(Solved) MN584 Geriatric Pain Assessment in Older Adults | Homework Solution
Geriatric Pain Assessment in Older Adults
You may choose to write a paper or create a PowerPoint presentation from either of the two options below:
Write a paper or create a PowerPoint presentation (with embedded speaker notes) that identifies the components of a pain assessment in the older adult. Please include the following:
- What validated pain assessment tools are available to adequately assess older adults who are cognitively intact and applicable to those who may not be cognitively intact? How will you determine the ability of the patient to complete the pain interview or assessment if cognitive deficits are present? Some examples are the numeric rating scale (NRS), the verbal descriptor scale (VDS) or pain thermometer, and the faces pain scale-revised (FPS-R). How might these be appropriate or inappropriate? Geriatric Pain Assessment in Older Adults
- Using Beer’s Criteria and CDC guidance, identify and discuss the pain medications which are potentially inappropriate for the older adult, and make recommendations for alternative therapies for effective pain management which might be safer and also effective in this age group.
- How do the presence of any sensory deficits (e.g., eyesight, hearing, diminished peripheral touch/pain sensations) and assistive devices such as hearing aids impact the assessment, and how will you overcome these deficits if present?
- What specialized tools for neuropathic pain should be considered for older adults capable of verbal communication that are suspected of having neuropathic pain? Geriatric Pain Assessment in Older Adults
- How do evaluations of pain impact the older adult’s functioning (e.g., associated symptoms, sleep disturbance, appetite changes, physical activity changes, concentration, and relationships with others)? To view the grading rubric for this assignment, please visit the Grading Rubrics section of the Course Resources.
To view the grading rubric for this assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements:
Before finalizing your work, you should:
- be sure to read the assignment description above carefully;
- consult the grading rubric (under the Course Resources) to make sure you have included everything necessary; and
- utilize spelling and grammar check to minimize errors.
Your writing assignment should:
- follow the conventions of Standard English (correct grammar, punctuation, etc.);
- be well ordered, logical, and unified, as well as original and insightful;
- display superior content, organization, style, and mechanics;
- use APA current edition format; and Get Blue Haven Initiative Help!! Geriatric Pain Assessment in Older Adults
- be supported with a minimum of 5 scholarly, peer-reviewed sources from the past 5 years, external to those assigned for this unit.
Please see the Writing Center located in the student portal for assistance with writing, APA style, and online communication.
How to Submit:
Submit your assignment to the unit Dropbox before midnight on the last day of the unit.
When you are ready to submit your assignment, select the unit Dropbox, then attach your file. Make sure to save a copy of the assignment you submit.
Rubric Title: MN584 Unit 2 Assignment 1 Rubric
| Unit 2 Assignment 1 Criteria | Level III | Level II | Level I | Not Present |
| Criteria 1
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Theory of Aging | â—Â Â Â Â Includes theory of aging chosen and a thorough overview of the main concepts of the theory are described. | â—Â Â Â Â Â Includes theory of aging chosen and most of the main concepts of the theory are described. Geriatric Pain Assessment in Older Adults
|
â—Â Â Â Â Â Includes theory of aging chosen with only a brief overview of the main concepts of the theory described.
|
â—Â Â Â Â Does not meet the criteria.
|
| Criteria 2
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Comprehensive Geriatric Assessment in your role as a Nurse Practitioner | â—Â Â Â Â Provides one example of how to apply the Comprehensive Geriatric Assessment as a Nurse Practitioner working with the frail elder is discussed. Example is detailed. | â—Â Â Â Â Provides one example of how to apply the Comprehensive Geriatric Assessment as a Nurse Practitioner working with the frail elder is discussed. Example is missing minor details. | â—Â Â Â Â Provides one example of how to apply the Comprehensive Geriatric Assessment as a Nurse Practitioner working with the frail elder is minimally discussed. Example is missing significant details. | â—Â Â Â Â Does not meet the criteria.
|
| Criteria 3
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Comprehensive Geriatric Assessment will assist the nurse practitioner | â—Â Â Â Â Provides one example of how the Comprehensive Geriatric Assessment will assist the Nurse Practitioner in health promotion of the frail elder. Geriatric Pain Assessment in Older Adults
â—Â Â Â Â Example is detailed. |
â—Â Â Â Â Provides one example of how the Comprehensive Geriatric Assessment will assist the Nurse Practitioner in health promotion of the frail elder.
â—Â Â Â Â Example is missing minor details. |
â—Â Â Â Â Provides one example of how the Comprehensive Geriatric Assessment will assist the Nurse Practitioner in health promotion of the frail elder.
â—Â Â Â Â Example is missing significant details. |
â—Â Â Â Â Does not meet the criteria.
|
| Criteria 4
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Two examples of how you as the nurse practitioner will synthesize best practice in care of the aging population based on relevant research with regard to organ system changes with normal aging. | â—Â Â Â Â Provides two examples of how the Nurse Practitioner will synthesize best practice in care of the aging population based on relevant research with regard to organ system changes with normal aging.
