Watson’s Caring theory (2008) for Elderly Care

Watsons compassionate theory (2008) for of age(p) C areAging is a natural part of human life. With mod technologies and medical innovations the society has been able to prolong life and thus affix the number of former(a) adults in the society. Normal part of aging are inevitable physiological and psychological changes which study to be understood and communicate by nurses in order to erect appropriate sympathize with for older adults. Pre directing longanimouss description with appropriate data, I willing hire Watsons compassionate theory (2008) to assess the raze order need of application-inactivity relative to this older adult tolerant of cared for in the hospitalized environment. The integration of theory, look for and best perform guidelines will be used to broadcast treat interventions and strategies to meet the wellness needs of older adults in health care. Watsons (2008) fourth caritas sour of give awaying and sustaining a boostering-trusting fondness descent will be used to describe the nursing implementations which were utilized in providing rubber and competent care for older adult.Mr. X is 84 years old. He was admitted to the hospital on January 4, 2014 due to hematuria in his urine and a suspected Transient Ischemic Attack (TIA). After the admission, he was sent for a CT scan, which confirmed Mr. Xs TIA in his right hemisphere. On January 5, 2014 Mr. X was transferred to CP1, an acute care stroke unit. His first gear TIA episode had been on August 28, 2012. His comorbidities hold hypertension and attribute II diabetes. His activities are limited to fill in fair to middlingiser as he has risk of falls to a fault he is on input-output with a Foley catheter. He has left side weakness and mild facial drooping on the left side. He is alert and oriented however, he has trouble pore on many people at one time. His care plan states fanny rest, assist with bath, diabetic diet, on intake and output. The vital signs obtained on the morning of January 28, 2014 were 36.7, 85, 20, 92% and B/P 136/65. Mr. Xs Foley was interpreted out on January 24, and he was on intermittent catheterization every sixsome hours. During catheterization the patients urine was dark amber with particles, and totalled 519 ml. The patient is on bed rest and can be lifted to sit victimization the Hoyer lift. Mr. Xs diet is diabetic with 1600 calories and a regular texture he eats with 50% assistance, and normally finishes half of his entire meal. Mr. X. is a good candidate for move recuperation however, his baseline cognitive side may affect his skill to participate in the recovery process. Mr. X courses 13/30 on the Mini-Mental State Examination (MMSE), which indicates harbour cognitive mischief, and 8/30 on Montreal Cognitive perspicacity (MoCA) which also signifies cognitive impairment.In order to be able to provide base hit and competent care I had to enquiry the diagnosis of my assigned patient. During the research t he mellow correlation between his comorbidities and TIA was found. Transient ischemic flame (TIA) is a transient stroke that lasts only a few minutes, usually when the credit line supply to part of the wizard is briefly interrupted (Touhy, Freudenberger, Ebersole, Hess, 2012, p. 354). The blood supply interruption is commonly caused by arteriosclerosis, which in Mr. Xs case is potentially caused by his present conditions of grapheme II diabetes and high cholesterol. Type II diabetes is a disease in which the pancreas does not commence enough insulin and the carcass does not properly use the insulin made (Canadian Diabetes Association, 2012). Mr. X is also a heavy man, which puts him into a high risk grade for stroke since the excess weight destabilizes the bodys cardiovascular system. Mr. Xs Foley catheterization was due to stroke and diabetes, since them along or together as comorbidities are associated with urinary incontinence (Touhy et al., 2012, p. 141). In order to pr ovide my patient with safe and competent care I had to maintain the patient in high Fowlers position during breakfast and lunch to reduces his risk of brainchild and promote effective sw imparting (Potter, Perry, Stockert, Hall, 2014, p. 1089). I also had to check for pocketing magical spell I assisted Mr. X with his meal to prevent aspiration. Since Mr. X is assigned on bed rest a head-to-toe skin assessment was carried out with each bed bath to assess for skin break down particular management should be paid to vulnerable areas, especially over bony prominences (RNAO, 2005, p. 9). In order to prevent the development of ulcers, I repositioned patient every two hours, used pillows to protect bony prominences and heel pressure ulcer bear for extra protection of heels (RNAO, 2005, p.10). Further to ensure the skin integrity, the adult briefs were changed frequently, and the barrier cream was applied to the perennial area. After two weeks the Foley was taken out to see if the pa tient is able to void by himself and to allow the bladder sphincter to function on its own. The intermittent catheterization to drain difference urine was introduced in order to prevent a UTI, since the in-d comfortablying urinary catheter stiff in the bladder for an extended period, making the risk of infection greater than with intermittent catheterization (Potter et al., 2014, p. 1156). As mentioned previously, on the MoCA Mr. X scored 8/30 which is erect above the score of 0 to 7= severe cognitive impairment (Touhy et al., 2012, p. 91). Likewise, on the MMSE Mr. X scored 13/30, where the score between 13 and 20 suggests moderate dementia (Touhy et al., 2014, p.92). Consequently, Mr. X is a good candidate for motor recovery however, his cognitive impairment may affect his ability to participate. one(a) of the lower order needs defined in Watsons Caring theory (2008) is the activity- inactivity. As Watsons Caring theory (2008) describes, a soulfulnesss need for activity-inacti vity is funda noetic and central to ones life, as it affects the ability to move about and interact with his or her environment and to pull wires ones external and internal surrounding (p. 160). The need for activity-inactivity is powerfully connected with the life satisfaction, since the restricted activity puts one into high dependence of the caregiver. While providing care for patients who are limited with ambulation it is necessary for the nurse to entertain to carry through patients dignity, enabling, and encourage them to perform necessary everyday living activities by themselves. Other psychological factors such as routine repetitiveness while patient is on the bedrest, may case in a in operation(p) loss of degree of mental status which may interfere with ability to perform and accomplish effortless living activities (Gillis MacDonald, 2005, p.17). Mr. X low score on MoCa and MMSE may be a result of prolonged bedrest in which case the mental stimulation is needed to ex ercise the brain and break through the everyday routine. The possible nursing intervention for mental stimulation would be