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Write Text Citation Explained for Students (Easy Guide)

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to write text citation and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves write text citation. A strong answer should include explanation, application, and examples.

Original Question

WRITE IN TEXT CITATION AND REFERENCE AS WELL. NO AI ANSWERS AND NO PLAGIARISM. Gladys is an 89-year-old woman with Dementia, who has recently just moved into the facility where you are working. She came directly from her home of 60 years, where her daughter, Maureen, had been her prime career. Gladys also was receiving many community support services. Recently she has been diagnosed with breast cancer which has spread to both her liver and spine. Her prognosis is poor. She has also suffered a cerebrovascular accident (CVA) in the last ten years. She has hypertension, osteoarthritis and cataracts. At present her pain appears to be under control but staff need to monitor this carefully as the trajectory of the disease may change quickly. Gladys also sometimes has difficulty with communication and often speaks ―gobbledygook‖ (incomprehensible sentences), when she becomes stressed. She is extremely expressive, and requires patience and encouragement from staff to understand her communications. Gladys also uses precise body language for gestures. Her long-term memory fluctuates, however, during lucid times she likes to speak about her life and her family. She requires full assistance with all aspects of ADLs. She is a much adored sister and mother and grandmother. She has two daughters and one son, all of whom are married with teenage children. Her husband Roger died over 12 years ago, they were married for over 60 years. She was extremely close to her mother and misses her mother terribly and spends a lot of time wandering around the facility looking for her and wanting to go home. She takes visual and physical pleasure in small children, animals, music and sensory stimulation. She used to work in a large linen factory for many years and then as a florist. She is a Roman Catholic and attends the service in the facility each Sunday, and always holds her Rosary Beads in her hands. She is very frail and ambulates with a walking frame. She is at high risk for falls due to poor mobility and general deterioration. She is also incontinent to both urine and faeces, and wears a pad at all times. At 4 pm today, Gladys became extremely distressed and disoriented to time, place and person. She paced continuously, and became agitated, and tried taking off her clothing at inappropriate places. 1. Other than Dementia, identify at least three (3) pathophysiological disorders that Gladys has had, provide a brief explanation of how those disorders affect her and her family or carer. 2. Identify the psychosocial needs of Gladys and her family / carer. Consider the psychological, social and spiritual dimensions of their quality of life. ● Psychological needs (list at least two (2) needs): ● Social needs (list at least two (2) needs) : ● Spiritual needs (list at least two (2) needs): 3. List ten (10) assessment tools that you can use to assess Gladys’s health status in collaboration with the RN. 4. List five (5) effective communication strategies you will implement while caring for Gladys who has sensory impairments. 5. Gladys has poor mobility, incontinence and CVA (Cerebrovascular accident). List five (5) preventative health assessments you will apply to identify her needs in ameliorate care. While meeting the ADL needs of Gladys, you noticed that she has halitosis, bleeding gums and poor fitted dentures 6. Provide the responses for the following a) State the two (2) oral screenings required to identify Gladys’s oral health problems. b) List three (3) signs that indicate oral health problems. 7.Identify at least two (2) actual problems and formulate a nursing care plan for Gladys. Use the Nursing care plan template (1) from the Clinical Skills Logbook and the organisational policies and procedure to formulate the plan. Nursing Care Plan Template (1) Nursing diagnoses Potential risks Desired outcomes Nursing interventions Rationale Timeframe for evaluation 8. Gladys is very keen to go back home. How do you assist Gladys and her family to identify her abilities and limitations in capacity for self-care/ independence at home? Provide at least three (3) measures you would use. 9. Maureen approached you in the nurse’s station and asked about the community services available for Gladys if she gets discharged to home. Outline the relevant information you will provide to Maureen on available primary health care services and the community services for both Gladys and her carer. 10. Alzheimer’s Disease is the most common form of dementia that is an age-related pathophysiological disorder. It includes three stages and its impact on the person’s capacity to perform daily living activities varies depending on stage. Maureen wants to better understand the impacts of dementia on Gladys’s ability to perform ADLs, that helps her to make a decision whether she is capable of caring for Gladys at home. You are required to provide the following information for her. a) Outline the impacts of the three stages of dementia on Gladys’s ADLs that you would like to discuss with Maureen. b) Identify which stage of dementia Gladys is in, according to her current ADLs ability. Due to advanced Dementia and Maureen, her daughter’s inability to care for her mother any longer, it was decided by the family and GP, that Gladys go into an Aged Care Facility. 11. Moving an aged care facility is a good option for Gladys and her family. It is your responsibility to provide the relevant information and help Gladysand Maurren make a smooth transition to the Facility. Provide at least two (2) things you would like to tell Gladys and Maureen. 12. You observed that Gladys is getting very distressed, disoriented, and agitated after she moved into the aged care facility. Identify at least two (2) relevant environmental factors and triggers contributing to Gladys’s responsive behaviours that you will document in her care plan. 13. Gladys’s responsive behaviour will impact on herself and others. As an EN, you should consider those potential impacts in determining an appropriate response. a. Identify two (2) potential impacts that Gladys’s responsive behaviour has on herself and other residents in the facility b. Reflecting on knowledge of theories of ageing and applying best practice care guidelines, list three (3) best practice strategies you will implement to minimise those impacts in consultation with RN as per organisational policies. 14. Gladys has been experiencing urinary incontinence. List two (2) strategies including using appropriate continence aids that you could put in place to reduce her episodes of incontinence. Gladys’s medication regime has changed with her admission to the facility due to taking too many medications a day. Following a review of pharmacy and responses to nursing interventions, she has had a number of medications ceased including a night time sedative which was increasing her risk of falls 15. Provide a response to the following: a. Research the drug prescription rules for older persons and identify three (3) possible age related effects of drugs and medications on Gladys. b. As an EN, you should document persons’ responses to nursing interventions, and report changes and concerns to a registered nurse. Outline how you would document and report Gladys’s medications changes and make adjustments as required in consultation with the RN. 16. Explain briefly the importance of providing a safe, physical, social and emotional environment for Gladys and staff members in a dementia specific area. 17. Gladys has an Advanced Directive documented in her care plan. Explain briefly the difference between the palliative care and end of life care plan. Gladys’s daughter Maureen is feeling extremely guilty about placing her mother into care. But she was exhausted and could not go on any longer trying to cope by herself. 18. Identify three (3) community care environments, counselling and/or support services which are available to Maureen, to meet her psychosocial needs and role as a carer. 19. List three (3) strategies you would develop and implement to ensure companionship and social inclusion for Gladys in consultation with her in the residential aged care facility. 20. In order to accomplish social inclusion for Gladys who has dementia, you have decided to plan some activities for her. List at least three (3) activities you may plan as appropriate for Gladys, considering her gender, culture and age, and reflecting her likes and dislikes within your scope of practice.

 
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