Running Head: ASSESSMENT ON ELDERLY 1 ASSESSMENT ON ELDERLY 9 Assessment and Care Plan for Elderly Ralph Marrero South University June 14, 2020 Evaluating and development of care for an ageing individual Daniel, a 65 years old poet, was a well-renowned writer and poet, and his fame was due to his poems, which were nature-oriented and full of positivity and wisdom. During his young age and adulthood, Daniel managed to have visited several cities where he was invited in forums as the guest speaker as well as to go and recite his poems. Danie is a pro-life individual who is always advocating for the care of nature and the environment. He has three adult sons and a daughter who is in her early thirties. Daniel lost his beloved wife twenty-three years ago as a result of an accident that happened in the range where his wife was cut deeply by a chaff cutter and bleed to death as there was nobody around to her. The death of his wife and the mother of his children grieved the family so bad and left them with much sorrow. Having no one else to help raise the kids, he had to quit his career and concentrate on family endeavors to take care of his children, especially the very young daughter, who was very young. Being a poet, it was such a setback to him, chiefly because he was at the peak of his career and what he had loved since he was a young boy. Despite his wife’s death and his career suddenly cut down. Daniel is a joyful older adult who, according to his children's success, gives him a purpose in life. Research has indicated that having a sense of purpose in life is has been proven to reduce the risk of diseases, especially at old age. Additionally, statistics show that the number of older adults in developing countries has been increasing and is expected to double come the next decade. Preliminary issues From this case the possible effects include: Dementia, risk of falling, Insomnia Backache. Dementia is technically a collective term used in the description of various symptoms of cognitive declines, such as forgetfulness. The risk of falling is not much as Mr. Daniel still looks healthy and energetic. Dementia, on the other hand, has the highest risk as older age can result in not rasps of forgetfulness often. Additionally, most elderly adults usually have insomnia. Insomnia is characteristic of the lack of sleep or the encounter of the sleepless night, thus making an individual stay awake throughout the night. As a result, mar Daniel always prefers to sit on his favorite chair when he experiences sleepless nights. As a result, he has been spending most of his night s seat, and that is the possible reason as to why he is experiencing backache; however, other factors too can be cursive gents. Back pai.

1. Running Head: ASSESSMENT ON ELDERLY
1
ASSESSMENT ON ELDERLY
9
Assessment and Care Plan for Elderly
Ralph Marrero
South University
June 14, 2020
Evaluating and development of care for an ageing individual
Daniel, a 65 years old poet, was a well-renowned writer and
poet, and his fame was due to his poems, which were nature-
oriented and full of positivity and wisdom. During his young
age and adulthood, Daniel managed to have visited several
cities where he was invited in forums as the guest speaker as
well as to go and recite his poems. Danie is a pro-life individual
who is always advocating for the care of nature and the
environment. He has three adult sons and a daughter who is in
her early thirties. Daniel lost his beloved wife twenty-three
years ago as a result of an accident that happened in the range
where his wife was cut deeply by a chaff cutter and bleed to
death as there was nobody around to her. The death of his wife
and the mother of his children grieved the family so bad and left
them with much sorrow. Having no one else to help raise the
kids, he had to quit his career and concentrate on family
endeavors to take care of his children, especially the very young

2. daughter, who was very young. Being a poet, it was such a
setback to him, chiefly because he was at the peak of his career
and what he had loved since he was a young boy. Despite his
wife’s death and his career suddenly cut down. Daniel is a
joyful older adult who, according to his children's success,
gives him a purpose in life. Research has indicated that having a
sense of purpose in life is has been proven to reduce the risk of
diseases, especially at old age. Additionally, statistics show that
the number of older adults in developing countries has been
increasing and is expected to double come the next decade.
Preliminary issues
From this case the possible effects include:
Dementia, risk of falling, Insomnia Backache. Dementia is
technically a collective term used in the description of various
symptoms of cognitive declines, such as forgetfulness. The risk
of falling is not much as Mr. Daniel still looks healthy and
energetic. Dementia, on the other hand, has the highest risk as
older age can result in not rasps of forgetfulness often.
Additionally, most elderly adults usually have insomnia.
Insomnia is characteristic of the lack of sleep or the encounter
of the sleepless night, thus making an individual stay awake
throughout the night. As a result, mar Daniel always prefers to
sit on his favorite chair when he experiences sleepless nights.
As a result, he has been spending most of his night s seat, and
that is the possible reason as to why he is experiencing
backache; however, other factors too can be cursive gents. Back
pains have been hindering his movement, especially when
seating and standing up.
Additionally, there could be possibilities of depression as a
result of loneliness. Currently, Mr. Daniel lives alone. Basing
on the kind of person he is and his previous career, he needs
people to talk to and speak up his heart; however, heats not the

