Identify an older adult age 65 +, use a 1st and last initial.

Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:
J.M (female) DOB: 09/18/1945
• Demographics, lifetime education, and career/employment
o Born in St. Vincent, moved to Trinidad as a child with mother
o Only finished high school as mother died when she 16
o Worked odd jobs in retail and then moved to America worked as a caretaker, housekeeper, and nanny
• Two most significant (positive) times in their lives
o Deciding to move to America to make better for children
o Purchasing the first house in 1994 for myself and my children
• What past hardship or loss has the client successfully negotiated in the past?
o Death of a spouse and raising six children between the ages of 2-10
• Two personal strengths
o Always work hard to provide for my family
o Never give up
• Engage them in identifying what is healthy versus non-healthy coping skills
• Inquire of 2 healthy coping skills they have used in the past and/or now
• Three (3) pieces of advice they would give to their younger self if they could?
o Take time to enjoy what you worked for. Now that I’m older I realize that I worked a lot and did not necessarily enjoy the accomplishments of my hard work
o Keep pushing the children to want and accomplish more than me
o Get your education because no one can take that away from you
Support the client in taking the Geriatric Depression Scale (Attached answers highlighted)
Support the client in taking the Fulmer SPICES Assessment(Attached answers highlighted)
Perform a Mini Mental State Exam(Attached answers highlighted)
Patient_Stress_Questionnaire.pdf (Attached answers highlighted)
Perform a Hall, Hall, and Chapman Article. All answers negative.
Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient Stress Questionnaire, and the Mini-Mental Status Exam
Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?
Describe at least two nursing diagnoses for this client.
Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

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