[Solved]: CASE STUDY Screening Mrs

CASE STUDY Screening Mrs. C. is an 82-year-old white widow. Six years ago, she moved from her house into a one-bedroom apartment. Her primary insurance is Medicare. She maintains her apartment and does all her errands without assistance, all of which she is very proud. She reports that occasionally she has fallen, probably because of some degree of decreasing vision, especially when moving from direct sunlight into shadows and when walking at night. The only medications she takes are an analgesic for pain management of osteoarthritis, an antihypertensive agent, and a daily vitamin and cranberry supplement. Her antihypertensive medication has recently been changed. Today, she is going to her annual “check-up” with nurse practitioner (NP) Kelly, who is part of a new practice of “integrative medicine.” The collaborative practice of registered nurses, NPs, and physicians emphasizes the role of prevention, including screenings. While Kelly is assessing Mrs. C.’s health status, she is also reflecting on how to better care for the practice’s ever-enlarging older adult population. Kelly has access to a large referral group including medical specialists. Reflective Questions What data will nurse practitioner Kelly collect to assess Mrs. C.’s health? Why? What risk factors will Kelly most likely evaluate? Why? What screening tests will Kelly suggest? Why? Propose several possible nursing diagnoses for Mrs. C. What possible etiological factors from Mrs. C., her family, and her community might be involved? What questions will Kelly ask to evaluate Mrs. C.’s health status? Compare and contrast these different (individual, family, and community) approaches to health promotion, emphasizing screening and cost-effectiveness. Discuss the advantages and disadvantages of screening older adults.