Therapeutic assessment interview with an older adult

Assignment:
Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:
• Demographics, life time education and career/employment
• Two most significant (positive) times in their lives
• What past hardship or loss has the client successfully negotiated in the past?
• Two personal strengths
• Engage them in identifying what is healthy versus non-healthy coping skills
• Inquire of 2 healthy coping skills they have used in the past and/or now
• Three (3) pieces of advice they would give to their younger self if they could?
• Support the client in taking the Geriatric Depression Scale.pdf
• Support the client in taking the Fulmer SPICES Assessment.pdf
• Perform a Mini Mental State Exam.pdf and Patient_Stress_Questionnaire.pdf (attach here)
• Perform a Hall, Hall, and Chapman Article.pdf
• Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient stress questionnaire and the mini mental status exam
• Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?
• Describe at least two nursing diagnoses for this client.
• Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.
The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.
Record the time you spend interviewing the client and writing the assessment report as practice time in your Project Hour log under geriatric assessment. It is expected to take you between two and four hours. (Log is found in the reading materials). Submit completed and signed Log.

Assigned Website / readings:
• Bugelli, T. & Crowther, T.R. (2008). Motivational interviewing and the older population in psychiatry. Psychiatric Bulletin, 32, 23-25. doi: 10.1192/pb.bp.106.010405
• Center for Disease Control. (2017, January 31). Healthy aging- Depression is not a normal part of growing older. Healthy Aging. Retrieved from https://www.cdc.gov/aging/mentalhealth/depression.htm
• Hall, R. C. W., Hall, R. C. W., & Chapman, M. J. (2003). Identifying geriatric patients at risk for suicide and depression. Clinical Geriatrics, 11(10), 26-44.
• Project Hour Log.docx
• Project Hour Log Example

Expert Partial Solution 

Demography, Education and Employment

MR is a male American adult with an age of 68 years. He has been married for more than 30 years and has four children, some of whom have married and have their kids. MR grew in Virginia since his childhood and went through the American system of education. He is a graduate from the University of Virginia School of Engineering and Applied Sciences. He graduated magna cum laude in Mechanical Engineering. On his completion of school, his family shifted to Washington DC, where he was lucky to work with the Jacobs Engineering Group for more than ten years. Later, he moved from this company and was employed as senior staff in AECOM. It is from this company where he got the financial strength to manage several projects which enhanced his lifestyle significantly.

Significant Times

I conducted a therapeutic assessment interview in two sessions with MR, where he revealed that he had been longing to have a companion in his life. Therefore, one of his most significant moments is when he got married to a charming and beautiful woman. He had been lonely for so long after the demise of his father, and of course, was getting bored with some household chores which her wife later came to relieve him from. He sees the marriage as a new beginning in his life since there was a person to share his deepest secrets and difficulties, and would be supported in all ways possible. He defines his wife as a very jovial and charismatic woman who was able to tell when he was being disrupted by something in his mind, and she would romantically approach him and help him out. Although stress is an aspect which we must pass through on different occasions, to MR, it would not last for more than an hour when his wife was around. From the many scenarios which he narrates, it is clear that his wife has been his support, socially, spiritually, and emotionally.

Negotiated Loss

However, in the past few years, a tragedy hit him hard when his beloved wife passed on. This was an experience which tore him into pieces, not knowing what to do next, having his only significant treasure leaving him lonely. She had been ailing from cancer which had got her hospitalized severally. He claimed that the disease was realized at a severe stage which could be…Read more

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Therapeutic assessment interview with an older adult

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