PLAN OF CARE PATIENT OLDER ADULT

PLAN OF CARE PATIENT OLDER ADULT 

This assessment has to be based on the nursing plan to care elderly one patient who are 69 years old.

NANDA diagnoses in which all aspects must be seen including the safety of the home for the patient. This means that the basic problems that the house has such as lighting, handles to bathrooms, smoke detectors etc… Also in the planning part, the changes in the home for the best development for the elderly, this patient has to have diabetes and osteoporosis and based on that, the care plan must be made.

PHYSICAL EXAMINATION 

Vital Signs

ASSESSMENT SYSTEMS  (inspection, palpation, percussion, auscultation.)  

Cardiovascular

Pulmonary

Gastrointestinal

Musculoskeletal 

Neurological 

Genitourinary/ Pelvic

Integumentary

MENTAL STATUS AND BEHAVIORAL 

MINIMENTAL TEST (MMSE)

BERG BALANCE TEST 

COMPREHENSIVE GERIATRIC ASSESSMENT

Medical Assessment 

Cognitive Functions

Affective Disorders

Visual Impairment

Hearing Impairment 

Dental Health

Functional Status 

Nutritional Status  

Gait and Balance Impairment 

Social Support

Environment

Advances Directives

Mood

Urinary continence

Medication intake patient 

Polypharmacy 

Living situation in home 

Spirituality

BADLs refer to self care tasks:

Bathing 

Dressing

Toileting 

Maintenance Continence

Grooming 

Feeding

Transferring

IADLLs refers to ability to maintain and independent household which include:

Shopping to groceries

Driving or using public transport 

Preparing meals 

Doing laundry 

Taking medication 

Handing finance

NANDA DIAGNOSIS 

OUTCOME IDENTIFICATION 

PLANING 

TEACHING PATIENT 

IMPLEMENTING 

IN WICH TIME THE PLANNING WILL BE EVALUATED GOALS