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The “Older Adult Interview” ESSAY

NURS 126 Nursing Care of Special Populations: Geriatric & Psychiatric Nursing

Nursing Department

NURS 126 Nursing Care of Special Populations: Geriatric & Psychiatric Nursing

“Older Adult Interview” Grading Criteria Rubric

CLINICAL LEARNING OUTCOMES

The student will:

1. Interact intentionally with older adults (65 years or older) living independently in the community.
2. Assess and recognize the functional physical, emotional, and mental

needs of older adults living in the community.

3. Demonstrate therapeutic communication skills with the older adult.
4. Adapt and use the appropriate manner of communication for age; culture; and ethnicity.
5. Describe the role of the nurse when providing care to older adults in

the community.

6. Discuss previously held beliefs/assumptions about how older adults

live independently in the community.

7. Assess older adults’ risks and understand the importance of weighing

risks and benefits when caring for older adults.

8. Maintain professionalism during the interview.

1. Introduce yourself as a Montgomery College Nursing Student who is in the second semester of nursing school. Explain the course (NURS 126) and share the Clinical Learning Outcomes (page 1) with the older adult.
2. Inform the older adult that you are interviewing him/her for a class project and that you will share information obtained during the interview with your teacher and fellow students.
3. Inform the older adult that you will only use their initials to identify them and assure them that you will not share any other identifiers.
4. Thank the older adult for their time and for sharing this information with you.
5. Assignment must be completed in essay format using the six content areas to construct paragraphs. Assignments not completed in essay format will not be graded.
6. Submit this assignment on Blackboard, and it is subject to Safe Assign review. This assignment is a clinical requirement; failure to complete the assignment by the due date will result in a clinical failure.

Nursing Department

NURS 126 Nursing Care of Special Populations: Geriatric & Psychiatric Nursing

The “Older Adult Interview”

Grading Criteria	Points Possible	Points Earned
Content Areas
I.                    Essential Information	0.5 point
Age and Developmental Stage- 73 years old (Integrity vs Despair)	0.1
Gender- Female	0.1
Marital / Significant Other Status – Widow	0.1
Living situation (house, apartment)- Lives at home with Daughter and Grandson	0.1
Cognition and Mood- Mental status is intact and mood is stable	0.1
II.                 ADL Assessment	1 point
Communication: Content of verbal / non-verbal- No verbal or non-verbal issues Tone of voice- high pitched voice Eye contact- Very good eye contact Body language- open-ended body language when in conversation	0.2
Personal Hygiene: General Appearance- Upkept, clean Bathing- at least once a day, mostly in the morning Toileting- uses bathroom by herself, does not require assistance Dressing- dresses herself	0.2
Eating: Diet preferences ~ food allergies? No Appetite- normal appetite/needs a snack before every main meal Problems with swallowing/chewing/wears dentures? Yes, wears dentures Needs assistance with eating? No How important is mealtime? Very important because of need to take medications Where are meals eaten?  Must be in front of TV	0.2
Mobility: Independent or Uses assistive devices- Independent no use for assistive devices History of falls- Fell once at church	0.2
Sensory: Any deficits? Blurry vision at night Use of glasses? (wore glasses before eye surgery, doesn’t wear anymore, reading aids (No), hearing aids (No), other	0.2
III.               IADL Assessment	0.5 point
Shopping- needs assistance doing this activity	0.1
Transportation- Bus and taxi	0.1
Meal Preparation- cooks for herself	0.1
Housekeeping- Cleans herself	0.1
Medication Management What medications? Diabetic (Metformin), cholesterol medications, hypertension medications, Insulin Who organizes medications? Herself Any medication allergies? No	0.1

