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Mr. Allen is an 84-year-old man recently admitted to a skilled nursing facility after a hospitalization for pneumonia. He has moderate hearing loss, early-stage Alzheimer

NU Nurses90 · 📅 August 19, 2025 · ⏱ 2 min read
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Case Scenario:

Mr. Allen is an 84-year-old man recently admitted to a skilled nursing facility after a hospitalization for pneumonia. He has moderate hearing loss, early-stage Alzheimer’s disease, a history of diabetes, and lives far from his family. He is alert but often confused in the evenings. He reports feeling weak and “not steady” when walking. The staff note that he has refused meals twice and appears withdrawn.

Your Task:

Write a 750–1000 word case analysis responding to the prompts below. Use your learning from Weeks 4–6 to guide your work.

Part 1: Application and Evaluation of a Care Model

  • Identify one gerontological care model (e.g., PACE, NICHE, Transitional Care) and explain how it applies to Mr. Allen’s situation.
  • Evaluate one strength and one limitation of this model when used with patients like Mr. Allen.

Part 2: Geriatric Assessment and Protocols

  • Identify two screening tools (e.g., CAM, Braden Scale, Mini-Cog, GDS) you would use and explain why.
  • Describe two risks or concerns the tools might help you identify.
  • Identify one geriatric treatment protocol relevant to Mr. Allen’s case and describe how you would apply it.

Part 3: Prioritizing Nursing Care

  • Based on your assessment, what are Mr. Allen’s two most urgent care priorities?
  • Propose two nursing diagnoses and corresponding interventions that align with those priorities.
  • Briefly explain how you evaluated and prioritized his needs based on assessment findings.
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