Question

Please each paragraph shall be no less than 4 sentences and no more than 10 sentences.

1-- An older adult suffers sleep disturbances and pain. What are the benefits of sleep and what are three effective and acceptable interventions for older adults in that case?

a) -- A 78 year-old male is losing bowel and bladder control. What are three effective and acceptable interventions, for each system, for this older adult?

b) -- Skin integrity and sensory alterations are, at times, closely interrelated for the older adult. Discuss three effective interventions that may be implemented for an older adult with limited physical functions?

Answer 1

Sleep disorder are quite common in older adults as their sleep patterns and habits change which results in having trouble falling asleep, sleep fewer hours, wake up frequently and get less quality sleep.
Sleep is a vital mechanism, regardless of your age. It has the ability to restore energy levels and heal both physical and cognitive damage.

benefits of sleep:

1. it can improve both overall health and quality of life.

2. A good night’s sleep is crucial for your mental well-being.

3. During sleep, our bodies undergo restorative functions like muscle growth, protein synthesis and tissue repair – all of which are needed to keep your immune system strong.

4. Getting enough sleep is key to weight maintenance and keeping your metabolism moving at a healthy rate. Sufficient sleep also regulates ghrelin, a hormone that stimulates your appetite.

5. Good sleep improves concentration and memory.

Non-pharmacological interventions are safer and potentially just as effective over the longer term for older adults experiencing sleep issues.They are reported to improve sleep integrate chronic stress as a significant factor in sleep problems. These intervention approaches include psychological and behavioral therapies such as mindfulness-based stress reduction (MBSR) and other mindfulness-based interventions (MBIs), cognitive behavioral therapy (CBT), resilience training, and lifestyle interventions incorporating exercise, social support, coping skills, or other components.

a.) Urinary incontinence can directly or indirectly lead to sleep complaint resulting from psychosocial factors, such as social isolation, psychological distress, depression, anxiety, and reduced emotional and social well-being.

Effective interventions should be done for controlling urinary incontinence to reduce sleep complaints.

Bladder incontinence treatment focuses on approaches that don't involve medication or surgery which include lifestyle changes, pelvic floor muscle training, bladder training.

Medications like Oxybutynin, Tolterodine, Solifenacin can be used to ease and treat symptoms of urinary incontinence

Bowel incontinence nursing interventions includes:

1.Provide a high-fiber diet under the direction of a registered dietician, unless contraindicated

2. Perform removal of fecal impaction manually, if necessary
3. Encourage the intake of natural bulking agents to thicken stools, for example, foods such as banana, rice, and yogurt
4. Encourage bowel elimination at the same time each day.

b.) skin integrity is skin being a sound and complete structure in unimpaired condition

interventions include:

1. Use soft cloth to avoid damage by abrasion

2. reduce risk of dehydrating skin.

3. Keep skin clean and reduce risk of infection

4. maintain pH Balence of skin by using emollients or other gentle products

sensory alterations Includes Vision and hearing impairments in the elderly (aged over 80 years) and poor indoor lighting conditions in a home-care setting are risk factors for functional decline

When a patient has hearing impairment, a combination of adaptive techniques, environmental modifications, and assistive devices (including hearing aids) is necessary to ensure effective communication. Environmental modifications include strategies to enhance comprehension and minimize background noise.

Assistive devices include hearing aids and other devices and services.