NRSG266 Principles of Nursing Contexts of Ageing Assessments Examples
NRSG266 Principles of Nursing Contexts of Ageing Assessments Assignments
NRSG266 – Principles of Nursing: Contexts of Ageing Course
NRSG266 Principles of Nursing Contexts of Ageing Assessments Assignment Briefs
Assignment Instructions Overview
NRSG266 comprises two key assessments that require students to apply theoretical knowledge to promote best nursing practices for older adults. Assessment One is a written essay focused on analysing the registered nurse’s role in empowering older adults to achieve healthy ageing, drawing on the World Health Organisation’s (2015) framework. Assessment Three is a case-study-based academic essay where students critically respond to six structured questions drawn from three diverse clinical scenarios. Each response must demonstrate integration of pathophysiology, evidence-based nursing care, person-centred principles, and ethical and legal considerations relevant to gerontological practice.
Both assessments are designed to be completed in third-person academic writing, use current and credible references, and be submitted via the designated LEO dropboxes by the due dates outlined. Presentation guidelines are strict, requiring standard academic formatting and adherence to APA 6th Edition referencing.
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Understanding Assignment Objectives
These assessments aim to foster students’ ability to critically reflect on the ageing process and the registered nurse’s pivotal role in supporting ageing populations across various healthcare settings. Students are expected to analyse how the biological, psychological, sociocultural, spiritual, and environmental factors impact older adults and influence care decisions. The assignments encourage critical engagement with current research, application of clinical reasoning, and alignment with national and international aged care standards. Through these tasks, students will develop competencies necessary for delivering respectful, dignified, and evidence-informed care that enhances functional ability and quality of life in older age.
The Student’s Role
Students are expected to demonstrate an evolving understanding of nursing responsibilities through the lens of gerontological care. In Assessment One, students act as advocates for healthy ageing, drawing on evidence to propose practical strategies for promoting independence, dignity, and wellness among older individuals. In Assessment Three, students function as problem-solvers, critically addressing real-world clinical issues such as mobility decline, adverse drug reactions, pain management, labelling, and pressure injury risks. These assessments require students to synthesise learning, research, and professional standards to deliver compassionate, person-centred care solutions tailored to the unique needs of ageing individuals.
Competencies Measured
The NRSG266 assessments are structured to evaluate the following core competencies:
- Critical Analysis: Students must evaluate complex health concepts such as healthy ageing and functional ability, identifying nursing interventions that align with best practice principles.
- Theoretical Application: Demonstrated through integration of the Roper-Logan-Tierney model, students are required to link theory with practical nursing care in ageing contexts.
- Evidence-Based Practice: Each response must be informed by contemporary, peer-reviewed literature to support clinical decisions and health promotion strategies.
- Ethical and Legal Reasoning: Particularly in Assessment Three, students must show awareness of professional standards, autonomy, consent, and ethical care for vulnerable older adults.
- Person-Centred Approach: A recurring focus is maintaining dignity, respecting diversity, and supporting individual values throughout all stages of ageing and care delivery.
These competencies reflect both the learning outcomes of the unit and the graduate attributes of Australian Catholic University—ensuring that nursing graduates are equipped with insight, empathy, and professional impact across gerontological settings.
NRSG266 Principles of Nursing Contexts of Ageing Assessments Examples
NRSG266 Principles of Nursing Contexts of Ageing Assessment One: Written Assessment
Healthy Ageing and the Role of the Registered Nurse
The World Health Organization (2015) defines healthy ageing as the process of developing and maintaining functional ability that enables well-being in older age. This involves empowering older adults to live a life that they value. The concept of functional ability includes the capacity to meet basic needs, make decisions, remain mobile, build and maintain relationships, and contribute to society. As the global population ages, promoting healthy ageing has become a central public health focus. Registered nurses (RNs) play a vital role in promoting the functional ability and well-being of older adults through evidence-based, person-centred care that addresses physical, psychological, social, cultural, and spiritual dimensions.
Understanding Healthy Ageing
Healthy ageing is influenced by the interplay of genetic, environmental, lifestyle, and social factors throughout a person’s life. It is not simply the absence of disease but a holistic approach to maintaining autonomy, independence, and quality of life (Beard et al., 2016). Functional ability is impacted by intrinsic capacity, including physical and mental capabilities, and the environment in which the individual lives. For nurses, understanding these complex interactions allows for targeted interventions that promote resilience and adaptability in older adults.
