Walker Psychogeriatrcian and the Enduring Power of Attorney Case Study – Nursing Assignment Help

Assignment Task

Case Study 

• Mrs Walker is a 72 year old lady who lives alone and until recently was in her own home with a care package.
• Mrs Walker has a diagnosis of Alzheimer’s dementia (4 months) and has deteriorated both physically and mentally over the last 8 weeks, she habitually paces up and down even though she has very poor balance and appears very pale and tired.
• Mrs Walker has been deemed to have ‘lost capacity’ by her Psychogeriatrcian and the Enduring Power of Attorney has been enacted.
• Mrs Walker’s family and the health team caring for her have all agreed that she is a danger to herself and others, a decision has been made to place her in a residential facility within a secure environment. 
• Mrs Walker has had to be physically escorted into the residential facility and is very distressed.
• Mrs Walker has a severe contracture of her right hand caused by burns received in her kitchen 11 months ago, her noncompliance with physiotherapy have rendered that hand useless.
• Mrs Walker weighed 62kgs a year ago, today she weighs 34.5kgs. Her family advise you that she is refusing to eat and that they often find Mrs Walkers dentures in bizarre places around the house, they tell you that Mrs Walker is still drinking plenty.

Task

• 1a) You are the nurse receiving Mrs Walker and as such, you will need to complete a health assessment. 
• Discuss sources that you might access to retrieve information about Mrs Walkers past medical history. (50 words)
• 1a) You are the nurse receiving Mrs Walker and as such, you will need to complete a health assessment. 
• Discuss sources that you might access to retrieve information about Mrs Walkers past medical history. (50 words)
• 1b) In detail, discuss what the interview stage of a health assessment is. (100 words)
• 1c) Discuss why the use of assessment tools specific to the older person are important in a health assessment and name at least 2 you would consider using for Mrs Walker. (100 words
• 2a). You are concerned about Mrs Walker who seems very anxious and emotional. You have tried various types of communication, however, Mrs Walker is not engaging and her family are distressed. 
• Identify the person you would immediately discuss your concerns with, what you would need to relay and any assessment tools you may consider using. (100 words)