IV.               Personal Interests	0.5 point
Leisure Activities / Hobbies- Just goes to church and cleans the house	0.1
Religious preference / activities- Christian/ used to be Sunday school teacher	0.1
Time spent with…spouse, partner, family, friends, neighbors- Spends time with friends from church and family	0.1
Sources of support- Daughters and grandchildren	0.1
Where does the older adult learn about community resources for activities, health education, or issues regarding the elderly? From the church	0.1
V.                  Life Review and Reminiscence	0.5point
Childhood: Memories, parents, siblings, school, hometown Used to run track & field, won Jamaican house track trophy	0.1
Current view of health status- views herself in good health regarding history of HTN, diabetes, and high cholesterol	0.1
Self-identified safety risks– imbalance in walking sometimes, Vision is foggy at night went out on the town	0.1
Future: Plans, hopes, dreams, fears, anxieties? Wants to come to US to see family	0.1
What is most important to you? Health and strength is most important	0.1
VI.               Summarize the Interview (Complete after the interview)	1.25
1.       Describe the older adult using the Five Dimensions of Person; include details from your interview to back up your statements. a.        Spiritual- Devoted Christian b.       Physical- Free of any age-related disabilities c.        Intellectual- short-term and long-term memory is still intact d.       Emotional- does not stress, worry, and stays in good spirit because of relationship with god e.        Socio-cultural- connects with her community through the church and cooking for those in the neighborhood on Easter	0.45
2.       Describe the older adult as they relate to Erikson’s developmental stage. Integrity vs Despair- feels accomplished in life because all daughters and grandchildren are safe, sound, and in good health in the United States	0.1
3.       Describe the older adult as they relate to Maslow’s Hierarchy of Needs Esteem- has self-respect and respect from others as leader in community church	0.1
4.       What learning needs does the older adult have? Does need technological teaching for her smartphone ex needs help learning how to use apps on smartphone devices	0.1
5.       What method would be appropriate for addressing these learning needs? If no learning need identified, what learning needs may they have in the future? Teaching her how to use apps that are beneficial to her in her spare time ex showing her how to text on Whatsapp (social smartphone app) so she can contact family via text instead of constant phone calls, which can be missed occasionally	0.1
6.       What, if any, safety risks did you identify for the older adult? Did the older adult verbalize the same risks? Can be a fall risk occasionally because of her slow shuffled gait however she does not view risk as threatening because shuffled gait is not a regular issue for her	0.1
7.       What lessons did you learn? Learned that my grand-mother is resilient in that in her old age with all her complications she still is able to live healthy meaningful life with no physical disabilities which gives me hope that old-age does not mean I can’t live a meaningful life while dealing with Chronic health issues.	0.1
8.       What surprised you most from this experience? How much chronic health issues I learned my grandmother has, I knew she was a long-time diabetic but her cholesterol and glaucoma issues I did not know about until now	0.1
9.       How did your personal assumptions/beliefs about older adults change? If they did not change, how were they reinforced? I now believe older adults who may suffer from the same chronic illness don’t all suffer the same fate. I work with a lot of geriatric patients who suffer from the same chronic illnesses as my grandmother who are either the same age or maybe younger than my grandmother however they face a lot of physical ailments that cause them to miss out on daily life, I now believe that I may not suffer the same fate as my grandmother gives me confidence that as long as I take good care of my health, take medications as prescribe, and stay physically active in my community I can live a meaningful life even in old age.	0.1
Writing	0.75
Grammar, punctuation, spelling, flow, organization	0.25
All responses to the above items must use the six content areas to construct paragraphs.	0.25
Signed Academic Integrity Statement	0.25
Total =	5	/ 5

ACADEMIC INTEGRITY (Mandatory)

For the purposes of this assignment, the student will:

1. Interview a non-hospitalized, older adult, preferably face-to-face.
2. Provide genuine interview findings from the older adult.
3. Engage in academic honesty and avoid all acts of plagiarism.

I, ____________________________, attest that this interview with ________________

PRINT STUDENT NAME                                             OLDER ADULT INITIALS

took place on ____________. My relationship to the older adult is _______________________.

Student Signature: __________________________________ DATE: _____________

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The “Older Adult Interview” ESSAY