The Australian Institute of Health and Welfare (AIHW, 2021) highlights that older Australians are increasingly living longer with chronic illnesses. Therefore, healthy ageing involves managing long-term conditions, reducing risks of disability, and enhancing participation in daily life. A strengths-based approach recognises older adults’ capabilities and supports their decision-making.
The Role of the Registered Nurse in Promoting Healthy Ageing
Registered nurses contribute significantly to healthy ageing through health promotion, disease prevention, early intervention, and coordinated care. Nurses provide education, facilitate access to resources, and advocate for policies that support older adults. Empowerment is central to nursing practice, requiring that care be inclusive, respectful, and collaborative (Australian College of Nursing [ACN], 2020).
One of the primary roles of nurses is to educate older adults about healthy behaviours, such as balanced nutrition, physical activity, smoking cessation, and medication adherence (Kendig et al., 2017). Nurses use motivational interviewing techniques to assess readiness to change and promote autonomy. For example, by involving older adults in goal-setting and care planning, nurses support their sense of control and dignity.
In clinical settings, nurses screen for risk factors like falls, malnutrition, depression, and social isolation. Early identification and intervention can prevent decline in functional ability. The implementation of comprehensive geriatric assessment (CGA) is an evidence-based strategy that allows multidisciplinary teams to tailor care to individual needs (Ellis et al., 2017). Nurses play a crucial role in conducting assessments and coordinating care across services.
Person-Centred and Culturally Responsive Care
Person-centred care is essential to promoting healthy ageing. It involves recognising the values, preferences, and life history of older adults. Nurses must be sensitive to the cultural and spiritual needs of older people, particularly in Australia where there is a diversity of cultural backgrounds, including Aboriginal and Torres Strait Islander communities (Department of Health, 2019).
Culturally responsive care enhances trust and engagement. For instance, incorporating cultural practices into care plans and involving family or community supports can significantly impact outcomes. Registered nurses require ongoing training in cultural safety and communication to effectively engage with diverse populations (Best & Fredericks, 2018).
Promoting Social Participation and Mental Wellbeing
Social engagement is a key determinant of healthy ageing. Loneliness and isolation are associated with poorer health outcomes, including depression and cognitive decline (Holt-Lunstad et al., 2015). Nurses can support older adults by facilitating connections with community resources, support groups, and volunteering opportunities.
Mental health is equally important. The stigma surrounding mental illness in older adults can lead to underdiagnosis and undertreatment. Nurses are in a position to identify signs of depression, anxiety, or cognitive impairment and to refer clients to appropriate services. Cognitive stimulation activities and maintaining meaningful roles in society can preserve mental function and enhance self-worth (Prince et al., 2015).
Supporting Functional Ability and Independence
Maintaining mobility, managing chronic conditions, and supporting self-care are crucial aspects of functional ability. Nurses assess activities of daily living (ADLs), implement mobility plans, and use assistive devices to support independence. They collaborate with physiotherapists, occupational therapists, and dietitians to design care plans that enhance older adults’ physical functioning (WHO, 2015).
Medication management is another area where nurses make a substantial impact. Polypharmacy is common in older adults and increases the risk of adverse drug events. Nurses conduct medication reviews, educate patients on correct usage, and liaise with pharmacists and prescribers to reduce harm (Maher et al., 2014).
Fall prevention strategies are also central to promoting functional ability. These include home safety assessments, exercise programs like tai chi, and vision screening. Registered nurses educate clients and families on risk factors and create safer living environments (Sherrington et al., 2019).
Advocacy and Policy Engagement
Nurses are advocates for older adults, ensuring their rights and preferences are respected in all care settings. Advocacy extends to influencing health policies that support access to aged care services, funding for community programs, and age-friendly urban planning. The voice of nurses is crucial in shaping systems that support healthy ageing at a population level (ACN, 2020).
Ageism remains a significant barrier to healthy ageing. Nurses challenge stereotypes and promote positive images of ageing through their interactions and health promotion efforts. By addressing discrimination and advocating for inclusivity, nurses contribute to social change and improved outcomes for older adults (Officer & de la Fuente-Núñez, 2018).
