In: Nursing
Week 2 Clinical Discussion Activity: Managing Quality, Safety, and Ethics in the Community
Now that you have completed the Sentinel City tour:
Clinical Discussion Activity: Managing Quality, Safety, and Ethics in the Community
Target Population: Elderly in Skilled Nursing Facilities
The first step is to define who is included in this assessment group/population. In this scenario, we include individuals who are inmates/patients of a skilled nursing facility and is above 60 years of age.
The assessment profile can be made into two sections for easy analysis
SECTION 1
The collection of demographic data, includes questions on the following attributes;
Demographic profile |
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1 |
Name (optional) |
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2 |
Age in years |
|
3 |
Gender |
Male/Female |
4 |
Educational status |
Specify illiterate/the highest level of education attained |
5 |
Marital Status |
Married/divorced/widow/widower/single living |
6 |
Number of living children |
|
7 |
Previous Occupation |
Specify the number of years of employment |
8 |
Year of admission |
Specify the date |
9 |
Source of income |
Specify |
10 |
Insurance beneficiary |
Yes/No, if yes specify |
11 |
Socio-economic status |
SECTION 2
Health status indicators of Elderly in Skilled Nursing Facilities
Here, we will be using checklists to categorize each elderly on the basis of some Health Indicators
(i) Physiologic Profile
1 |
Height in cm |
|
2 |
Weight in Kg |
|
3 |
Blood Pressure |
|
4 |
Body Temperature |
|
5 |
Pulse in beats/minute |
|
6 |
Respiratory rate/minute |
|
7 |
Body Mass Index |
(ii) Activities of daily living: Specify whether you are independent/interdependent while doing following activities
1 |
Toileting/Bathing |
|
2 |
Dressing/Grooming |
|
3 |
Walking |
|
4 |
Washing (utensils, cloths) |
|
5 |
Feeding |
|
6 |
Taking Medications |
(iii) Body functional parameters: Specify yes/no
1 |
Loss of appetite |
|
2 |
Difficulty in chewing |
|
3 |
Breathlessness |
|
4 |
Urinary incontinence |
|
5 |
Constipation |
|
6 |
Sleep problems |
(iv) Personal hygiene status: head to foot assessment and state whether good/bad
(v) Physical examination: Perform head to foot and system wise examination and fill accordingly the morbidity profile.
Sl No |
Signs and symptoms |
No |
Yes |
1. |
Hair fall |
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2. |
Headache |
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3. |
Ear pain |
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4. |
Redness in eyes |
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5. |
Fever |
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6. |
Dental cavity |
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7. |
Tooth sensitivity |
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8. |
Toothache |
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9. |
Loss of taste sensation |
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10. |
Throat pain |
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11. |
Cough |
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12. |
Presence of sputum |
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13. |
Breathing difficulty |
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14. |
Palpitation |
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15. |
Heart burn |
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16. |
Vomiting |
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17. |
Nausea |
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18. |
Flatulence |
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19. |
Abdominal pain |
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20. |
Weight loss |
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21. |
Diarrhea |
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22. |
Constipation |
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23. |
Rectal bleeding |
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24. |
Urinary obstruction |
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25. |
Urinary incontinence |
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26. |
Back pain |
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27. |
Numbness in extremities |
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28. |
Pain in extremities |
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29. |
Loss of appetite |
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30. |
Insomnia |
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31. |
Fatigue |
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32. |
Itching |
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33. |
Decubitus ulcer |
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34. |
Memory loss |
Ask for any of the following conditions already diagnosed by a Medical practitioner/GP/Nurse practitioner
Sl No |
Disease checklist |
No |
Yes |
1. |
Gum (periodontal) disease |
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2. |
Tooth erosion |
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3. |
Cataract |
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4. |
Glaucoma |
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5. |
Strabismus |
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6. |
Psoriasis |
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7. |
Eczema |
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8. |
Dry skin |
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9. |
Vitiligo |
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10. |
Asthma |
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11. |
TB |
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12. |
Diabetes mellitus |
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13. |
Hypertension |
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14. |
Stroke |
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15. |
Heart diseases |
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16. |
Migraine |
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