Susan is a 65 year old school nurse who has recently retired from an elementary

Question

Susan is a 65 year old school nurse who has recently retired from an elementary school. She is beginning to feel rather lonely now that she is no longer working. She is a widow with adult children living out of the area. Her children have suggested that she may want to move to their city and be closer to her grandchildren. She has been avoiding these discussions with her family and tells them all is fine. Moving seems like a major upheaval to her. Although she has been in fair health physically, at her last visit to the health care provider, she has lost 10 pounds and is just below her desired weight.

Select a developmental theory and apply it to the scenario above:

Explain her behavior

State two (2) priority nursing concerns and related nursing interventions for her

Explanation / Answer

Erik Erikson's Psychosocial Developmental Theory can be applied for this senario,

This theory states that a person in older age will go through "ego itegrity vs Despair"

Ego Integrity means a person will look back into his own life, thigs he/she has achived and develops integrity and if you look into "Despair" if a persom has afeeling of dissatisfaction in life about things that was not able to accomplish then the person wikk go through a stage of Despair

hence in this senario Susan is a lady 65 yers old who is been workin as a nurse throught her life, she has developed integrity, she doesnt want to be dependent on anyone as shehas been taking care of other lives, she feels capable enough to take care of heself, but there are other areas of her life probably she is dissatisfied with , and most basic for any widow would be loss of her partner, hence she is having "Despair" which is leading to depression and inturn leading to her weight loss,

Nursing Concerns :

1.] first prioty concern would be Nutrition Patten

should evaluate ans assess Susan's nutrition pattern, one of the major reasons for elderly people to loose weight is because of their diet pattern and simply because their internal organs have started to degenerate and their metabolism has reduced Nursing Interventions:

a) Assess her eating pattern, her likes and dislikes about her food

b) Once assessed, evaluate the total calories required per day by the diettician

c) Plan a proper diet for her so that it will nurish her as well she can metabolize it easily, most often a small ans frequent diet will always help

d) add diet which she likes as muich as possible , make it more tasty as possible

2] Activity

a) Susan is person who has working all her life she require to be invovled in activities

b) she can participate in help groups which involves activities that are simple and are easily achieved for her age

c) can well assess her intrests and could help her out to be involved in those activities

d) getting her to read her favourite novels or in activities she is more involved in

3] Regular Lab tests

this will help her to keep a tab on all her vitals and degenration

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