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NRSG266 Contexts of Ageing

Question

Answered

Task:

1. understand experiences of ageing and how these are impacted by biopsychosocial, spiritual and cultural factors;

2. demonstrate advanced knowledge of pathophysiology related to the ageing process;

2. critically apply the Roper-Logan-Tierney Model of Nursing to the context of ageing;

4. critically apply legal and ethical principles related to care of the older adult. 

Answer the following seven (7) questions.

Question 1

Edith requires a physical assessment in the ED. Provide evidence based person centred (ie Edith) rationales for each assessment provided below.
ECG Respiratory Ax
Skin Ax
Mini cognitive assessment 

Question 2

Edith has presented with dementia, most likely in the context of Alzheimer’s Disease.
List six 6 signs and symptoms of early Alzheimer’s disease which Edith is experiencing. For each sign and symptom provide detailed data from scenario to support your answer

Question 3

The medical team perform further testing to rule out any potentially reversible cause of Edith’s dementia. Edith undergoes various tests to exclude other possible contributing pathology. The medical team send Edith for a brain perfusion scan, also called a SPECT (single-photon emission computerised topography). These results confirm that a diagnosis of Alzheimer’s disease is most probably the cause of Edith’s dementia.

Why is it important for Edith and her family to have a definitive diagnosis? Use literature to support your discussion.

Question 4

Edith is transferred to the ward. The medical team commence Edith on an initial 4 weeks dose of 5mg BD of Donepezil (TN Aricept) with a view to monitoring Edith for effects and incrementally increasing the dose over time. Explain to mode of action of Donepezil with respect to the pathophysiology of Alzheimer’s Disease?

Question 5

Alzheimer’s disease is associated with progressive memory loss. Outline why Edith is experiencing progressive memory loss 

NRSG266 Contexts of Ageing

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What is ‘ethics’ and is it relevant to me / my job?  Isn’t ethics common sense?  Why should I be ethical?  It’s the right thing to do?  It’s good for business?  It’s my duty as a professional?  What is the relation between ...

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