Frail Elderly

Frail Elderly Order Description Discussion: Changes in" rel="nofollow">in Sites of Care Sin" rel="nofollow">ince the culture and practices of care settin" rel="nofollow">ings are in" rel="nofollow">inherently different, changes in" rel="nofollow">in sites of care are often difficult for geriatric patients. Efforts should be made to limit changes to only those necessary; however, sometimes a patient’s situation might require multiple changes in" rel="nofollow">in sites of care. When selectin" rel="nofollow">ing sites of care, such as home, assisted livin" rel="nofollow">ing, rehabilitation facilities, and hospitals, many factors must be considered by patients, their families, and their health care providers. Health status, ability to perform self-care, fin" rel="nofollow">inancial limitations, and patient preferences are all factors that might in" rel="nofollow">influence a patient’s site placement. As an advanced practice nurse who recommends sites of care and facilitates changes, you must evaluate factors and consider sites that limit the impact of these changes on geriatric patients. To prepare: Review this week’s media presentation, as well as Chapters 4 and 7 of the Flaherty and Resnick text. Reflect on your personal experiences, observations, and/or clin" rel="nofollow">inical practices from the last 5 years. Select a case from the last 5 years that in" rel="nofollow">involves an elderly patient who has been in" rel="nofollow">in two different sites of care such as home, assisted livin" rel="nofollow">ing, hospital, etc. Note: When referrin" rel="nofollow">ing to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient. Reflect on issues that occurred because of the change in" rel="nofollow">in the patient’s sites of care. Thin" rel="nofollow">ink about the impact of differences in" rel="nofollow">in the settin" rel="nofollow">ings themselves, in" rel="nofollow">inherent cultures of the settin" rel="nofollow">ings, and ethical practices of these sites on the patient. Consider whether the patient had an advanced directive in" rel="nofollow">in place at the time of the change in" rel="nofollow">in sites of care. Reflect on whether any difficult treatment decisions had to be made as a result. Thin" rel="nofollow">ink about the impact of fin" rel="nofollow">inancial issues on site placement and treatment decisions. Post a description of a case from your personal or clin" rel="nofollow">inical experiences in" rel="nofollow">in the last 5 years that in" rel="nofollow">involves an elderly patient who has been in" rel="nofollow">in at least two different sites of care. Explain" rel="nofollow">in the impact of differences in" rel="nofollow">in the settin" rel="nofollow">ings themselves, in" rel="nofollow">inherent culture of the settin" rel="nofollow">ings, and ethical practices of these sites on the patient. Then, explain" rel="nofollow">in whether the patient had an advanced directive in" rel="nofollow">in place at the time of the change in" rel="nofollow">in sites of care, and if so, whether any difficult treatment decisions had to be made as a result. Fin" rel="nofollow">inally, explain" rel="nofollow">in the impact of fin" rel="nofollow">inancial issues on site placement and treatment decisions. references Flaherty, E., & Resnick, B. (Eds.). (2014). Geriatric nursin" rel="nofollow">ing review syllabus: A core curriculum in" rel="nofollow">in advanced practice geriatric nursin" rel="nofollow">ing (4th ed.). New York, NY: American Geriatrics Society. Houde, S., & Melillo, K. (2009). Carin" rel="nofollow">ing for an agin" rel="nofollow">ing population. Journal of Gerontological Nursin" rel="nofollow">ing, 35(12), 8–13. https://www.afar.org/docs/migrated/111121_INFOAGING_GUIDE_THEORIES_OF_AGINGFR.pdf