Mr. P is suffering cardiomyopathy, congestive heart failure, 4+ pitting edema, labored breathing, and an inability to stick to a restricted diet or manage his polypharmacy. He is 76-years-old and in a state of declining health. The medical bills are mounting (and indeed have become overwhelming for Mrs. P who has never had to deal with the couple's financial affairs, as they were always taken care of by Mr. P). The couple is depressed/despondent: Mr. P over his inability to understand why God allows him to linger in this condition rather than just take him immediately, Mrs. P over her inability to have a moment of rest outside the home, where she tends to her husband. Life is difficult for the two. This paper will consider the condition of Mr. P, how it affects Mrs. P, and how the situation can be approached so as to provide a high degree of care. There are two concerns in this situation: first, there is Mr. P whose health is not good and who needs assistance; second, there is Mrs. P who is feeling overwhelmed by the new territory in which she finds herself (bills and treatment of her husband). The medical side of Mr. P can be managed but Mr. P clearly needs assistance...
Mrs. P also suffers from dealing with the medical bills. So the first place to start is with the couple's living and financial situation. Are they are eligible for Medicare? Are they indigent? Are they open to the idea of assisted living or hospice, which can provide in-home care (Connor, 2009)?Charles A Corr's model highlights individual empowerment and guidelines for caregivers. Debbie Messer Zlatin's theory makes use of what she terms life themes in the dying process (Kubler-Ross and other Approaches, n.d.). 8. The hospice approach to terminal care The hospice approach minimizes the patients suffering and provides a compassionate environment for those in the terminal stages. It promotes comfort and quality of life without use of life extending measures. It
One of the observable trends that emerges from a review of literature and research on gerontology nursing is the increasing development of specific frameworks and perspectives for use in the learning and practice of gerontology nursing (Deschodt et al. 2010; Toslon et al. 2011; Foreman et al. 2010). By developing specific educational programs for gerontology nursing and establishing learning environments that are dedicated to the specialization, the practice of gerontology
The Charlson Comorbidity Index (CCI) is another tool frequently used with older adults (Charlson, Pompei, Ales & Mackenzie, 1987). It is comprised of 19 comorbid conditions that give a complete indication of the patient's state of health. The basic activities of daily living (ADLs) include bathing, dressing, toileting, transferring, continence, feeding, communication, visual capability and walking. These functions are assessed through direct examination of the specific activity. Instrumental activities of
Gerontology The interview subject is from Germantown, Pennsylvania, the third of seven children. For the purposes of this report and to preserve her anonymity, we will call her Ms. S. Ms. S's mother did everything she could to keep her family together through difficult financial times. They had to squeeze the entire household into their grandmother's house, and even had to go "junking," sifting through trash to find valuable things people
Martorello loves deep sea fishing, while I cultivated an interest in farm animals. I spent time as the Treasurer of the Campbell Chapter of the Future Farmers of American (FFA). My sheep won the Grand Champion award in the 1985 Santa Clara County Fair, a significant accomplishment. I also developed interest in the martial arts and I earned my black belt in Tai Kwon Do. Thus, Martorello and I
Gerontology The research study framework explains the theory or a part of the theory that is to be tested in the research study. The framework shows the relationship between the different variables and helps to create the hypothesis which is to be tested in the research. The important concepts of quantitative study design are introduction, methods, results, discussion, conclusion and recommendation. List the type of quantitative research design and briefly describe how each
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