Question

1- Summarize the growth and development in late adulthood

2- Summarize the growth and development in advanced old age and geriatrics

3- How would a nurse help a patient plan for end of life care?

4- Discuss how a patient deals with loss, grief, and bereavement

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Answer 1

1. The late adulthood is a stage of life of 60 yrs. and onwards. This is mainly the last stage of physical changes. The summarisation of growth and development in late adulthood are =

- The skin continued to lose its integrity and elasticity.

- the reaction time is slower,

- the immunity weakened and diseases attack the body easily.

- the memory loss occurs as the brain cells starts to deteriorate.

- a sense of integrity, satisfaction with life, a feelings of completeness arises in there mind.

2. The advanced old-age refers to the age 65 + or 65 yrs. and more. So various physical and psychological changes occurs in this stage of life. Summarisation of growth and development in advanced old-age and geriatrics =

- in this stage the person becomes more weaker.

- they loss the fine motor movements and gross motor abilities are also demonised.

- various chronic diseases like as cardiovascular, cerebrovascular, pulmonary, endocrine diseases occurs in this stage.

- person physically and emotionally becomes dependent to others.

3. End life care for the patient =

- Direct nursing care has to provide in various cases likes as proper administration of prescribed medication, daliy personal hygiene maintaining, nutritional management etc.

- the nurse has to meet physical needs and management of the symptoms.

-nthe physical reassurance has to provide.

- the family members has to involve in the care of the patient.

- make the patient to feel happy and comfortable.

- answer all the questions and queries ask by the patient about his/her health as possible.

- maintain hope for living in patients mind.

4. There are 5 stages of loss or grief. They are described below -

- in first stage when they comes to know about the loss or confirmed loss they become shock and denied. It is a coping mechanism.

- then they become angry with the whole setuation. The anger is the way of expression of emotion.

- in the next stage they starts bargaining. This occurs when they feel helpless and vulnerable. They want someone to stop the incident .

- In next stage they become depressed mentally. As the loss or death can not be stoped.

- In last stage they accept the setuation. It means they can understand the whole things that happens.