Conclusion
Healthy ageing is a dynamic process that requires collaboration between individuals, families, communities, and health professionals. Registered nurses are central to this process, using a holistic, evidence-based approach to empower older adults and enhance their functional ability. By addressing physical, psychological, social, cultural, and spiritual factors, nurses promote independence, dignity, and well-being in ageing populations. Continuous education, advocacy, and cultural competence enable nurses to meet the complex needs of older adults and foster environments that support healthy ageing at both individual and societal levels.
References
Australian College of Nursing. (2020). Nurses and healthy ageing position statement. https://www.acn.edu.au
Australian Institute of Health and Welfare. (2021). Older Australia at a glance. https://www.aihw.gov.au/reports/older-people/older-australia-at-a-glance
Beard, J. R., Officer, A. M., Cassels, A. K., & Sadana, R. (2016). The World report on ageing and health: A policy framework for healthy ageing. The Lancet, 387(10033), 2145-2154. https://doi.org/10.1016/S0140-6736(15)00516-4
Best, O., & Fredericks, B. (2018). Yatdjuligin: Aboriginal and Torres Strait Islander nursing and midwifery care. Cambridge University Press.
Department of Health. (2019). Aged care diversity framework. https://www.health.gov.au
Ellis, G., Whitehead, M. A., Robinson, D., O’Neill, D., & Langhorne, P. (2017). Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews, (9), CD006211. https://doi.org/10.1002/14651858.CD006211.pub3
Holt-Lunstad, J., Smith, T. B., Baker, M., Harris, T., & Stephenson, D. (2015). Loneliness and social isolation as risk factors for mortality: A meta-analytic review. Perspectives on Psychological Science, 10(2), 227-237. https://doi.org/10.1177/1745691614568352
Kendig, H., Wells, Y., O’Loughlin, K., & Heese, K. (2017). Australian perspectives on global ageing. Springer.
Maher, R. L., Hanlon, J., & Hajjar, E. R. (2014). Clinical consequences of polypharmacy in elderly. Expert Opinion on Drug Safety, 13(1), 57-65. https://doi.org/10.1517/14740338.2013.827660
Officer, A., & de la Fuente-Núñez, V. (2018). A global campaign to combat ageism. Bulletin of the World Health Organization, 96(4), 295. https://doi.org/10.2471/BLT.17.202424
Prince, M., Comas-Herrera, A., Knapp, M., Guerchet, M., & Karagiannidou, M. (2015). World Alzheimer report 2016: Improving healthcare for people living with dementia. Alzheimer’s Disease International.
Sherrington, C., Fairhall, N. J., Wallbank, G. K., Tiedemann, A., Michaleff, Z. A., Howard, K., … & Lord, S. R. (2019). Exercise for preventing falls in older people living in the community: An abridged Cochrane systematic review. British Journal of Sports Medicine, 53(17), 905-911. https://doi.org/10.1136/bjsports-2018-099509
World Health Organization. (2015). World report on ageing and health. https://www.who.int/ageing/events/world-report-2015-launch/en/
NRSG266 Principles of Nursing Contexts of Ageing Assessment Three: Case Study
Question One
Labelling older adults with terms like “acopia”—a non-specific diagnosis implying functional decline without clear pathology—can contribute to ageism and diagnostic overshadowing in clinical settings (McLean, 2015). This label may prevent further investigations into underlying causes of decline, such as infection, delirium, or medication side effects. It can also affect the way nurses and other healthcare professionals perceive and interact with the patient, potentially leading to delayed or inadequate care (Stolz et al., 2021).
When patients like Edith are labelled as having “acopia,” there is a risk that their condition will be treated with less urgency or empathy. This can impact the therapeutic relationship, reduce patient dignity, and negatively influence health outcomes (Royal College of Physicians, 2012). From a nursing perspective, critical thinking is essential to challenge such labels and advocate for comprehensive assessments that explore physical, psychological, and social contributors to functional decline (Boltz et al., 2020).
Additionally, the nurse has a key role in supporting holistic care planning for patients like Edith. Recognising the implications of language used in diagnoses, nurses must champion a respectful, person-centred approach that values older adults’ experiences and supports optimal recovery (De Vries et al., 2021).
Question Two
The ageing process results in physiological changes that significantly increase the risk of pressure injury in older adults, particularly in hospital settings. In Edith’s case, prolonged immobility on an ED trolley, combined with age-related changes such as decreased skin elasticity, reduced subcutaneous fat, and impaired microcirculation, heightens her susceptibility (Jaul & Calderon-Margalit, 2015).
