also. The average year-old today has about 40 percent of the aerobic capacity he had at Fortunately, these changes can be minimized by an exercise program.

Some of the Causes of Brain Aging Debris accumulates inside and outside of cells. Repair mechanisms slow down. Deteriorating cells release chemicals, which harm other, healthy cells.

Lifestyle and environmental factors kill brain cells. Blood flow decreases The immune system changes brain function Studies show that brain cells begin to die at an early age. Brain weight actually peaks at years and steadily declines thereafter.

In healthy people, the brain loses 5 to 10 percent of its weight between the ages of 20 and Researchers say age-related changes in the brain in four distinct periods of life. About 20 to 30 percent of central nervous system cells are lost from age 25 to The 3 core copywriting principles we used - and how we used them - to optimize grupobittia.com are in this post.

Totally actionable. Read it here >. Relational Practice Beyond Introductions and Interviewing. CLPNA Self-Study Course Corbett Clinic Case # 1 - Teamwork Inter-Departmental Learning Module CLIENT PROFILE - ‘Megan’- MVA Traumatic Brain Injury Megan is a 14 year-old girl who was involved in a vehicle MVA near Jasper one month ago.

Care of the confused client case study

Megan was the passenger in the vehicle, which rolled at highway speed. Her 16 year-old boyfriend, Brent, was driving . Microsoft Azure Stack is an extension of Azure—bringing the agility and innovation of cloud computing to your on-premises environment and enabling the only hybrid cloud that allows you to build and deploy hybrid applications anywhere.

Case Study VSM – Value Stream Mapping: ACME Troqueladora. The example that follows was excerpted from the book Learning to See (M. Rother. & J. B) A client with hyponatremia is becoming increasingly confused, disoriented, and agitated. INCORRECT This client does require assessment and intervention to ensure client safety.

However, another client requires immediate intervention.

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