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Author Question: An 82-year-old patient tells the nurse that his reports of pain in his legs were dismissed by a new ... (Read 136 times)

penguins

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An 82-year-old patient tells the nurse that his reports of pain in his legs were dismissed by a new physician in the practice as just what happens to everyone. What is an appropriate response for the nurse to make?
 
  1. Are you really in that much pain? Perhaps you just need to be more active.
  2. I think the doctor is just trying to help you get used to the effects of old age.
  3. It might be useful for you to tell the physician how you feel. Do you feel comfortable doing that?
  4. That doctor shouldn't treat you so poorly. You should complain to the office manager.

Question 2

A 73-year-old patient with bipolar disorder tells the nurse, No one will take care of me the way I want when I get older. I can't make sure I don't get treatment I don't want. Which is the best response by the nurse?
 
  1. Suggest that he see a lawyer to make a will.
  2. Assist him with creating an advanced directive.
  3. Suggest that he tell his family members what he wants.
  4. Assure him that the health care system will care for him well.



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laurnthompson

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Answer to Question 1

Answer: 3
Explanation: Older adults often receive less aggressive treatments for common ailments as a result of providers minimizing the complaints or dismissing them as a normal part of aging. If the patient is comfortable, it would be useful for the patient to inform the doctor of the concerns. Dismissing the patient's complaint compounds the problem. Attempting to excuse the physician's behavior does not address the patient's issue. Escalating the problem is unprofessional and does not address the patient's concerns most effectively.

Answer to Question 2

Answer: 2
Explanation: Individuals who were diagnosed with a psychiatric disorder as adults and who were able to manage it appropriately may experience increased difficulty in older adulthood. It is important for these patients to establish advance directives, including a psychiatric advance directive that details the patient's preferences related to psychiatric care. A will does not specify care choices. Telling his family members does not provide any legal safeguards for his choices. Without an advanced directive, the health care system will not necessarily follow the patient's preferences.





 

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