Question

Mr. Robert McClelland, an 81-year-old, is a new admission from the local hospital to your long-term care facility. After Mr. McClelland's last bout with pneumonia and congestive heart failure, his wife of 59 years has decided she is no longer able to care for him at home. Mrs. McClelland states, "He has just gotten too weak and can't help me care for him. I am so afraid he will fall and hurt himself. I am so worn out trying to care for him myself. I have to bathe him and remind him to eat; sometimes I've had to feed him myself or he won't eat. He can be so forgetful. I hope I am making the right decision for him, because he never wanted to go into a nursing home." 1. Why is your admission assessment foundational to the care of Mr. McClelland? 2. Describe the four features of assessment and why they are critical to ensuring positive outcomes within the context of interdisciplinary care for Mr. McClelland. 3. Describe how assessment is essential to the other steps of the nursing process . 4. Using The American Nurses Association Standards of Practice, identify the key concepts/phrases within Standard 1 characteristic to a comprehensive database. Categorize these concepts within the model of full-spectrum nursing.. 5. Identify all primary and secondary sources of information that you could use to help gather information about this patient. Differentiate the types of data that can be elicited from these sources. 6. How is the nursing health history different from the medical health history? 7. For each of the following sections of the health history, create a closed question and an open question, to elicit data about that area specific to this patient.

          Mr. Robert McClelland, an 81-year-old, is a new admission from
the local hospital to your long-term care facility. After Mr.
McClelland's last bout with pneumonia and congestive heart failure,
his wife of 59 years has decided she is no longer able to care for
him at home. Mrs. McClelland states, "He has just gotten too weak
and can't help me care for him. I am so afraid he will fall and
hurt himself. I am so worn out trying to care for him myself. I
have to bathe him and remind him to eat; sometimes I've had to feed
him myself or he won't eat. He can be so forgetful. I hope I am
making the right decision for him, because he never wanted to go
into a nursing home."
1. Why is your admission assessment foundational to the care of
Mr. McClelland?
2. Describe the four features of assessment and why they are
critical to ensuring positive outcomes within the context of
interdisciplinary care for Mr. McClelland.
3. Describe how assessment is essential to the other steps of
the nursing process .
4. Using The American Nurses Association Standards of Practice,
identify the key concepts/phrases within Standard 1 characteristic
to a comprehensive database. Categorize these concepts within the
model of full-spectrum nursing..
5. Identify all primary and secondary sources of information
that you could use to help gather information about this patient.
Differentiate the types of data that can be elicited from these
sources.
6. How is the nursing health history different from the medical
health history?
7. For each of the following sections of the health history,
create a closed question and an open question, to elicit data about
that area specific to this patient.

Added by M-Nica H.

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