â—Â Â Â Â Both examples are detailed. |
â—Â Â Â Â Provides two examples of how the Nurse Practitioner will synthesize best practice in care of the aging population based on relevant research with regard to organ system changes with normal aging.
â—Â Â Â Â Examples are missing minor details. |
â—Â Â Â Â Provides one example of how the Nurse Practitioner will synthesize best practice in care of the aging population based on relevant research with regard to organ system changes with normal aging. | â—Â Â Â Â Does not meet the criteria.
|
| Criteria 5
|
Level III Max Points
Points: 10 |
Level II Max Points
Points: 9 |
Level I Max Points
Points: 4 |
Not Present
0 Points |
| College-level academic writing | â—Â Â Â Â Â Â Writing style facilitates
communication. â—Â Â Â Â Â Â No grammar, word usage or punctuation errors. â—Â Â Â Â Â Â Overall style is consistent with professional work.
|
â—Â Â Â Â Â Â Writing style and
communication is unclear. Several confusing statements. â—Â Â Â Â Â Â Two grammar, word usage or punctuation errors. Geriatric Pain Assessment in Older Adults
|
â—Â Â Â Â Â Â Writing style and
communication is unclear. â—Â Â Â Â Â Â Paragraphs are out of order and unclear. â—Â Â Â Â Â Â Includes confusing statements. â—Â Â Â Â Â Â Three grammar, word usage or punctuation errors.
|
â—Â Â Â Â Does not meet the criteria.
|
| Criteria 6 | Level III Max Points
Points: 10 |
Level II Max Points
Points: 8 |
Level I Max Points
Points: 4 |
Not Present
0 Points |
| Citations and Formatting | â—Â Â Â Â Â Â Provides five references
that are relevant to content and published within the last five years â—Â Â Â Â Â Â References and in text citations follow APA format guidelines. |
â—Â Â Â Â Â Â Provides four references
that are relevant to content and published within the last five years â—Â Â Â Â References and in text citations generally follow APA format guidelines. Geriatric Pain Assessment in Older Adults |
â—Â Â Â Â Provides three references that are relevant to content and published within the last five years
â—Â Â Â Â References and in text citations ensure that authorship is somewhat clear. |
â—Â Â Â Â Does not meet the criteria. |
| Maximum Total Points | 100 | 85 | 60 | 0 |
| Minimum Total Points | 86 points minimum | 61 points minimum | 1 point minimum | 0 |
Rubric Title: MN584 Unit 4 Assignment 1 Rubric
| Unit 4 Assignment 1 Criteria | Level III | Level II | Level I | Not Present |
| Criteria 1
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Description of patient demographics, comorbid conditions, medication list, pertinent labs, and age related changes. | â—Â Â Â Â Patient is described in detail including age, gender, ethnicity, medical diagnoses, medication allergies,
â—Â Â Â Â Includes list of prescriptions/OTC medications/herbal supplements including: dosage, route, and frequency. Geriatric Pain Assessment in Older Adults â—Â Â Â Â Described three age related changes that can affect pharmacokinetics and pharmacodynamics. |
â—Â Â Â Â Patient description is lacking minor details.
â—Â Â Â Â Describes three age related changes that can affect pharmacokinetics and pharmacodynamics, but missing minor details. |
â—Â Â Â Â Patient description is lacking major details.
â—Â Â Â Â Describes only 1-2 age related changes that can affect pharmacokinetics and pharmacodynamics, or description of three age related changes is missing major details. |
â—Â Â Â Â Does not meet the criteria. |
| Criteria 2
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Potentially inappropriate medications | â—Â Â Â Â Analyzes medications using Beer’s criteria to identify potentially inappropriate medications
â—Â Â Â Â Includes recommendations for changes. |
â—Â Â Â Â Analyzes medications using Beer’s criteria to identify potentially inappropriate medications.
