Case Analysis For Gerontology

Topics: Activities of daily living, Retirement home, Assisted living Pages: 6 (1492 words) Published: April 21, 2014
1) After suffering from a sudden stroke, Mrs. Norton’s lost her ability to carry out complex tasks (IADs, instrumental activities of daily living, pg. 140) such as clean, perform tasks around the house, and drive. As the result of the stroke, her right arm became paralyzed and so she also cannot perform basic daily activities (ADLs, activities of daily living, pg. 140) such as shower, put on clothes, or even feed herself. Since her husband cannot give her the proper care she needs at home, Mrs. Norton was relocated into a nursing home where her morale quickly declined. There are several factors that contribute to Mrs. Norton’s waning spirit in the nursing home. The first contributing factor is that she is relocated to a new environment and she is away from home. Most older adults perceive nursing homes negatively (Person- Environment Interaction lecture, slide #10). Mrs. Norton might feel that a nursing home is the last place she will stay before she dies. The nursing home staffs are also trying to accommodate her needs by assisting her with everything, but it makes Mrs. Norton feel like she is losing control and feel helpless and incompetent. Her lack of control in her daily activities contributes to her frustration and despair. It is better for the nursing home staffs to allow Mrs. Norton to have autonomy and choices. This enables Mrs. Norton to feel like she is still capable and competent to do things so when environmental factors such as walking or eating gets a little more challenging, she will not feel like she is completely helpless (pg. 155). Caregivers at the nursing home were also communicating with Mrs. Norton in a patronizing tone and addressing her as “dearie” or “honey”. This is called patronizing speech and elderspeak (pg. 172). Exaggerated speech with increased volume and simplified vocabulary are belittling to older adults. This contributes to her helplessness and can be perceived as a lack of respect. 2) After his wife had the stroke and had to be relocated to the nursing home, Albert might be susceptible to depression. His forgetfulness, confusion, loss of appetite might be caused by the over-the-counter sleeping pills he has been taking and from drinking heavily in the evening. Mr. Norton might be suffering from depression because he was functioning normally before his wife’s stroke. Loss of appetite and sleep, difficulty concentrating, and memory problem are also physical symptoms of depression. Other signs of depression that doctors should look for are depressed mood, symptoms that last for more than 2 weeks, and severe symptoms that impairs social and occupational functioning (Lecture Mental Health & Aging Part 1, slide #10). However, it is wise to also receive other assessments from a doctor to ensure that the symptoms are not related to other age related diseases such as delirium, and dementia (pg. 367). To assess whether Mr. Norton can be susceptible or has these conditions, doctors can interview him, perform psychophysical assessment, performance-based assessment, and observe Mr. Norton’s behaviors (pg. 366). 3) Peter and Jennifer are both worried about their parents, yet they live about 2 hours away and there is a limitation to what they can do for their parents. It seems as though their father is having symptoms that are similar to depression. It is crucial that a doctor evaluate their father’s condition. If Mr. Norton does indeed suffer from depression, it might be best if Mr. Norton is relocated to an assisted living facility. It is probably not ideal to relocate him to Sacramento to live with either one of them because it is so far away, and he will be away from Mrs. Norton. This might add more stress to his situation. In an assisted living facility, he can receive the care he needs, yet still have some independence and be closer to Mrs. Norton in a nearby nursing home. Assisted living is intended to mimic a single-family house that is warm and small. Residents there have their own room...
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