In: Nursing
SCENARIO: Ms. Yammah and Mr. Said Ibrahim are the old couples living in your wilyat. Their 8 children are living around nearby streets and in towns. Ms. Yammah at the age of 65 underwent a major surgery of Hysterectomy. Now after 8 years she feels that her vision is not that clear as before. Often she feels some cloudy appearances while looking at objects and has watery eyes. Also she noted that her knees are swollen and very painful. Her doctors prescribed analgesics for to control pain. However, when her children visits, she often grumbles about her pain and the children takes her to different doctors and sometimes get medication from over counter too. All these medications leads to defecate difficulty. You are the assigned nurse to visit her. Your home visit history collection reveals that she has Insomnia and sleeps only 4 hours in the night because of her knee pain. She had complaints of anorexia and always avoid eating her breakfast and totally she eats only one third of her daily requirements. Has mild cough and during each cough she has dribbling of urine. Her bed sheets needs to be changed at least once in 6 hours. Also you observed that her son and Mr. Said is trying to position her straight in bed but she was sliding down. Ms. Yammah has limited sensation to feel that she need to be turned or pulled up. Her son said that for past 4 months he is taking her in wheel chair to the bathroom for to meet her hygiene needs. The following drugs Ms. Yammah is on: Tab. Amitriptyline 10 mg Hsod; Atrovastatin 40 mg OD; Tab. Acetamenophen 1 gram sos; Tab. Atenalol 50 mg OD; Syr. Multi vitamin 20 ml BD.Syrub. Lactulose 20 ml TiD. You are educating the family based on the assessment before you complete the home visits. Write the following
assignment: 1. Write briefly about Old age in Oman
Old age in Oman
Out of total Omani population six per cent is old age that is above 60years. The average life expectancy is 75-80years in Oman. The reports says the aging population is likely to be more vulnerable to non communicable diseases, besides age related illnesses, increasing the need for expensive health services. Even the healthy old ages facing problems like acidity, memory loss and bone weakness. Household works by older women in particular but also of men in some outdoor work. Most of the elders are taking care by their children as they have many sons. If someone cannot take care of their elders they are finding home care givers. Most common health problems for old age seen in Oman is weakness, hypertension, diabetics and cardiovascular diseases. And many of them having complains of loss of appetite and constipation. They need vitamin supplement too. Community health nurses are visits and assess the patient and provide adequate care and health education to the family.