Additionally, muscle atrophy and reduced sensory perception in older adults may delay recognition of discomfort or pressure, increasing the duration of unrelieved pressure on bony prominences (Barakat-Johnson et al., 2020). Skin becomes drier and more fragile with age, further compromising its ability to withstand mechanical stress.
From a nursing perspective, early risk assessment using tools like the Braden Scale is essential (Haesler, 2019). Regular repositioning, use of pressure-relieving devices, and skin inspection are fundamental nursing interventions. Nurses must also advocate for timely ward transfer or ensure appropriate pressure care can be provided in ED, reducing the risk of hospital-acquired pressure injuries and enhancing patient safety (Australian Commission on Safety and Quality in Health Care [ACSQHC], 2020).
Question Three
Chronic pain, such as that experienced by Amita from her venous ulcer, can significantly impair an older adult’s ability to maintain a safe environment. Pain often results in reduced mobility, increased fatigue, sleep disturbances, and impaired concentration, all of which compromise her ability to perform daily activities safely (Molton & Terrill, 2014).
Cognitive effects of persistent pain may include forgetfulness and reduced attention, increasing the risk of accidents such as falls or medication errors (Morlion, 2020). In Amita’s case, isolation and living alone may exacerbate these risks. Pain may also lead to fear of movement (kinesiophobia), which promotes sedentary behaviour and muscle deconditioning.
The nurse’s role includes regular pain assessments using validated tools like the Abbey Pain Scale or Numeric Rating Scale and implementing a multidisciplinary pain management plan. Nurses should provide education on safe home environments, such as removing hazards and ensuring assistive devices are used appropriately. Monitoring for side effects of analgesics, especially opioids like codeine, is critical to prevent falls or cognitive changes that may further threaten safety (Australian Institute of Health and Welfare [AIHW], 2021).
Question Four
Older adults like Amita are more vulnerable to adverse drug events (ADEs) due to physiological changes associated with ageing. Decreased renal and hepatic function affects the metabolism and clearance of medications, increasing the risk of toxicity, especially for drugs like codeine, which can accumulate in the system (Mangoni & Jackson, 2004).
Polypharmacy, which is common in managing multiple chronic conditions, further elevates this risk by increasing the likelihood of drug-drug interactions and medication non-adherence (Maher et al., 2014). Cognitive impairment, visual or hearing deficits, and physical limitations may hinder the correct administration of medications.
Nurses must conduct comprehensive medication reviews regularly and collaborate with pharmacists to identify potential risks. Education for Amita on medication timing, side effects, and safe storage is essential. Strategies such as using pill organisers and medication calendars can enhance adherence and reduce errors. Importantly, nurses must advocate for deprescribing where appropriate, focusing on patient-centred care to enhance quality of life and minimise harm (Scott et al., 2015).
Question Five
Normal age-related changes in the respiratory system predispose older adults like Oliver to pneumonia during hospitalisation. These changes include decreased chest wall compliance, weakened respiratory muscles, and reduced alveolar surface area, which impair effective ventilation and gas exchange (Meyer et al., 2021).
Additionally, ciliary function and cough reflex diminish with age, reducing the clearance of secretions and increasing susceptibility to infection (Ezzie & Parsons, 2020). Immobility, as seen in Oliver’s case due to IVAB therapy and cellulitis, further compromises lung expansion and promotes secretion retention, creating an environment conducive to pneumonia.
Nurses play a crucial role in pneumonia prevention through interventions such as encouraging deep breathing and coughing exercises, administering prescribed incentive spirometry, and facilitating regular repositioning to enhance lung expansion. Monitoring for early signs of infection and collaborating with the interdisciplinary team to optimise hydration and nutrition are also essential nursing responsibilities (AIHW, 2021).
Question Six
Increasing mobility in hospitalised older adults like Oliver has numerous benefits. It reduces the risk of complications such as pneumonia, deep vein thrombosis, constipation, and functional decline (Brown et al., 2004). Mobility supports the maintenance of muscle mass, joint flexibility, and cardiovascular function, thereby promoting faster recovery and reducing hospital length of stay.
From a nursing perspective, promoting incidental exercise—small movements performed during daily activities—can be particularly effective. Nurses should encourage Oliver to sit out of bed for meals, walk short distances with supervision, and perform gentle limb exercises while seated. Incorporating mobility into routine care, such as walking to the bathroom instead of using a bedpan, helps normalise physical activity and supports independence (Boltz et al., 2020).