Snoezelen room, where the patient is exposed to different stimuli such as sounds, lights and colors, music and touch. The Snoezelen room has a potential to improve concentration, attention, mood and provide a necessary stimulation to the central nervous system to preserve chemical equilibrium (Van Weert et al., 2006, p. 658). The other very important factor of activity-inactivity need is the corporeal factor of pass atrophy and deconditioning. According to Gillis and MacDonald (2005), deconditioning is a complex process of physiological change following a period of inactivity, bedrest or sedentary life style (p.16). The process of deconditioning affects the musculoskeletal system, decreasing the muscle chroma, go away the person frail and unable to ambulate on their own. Normal musculoskeletal system changes for older adults include changes such as total muscle mass decrease, increase rigidity of joints, and loss of strength (Touhy et al., 2012, p.76). Even though these changes are not life threatening, they build a potential complication of falls for frail older adults whose health has been compromised to the point where they have to be admitted to the hospital. In order to avoid any further disturbance of the beingness and prevent injuries, patients such as Mr. X are placed on the bedrest. According to Kuromoto (1989), bedridden or in dynamic patients require range of question exercises to maintain joint mobility and muscle flexibility and to minimize contractures that prevent recovery and make care more difficult (p.283). Therefore, recognizing extensive need of activity-inactivity, I incorporated the range of motion exercises into Mr. Xs daily routine. The arcminute nursing intervention for carnal activity was the resistance training with expandible band. According to Topp et al. (2003), elastic bands exercise was design ed to improve upper and lower body strength (p. 155). The third nursing intervention to promote physical activity was the hip-flexion and keen extension exercises while in the wheelchair, both of which are both recommended for older adults in order to increase strength and balance (Topp et al., 2003, p. 157). For additional nursing intervention I encouraged Mr. X to dress by himself, brush his teeth and eat on his own, all these activities helped Mr. X gain confidence in his performance, exercise his muscles on the regular basis. every of the physical exercises where targeted toward muscle strength increase, upon building confidence in strength I would encourage Mr. X to get up of the wheelchair for standing in order to gain balance. If all the interventions are successful, further activities would include aerophilous walking to improve lower body strength, pedal exercise for muscle strengthening and blood circulation improvement (Grando et al., 2009, p. 13). The advantage of exer cise according to Straub, Murphy, and Rosenblum (2008), include reduced risk for cardiovascular mortality, improved blood pressure control, give glucose control in those with diabetes, and improved psychological well-being and physical execution (p. 470). Body is a multifunctional system where decrease in activity result in multidimensional deteriorations. According to Watsons Caring theory (2008), activity and meaningful work and service through activity bring cheering and purposive meaning to life (p.160). The prolonged bedrest increases the necessity to run across the lower order need to activity-inactivity in order to increase patients satisfaction with quality of life and potentially reduce the hospital stay.One of Watsons caritas process (2008) is, developing and sustaining a helping-trusting caring family (p.71). Caritas nurse needs to remember that the patient is not just a body that needs to be treated, is it also human-being whose needs go beyond physiological, thus h olistic treatment is necessary to addresses physiological as well as psychological needs. Only through this view it is possible to build a caring moment, where nurse and client would develop a meaningful, trusting relationship in order to reach optimal health (Watson, 2008, p. 71). While providing care for the patient I was always engaged into active listening, through which I was able to learn about Mr. Xs past, his favourite activities and the food preference. I learned that Mr. X was active, which helped me understand punter the extensive need for activity which Mr. X did not get enough. employ this knowledge I modified and incorporated more physical activities into his daily routine. I was trying to provide care for the patient at the some comfortable time enter into the experience to explore the possibilities in the moment (Watson, 2008, p.74). One of the Mr. Xs nights was restless and he preferred to rest throughout the morning, I recognized his need and postponed the phys ical exercise and bed bath until later. I encouraged Mr. X to communicate his expectations of ameliorate process, recognizing client-centered relationship where the patient is actively including into care (CNO, 2009, p.6). Helping-trusting relationship was demonstrated through the non-judgmental attitude, aesthesia and openness. Mr. X disclosed that even though he enjoyed physical activities, his lifestyle was not all healthy he enjoyed unhealthy foods which contributed to the development of type II diabetes, and after found it hard to follow the diabetic diet. My repartee to Mr. X was to engage him into teaching of importance to adhere to the diabetic diet, have the consultation with dietician, and referral to the community resources of Canadian Diabetes Association. In order to provide Mr. X with competent care, I needed to gain his trust, which I was able to strive by preserving Mr. Xs dignity while providing bed bath, allowing him to do as much care as it is possible, expos ing only parts of the body that I was working with while washing. In order to be a Caritas nurse, I provided authentic care for Mr. X. by being present in the moment and caring beyond physical needs. Recognizing emotional part of helping-trusting caring relationship, encouraging patient into communication, plan of care development and decision making, I was able to establish and authentic caring relationship, where patient and I where equal participants in establishing healing environment.In order to be able to care for older adult nurses need to understand the special needs associated with aging, the comorbidities of their patient and how they are interrelated. Extensive research of patients history will enable the nurse to provide safe and competent care. Utilizing Watsons Caring Theory (2008) and the lower-order needs into plan of care development will help prioritize care in order to assist individual with maximise life satisfaction. Recognizing oneself as the Caritas nurse and utilizing Watsons caritas processes will help develop authentic caring relationship with your client to promote holistic healing and overall well-being.ReferencesCollege of Nurses of Ontario (CNO). 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