1. Functional Consequences: Observable effects of actions, risk factors and age related changes that influence the quality of life or day-to-day activities of the older adult
1.1. +tve
1.1.1. Those that facilitate the highest level of functioning, the least dependency, and the best quality of life
1.2. -tve
1.2.1. Those that interfere with the older adult's functioning or quality of life
2. Community Centre
2.1. Diagnosis + Medications
2.1.1. Slow K 1tablet mane
2.1.1.1. Potassium-chloride - electrolyte replenisher
2.1.2. Multivitamin 1 tablet mane
2.1.2.1. Dietary supplement
2.1.3. Leg ulcers: both legs
2.1.4. Advanced congestive cardiac failure
2.1.4.1. Medication: Frusemide 40mg mane
2.1.4.1.1. Loop diuretic for treatment of cardiac failure and oedema
2.1.5. Shortness of breath on exertion
2.1.6. Bilateral leg swelling
2.1.7. Hypertension
2.1.7.1. Medication: Metaprolol 40mg mane
2.1.7.1.1. Selective B1 receptor blocker - treatment for hypertension
2.1.8. Limited mobility
2.2. Assessment Process
2.2.1. Diet and Nutrition
2.2.2. Physical Exam
2.2.3. ACAT/ACAS (Aged Care Assessment Team/Aged Care Assesment Service - in Victoria)
2.2.3.1. Packages: Many services put together into a bundle to help individual needs in the community
2.2.3.1.1. CACP (community aged care package): Low care at the patients home, assistance with ADL's.
2.2.3.1.2. EACH (Extended aged care at home): High care treatment at the patients home, for people who need more help than care provided in the above package.
2.2.3.1.3. EACH-D (extended aged care at home for dementia): Highest level care for those who experience difficulties in daily life because of behavioral and/or psychological differences.
2.2.3.1.4. HACC (Home and community care): Assists patients to continue to live independently at home by providing support for them to participate in social activities, maintaining social contacts and supporting independence in ALD's and essential activites such as banking and shopping.
2.2.3.1.5. CDC (Consumer Directed Care) Packaged care: Gives patient and carer a greater say of treatment options in their home.
2.2.3.2. What: Undergoes comprehensive assessments and establishes which services the patient is eligible for and assess how well the patient is able to cope with ADL's
2.3. Evaluations
2.3.1. Interventions
2.3.1.1. Nurse (only)
2.4. Role and Resources
2.5. Nurse
2.5.1. Interventions
2.5.2. Role
3. Age Related Changes
3.1. Specific to patient
3.1.1. +tve
3.1.2. -tve
4. Relationships/connectiveness
4.1. Metaphysical
4.2. Biological
4.2.1. Matt (Nephew)
4.2.2. Wife (deceased)
4.3. Spiritual
4.4. Environmental
4.5. Societal
5. Risk Factors
5.1. Specific to patient
6. Psychosocial
6.1. Environmental
6.1.1. Cultural
6.2. Cognuitive
6.2.1. Patient Dignity
6.2.2. Coping Skills
6.2.2.1. Death
6.2.2.2. ADL's
6.2.2.3. Pain
6.2.2.4. Mobility
6.2.3. Mental Capacity + Wisdom
6.2.4. Spiritual
6.3. Family and Caregivers
6.3.1. Matt (Nephew)
6.3.1.1. +tve
6.3.1.2. -tve
7. advanced congestive heart failure
7.1. hypertension, shortness of breath, bilateral leg swelling, ulcers on both legs
7.1.1. further assessment diagnostic and laboratory
7.1.1.1. Excess fluid volume
7.1.1.1.1. relieve overload fluid symptom