Assignent Solutionnurs

The goal of this written assignment is to interview an elderly adult and conduct a comprehensive elderly assessment.
Comprehensive Fall Evaluation
a. Fall History, Circumstances, and Risk Factors Assessment for previous falls over the past year.
Includes location of fall, activity prior to fall, loss of consciousness, use of walking aids (e.g., cane, walker) and/or protective devices (e.g., hip protectors, helmet), environmental conditions (e.g., snow, ice), and injuries that resulted from the fall. If another person witnessed the fall, his or her account of the fall is included. integrates assessments with diagnoses,
medical history (including medications) and environmental data to form complete “snapshot”) (10
points)
b. Health history is complete, summary listing diagnoses that place client at risk for falls (5 points)
c. Functional Assessment
d. Medications and Alcohol Consumption Review, student identifies which medication(s )contribute
to fall risk (5 points)
This criterion is linked to a Learning OutcomePhysical Exam Findings
a. Vital Signs and Pain Assessment (including location & type of pain, how this might include fall risk)
(3 points)
b. Vision Screening (sensory assessment) (2 points)
c. Gait and Balance Screening & Assessment (either Tinetti gait & balance or timed get up and go
test) (5 points)
d. Continence Assessment
e. Musculoskeletal and Foot Assessment (identify issues that would increase fall risk (5 points)
f. Cardiovascular Assessment (5 points)
g. Neurological/ Cognitive Assessment (including MMSE or depression screen) (5 points)
This criterion is linked to a Learning OutcomeEnvironment Assessment
a. Use of Walking Aids, Assistive Technologies, & Protective Devices Assessment
b. Risks in the Environment
This criterion is linked to a Learning OutcomePain Assessment & Management
a. Pain assessment
b. Methods to Assess Pain
c. Barriers to Pain Assessment & Management
Evidenced-Based Intervention Strategies
a. Interventions are tailored specifically to this resident
b. Interventions are exhaustive
c. Interventions are practical for nursing staff and/or student to perform
d. Evaluations demonstrate self-reflection and critical thinking.
Introductory/Summary Paragraphs
a. Introduces purpose of the paper
b. Identify main causes of falls based on your assessment findings.
b. Identify need for home adjustments to prevent falls.
This criterion is linked to a Learning OutcomeReferences
a. Listed for medications and interventions
b. Include at least two research-based articles on falls.