3. case. This is because he receives visits from his children once
in a while.
Thus, care and dietary intake should be considered as a means
of mitigating any risk of impending diseases. Mr. Daniel should
have assistance to help him when walking around to reduce the
risk of falling as a result of his age.
Alteration in health
Basing on the adjustment in well-being provides the
possibilities, in this case, would be
· Insomnia
· Dementia
· Back problems
· Difficulty in remembering.
Personal cultural awareness.
The Native Americans have these common cultural aspects,
which entails the inclusion of bring oriented in the past and, at
the same time, valuing cooperation. Additionally, they have a
soft spot for the family at family is highly valued, and they also
believe in spiritual beliefs. The state of health, according to the
Native Americans, is achieved if the only harmony exists
between an individual and nature (Fontainne, 2017). Illness is
not an individual’s psychological state but an imbalance
between a person and the supernatural forces.
Cultural competency
A wellbeing care system that is dubbed as cultural competency
is one where this health care system can aid in the enhancement
of the outcome of health and quality of care. Cumulative
diversity in the US brings about challenges and opportunities
for health care givers and policy makers to come up with a
creative means of dispatching cultural competency services
(University, G. 2004). In addition, this type of health system
should have the capability of meeting all the social, cultural as
well as the linguistic needs of a patient.
A cultural health care system should be the front line in the
elimination of racial and health disparities among individuals.

4. In order to achieve the above, an example involves the creation
and providence of the health care system that aims to provide
the relevant training on cultural incompetence to health
professionals as means of reducing administrative and linguistic
barriers to patient’s health.
Supplementary inquiries.
His viewpoint on age
Age is technically the quantitative analysis of the years one has
lived on earth. As one age, they have the capability of having
changes, primarily psychological and physical appearances. Age
is a representation of knowledgeable wealth that an individual
has gained their entire lives. However, medical advancement
and technology have generally changed the view and scope of
life, creating a possibility of prolonging life; however, other
factors also contribute to extended life.
Health and ailment belief.
Having the right attitude and being optimistic is an excellent
way of improving your health and prolonging it at some level.
Fitness should be a concern to every individual despite their age
as it is God's given thus require to take care. Additionally,
regular exercise and keeping feet s essential in the maintenance
of our bodies.
The secret to a healthier and longer life
His biggest motivation that has kept him going is the love they
share in the family between him and his children. He advises
other people to make sure that they are wells of love as peace of
mind has the capability of working wonders and, in this case,
the ability to stay healthy and experience a longer life on earth.
APPENDIX
Questionnaire
i. Gender: male
ii. Profession: a professional poet
iii. Family members four alive one deceased.
iv. Age 65 years
v. How good was the doctor in offering their devices?

5. vi. Which of these describes the reason for seeing the doctor?
poor
Below average
average
satisfactory
Best/
Listened keenly
*
Clear explanations
*
About your condition
*
Best analysis
*
Recommended Treatment

6. *
TINETTI BALANCE AND GAIT EVALUATION
section of balance
Gait section
patient on an armless chair
Movement in variable paces by the subjects.
Sitting balance
1
gait indicates
1
chaired raising
2
length step and height
1
Closing of the eye
1
Foot clearance
1
360 degree turning
0
Step equilibrium
1
Vertical balance
2
Step steadiness
1
rising attempts
2
pathway
2

7. standing
2
stalk
2
nudged
1
Mobility period
1
Sedentary
2
Scores obtained are 13/16
Gain score obtained 10/12
Score totals = Score balance added with Gait Score which
equivales to 23/28
The score obtained for the Tinetti tool is there for moderate due
to presence of 23
So, the risk is moderate.
KATZ INDEX OF ACTIVITY
Actions
Independent
Point (1)
Dependent
point (0)
Lack of direction
Availability of direction ,
Bath
1
0
Dress

8. 1
0
Toilet
1
0
Transfer
1
0
continuity
1
0
Feed
1
0
Total
06 (high)
0 (low)
THE BARTHEL INDEX
Action
Notch
Feed
20
Groom
5
Staircases
10
Bladder
5

9. Toilet use transfer for the bed to chair and back
10
dressing
10
Mobility
5
References
ME, T. (1986). TINETTI BALANCE ASSESSMENT TOOL.
America Journal of Medicine, 429-434.
Mahoney, B. &. (1965). “Functional evaluation: the Barthel
Index.”. Maryland State Medical Journal, 56-61.
Wallace, M. (2007). Katz Index of Independence in Activities of
Daily Living. New York: Maine Health.
Olsen, R. V. (March 2006). HOME SAFETY ASSESSMENT
CHECKLIST. Center for Architecture and Building Science
Research (CABSR).
University, G. (2004). CULTURAL COMPETENCE IN
HEALTH CARE: IS IT IMPORTANT FOR PEOPLE WITH
CHRONIC CONDITIONS? Georgetown: Health Policy Institute.
Fontainne, A. (2017). Aging and the Elderly. In W. Little,
Introduction to Sociology. Creative Commons Attribution 4.0
International License.