Reflection Questions
1
.
As a nurse, you care for an older adult in her home. Her daughter is also providing care each day. Both the daughter and the patient express concern regarding possible role reversal. The patient seems distressed by being treated like “a child” by her family. Her family expresses concern that she is not able to care for herself. How would you convey information about role reversal while addressing the concerns and maintaining respect for the patient and her family member?
2
.
According to Maslow’s hierarchy of needs, what type of needs must first be met before an individual can focus on building self-esteem and confidence?
3
.
During a home health visit, a patient’s daughter expresses concern about her ability to care for her father who has early dementia. She states she hardly has time to care for her own children, since her father requires assistance with most ADLs. What services can the nurse suggest to help the daughter cope with caregiver strain?
4
.
An emergency room nurse is preparing to transfer a patient to the medical floor. The patient is being admitted for congestive heart failure and has significant edema. The patient also has dementia. Although no fall was reported, the nursing assessment revealed several healing wounds and bruises. What risk factors for falls does this patient exhibit?
5
.
Discuss safety issues in opioid prescribing for older adults. How do state and federal opioid prescribing regulations affect older adults?