It is essential for nurses to collaborate with physiotherapists and occupational therapists to tailor mobility plans according to Oliver’s capabilities. Educating the patient and family on the importance of movement and providing reassurance and pain management can enhance adherence to mobility plans, supporting holistic and person-centred care.
References
Australian Commission on Safety and Quality in Health Care. (2020). Preventing pressure injuries. https://www.safetyandquality.gov.au/standards/nsqhs-standards/preventing-and-controlling-healthcare-associated-infection-standard/pressure-injuries
Australian Institute of Health and Welfare. (2021). Older Australians. https://www.aihw.gov.au/reports/older-people/older-australians
Barakat-Johnson, M., Barnett, C., Wand, T., White, K., & Coyer, F. (2020). The role of nurses in preventing pressure injuries in the emergency department. Journal of Wound, Ostomy and Continence Nursing, 47(2), 129-134. https://doi.org/10.1097/WON.0000000000000626
Boltz, M., Capezuti, E., Shabbat, N., & Hall, K. (2020). Going home better not worse: older adults’ views on physical function during hospitalization. International Journal of Nursing Practice, 26(4), e12843. https://doi.org/10.1111/ijn.12843
Brown, C. J., Friedkin, R. J., & Inouye, S. K. (2004). Prevalence and outcomes of low mobility in hospitalized older patients. Journal of the American Geriatrics Society, 52(8), 1263–1270. https://doi.org/10.1111/j.1532-5415.2004.52354.x
De Vries, K., Drury-Ruddlesden, J., & Gaul, C. (2021). Person-centred care in nursing homes: context, practice and outcomes. International Journal of Older People Nursing, 16(1), e12330. https://doi.org/10.1111/opn.12330
Ezzie, M. E., & Parsons, J. P. (2020). Pulmonary issues in older adults. Clinics in Geriatric Medicine, 36(3), 405–417. https://doi.org/10.1016/j.cger.2020.04.004
Haesler, E. (Ed.). (2019). Evidence-based practice in nursing (4th ed.). Elsevier.
Maher, R. L., Hanlon, J. T., & Hajjar, E. R. (2014). Clinical consequences of polypharmacy in elderly. Expert Opinion on Drug Safety, 13(1), 57–65. https://doi.org/10.1517/14740338.2013.827660
Mangoni, A. A., & Jackson, S. H. D. (2004). Age-related changes in pharmacokinetics and pharmacodynamics: basic principles and practical applications. British Journal of Clinical Pharmacology, 57(1), 6–14. https://doi.org/10.1046/j.1365-2125.2003.02007.x
McLean, A. (2015). The problem with ‘acopia’. BMJ, 350, h1765. https://doi.org/10.1136/bmj.h1765
Meyer, K. C., Franciosi, J. P., & Gibson, K. F. (2021). Pulmonary defense mechanisms and the aging lung. Clinics in Geriatric Medicine, 37(2), 295–312. https://doi.org/10.1016/j.cger.2021.01.004
Molton, I. R., & Terrill, A. L. (2014). Overview of persistent pain in older adults. American Psychologist, 69(2), 197–207. https://doi.org/10.1037/a0035794
Morlion, B. (2020). Chronic pain: The role of the nurse. British Journal of Nursing, 29(5), S16–S22. https://doi.org/10.12968/bjon.2020.29.5.S16
Royal College of Physicians. (2012). Acute care toolkit 3: Acute medical care for frail older people. https://www.rcplondon.ac.uk/guidelines-policy/acute-care-toolkit-3-acute-medical-care-frail-older-people
Scott, I. A., Hilmer, S. N., Reeve, E., Potter, K., Le Couteur, D., Rigby, D., Jansen, J., & Martin, J. H. (2015). Reducing inappropriate polypharmacy: the process of deprescribing. JAMA Internal Medicine, 175(5), 827–834. https://doi.org/10.1001/jamainternmed.2015.0324
Stolz, K., Mayer, H., & Riedl, D. (2021). Ageism and the nursing care of older people. Journal of Clinical Nursing, 30(1-2), e16–e24. https://doi.org/10.1111/jocn.15525
Detailed Assessment Instructions for the NRSG266 Principles of Nursing Contexts of Ageing Assessments
NRSG266 Principles of Nursing Contexts of Ageing Assessment One: Written Assessment
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences Australian Catholic University
NRSG266 Assessment One: Written Assessment
| Due Date | Week 5, Wednesday, 26th August 4pm |
| Weighting | 40% |
|
Word limit |
1200 words +/- 10% |
| Assessment Criteria |
Appendix 1 of the NRSG266 unit outline |
|
Learning Outcomes |
LO1 critically analyse the concept of healthy ageing and its promotion at an individual and community level; (GA4)
LO2 understand experiences of ageing and how these are impacted by biopsychosocial, spiritual and cultural factors; (GA1, GA4) |
| Submission | Assessment 1 dropbox located on your NRSG266 LEO campus tile. |
|
Presentation |
1.5 spacing; 11-point Arial or Calibri font.
