Question

1.             What financial impact is this event likely to have on the elderly person?

2.             What concerns are the family likely to have related to institutional placement?

3.             Are appropriate communications skills by the staff evident? How could these be improved?

4.             How might cultural factors influence his perceptions or affect the care he receives?

5.    How do the prescribed medications correlate to the patient's condition? What nursing assessments, care modifications, and teaching are necessary?

6. What concerns need to be addressed with the physician?

7.    What end-of-life issues may need to be addressed in this situation?

Answer 1

1. WHAT FINANCIAL IMPACT IS LIKELY TO HAVE ON AGING POPULATION ?A) INCREASE IN THE DEPENDENCY RATIO: If the retirement age remains fixed and life expectancy rate increases there willl be a relatively more people claiming for pension benefits and fewer people work on places with increased taxes. To increase in the dependency ratio it requires high tax rates to shrink the workforce. B) GOVERNMENT SPENDING ON HEALTH CARE AND PENSIONS:  In spending money on healthcare and pensions , the government pay lower taxes to those who are in retirement period. For instance, in Wewstern government, higher spending commitments along with lower tax revenue is used in reducing the existing debt issues and unfunded pension schemes. C) PAY HIGHER TAXES: This can be ensured by creating disincentives to workersa nd to the firm to invest. D) SHORTAGE OF WORKERS: Shortage in the workers due to ageing population is a main concern in the working practices. This can be overcome by a) increasing wages b)encouraging more people to participate in to the workforce by offering time flexibility. E) CHANGING SECTOR WITHIN THE ECONOMY: An increase in the counting of elderly persons will create a bigger market for goods and services. F) REDUCTION IN CAPITAL INVESTMENT: An increase in the pension funds may reduce the amount of savings for more productive investment resulting in lower rates of economic growth. 2. WHAT CONCERNS ARE THE FAMILY LIKELY TO HAVE RELATED TO INSTITUTIONAL PLACEMENT? The main concerns on family in institutional placement is to help providers self-assess their performance in delivering quality education and care andto plan for future improvements by ensuring a Quality Improvement Plan in place for each services. 3.ARE APPROPRIATE COMMUNICATION SKILLS BY THE STAFF EVIDENT? HOW COULD THESE BE IMPROVED? Having an effective relationship with the patients is necessary in a workplace. Nurses must have communication skills to maintain a interpersonal relationship with the patient to ensure a quality care in the treatment process. In view to improve the communication skills in workplace, a) training programs should be conducted to increase personal effectiveness on the job. b) Promote excellent communication skills to supervisory positions to effective communication skills and to develop their own communication styles. c) Include communication skills on performance appraisals to motivate employees to achieve organizational goals. d) Develop team exercises to stregthen work experiences and to communication. 4. HOW MIGHT CULTURAL FACTORS INFLUENCE THE PERCEPTIONS OR AFFECT THE CARE THE PATIENT RECEIVES? Providing quality health care to ethinically diverse patients requires cultural flexibility to elicit and respond to cultural factors in health care delivering system. Interventions to reduce disparties need to address cultural factors that affect the quality of health care system. 5. HOW DO THE PRESCRIBED MEDICATIONS CORRELATE TO THE PATIENT'S CONDITIONS? WHAT NURSING ASSESSMENT, CARE MODIFICATIONS AND TEACHING ARE NECESSARY? As each medical condition is treated with a specific drug, which results in a correlating side-effects. However when assessing a patient who is already taking drugs, a care giver should always consider the development of any new signs and symptoms as a possible consequence of the patient'sdrug treatment. Nursing assessment, care and training is needed to safe medication management. these includes 1. assessing the appropriateness of a medication of the client based on their medical conditions. 2. upholding the client's rights in the medication process 3. should provide knowledge on allergies andsensitiveness. 4. knowledge of the actions, interactions, usual dose, route, side effects and adverse effects of the medications. 5. should provide knowledge about over the counter on medications 6. appropriate documentation on nursing assessemnt with time and date. 7. monitor the client before, during and after the medicine administration. 8. evaluating the effect of the medication on the client's health status. 6. WHAT CONCERNS NEED TO BE ADDRESSED WITH THE PHYSICIAN? Before applying a medications, the physician must have knowledge of the patient's clinical status. An assessment includes a) an appropriate health history. The most complete and accurate possible of drugs the patient is taking and any previous adverse reactions to drugs. The physician may verify this information by checking previuos records and databases or to other relevant medical information.b) An appropriate physical examination or investigations should be done to know the status of the patient conditions to other drugs. 7. WHAT END OF LIFE ISSUES MAY NEED TO BE ADDRESSED IN THIS SITUATION? It offers room for improvement. Strictly monitor the efficacy of drugs administered with the use of validated pain and sedation to recognize worsening of symptoms and to taper treatment to patient's needs.