Free «Comprehensive Health Assessment on an Elderly Client» UK Essay Paper
A comprehensive health assessment is a done on a 75 year old person whose name is Ben and who resides in a nursing home. This health assessment will help identify the health issues that have already been diagnosed or misdiagnosed. Diseases, if earlier detected, can be prevented. A comprehensive evaluation comprises of several tests and examinations on the human body. Additionally, a client is subjected to questionnaires that are used to gather information about his health status and risks that he is likely to be exposed to (Cereda et al., 2011). The assessment involves the blood test for completion of the physical examination. The comprehensive health assessment is necessary, as it provides professional health consultation and planning to the patient in order to enhance his health.
In Ben’s situation, he will be provided with a range of health assessments in physical, brain health and psychological spheres. These assessments will be helpful for Ben, as he has suffered a stroke. He only consumes puree food, as he encounters difficulties with swallowing. He has had weak appetite leading to the loss of weight. He suffers from abdominal distention and constipation. He has no interest involving himself in any social activities. He is not jovial and looks tedious. He undergoes the Dietitian and Kinesiology’s Consultation. This assessment focuses on nutrition and fitness (Cereda et al., 2011). The kinesiologist deals with a physical therapist thus ensuring that the patient undergoes different activities that result in preferable fitness.
Comprehensive psychological health assessments is designed for a patient whose diagnosis is unclear, has several and continuous conditions or is not responding to the treatment effectively. The treatment planning is then re-scheduled (Rolland et al., 2012). In custom psychological assessments, the physician can recommend providing the client’s history, his current situation and any current relevant medical material. The information provided helps the doctor evaluate the client’s health status. In memory and cognitive assessment (MCA), the client undergoes brain screening in order to establish whether it is functioning properly or not (Cereda et al., 2011). The analysis includes viewing processing speed, executive function, the client’s ability to pay attention and concentrate, his language and communication abilities, memory and learning, and sensory perception. This assessment helps to identify any brain injury or illness. Additionally, it focuses on the areas that will result in brain fitness. This approach can detect and help prevent any causes that will undermine brain health.
Brief cognitive measure (BCM) assessment is provided to the client in order to identify any possible impairments as a result of screening (Rolland et al., 2012). The results are monitored over a period of time to view any potential declines and stop them from happening.
Moreover, neuropsychological evaluation assessment focuses on identifying any neurocognitive deficits. It ensures that all cognitive areas function properly. Additionally, it helps with diagnosing any disease or disorder that can result from carrying out this evaluation.
The components of a comprehensive health assessment include data collection (Rolland et al., 2012). Information is gathered on the client’s history, current circumstances and safety measures to be used. The physician needs to know if the client is allergic to a particular medication in 0order to decide which treatment to use (Rolland et al., 2012).
Health history is the family’s history of a particular illness. For instance, diseases can be passed from one generation to the next, such as diabetes mellitus, heart diseases, cancer (Cereda et al., 2011). Therefore, the client is exposed to the risk of having these diseases. In order to compile the history of the illness, the client explains the event that have led him to consult a medical care specialist and the effectiveness of any treatment. If the treatments were not useful, different medication could be used.
In the personal profile section, the patient discusses personal issues such as diet, habits or any drug abuse. The physician can relate to what was the cause of the illness. Social status includes the client’s family members, his occupation, and economic status. A physician needs to know whether the client has someone to look after him or not. Physical examination includes various techniques used to carry out a physical assessment of the body. The visual inspection examines whether the client has swollen joints or not, for instance.
Palpation is using the sense of touch to examin the temperature of the client (Cereda et al., 2011). This assessment helps establish whether the body of the patient produces direct or indirect sounds like dullness in the liver or tympani in the abdomen (Cereda et al., 2011). Auscultation is sounds produced by the body, which can be direct or indirect. In the case of direct issues, the physician uses his ears to listen during the indirect use of a stethoscope (Rolland et al., 2012). Physical examination enables the physician to know the general state of his client.
