NRSE 4560 Gerontology Student Handbook

NRSE 4560 Gerontology Student Handbook - 1 - GeroV.1 Gerontology Handbook Table of Contents Focused Exam: Pain . - 3 - Focused Exam: Mobility ................................................................................................................. - 6 - Focused Exam: Infection ............................................................................................................... - 9 - Focused Exam: Cognition ............................................................................................................ - 12 - Focused Exam: End of Life .......................................................................................................... - 15 - Self-Reflection ............................................................................................................................ - 17 - - 2 - GeroV.1 Gerontology Handbook Focused Exam: Pain This assignment provides the opportunity to conduct a focused exam on an older adult patient presenting with pain related to intense joint pain. You will assess relevant body systems to evaluate physiological symptoms. You will also interview the patient, conduct a cognitive assessment, and provide therapeutic communication. After the patient exam, you will complete an SBAR hand-off. On average, this assignment should take 90 minutes to complete. Instructions: Perform a focused examination of an older adult patient who has been experiencing intense joint pain. Gather the information needed to assess the situation and transfer care to Preceptor Diana. Plan your time: Assignment First Turn In Allow Reopening Flexible Turn In Time Estimate ~90 minutes ~110 minutes ~160 minutes Patient Examination: • Review the orders and patient data in the EHR • Interview and examine Edward Carter to gather subjective and objective patient data • Gather HPI and health history • Use the Question tab in the Communication Box to gather subjective data from Mr. Carter • Use the Education tab in the Communication Box to inform and educate Mr. Carter on relevant topics revealed in subjective data collection • Use the Empathize tab in the Communication Box to practice therapeutic communication when opportunities arise during the interview • Perform medication reconciliation to evaluate the patient’s medication regimen, polypharmacy risk, or Beers List contraindications • Interview the patient about their ability to perform activities of daily living (ADLs) • Maintain respect for the patient’s dignity while broaching sensitive subjects such as cognition and functional independence • Conduct a focused assessment of the patient's musculoskeletal system and regional systems of concern • Conduct the relevant tests to evaluate the patient’s symptoms • Analyze patient’s potential fall risk • Document the findings of the physical examination in the Objective Data Collection tab in the EHR • Document subjective data, using professional terminology, in the Nursing Admitting Note tab in the EHR