Answer to Question 1
1. An older person does not have as much deep sleep as a younger person.
Rationale:
Starting at age 20, there is a reduction in slow wave sleep, which is the deepest sleep. This reduction in deep sleep progresses with aging. Waking up three or more times during the night is considered abnormal. Generally, the amount of sleep needed is about the same for the youth, middle-aged, and older adult. The older person may have more difficulty obtaining the quality and quantity of sleep. Many persons with depression report sleep problems, including difficulty getting to sleep, early morning awakenings, and daytime napping.
Answer to Question 2
2. Let me clarify some of the steps again..
Rationale:
Responding with some clarifications indicates the client understood some of the teaching and preserves the client's dignity and trust in the nurse. Saying that the client did not understand the information is belittling. Beginning a negative phrase with you is assigning blame, which impedes the therapeutic relationship. Telling the client the nurse can do it better defeats the goal of the feedback; the nurse would want to instill self-confidence in the client, and this type of action will hurt that goal.
A nurse shows empathy to a client.
Older adults may grieve intensely over the loss of a person or situation that has been a part of the
Written materials can be helpful for the older adult.
Sample client goals from the Wellness Massage Pyramid.
Testing the client’s ability to feel vibrations, the toe
Focusing problems.