â—Â Â Â Â Includes recommendations for changes, but rationale is not clear. |
â—Â Â Â Â Analyzes medications using Beer’s criteria to identify potentially inappropriate medications
â—Â Â Â Â Does not include any recommendations for changes. Geriatric Pain Assessment in Older Adults |
â—Â Â Â Â Does not meet the criteria. |
| Criteria 3
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Challenges related to complementary and alternative medications | â—Â Â Â Â Thoroughly discusses two challenges that NPs face with regard to regulation of complementary and alternative medications in care of the frail elderly. | â—Â Â Â Â Discusses two challenges that NPs face with regard to regulation of complementary and alternative medications in care of the frail elderly with minor details missing. Geriatric Pain Assessment in Older Adults | â—Â Â Â Â Discusses one to two challenges that NPs face with regard to regulation of complementary and alternative medications in care of the frail elderly with major details missing. | â—Â Â Â Â Does not meet the criteria. |
| Criteria 4
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Strategies for medication reconciliation | â—Â Â Â Â Addresses one specific strategy to assess medication reconciliation including CAM
â—Â Â Â Â Includes over the counter medications in the frail elderly population |
â—Â Â Â Â Addresses one specific strategy to assess medication reconciliation including CAM
â—Â Â Â Â Includes over the counter medications in the frail elderly population with minor details missing. |
â—Â Â Â Â Addresses one specific strategy to assess medication reconciliation including CAM
â—Â Â Â Â Includes over the counter medications in the frail elderly population with major details missing. |
â—Â Â Â Â Does not meet the criteria. |
| Criteria 5
|
Level III Max Points
Points: 10 |
Level II Max Points
Points: 9 |
Level I Max Points
Points: 4 |
Not Present
0 Points |
| College-level academic writing | â—Â Â Â Â Â Â Writing style facilitates
communication. â—Â Â Â Â Â Â No grammar, word usage or punctuation errors. â—Â Â Â Â Â Â Overall style is consistent with professional work.
|
â—Â Â Â Â Â Â Writing style and
communication is unclear. Geriatric Pain Assessment in Older Adults â—Â Â Â Â Â Â Several confusing statements. â—Â Â Â Â Â Â Two grammar, word usage or punctuation errors.
|
â—Â Â Â Â Writing style and
communication is unclear. â—Â Â Â Â Paragraphs are out of order and unclear. â—Â Â Â Â Many confusing statements. â—Â Â Â Â Three grammar, word usage or punctuation errors.
|
â—Â Â Â Â Does not meet the criteria. |
| Criteria 6 | Level III Max Points
Points: 10 |
Level II Max Points
Points: 8 |
Level I Max Points
Points: 4 |
Not Present
0 Points |
| Citations and Formatting | â—Â Â Â Â Â Â Provides five references
that are relevant to content and published within the last five years â—Â Â Â Â Â Â References and in text citations follow APA format guidelines. |
â—Â Â Â Â Â Â Provides four references
that are relevant to content and published within the last five years â—Â Â Â Â References and in text citations generally follow APA format guidelines. Geriatric Pain Assessment in Older Adults |
â—Â Â Â Â Provides three references that are relevant to content and published within the last five years
â—Â Â Â Â References and in text citations ensure that authorship is somewhat clear. |
â—Â Â Â Â Does not meet the criteria. |
| Maximum Total Points | 100 | 85 | 60 | 0 |
| Minimum Total Points | 86 points minimum | 61 points minimum | 1 point minimum | 0 |
Rubric Title: MN584 Unit 6 Assignment 1 Rubric
| Unit 6 Assignment 1 Criteria | Level III | Level II | Level I | Not Present |
| Criteria 1 | Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Pain assessment tools for the older adult | Description of pain assessment tools for the verbal and nonverbal patient, and applicability in various settings is described in detail including: Geriatric Pain Assessment in Older Adults
â—Â Â Â Â inpatient and outpatient settings, â—Â Â Â Â age, â—Â Â Â Â gender, ethnicity, age related changes, â—Â Â Â Â medical diagnoses, â—Â Â Â Â OT and Rx medications/herbal supplements, and â—Â Â Â Â how the above may impact the various pain assessment tools. |
â—Â Â Â Â Description of tools and applicability in various patients is lacking minor details. | â—Â Â Â Â Description of tools and applicability in various patients is lacking major details. | â—Â Â Â Â Does not meet the criteria.
|
| Criteria 2
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Discussion of the impact of pain on the older adult and their functional ability in terms of their ability to maintain employment, the need for caregiver, the impact on healthcare expenditures, risk for falls, and opioid dependence issues. | â—Â Â Â Â Analyzed the impact of pain on functional ability, caregiver needs and independence, risk for falls, and opioid dependence
â—Â Â Â Â Includes recommendations for alternatives and changes. |
â—Â Â Â Â Analyzed pain impact and makes recommendations for changes, but rationale is not clear. Geriatric Pain Assessment in Older Adults | â—Â Â Â Â Analyzed pain impact but does not include recommendations for changes, or rationale is missing. | â—Â Â Â Â Does not meet the criteria.
|
| Criteria 3
|
Level III Max Points
Points: 20 |
Level IIÂ Max Points
Points: 17 |
Level IÂ Max Points
Points: 13 |
Not Present
0 Points |
| Age-related sensory changes which affect pain assessments | â—Â Â Â Â Describes three age related changes that can affect the various pain assessments. | â—Â Â Â Â Describes three age related changes that can affect the various pain assessments.
â—Â Â Â Â Minor details are missing. |
â—Â Â Â Â Describes 1-2 age related changes that can affect the various pain assessments.
