Discuss the physical, emotional and mental signs of stress in the older person in both the acute care setting and residential aged care environment

Discuss in detail the following aspects of aged care:

1. Funding mechanisms that impact on aged care provision in both acute care and residential aged care. 4 marks
2. The changing demographics of the ageing population. 5 marks
3. Discuss changes to aged care service needs and the impact this has on the older person. 5 marks
4. Describe four (4) of the following current legal and ethical issues in aged care and evaluate their effectiveness in providing positive outcomes for older people:

• guardianship

• advanced health directives

• rights and responsibilities of the older person

• consent

• power of attorney

• elder abuse

• restraint

• ethical principles

• advocacy

• research and the older person. 16 marks

5. List some of the strategies that you would implement to assist the older person to maintain their health. 5 marks
6. Discuss the impact of complex issues on the carer(s) of the older person who has dementia. 5 marks
7. Discuss the physical, emotional and mental signs of stress in the older person in both the acute care setting and residential aged care environment. 5 marks
8. Complete the following case study. Mrs Giovanna Paulo is a 76 year old lady who lives in a residential aged care facility. She speaks little English. Mrs Paulo has recently had a hip replacement and has now developed pneumonia. Her other health needs include insulin dependant diabetes mellitus (IDDM), mild hypertension and hyperlipidaemia. Outline the pathophysiological changes that have occurred as a result of the development of pneumonia. Give an overview of the complex needs of Mrs Paulo in relation to the development of pneumonia and list the problems she may encounter as a result of her other health needs.
   10 marks
9. Outline:

• cause of dementia

• signs and symptoms

• associated health problems (including physical and psycho-social) 15 marks

10. Describe specific communication strategies to relieve distress, agitation and challenging behaviours when caring for a person with dementia 10 marks

11 What is “person-centred care”. How can it provide a client who has dementia with opportunities for autonomy and decision-making 10 marks