NURSING HEALTH ASSESSMENT RLE 1. What is Critical thinking in…

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Question Answered step-by-step Ed and Norma Jones Case Study Background: Ed and Norma Jones moved... Ed and Norma Jones Case StudyBackground:Ed and Norma Jones moved into an Assisted Living apartment (part of a continuing care retirement community) in rural Idaho, from their home in California. The move was precipitated by a visit from their son, who lives in Idaho. He had been appalled on his last visit to their home at the condition of their living environment and personal condition. He immediately started the process of moving them to Idaho to be closer to him and to assure more comprehensive health management. Social History:Dr. Ed Jones was a professor of French Literature at the University of California Sacramento. He enjoyed a long and successful academic career, was widely published and sought after in professional circles. Ed is 87 years old. Mrs. Norma Jones had always been active in her community, serving as a volunteer with Habitat for Humanity, Junior Achievement, and the local library. Norma is 84 years old. Ed and Norma have one son, a physician in eastern Idaho, and one daughter who is a program manager at a small information technology company in southern California. Over their marriage of 61 years, Ed and Norma have enjoyed a life of travel, culture, and community engagement. The have lived in a community known for alternative points of view, and have been active in politics. Their home has been full of books, music, and friends...and has always been cluttered. Prior to moving they had been two night owls. It had been their habit to watch the late shows and then around 2 in the morning to go shopping at the stores that were open 24 hours because they were so quiet in the middle of the night. Their son wanted them to be in a safe place, and nearby so he could help. They moved in amidst many, many boxes. It seemed that weeks went by and they were still rifling through the boxes, but it never seemed much more organized in their apartment. They did the laundry together. They would load up the laundry on the Ed's lap while he was sitting in the wheelchair and Norma would push him down the hall to the laundry room, where he would instruct her to load the washer and get the load going. They exhibit mutual dependence, and are able to function at a higher level as a couple than either would alone. Ed's Medical History:Parkinson's DiseaseAnxiety with DepressionHypertensionStatus post AAA repair, 1998Right-sided CVA, 1999Macular Degeneration Norma's Medical History: Alzheimer's DiseaseGERDHypertensionNon-Insulin Dependent DMGlaucomaHypothyroidismRecurrent UTI'sCase Study:One night, the nursing assistant goes by to check on Ed and Norma around 3 am. She notices the light on, but they are not in the apartment. She becomes alarmed and looks everywhere for them. She checks the garage and finds that their car is gone. She calls the police. By 430 Ed and Norma pull up to the entrance and are seen walking down the corridor with a bag of groceries. They had been shopping, with Norma at the wheel, and Ed navigating because he did not have the physical strength to drive. When they return the state to the facility staff that they intend on doing this whenever they wish. The following week, Ed and Norma take another drive in the middle of the night. This time, as Norma is backing out of a parking lot, she hits another parked car, causing extensive damage. She becomes very upset at the scene, and Ed is unable to calm her down enough so that she can drive home. The police are called and they contact the son, who calls the facility asking the staff to respond. The son makes it very clear that he wants his parent to be allowed to continue in their established pattern of being able to drive whenever they chose. Questions:1. Should Ed and Norma be allowed to continue driving? How would you go about assessing their capacity to manage this function? How would you separate out his abilities from hers in your assessment?2. What strategies are possible to promote safety for Norma related to driving?3. What alternative might be available?4. How would you approach the conversation with Ed and Norma about the driving situation? Would you involve anyone else in the conversation? If so, who and in what capacity? Health Science Science Nursing NURS 428 Share QuestionEmailCopy link Comments (0)
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