Using research and appraisal of existing evidence, analyze an issue related to the nursing care of the aging population and the promotion of their optimal health outcomes. Provide one Nanda careplan for the older adult that targets prevention and health promotion. The document provided is a template which must be followed to develop the care plan
Introduction
The aging population is a significant and growing demographic group worldwide. With advancements in healthcare, more individuals are now living longer, resulting in an increased need for nursing care that addresses their unique needs and promotes optimal health outcomes. This paper aims to analyze an issue related to the nursing care of the aging population and its impact on promoting their health. Furthermore, this paper will develop a Nanda care plan for an older adult that targets prevention and health promotion.
Issue Analysis
One key issue in the nursing care of the aging population is the prevention of falls. Falls are a major public health concern among older adults and can lead to a range of serious injuries and complications, such as fractures, head trauma, and functional decline. It is estimated that one in four older adults falls each year, making falls the leading cause of fatal and non-fatal injuries among older adults (Centers for Disease Control and Prevention, 2020). Falls not only have a significant impact on individuals’ physical health but also on their psychological well-being and overall quality of life.
Various factors contribute to the increased risk of falls in older adults. These factors include age-related changes in balance, muscle strength, and coordination, chronic health conditions such as osteoporosis and diabetes, medication side effects, environmental hazards, and cognitive impairments. Therefore, a comprehensive and multifaceted approach is required to effectively address this issue and promote optimal health outcomes among older adults.
Nanda Care Plan: Prevention of Falls
Nursing Diagnosis: Risk for Falls related to impaired mobility, altered balance, and environmental hazards.
Assessment Data:
1. Patient is an 80-year-old male.
2. Patient reports occasional dizziness and imbalance.
3. Patient has a history of osteoarthritis, diabetes, and hypertension.
4. Patient is taking multiple medications, including a diuretic and a sedative.
5. Patient’s home environment has poor lighting and cluttered pathways.
6. Patient has a history of falls within the past year.
Expected Outcomes:
1. Patient will remain free from falls during the care period.
2. Patient will demonstrate improved balance and mobility.
3. Patient will identify and correct environmental hazards in the home.
4. Patient will report reduced dizziness and instability.
Interventions:
1. Assess patient’s risk factors for falls:
a. Assess the patient’s gait, balance, and mobility through physical examination and use of standardized assessment tools.
b. Evaluate the patient’s chronic health conditions, medication regimen, and history of falls.
c. Conduct a home assessment to identify environmental hazards and recommend modifications.
2. Educate the patient and family members:
a. Teach the patient about the importance of regular exercise, including strength and balance training, to improve mobility and reduce the risk of falls.
b. Instruct the patient on how to properly use assistive devices, such as canes or walkers, if necessary.
c. Provide information on the potential side effects of medications that may increase the risk of falls and advise the patient to consult with their healthcare provider regarding any concerns.
d. Educate the patient and family on strategies to create a safe environment, such as removing clutter, installing handrails, and improving lighting.
3. Collaborate with the healthcare team:
a. Communicate with the healthcare team, including physicians, physical therapists, and occupational therapists, to develop a comprehensive care plan that addresses the patient’s specific needs.
b. Share assessment findings, treatment goals, and progress notes with the healthcare team to ensure continuity of care.
4. Monitor and evaluate the patient’s progress:
a. Regularly assess the patient’s balance, gait, and mobility to evaluate improvements or identify further needs.
b. Follow up with the patient regarding any medication concerns or side effects.
c. Reassess the patient’s home environment periodically to ensure continued safety.
Conclusion
In conclusion, falls among the aging population pose a significant health risk and require proactive nursing care to promote optimal health outcomes. The Nanda care plan presented in this paper addresses the prevention of falls among older adults through a comprehensive approach that includes assessment, education, collaboration with healthcare teams, and ongoing monitoring and evaluation. By implementing this care plan, nurses can contribute to the promotion of health and well-being in the aging population.