Reference no: EM133844650

Case Scenario: Boredom (Mrs. Geraldine James) While performing an initial home health evaluation for Geraldine James in her home, the home health nurse, thought, "This little lady has got it together." Mrs. James was well groomed and appeared well nourished. She walked with a smooth gate and seemed to have good balance. As the nurse sipped the tea that Mrs. James had insisted on serving and casually looked around at a clean, tidy home. Mrs. James said she did her own laundry, which was in the basement. Her bedroom was up one flight of stairs as was the bathroom. She told the nurse that a friend takes her to the grocery store once a week. As the nurse listened to Mrs. James describe her life, it became obvious to the nurse that this older woman needed more activities and social contact. Nursing Assessment Geraldine James is an 82-year-old woman who lives at home. Her husband died 2 years ago; they had no children. Mrs. James has the following medical diagnoses: mild cognitive impairment, macular degeneration, arthritis, mild hypertension, osteoporosis, and chronic constipation. She has not driven in her lifetime because her husband drove her everywhere. She has some hearing loss and wears a hearing aid. She fell 6 months ago with the result of bruising only and received physical therapy for strengthening and balance exercises. She used to walk daily with her husband at the mall. She lives three blocks from a school and two blocks from the local library. She walks to the hairdresser every week, which is three blocks away. Mrs. James worked most of her life at the local historical society as a secretary; she has a high school education. She is still able to read large-print books. She used to play cards, but her card group has dwindled because of illness and death. She was an active member of her church while her husband was alive but has not attended services since his death. Her niece, who lives across the country, called the home care agency to request an evaluation of her safety at home and whether she would benefit from home health aides. Mrs. James told her niece that she is not ready to move at this point. Mrs. James' finances and bills are being taken care of by the local bank, and she does not have financial worries

1. Identify the significant symptoms in the assessment and list the symptoms indicate the client has a health.

2. Group the symptoms that are similar.

3. Select possible nursing diagnoses for this client.

4. Write/select three nursing care plans for Mrs. James (actual, potential and teaching