Adapting to Health Changes Assignment Example | Topics and Well Written Essays - 2250 words

Adapting to Health Changes - Assignment Example It also includes the topics related to elder abuse. Introduction The most difficult challenge a nurse could face is caring for an elderly ill client (Alexander, 2004, p. 1005). Due to developmental changes in physical and mental state, some of the clinical manifestations of certain diseases are hard to detect. One of these diseases is the diabetic ketoacidosis. Emergencies related to endocrine diseases account for approximately 1.5% of all hospital emergency admissions in England; the majority is related to diabetes and its complications (Dunning, 2005, p. 113). Mortality rates among elderly are 20% (Jevon, 2010, p. 9). Diabetic ketoacidosis (DKA) is a life-threatening diabetic condition caused by deficiency in insulin and results in severe hyperglycemia (Sinclair, 2009, p. 198). Diabetic ketoacidosis usually occurs in younger people with type 1 diabetes. Fortunately, older diabetics are less prone to DKA although a few cases exist (Roach, 2001, p. 324). Assessment Elderly people req uire individualized assessment ranging from simple screenings to in-depth evaluations. Health providers, particularly the nurses must be very knowledgeable and skillful in detecting deviation among elderly (Wold, 2004, p. 105). In the clinical scenario stated, the man is approximately in mid-sixties of age. The man is confused upon bringing him to the emergency department. He was not able to provide any information about himself or his condition so the staff called him Nic. He kept on insisting to leave the department and go home for dinner yet was unable to state his address. The hygiene was described as poor due to disheveled and unkempt condition. His appearance and odor suggested that he had not washed for some time and his breath had an acetone odor. The client frequently scratched his right upper arm and examination revealed that he had a hematoma (50 cents size) on the right side of his forehead and he repeatedly stated that he wanted to pass urine. Base on observation, the p atient has an indication of a fall due to hematoma; possible concussion due to confusion is exhibited. Nursing assessment undertaken are measuring of vital signs for blood pressure elevation and tachycardia, blood glucose level for determining hyperglycemia, neurological observations such as Glasgow coma scale to determine the client’s mental state, and mini-mental state examination (MMSE) for possible dementia (Melillo, 2011, p. 279). Plan of Care The plan of care for Nic depends upon the nursing diagnosis that has been found out and has been prioritized according to the assessment findings. The nursing diagnosis and each plan of care are elaborated below: Nursing Diagnosis #1: Risk for Injury related to unfamiliar environment and physical or mental limitations secondary to disease condition Assessment: The client is confused and unable to provide information of previous environment. He frequently scratched his right upper arm and has a fifty cents-size hematoma. Expected Ou tcome: The client will be free from further injury. Interventions and Rationales: 1. Orient the client to his environment. Orientation helps provide familiarity. 2. Instruct the client to wear slippers with nonskid soles and to avoid newly washed floors. These precautions can help prevent foot injuries and falls from slipping. 3. Teach him to keep the bed in the low position with side rails up at night. The low position makes it easier for the client to get in and out of the bed. 4. Make sure that personal belongings are within easy reach. Keeping objects at hand prevent falls from overreaching and overextending. 5. Instruct the client to request assistance whenever needed. Getting needed help with ambulation and

Anger, Hatred, Powerless, and Connection Term Paper

Anger, Hatred, Powerless, and Connection - Term Paper Example In this paper, I address the conflict between the view that anger is different from hatred and that anger and hatred are one and the same thing. In the following, I assume that there is temporal hatred that comes when one acts emotionally out of anger, which may not be distinguished from hatred that may cause a conscious anger and is remarkably different from anger itself. If Buber were to personalize the two terms and fit them into his dual system, he would group the temporal hatred and anger in I-Thou set where the entities consist of, specific isolated qualities, but engages in the same realm of unconsciousness. The permanent-conscious hatred and anger would be classified as I-It where they are different and exist independently. Anger can lead to temporal hatred or permanent hatred. This relationship can be clearly explained by the following scenario. Mike is mired on the highway by a traffic jam. He is supposed to attend a staff meeting, but the traffic is moving at a snailâ€⠄¢s pace. While on the traffic jam, another car keeps intercepting and flouting traffic rules. At some point, the car attempt to fix itself ahead of Mike and it slightly collides with his car. At this point, Mike rushes out with a metal bar, with eyes dilating, red and his heart thumping, and smashes the windscreen of the offending car. At this particular point, Mike is angry! Mike was angered, and he developed a temporal hatred for the offending driver and the driver’s action. Suppose on arrival, Mike find that his former manager, whom he hated for being un-understanding is chairing the meeting, and he decides to punish Mike by suspending him. On trying to explain his case, the chair interrupts and claims that Mike has always been late and that his actions are deliberate. Mike is angry again, and this time round he may not take action. Thich Nhat Hanh warns that, in our daily lives, we must practice mindfulness so as to identify anger, analyze the effect of anger that comes from within us than that, which comes from without. This is because the primary cause of anger is the anger within us or the hatred within us, like the case of Mike and his manager. Thich quotes the Buddha who asked â€Å"How can anger arise in one who has no anger?† Anger, being an emotional state of soul, could not arise if we had no seeds of anger in our store of consciousness because events and words act as catalysts of what is already within us. This is the reason as to why, two people can experience the same event or hear the same words, but one gets damn angry and the other one not. Therefore, in Mike’s scenario, one person can be said to have self awareness of his state of emotion unlike the other. Since anger can lead to either noble actions or disgraceful ones, it means that we have discretion to choose what to do. Gould quotes Hanna and Brown (2004) lengthily regarding this self awareness thus; Self-awareness entails individuals’ ability to label thei r emotions, whether pleasant or unpleasant, and to accept them as part of being human. Self-esteem involves an acceptance of emotions as pertinent information about the self and an ability to act responsibly on those feelings. When individuals are not able to tolerate their fears or anxieties, they develop controlling, or addictive behavior intended to numb unpleasant emotional states. (p. 81-82) Thich analyzes that one should master his or her own anger, so as to help others manage theirs. This self mastery emanates