Case study: Mr. Tran is a 75-year-old man, was brought to the emergency department (ED) by his daughter following a fall at his home. There was no loss of consciousness or head injury as a result of...

WRITTEN ASSIGNMENT        3
WRITTEN ASSIGNMENT
Table of contents
1. Initial Assessment of Mr. Tran in the ED    4
Impact of Negative Stereotypes on Nursing Care for Older Adults    4
2. Pathophysiological Aspects of Ageing Related to Falls in Older People    5
a) Pathophysiological Aspects That Increase Mr. Tran’s Risk of Falling    5
Musculoskeletal Changes    5
Sensory Decline    6
Cognitive Decline    6
Chronic Diseases and Drugs    6
Urinary Issues    7
B) Bibliotherapy as an Evidence-Based Nursing Intervention in Reducing Fall Risk    7
Gait and Mobility Assessment    7
Environmental Handling Adjustments and Hourly Approximations    7
3. Pharmacological Considerations for an Older Person    8
Pharmacokinetic Alterations of Drug Disposition    8
Decreased Renal Function    8
Liver Function Decline    8
Changes in Body Composition    9
Behavioral Considerations    9
Polypharmacy    9
Reference    10
1. Initial Assessment of Mr. Tran in the ED
Impact of Negative Stereotypes on Nursing Care for Older Adults
Negative Age Stereotype and Cognitive Bias in Healthcare The elderly patients such as Mr. Tran are likely to be stereotyped by a nurse in the ED depending on her perception on ageing. When it comes to the elderly, there is a likelihood for the nurses to be agingist and this is because they will have accepted that with age comes impaired thinking, weakness or inability to take care of oneself. Mr. Tran, a 75-year-old man, who seems to be disoriented about time and place, would unavoidably be subjected to stereotype assumption that this disorientation was due to his age related impairment, while his medical examination results show signs of acute problems like UTI. Which of the following best explained the presence of leukocytes and nitrites in his urinalysis? Answer: A UTI in older adults may result in acute confusion or delirium. If this be the case and age is used to explain his confusion then his condition may not be diagnosed and treated on time.
Older Persons As helpless Another main stereotype is that older people are helpless or are not capacitated to live on their own. This stereotype may mean Mr. Tran is underestimated, although his daughter explained that her father is able to wash and dress himself, do chores, and interact with others (Chary et al., 2023). They can also lead to nurses offering some help that he may not need at all, or completely ignoring his capacity to contribute to decisions made about him. For example, a nurse might preset a notion that full assistance in mobility is needed for the patient, while in normal day activities he can gain usual amount of strength.
Pain if expressed in consciousness In this case Mr. Tran is not verbally expressing any pain, however, he is constantly rubbing the hip and pelvis area which indicates discomfort. These stereotypical assumptions that older persons have less pain or do not report it properly may result in under-treatment of pain in this case. Mr. Tran’s nurse must perform pain screening assessment though tools for older adults in order to have a correct approach to his pain and since he has taken Panadine with codeine prior coming to ED (Katanova, 2023).
Urinary Incontinence Assumptions In the last aspect, Mr. Tran’s anosmia was noted, but he smelled slightly of urine, which suggested that others may assume that the man has incontinence problems, a condition that is usually linked to old age and poor health. But in his case, this may be due to his possible urinary tract infection which could be rectified through treatment of the infection (Tiago Horta, 2024). Nurses need thus reverse such symptoms, where otherwise they simply blame on aging.
2. Pathophysiological Aspects of Ageing Related to Falls in Older People
a) Pathophysiological Aspects That Increase Mr. Tran’s Risk of...