The geriatric assessment

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The geriatric assessment is a multidimensional and multidisciplinary assessment used to evaluate an older person’s functional ability, physical health, cognition, and socioeconomic status. This assessment differs from a typical medical assessment. This assessment assesses the person’s functional capacity as well as quality of life. Assessment often times incorporates multidisciplinary team like physician, social worker, nutritionist, physical and occupational therapists (Elsawy & Higgin, 2011).

As individual’s age, there are many changes occurring. These changes may incorporate changes in vision, hearing, gait, nutrition, and other problems or illnesses. Diseases such as dementia and Alzheimer’s are also common in geriatrics. It is very important to get an overview of the whole patient. It is necessary to conduct a thoroughly physical and history assessment (Elsawy & Higgin, 2011).

Patients functional ability is assessed. This includes the person’s ability to perform tasks of daily living. This task incorporated dressing, bathing, ambulating, and nutrition. It is important to determine if patient is getting their basic needs meet. Medical problems, family history, and social history are also reviewed. If any problem is suspected there are actions taken to meet those needs. References and supportive resources are also given if needed (Elsawy & Higgin, 2011).

When nurses are performing assessments, special consideration needs to be taken. Special consideration involves nurses paying close attention to visual and hearing problems. Nurses must speak clearly and slow to allow patients understanding of what is being said or asked. Nurses should also keep in mind that elderly patients intend to feel more fatigue. Nurses should allow sufficient time for assessments to be completed (Elsawy & Higgin, 2011).

Geriatric assessments are more thoroughly and require more time. It is important for nurses to gather adequate patient information. Not only to be pay attention to current problem or illness, but we also need to pay attention to patient daily basic needs and possible problems affecting these needs. If problems are noted, it is important to make the necessary referrals to make sure the patient is being cared for as a whole.

 

Reference

Elsawy, B., Higgin, K. 2011. The Geriatric Assessment. Retrieved from http://www.aafp.org/afpl/2011/0101/p48.html

Leadership Competencies

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Reflect back over the past eight weeks and describe how the  achievement of the course outcomes in this course have prepared you to  meet the MSN program outcome #4, the MSN Essential II, and the NP Core  Competencies #2.

Program Outcome #4

Integrate professional values through scholarship and service in health care. (Professional identity) – As a Advanced Nurse Practitioner

MSN Essential II: Organizational and Systems Leadership

Recognizes that organizational and systems leadership are critical to  the promotion of high quality and safe patient care. Leadership skills  are needed that emphasize ethical and critical decision making,  effective working relationships, and a systems perspective. (Nurse Practitioner)

NP Core Competencies

# 2 Leadership Competencies

  1. Assumes complex and advanced leadership roles to initiate and guide change.
  2. Provides leadership to foster collaboration with multiple  stakeholders (e.g. patients, community, integrated health care teams,  and policy makers) to improve health care.
  3. Demonstrates leadership that uses critical and reflective thinking. (as a nurse practitioner)
  4. Advocates for improved access, quality and cost effective health care.
  5. Advances practice through the development and implementation of innovations incorporating principles of change.
  6. Communicates practice knowledge effectively both orally and in writing.
  7. Participates in professional organizations and activities that  influence advanced practice nursing and/or health outcomes of a  population focus. (I’m from Florida)

. What do you feel is the best strategy for communicating an open-door policy to those who work for you? Explain in detail.

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1. What do you feel is the best strategy for communicating an open-door policy to those who work for you? Explain in detail.

Your response should be at least 200 words in length. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.

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