vSim for Nursing | Gerontology. Henry Williams. NURSING 1000-1800 Henry Williams Age: 69 years Diagnosis: COPD exacerbation. Feedback Log Henry has a chronic condition and will have to make life tran ... sitions to maximize his declining respiratory function and maintain as much independence as possible. There are signs that he has difficulty coping with the situation. The nurse should be able to recognize these signs and perform appropriate assessments. Using evidence-based standardized assessment tools will help to ensure a comprehensive approach to the assessments. In this case, relevant assessment tools include the Geriatric Depression Scale and the Pittsburgh Sleep Quality Index (PSQI). Henry is worried about his wife, Ertha, and about whether his daughter-in-law, Betty, will be able to take care of Ertha during his stay at the rehabilitation center. It is important for the nurse to understand that older adults are vulnerable during transitions and should assist the family in accessing knowledge and evaluating resources that can help improve their life situation. Henry and Betty should be involved in making decisions about appropriate changes for him and Ertha (e.g., the discharge to the rehabilitation center and Bettyâ€™s ability to take care of Ertha in the meantime). The important life decisions that have to be made are the sources of Henryâ€™s [Show More]
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