ASSIGNMENTS GERO

FOR THIS ASSGNMENT I’D LIKE YOU TO ANSWER ALL THE QUESTIONS FOR THE RELATING TOPICS

ASSIGNMENT 1

An elderly gentleman is admitted to the hospital with an MRSA infection. It is soon discovered that the Staphylococcus is resistant to many different antibiotics. Unfortunately, this is discovered only after he is given a usual treatment regimen which is interrupted at the third dose to start him on some Vancomycin. Once the Vancomycin is finished, the gentleman develops a UTI (urinary tract infection) to which he is treated for. Having put the gentleman on a usual antibiotic to treat the UTI, the same scenario plays out and the initial antibiotic is stopped, and he is put on one that will treat the resistant bacteria.

Instructions:

Read the scenario above.
Answer the following questions: (Please give a rationale for all of your answers)
Due to this scenario playing out twice during the same stay, discuss some of the health implications that this man may be facing.
What other conditions or health problems might he be at risk for now?
Are there any organs at risk for being compromised?
Are there any adjustments you could make to his diet or nutrition that may make the situation better?
Describe what “quality of life” aspects are relevant when a very elderly person is near death and you are the caregiver.

ASSIGNMENT 2

Read the Frailty and Sarcopenia article. https://learn-us-east-1-prod-fleet01-xythos.s3.amazonaws.com/5c1754ad402d4/4327189?response-cache-control=private%2C%20max-age%3D21600&response-content-disposition=inline%3B%20filename%2A%3DUTF-8%27%27fraility_sarcopenia_article%2520_004_.pdf&response-content-type=application%2Fpdf&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20201109T000000Z&X-Amz-SignedHeaders=host&X-Amz-Expires=21600&X-Amz-Credential=AKIAZH6WM4PL5SJBSTP6%2F20201109%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=479d21497dd0a42848c171d64e2a863c2c73b1f9f30a877bd121a49707663eb6
Write a summary in you own words about the concept of frailty.
Describe what you believe the concept of frailty could be used for by a gerontologist and researcher in gerontology?
Consider the use of the frailty as a concept, now describe how it could be used by a geriatrician working in the clinical arena.
Summarized the ideal of frailty in gerontology and the many uses that you can think of.

ASSIGNMENT 3

T.J. is a 76-year-old man that recently lost his wife. He lives alone now in an ALF where he has some friends that he associates with. They are “good for his overall well-being” claims the administrators of the facility who befriended T.J. when he lost his wife six months ago. The facility that T.J. lives in is convenient for many aspects of his life, including entertainment and even some of the healthcare associates from neighboring clinics that have partnered with the facility to allow visits with the residents.

Over the years, the associates from the neighboring clinic have grown close to some residents and have followed them during some of their crisis, both emotional and physical. Christine, a nurse practitioner from a neighboring clinic, has followed T.J. for many years and is now assessing his fall risk through a tool called the “Hendrick Fall Risk Tool II” a popular means of assessing the fall risk that may exist for an elderly person.

An entry by the ARNP recently on T.J. demonstrated that there was enough information, recognizing previous and present knowledge to utilize the tool to give T.J. a score representing his fall risk. the entry reads: “T.J. is a 76-year-old that is evaluated today for his fall risk. He has a MedHx of BPH, COPD, seizures, eczema, and anxiety. He has been seen monthly and he described some episodes of nocturia that still persists. A list of his recent mediation includes Alprazolam, Phenytoin, Dutasteride, and ibuprofen prn. By administering the Get Up and Go Test, we find that he only had a brief episode of not being able to rise but he performed well after that completing it in 12 seconds. He demonstrates an improvement in his depression experienced in the past exhibited for several months after the loss of his spouse. His friends at the facility keep him busy and he is much improved in his outlook for the future.” C. Miller ARNP

Read the Fall Risk Assessment for Older Adults article. https://learn-us-east-1-prod-fleet01-xythos.s3.amazonaws.com/5c1754ad402d4/4085993?response-cache-control=private%2C%20max-age%3D21600&response-content-disposition=inline%3B%20filename%2A%3DUTF-8%27%27ch12_hendrich_tool_refer.pdf&response-content-type=application%2Fpdf&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20201109T000000Z&X-Amz-SignedHeaders=host&X-Amz-Expires=21600&X-Amz-Credential=AKIAZH6WM4PL5SJBSTP6%2F20201109%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=057a2c91c5d75ac6057f04ffd8875f6d036a60e6ae4710b7ebf15519e3e89200
Complete the Hendrich II Fall Risk Model tool form completely.
Assign the correct scores for the Fall Risk Tool.
Summarize the scores derived as per fall risk.
Develop a summary of the risks for T.J., so that the facility can respond to those risks and provide a safe environment.
Describe the level of safety that the facility should plan to give T.J.
Finally, explain whether you feel like the score from the Fall Risk Tool is accurate and if the tool is worth the effort to develop.
ASSIGNMENT 4

Instructions:

Read the Case Study 11-2: Go to the Hospital and Come Back with Four More Medications in Chapter 11 of the textbook. page 472
file:///C:/Users/Marlev/Downloads/Kristen%20L.%20Mauk%20-%20Gerontological%20Nursing_%20Competencies%20for%20Care-Jones%20&%20Bartlett%20Learning%20(2013).pdf
Once you have read the Case Study thoroughly, answer the following questions:
What does the administration of antibiotics have to do with a Clostridium difficile (C. diff infection) infection?
List all the inappropriate medications prescribed for K.L. and describe the reason why they are inappropriate.
What kind of treatment regimen is utilized for a patient with a C. diff infection?
Do any of these treatments regimens raise suspicion as being inappropriate for K.L.?
List the therapy and if contraindicated, give a reason why it is inappropriate.