Summarise and analyse the assessment results and compare these with expected normal ageing changes

Assessment : Case analysis
2500 words
Purpose:

The purpose of this assessment is to examine your ability to complete an
assessment of an older person using the validated assessment tools discussed in

Themes 1-5 and demonstrate the integration of theory into the context of your
clinical practice.

Patient
(1) Age : 74
(2) Gender : Female
(3) Chronic conditions
– Hypercholesterolemia
– Hypertension (High blood pressure)
– Osteoarthritis (OA) & Rheumatoid Arthritis (RA) on hands, knees and back.
– Total Knee replacement (left)
– Obesity
– Fatty liver
– Anxiety / depression
– Atrial Fibrillation : Paroxysmal
– Benign Paroxysmal Positional Vertigo
– Type 2 Diabetes Mellitus
– Gastro-oesophageal Reflux Disease (=GORD)

(4) Medications

– Candesartan HCTZ AN Tablet 32mg/25mg Daily (for Hypertension)
(= 32mg of candesartan and 12.5mg or 25mg of HCTZ)
– Lercanidipine Hydrochloride 20mg daily (For Hypertension)
– Crestor 10mg Daily (For Hypercholesterolemia)
– Domperidone 10mg Twice a day (For nausea/dizziness)
– Ondansetron 4mg Twice a day ( For nausea)
– Escitalopram 20mg Daily (For depression)
– Esomeprazole EC capsule 40mg daily (For GORD)
– Melatonin MR 2mg (For insomnia)
– Targin MR 5mg/2.5mg (For pain assoc. with RA and OA)
– Oxycodone Hydrochloride 10mg (For pain assoc. with RA and OA)
– Paracetamol Osteo 665mg x 2tabs Twice a day
(For pain assoc. with RA and OA)
– Rivaroxaban 20mg Daily (To prevent blood clots)
– Exenatide 2mg subcutaneous injection (For diabetes) Weekly
Assessment:
Select an older person (See above) from your clinical setting who presents with
an acute and/or chronic illness.

 Provide a detailed description of the individual’s clinical presentation and significant history

 Identify the most significant health challenge detected

 Name and provide a rationale for your chosen assessment tool- taken from those suggested in the subject content- which could be utilised to assess this
specific condition

 Summarise and analyse the assessment results and compare these with expected normal ageing changes

 Appraise the extent to which factors such as the individual’s; ethnicity, culture,
gender, spiritual values, sexuality, age, disability, economic and social factors may
have impacted their condition and your assessment

 Make recommendations about the multidisciplinary consultation and referral
requirements arising from your assessment

 Support your discussion with reference to current literature to demonstrate
clinical reasoning and evidence-based practice

Consent:

It is imperative to obtain consent and to maintain patient confidentiality. Avoid
using the patient’s real name.

You must provide a script of what you said to the individual when asking for their consent as an appendix to your written submission. The script is not included in the word count.
Appendices:

 Script- detailing consent

 Completed (de-identified) assessment tools
Present this case analysis in essay style (i.e. full paragraphs, no bullet points).

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