Nursing questions



This is a condition that is very common in old age and it ischaracterized by memory loss, difficulties in thinking, as well asdifficulties in problem solving. It is evident that this is acondition that is on the rising trend and it indeed poses a threat tothe healthcare sector. This will affect healthcare in that thereneeds to be more resources channeled towards the treatment of thedisorder (Rabins et al., 2015). Additionally, there needs to behealthcare specialists doing research on the rising trend of thedisorder. It might also affect the healthcare sector in the futuresince the patients with dementia might need healthcare givers eitherat health centers or at home. Simply put, the increasing trend ofthis condition will enlarge the scope of healthcare in terms of bothfinances and personnel (Rabins et al., 2015).

Acute care setting

Research has indicated that over 70% of the beds in acute caresettings are occupied by old people. It is evident also that the oldpeople who are 70 years and above suffer from a multitude of chronicdiseases and the nurses taking care of them must be equipped certainskills. To start with, the nurses in the acute care setting mustprovide individualized care to the patients. This means that thenurses need to look after each patient separately (Nitz &ampHourigan, 2014). It is also essential for the nurse to have theskills to assess and prevent any risks for further ailments. Sincethe patients in acute care setting are normally suffering from morethan one chronic disease, the nurses must be in a position to provideintegrated treatment.

Risk assessment

Old patients are always at risk of falling. Falling has beenresponsible for numerous injuries some of which have turned out to befatal. There are various risk factors in older people that causesfalling. One of the risk factors is sight. It is essential to ensurethat old people are seeing clearly and if they have glasses, it isessential to ensure that the lenses are functional. Additionally,another risk factor for falling in old people is medication. Somemedical prescriptions may cause dizziness and this may result infalling hence causing injuries to the head, hips or even the arms (InVan et al., 2015). The physical structure of old aged in their homesmay be a huge risk factor for falling. This may include elements suchstairs in the house and slippery floors in their houses. It isessential to ensure that these risk factors are avoided.

Elder abuse

Elder abuse occurs when a caregiver to an elderly and frail personneglects to give such care hence resulting to the suffering of theelderly person. The abuse can be physical, emotional, sexual,exploitation or neglect. It is clear from readings that there arenumerous elderly people who are victims of physical abuse (Summers etal., 2010). These are instances where the care givers slap or bruisethe frail and helpless elderly person. Additionally, there are someelderly people who are physically restrained in the house by theircaregivers. This is also a form of physical abuse that the elderly gothrough. There is enormous information regarding the physical abusethat the elderly people go through. Some of the caregivers citereasons such failure to eat as the justification for the physicalabuse (Great Britain, 2011).


Constipation is an extremely common condition in elderly people andthere are various causes of this condition. It is useful to note thataging is not by itself a cause of constipation. Research hasindicated that some medication such as iron supplements are a majorcause of constipation in elderly people (Wexner &amp Duthie, 2009).It is also argued that elderly do not take sufficient fluids henceleading to constipation. Low fiber diets have also been blamed as areason for constipation in elderly people. This is coupled with thelack of sufficient movement or mobility (Wexner &amp Duthie, 2009).Research has also indicated that the elderly people have a diminishedanal sphincter pressure which causes constipation. There are somehealth conditions that might lead to constipation as well in elderlypeople.

Growing old

There are various attributes of an elderly person that a registerednurse needs to know before adopting such a person in a ResidentialAged Care Facility. It is paramount for the nurse to find out whetherthe 87 year old person is suffering from any chronic ailment such asstroke. It is also useful to find out whether the elderly person ison any medication. This is useful since it will determine the carethat the nurse will provide to the elderly person. Additionally, itis essential for the nurse to know the family background of theelderly person and to find out whether there are any conditions thatrun in the family. It is essential for the nurse to have the contactsof the relatives (Miller, 2009). In order for the 87 year old personto adapt to the new facility, it is essential for the registerednurse to find out whether the elderly person has any food allergiesin order ensure that the elderly person healthy.


Rabins, P. V., Lyketsos, C. G., &amp Steele, C. (2015).&nbspPracticaldementia care. New York: Oxford University Press.

Wexner, S. D., &amp Duthie, G. (2009).&nbspConstipation:Etiology, evaluation and management. New York, NY: Springer.

Summers, R. W., Hoffman, A. M., &amp American Public HealthAssociation. (2010).&nbspElder abuse: A publichealth perspective. Washington, DC: American Public HealthAssociation.

Miller, C. A. (2009).&nbspNursing for wellness in older adults.Philadelphia: Wolters Kluwer Health/Lippincott Williams &ampWilkins.

In Van, D. B. L., In Albers, G., In Pereira, S. M., InOnwuteaka-Philipsen, B., In Pasman, R., &amp In Deliens, L.(2015).&nbspPalliative care for older people: A public healthperspective.

Nitz, J. C., &amp Hourigan, S. R. (2014).&nbspPhysiotherapypractice in residential aged care. Edinburgh: ButterworthHeinemann.

Great Britain. (2011).&nbspThe human rights of older people inhealthcare. London: The Stationery Office.