Aging Adult Case Study
Aging Adult Case Study
The journey of aging presents unique opportunities to reinforce health and well-being, particularly for individuals who cherish their independence. A comprehensive nursing assessment must extend beyond clinical metrics to honor a patient’s autonomy while gently addressing potential health risks. According to Alodhialah et al. (2024), this perspective necessitates a balanced approach that incorporates respectful dialogue, evidence-based tools, and supportive resources to develop a sustainable plan for healthy living. The ultimate goal is to empower individuals within the context of their own lives and values. This discussion explores holistic nursing strategies applicable to independent older adults, with a focus on promoting longevity and enhancing quality of life.
The client’s Body Mass Index (BMI) is 33.7, which falls within the classification for obesity. This objective data provides a starting point for a sensitive and supportive conversation about health risks. The Starting the Conversation (STC) tool would be ideal for nutrition to help explore her habits without confrontation. McVey et al. (2021) demonstrate that STC assesses dietary patterns, fostering dialogue rather than judgment. For physical activity, the Physical Activity Vital Sign (PAVS) efficiently determines if she meets guidelines through two brief questions. These tools are chosen for their respect of the client’s time and independence, efficiently gathering essential information to guide collaborative planning.
A reasonable and realistic outcome for this client is achieving gradual weight reduction of five percent over six months through improved nutrition and regular physical activity. This goal is measurable and attainable while respecting her independence. A key nursing intervention would involve developing a personalized plan that incorporates balanced meals and moderate, enjoyable exercise such as walking. Supporting her in setting achievable steps fosters confidence and adherence. The rationale for this intervention is that gradual lifestyle changes promote long-term health benefits, reduce obesity-related risks, and preserve the client’s autonomy, which is central to her sense of identity and well-being (Thompson, 2024).
The client’s fixed income may limit her ability to consistently access nutritious foods, which can directly affect dietary quality. Schuler et al. (2024) note that budget constraints often lead individuals to opt for less expensive but calorie-dense options, which can contribute to weight concerns. In addition, while she values independence, her strong self-reliance may make her less likely to seek guidance when facing challenges related to nutrition and exercise. Living alone may also subtly reduce motivation for preparing balanced meals or engaging in regular physical activity. These factors can subtly shape daily habits, influencing both her activity level and overall dietary choices in ways that hinder progress.
To support this client’s health journey authentically, a series of compassionate referrals would empower her independence. Connecting her with a Registered Dietitian Nutritionist is a crucial first step, offering expert guidance on crafting nutritious meals that align with a fixed income. Exploring community-based senior fitness programs, such as SilverSneakers, would provide safe, social, and affordable avenues for physical activity. Additionally, a referral to a social worker could uncover local resources, such as farmers’ market subsidies or transportation services, which can alleviate practical barriers. These collaborative partnerships provide the specialized knowledge and community support she needs to achieve her goals sustainably, ultimately reinforcing her cherished self-reliance (Fisher & Piercy, 2024).
Caring for an older adult who treasures their independence is less about issuing directives and more about becoming a supportive partner. Our role is to walk alongside them, using tools not as judgments but as conversation starters. It is about listening to the quiet challenges and responding with practical resources rather than simple advice. We help build a foundation for health that feels like their own achievement by connecting them with a dietitian who understands frugality or a senior exercise class that offers camaraderie. This approach nurtures their well-being without encroaching on the self-reliance that gives their life meaning and purpose.
References
Alodhialah, A. M., Almutairi, A. A., & Almutairi, M. (2024, August). Ethical and legal challenges in caring for older adults with multimorbidities: Best practices for nurses. Healthcare, 12(16), 1585. https://doi.org/10.3390/healthcare12161585
Fisher, R., & Piercy, K. (2024). Progress to implement the National Strategy on hunger, nutrition, and health at the US Department of Health and Human Services. Nutrition Today, 59(5), 211–219. https://doi.org/10.1097/NT.0000000000000707
McVey, B. A., Lopez, R., & Padilla, B. I. (2021). Evidence-based approach to healthy food choices for Hispanic women. Hispanic Health Care International, 19(1), 17–22. https://doi.org/10.1177/1540415320921471
Schuler, B. R., Shipe, S. L., O’Reilly, N., Uhl, A., Vazquez, C. E., Tripicchio, G. L., & Hernandez, D. C. (2024). Balancing nutrition and budgets: Socio-ecological impacts on nutritional environments of families with low incomes. Appetite, 203, 107706. https://doi.org/10.1016/j.appet.2024.107706
Thompson, C. R. (2024). Prevention Practice and Health Promotion: A Health Care Professional’s Guide to Health, Fitness, and Wellness (2nd ed.). Taylor & Francis.
CLICK HERE TO ORDER A PLAGIARISM-FREE PAPER
Assignment Description:
Part 2: Aging Adult Case Study
Write a 500 – 750 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources in your essay. Make sure to cite using the APA writing style for the essay. The cover and reference pages do not count towards the minimum word amount. Review the rubric criteria for this assignment.
A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent and oriented x4. The client is on a fixed income but has enough to manage a modest lifestyle. The client has family and social support but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.
Please answer the following:
- What is the client’s BMI?
- Identify what screening tools you would use to assess nutritional and exercise knowledge and why.
- One Outcome/Intervention/Rationale:
- Identify one outcome/goal that is reasonable, measurable, and realistic. Identify one nursing intervention for the outcome and give a rationale for the intervention.
- Identify what weakness in the client’s life may be impacting the client’s activity and diet.
- What referrals would you make and why?