You are a RN working in ED (Emergency Department… 1 answer below »

You are a RN working in ED (Emergency Department), looking after Edith, an 87-year-old with an admitting diagnosis of Acopia. All acute interventions have been completed for Edith, but the wards are full, so she will spend the next 8 hours (+) on an ED trolley in a corridor.Case Study 1. The implication in this scenario is that a diagnosis of ‘acopia’ is a diagnosis based on functional abilities and is a form of labeling.1. What is the impact of a diagnosis based on the labeling of a patient?Answer this using peer reviewed evidence. Acopia itself is more of a symptom of underlying changes than a diagnosis. ‘Acopia’ refers to decreased ability to cope/ manage activities of everyday life and is a symptom of increasing frailty. Edith is 87 years of age. Normal ageing process eventually leads to frailty. Nurses role – Include an analysis of how this labelling impact the care Edith receives. (250 words)2. How do normal changes of ageing increase the risk of Edith developing a pressure injury in this scenario?Here you need to consider normal physiological changes that occur as part of ageing to body systems that increase the risk of developing pressure injury. Nurses role – Also analyse the role of the nurse to prevent pressure injury for Edith. Remember the scenario context. (250 words)Case Study 2 :You are a RN working in community care, visiting Amita, a 76-year-old with a chronic and painful venous ulcer on her lower leg. She takes multiple medications for chronic illness, and a codeine-based medication for pain. Amita lives alone in her own home. 3. How would Amita’s chronic pain impact on her ability to maintain a safe environment?Consider how chronic pain, particularly a leg ulcer may make it difficult for Amita to maintain a safe environment. Key points – chronic pain, what is a ‘safe’ environment and the impact on Amita’s ability to maintain safe environment given this scenario. Falls is only one concern, but what impacts this risk? Nurses role – analyse the nurse’s role in facilitating Amita to achieve a safe environment and consider facilitators, barriers and what you can do as a nurse. (250 words)4. Why is Amita, as an older adult, more vulnerable to adverse drug events?We see normal physiological changes that occur as part of ageing to body systems and the impact of socio economic factors, polypharmacy. Consider the immune system, renal system and the digestive system (liver, stomach). Consider how the vulnerability may be related to the issues associated with changes in pharmacokinetics and pharmacodynamics of the older person’s body. Nurse role – analyse with respect to Amita being more vulnerable to adverse drug events. (250 words)

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