Question

You are a RN working on an acute medical ward, looking after Oliver, an 80-year-old with painful cellulitis from hand to shoulder from a small left-hand scratch sustained while gardening. He is admitted for 7 days of QID IVABs via a right cubital fossa PIVC. Because of the cellulitis, PIVC and IVAB regime, Oliver’s mobility is limited.

5. Outline the normal changes of ageing on the respiratory system in predisposing Oliver to pneumonia during his hospital admission.

6. What are the benefits of increasing the mobility of an older adult during hospitalisation? How should the RN encourage incidental exercise during Oliver’s admission?

Answer 1

Cellulitis

It is a common and rearly painful bacterial skin infection.

5. Outline the normal changes of ageing on the respiratory system in predisposing Oliver to pneumonia during his hospital admission

• Decline in the capabilities of lung defense mechanisms
• Lack of effectiveness in peak airflow and gas exchange
• Wakening of the respiratory muscles
• Decrease of vital capacity

6. What are the benefits of increasing the mobility of an older adult during hospitalisation?

• Mobility and activities help sensors to tackle loss of stamina and endurance due to aging
• It helps with cardiovascular health
• It improves respiratory pattern
• It improves blood circulation
• It helps to gain muscle strength
• It decreases the risk of fall injuries

How should the RN encourage incidental exercise during Oliver’s admission?

Incidental activity helps lower the risk of health problems associated with sedentary lifestyle for instance cardiovascular disease and obesity.

• Encourage Oliver to dress up own his own with slight assistance
• Come out of bed and walk around the room or ward with supervision
• Walk to toilet with assistance
• Have meals out of bed

Above mentioned activities are highly beneficial to build strength in old age during hospitalisation.

​​​​​