No headings, cover pages, bullets, numbering, tables, or diagrams are to be used. Footer is to include your name, student number and word count This is an academic essay and as such, 3rd person writing is required. |
|
Referencing |
APA 6th Edition as per the ACU study guide.
References must meet the academic standards of recency, relevance and reliability. Minimum of 12 current (within five years) and credible references are to be used. |
|
Task |
The World Health Organisation (2015) states:
“Healthy ageing is a process of developing and maintain the functional ability that enables wellbeing in older age. Functional ability is about having the capabilities that enable all people to be and do what they have reason to value” Using the context provided in the statement above, critically analyse your role as a registered nurse in empowering the older adult. In your response discuss current evidence-based approaches to the promotion of healthy ageing. |
NRSG266 _ Assessment One: Written Assessment _ Semester Two, 2020 _ Page 1 of 1
NRSG266 Principles of Nursing Contexts of Ageing Assessment Three: Case Study
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences Australian Catholic University
NRSG266 Assessment Three: Case Study
| Due Date | Week 12, Wednesday, 21st October, 4pm |
| Weighting | 40% |
|
Word limit |
1500 words +/- 10% (~250 words per question for six (6) questions) |
| Assessment Criteria |
Appendix 3 of the NRSG266 unit outline |
|
Learning Outcomes |
LO2 understand experiences of ageing and how these are impacted by biopsychosocial, spiritual and cultural factors; (GA1, GA4) LO3 demonstrate advanced knowledge of pathophysiology related to the ageing process; (GA5) LO4 critically apply the Roper-Logan-Tierney Model of Nursing to the context of ageing; (GA1, GA4, GA5, GA9) LO6 critically apply legal and ethical principles related to care of the older adult. (GA3) |
| Submission | Assessment 3 dropbox located on your NRSG266 LEO campus tile. |
|
Presentation |
1.5 spacing; 11-point Arial or Calibri font.
No cover pages, bullet points, numbering, tables, or diagrams are to be used. Headings are to be used; Question One and Question Two and so on. Footer is to include your name, student number and word count (excluding reference list) This is an academic essay and as such, 3rd person writing is required. Introduction or concluding paragraphs are not to be included. |
|
Referencing |
APA 6th Edition as per the ACU study guide.
References must meet the academic standards of recency, relevance and reliability. Minimum of 15 current (within five years) and credible references are to be used. |
|
Task |
The following three (3) case studies are designed to demonstrate the integration of various principles of managing the care of older adults. Each case study has two (2) questions attached. Students are to answer all six (6) questions, remembering to include a critical analysis of the role of the nurse as relevant to the question. Answers are expected to be around 250 words for each, to a total of 1500 words. All answers need to be written as academically structured paragraphs and supported by current, credible research with intext citations. |
|
Case Studies |
You are a RN working in ED, looking after Edith, an 87-year-old with an admitting diagnosis of Acopia. All acute interventions have been completed for Edith, but the wards are full, so she will spend the next 8 hours (+) on an ED trolley in a corridor. 1. What is the impact of a diagnosis based on the labelling of a patient? 2. How do normal changes of ageing increase the risk of Edith developing a pressure injury in this scenario? You are a RN working in community care, visiting Amita, a 76-year-old with a chronic and painful venous ulcer on her lower leg. She takes multiple medications for chronic illness, and a codeine-based medication for pain. Amita lives alone in her own home. 3. How would Amita’s chronic pain impact on her ability to maintain a safe environment? 4. Why is Amita, as an older adult, more vulnerable to adverse drug events? 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? |
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