Question

1. Discuss three possible complications of complementary Alternative Therapies in the old adult. Use specific examples.

2. What is the nurse's role in assisting the older patient in his sexuality? Discuss the assessment, the diagnosis and implementation.

3. What is the therapeutic value of exercise in the I older adult? Give at least three specific examples.

Answer 1

1.The possible complications of Complementary Alternative Therapies in older adults are

1. Use of herbs ,dietary supplements (in biological based therapy ) can cause neurological problems , osteoporosis ,altered gastrointestinal functions ,hemorrhage , organ dysfunction especially the kidney and liver which plays an important role in metabolism
2. The CAM acupuncture can lead to complications like infection ,skin sore due to the provider of needle
3. Chiropractic and osteopathic manipulation can lead to osteopathy, pain ,disability of the limbs or body parts.

2.The nurse's role here are

• Respecting their feelings and emotions and treating them with dignity
• Establishing a therapeutic conversation to assess any problems and provide necessary therapeutic interventions

Assessment (Using PLISSIT model)

• Gathering information regarding partner ,marital life
• Addressing for physiological health problems
• Assessing psychological status in relation the sexuality
• Use of any medication

Diagnosis

Ineffective sexuality related to ageing factor as evidenced by verbalisation, assessment

Implementation

• Provide nursing care to relieve physical and mental stress
• Provide basic health education regarding sexuality at this age
• Provide limited information of the available treatment in view of anticipated adverse reactions.

3.The therapeutic values of the exercise are

• To enhance physical health
• To prevent the medical conditions expected in old-age

Eg. ,

1. Physiotherapy to enhance musculoskeltal strength and improve mobilisation
2. It can enhance their body image changes and give them a self confidence of being physically fit and active
3. The lifestyle diseases of cardiovascular system and diabetes can be effectively kept under the limit and lead a quality healthy life.