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When conducting the assessment, the physician is going first to consider the client’s immediate issues that are physical, social and psychological. The procedure includes several steps. Evaluation and referral include determining the client’s treatment by considering the information gathered about him, circumstances and safety measures. Needs assessment interview contains the information obtained from the client during the one-on-one interview with him. He is expected to provide his personal information relating to any previous abuse or trauma, or drug addiction and alcohol consumption (Diekmann et al., 2013). His family’s history of any medical condition, recent and current medical records, etc. are evaluated in this section. The doctor should conduct a mental status examination to check whether is mentally stable and if his brain is functioning properly.
History and physical (H&P) assessment includes the client being monitored over several days and the observation being recorded. If the client’s condition becomes worse, then the physical examination is deployed, and his previous history is checked.
Nursing assessment is done when the client is admitted and is supposed to provide all the needed information. During orientation, the client’s family is given an introduction and the client’s belongings are located. Any relevant information concerning the client including his height, weight, the color of his eyes, and hair is recorder. The client needs to be screened in order to define any allergies. His physical status that includes the medication report is to be assessed. His personal habits and related withdrawals are to be considered as well. A nutrition assessment indicates the client’s nutritional status. Moreover, the client’s emotional data is very important as well (Cereda et al., 2011). The doctor concludes with a summary of the client that can be discharged or needs further treatment.
Additionally, the necessary suggestions that the client should implement include health maintenance, medication and the proper use of this medication (Rolland et al., 2012). Activity therapy evaluation is also to be administered. With these, the client can improve his communication skills, social skills, frustration tolerance, self-esteem, memory, strength, concentration, and so on.
The psychosocial assessment is imperative for a comprehensive health assessment of a client, as it confirms care and provides a management framework. The client presented with a broad range of medication or surgical problems may have psychosocial factors affecting his recovery or response to the medicine (Rolland et al., 2012). The objective of having a psychosociological assessment is to clarify problems and their impact it on a person’s life. Ben suffers from self-esteem issues, which includes self-confidence, self-concept, and self-control (Parlevliet et al., 2012). His inability to control himself is seen when he has continuous quarrels with the other nursing home residents. The psychological disorder can make a client more vulnerable to provocation and result in a criminal act (Diekmann et al., 2013). This disorder may affect the client’s ability to either unknowingly or purposefully commit a criminal act (Oxman, Schnurr, & Silberfarb, 2014). Ben does not like to take part in leisure activities, and, when he does, he is always arguing with others. He likes to engage in recreational activities only when his family visits him. He likes solitude where he just read his Bible and sings hymns. Additionally, he dislikes the company of other home residents and sees himself as a burden, therefore refusing to go back home and preferring a nursing home (Hamaker et al., 2012).
The primary objective of the nutritional assessment is to identify clients who have poor nutritional habits. Nutritional assessments begins with the consideration of age-specific issues of a client and the nutrition that he requires. The methods used for evaluation vary because of the clients’ clinical statuses. Nutritional assessment helps a client become healthy and prevent nutritional diseases. Additionally, it helps with the adjustment of a therapeutic diet for a client who suffers from a chronic illness (Diekmann et al., 2013). Hospitalized clients can get necessary attention directed towards their diseases brought about by nutritional issues and their impact on the clinical result. Thus, the information from nutrition assessment is used to distinguish clients suffering from malnutrition and select those who will benefit from the nutritional support (Diekmann et al., 2013).
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Body weight is also used to determine the nutritionail status of a client. It is a reliable technology in contrast to other methods used for evaluating body composition and body weight that give information only about the fat composition. Body weight does affect the client’s developing diseases and prognoses (Hamaker et al., 2012).
The correlation of weight and height offers the information about the client’s nutritional status. It is not only used for identifying nutrition disarrays, but can also be used to fulfill two nutritional goals (Hamaker et al., 2012). These goals determine the energy and protein levels that are required in order to evaluate the outcomes of therapy.
All things considered, in Ben’s situation, there is a difficulty with swallowing that results in the patient consuming a puree diet. His weight deteriorates because of the loss of appetite. He suffers from constipation that can be the result of ulcers.
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