Family Diagnosis and Health Promotion Care Plan

Family Analysis Project Phase II
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Family Analysis Project Phase II
The project below involved analyzing MH's family. Contact information and addresses have been altered for confidentiality. MH is a retired nurse who is 82 years old, a mother of two, and a native English speaker. MH is a white Catholic who lost her husband, JH, at 88. JH, a former police officer, passed away from lung cancer. MH lives in Stratford, Connecticut, at 9827 Heart Boulevard. After MH had been in a placement for a while, a reference on her behalf surfaced. MH has a history of falling and is currently in the early stages of dementia. The hospital had only just admitted MH; thus, she needed a visiting nurse. JH, a boy, and OT, a daughter, belong to MH. CH is her daughter-in-law as well. She has designated the three family members mentioned above as her emergency contacts. The project is the second phase of a family analysis project on MH. Phase one of the project also suggested a long-term care program for MH.
Family Diagnoses
A diagnosis for the following diseases was conducted on MH. The diseases are listed in the order of priority, with the ones on top of the list being of higher priority. Therefore, the subsequent care plan will be based on the first two diagnoses.
1 MH has a history of dementia hence the disease being given top priority. Dementia is the term for the loss of cognitive skills, including remembering, thinking, and reasoning, to the extent that it interferes with a person's day-to-day functioning (Jaul & Barron, 2017). Dementia is a condition that is more common as individuals age; around one-third of all persons over the age of 85 may have some kind of dementia. The diagnosis is based on cognitive and neurological tests. Additionally, brain scans and psychiatric evaluations are considered.
2 Due to MH's history of falling, a diagnosis of Osteoporosis is necessary. Osteopenia is the natural aging-related reduction of bone density. Osteoporosis, a more severe decrease in bone density, affects many persons over the age of 85. Bone fractures are more common in people with Osteoporosis (Jaul & Barron, 2017). A device that assesses the amount of mineral in the patient's bones using low X-rays doses can estimate the patient's bone density. The patient rests on a cushioned surface during this painless examination as a scanner moves over their body. A few bones—usually the hip and spine—are typically examined.
3 In older individuals in America, like MH, osteoarthritis ranks second in terms of prevalence and is a major contributor to chronic pain and disability. In one research, osteoarthritis was diagnosed in 52% of 85-year-olds (Jaul & Barron, 2017). Women appear to be more likely than males to have osteoarthritis. The diagnosis consists of imaging tests like x-rays and blood tests. The joint fluid analysis draws fluids from the joints that detect inflammations.
4 The most prevalent chronic condition affecting older persons is hypertension, which plays a significant role in atherosclerosis. Even at advanced ages, isolated systolic hypertension is linked to death, especially in older persons. It is recommended that MH be diagnosed to check for hypertension.
5 As people age and become more overweight, diabetes rates have been rising. Even at the age of 85, diabetes is still a significant cardiovascular disease risk factor. Diabetes also increases the risk of peripheral neuropathy and peripheral artery disease, leading to diabetic foot ulcers and amputations. 6% of diabetes individuals get diabetic foot ulcers each year, and 0.5% have to have their feet amputated (Jaul & Barron, 2017). It is recommended that MH be diagnosed to check for diabetes.
Plan for Care
1 Dementia
Assessment: The patient has a history of dementia.
Nursing Diagnosis: The doctor sees the need to examine the patient's state of dementia.

Outcomes/ Planning:
MH was diagnosed with dementia.
MH is to be placed under pharmacological management.

Nursing Implementation/ Interventions

Rationale/ References

Establish experimental therapies.

For dementia, several experimental treatments have been suggested, including reversing excessive tau phosphorylation, anti-amyloid therapy, estrogen therapy, free radical scavenger therapy, and vitamin E therapy (Belleza, 2019).

Establish dietary measures.

There are no specific dietary recommendations for dementia; however, caprylidene (Axona), a medication available only by prescription, is converted into ketone bodies, which the brain can use as an energy source when unable to digest glucose (Belleza, 2019). Dementia patients and older individuals with brain imaging studies show drastically reduced glucose absorption.

Evaluation of progress toward outcomes:
The goal was partially met. The patient dementia case was not severe, and the care enabled MH to differentiate non-reality-based thinking from real thinking.

2. Osteoporosis
Assessment: The patient has a frequent history of falling.
Nursing Diagnosis: The caregiver relates the falling down to the patient's weak bone...