Gerontological Nursing

Gerontological Nursing

NSG4067 Gerontological Nursing

Patient Questionnaire

 

INTERVIEW OF CHOSEN ELDER ADULT

 

Name: ________________________________ Age: ________________

 

Brief Introduction (Background information):

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

1. Philosophy on living a long life

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

2. Thoughts about when a person is considered “too old”

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

3. Opinion on the status and treatment of older adults

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Beliefs about health and illness

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

5. Health promotion activities he or she participates in

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

6. Something special that helped the person live so long

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

7. Life span of other family members

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

8. Special dietary traditions in patient’s culture attributed with aiding long life

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

9. Any remedies/medications that have been handed down in family/group. If yes, describe. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

10. Patient’s description of current and past health status

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

11. The values that guided life so far

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Additional Questions

1. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

2. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

3. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Summary

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Contrast of client’s responses with findings in current literature

· ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

· ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

· ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Page 1 of 4

© 2015 South University

Looking for a similar assignment? Get help from our qualified experts!

Order Now

Related Posts