â—Â Â Â Â Major details are missing. |
â—Â Â Â Â Does not meet the criteria.
|
| Criteria 4
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Specialized tools and treatments for neuropathic pain | â—Â Â Â Â Discusses one specialized tool and treatment for older adults with neuropathic pain. Geriatric Pain Assessment in Older Adults | â—Â Â Â Â Discusses one specialized tool and treatment for older adults with neuropathic pain.
â—Â Â Â Â Minor details missing. |
â—Â Â Â Â Discusses one specialized tool and treatment for older adults with neuropathic pain.
â—Â Â Â Â Major details missing. |
â—Â Â Â Â Does not meet the criteria.
|
| Criteria 5
|
Level III Max Points
Points: 10 |
Level II Max Points
Points: 9 |
Level I Max Points
Points: 4 |
Not Present
0 Points |
| College-level academic writing | â—Â Â Â Â Â Â Writing style facilitates
communication. â—Â Â Â Â Â Â No grammar, word usage or punctuation errors. â—Â Â Â Â Â Â Overall style is consistent with professional work.
|
â—Â Â Â Â Â Â Writing style and
communication is unclear. Several confusing statements. Geriatric Pain Assessment in Older Adults â—Â Â Â Â Â Â Two grammar, word usage or punctuation errors.
|
â—Â Â Â Â Â Â Writing style and
communication is unclear. Paragraphs are out of order and unclear. Many confusing statements. â—Â Â Â Â Â Â Three grammar, word usage or punctuation errors.
|
â—Â Â Â Â Does not meet the criteria.
|
| Criteria 6 | Level III Max Points
Points: 10 |
Level II Max Points
Points: 8 |
Level I Max Points
Points: 4 |
Not Present
0 Points |
| Citations and Formatting | â—Â Â Â Â Â Â Provides five references
that are relevant to content and published within the last five years â—Â Â Â Â Â Â References and in text citations follow APA format guidelines. |
â—Â Â Â Â Â Â Provides four references
that are relevant to content and published within the last five years â—Â Â Â Â References and in text citations generally follow APA format guidelines. |
â—Â Â Â Â Provides three references that are relevant to content and published within the last five years
â—Â Â Â Â References and in text citations ensure that authorship is somewhat clear. Geriatric Pain Assessment in Older Adults |
â—Â Â Â Â Does not meet the criteria.
|
| Maximum Total Points | 100 | 85 | 60 | 0 |
| Minimum Total Points | 86 points minimum | 61 points minimum | 1 point minimum | 0 |
Rubric Title: MN584 Unit 8 Assignment 1 Rubric
| Unit 8 Assignment 1 Criteria | Level III | Level II | Level I | Not Present |
| Criteria 1
20% |
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Complete the Geriatric Depression Scale, the MiniMental Status Exam, and the Clock Drawing Test on an individual >75 years of age. | â—Â Â Â Â Includes all three of the results of the actual exams. Geriatric Pain Assessment in Older Adults | â—Â Â Â Â Includes two of the results of the actual exams | â—Â Â Â Â Includes one of the results of the actual results of the exams. | â—Â Â Â Â Does not meet the criteria.
|
| Criteria 2
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Score each of the results of the Geriatric Depression Scale, the MiniMental Status Exam, and the Clock Drawing Test on an individual >75 years of age. | â—Â Â Â Â Includes all three of the correct scores of each of the exams. | â—Â Â Â Â Includes two of the correct scores of the exams. | â—Â Â Â Â Includes one of the correct scores of the exams. | â—Â Â Â Â Does not meet the criteria.
|
| Criteria 3 | Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Analysis of each of the results of the Geriatric Depression Scale, the MiniMental Status Exam, and the Clock Drawing Test on an individual >75 years of age. | â—Â Â Â Â Provides a correct analysis of the scored results of all three of the exams. | â—Â Â Â Â Provided a correct analysis of the scored results of two of the exams.
â—Â Â Â Â Other exams are either not included or analysis is improper. |
â—Â Â Â Â Provides a correct analysis of the scored results of one of the exams. Geriatric Pain Assessment in Older Adults
â—Â Â Â Â Other exams are either not included or analysis is improper. |
â—Â Â Â Â Does not meet the criteria.
|
| Criteria 4
|
Level III Max Points
Points: 20 |
Level II Max Points
Points: 17 |
Level I Max Points
Points: 13 |
Not Present
0 Points |
| Area of greatest learning from completing this assignment. | â—Â Â Â Â Described greatest learning from this assignment. Geriatric Pain Assessment in Older Adults | â—Â Â Â Â Describes greatest learning from this assignment, but more detail is needed. | â—Â Â Â Â Describes greatest learning from this assignment, major details are missing. | â—Â Â Â Â Does not meet the criteria.
|
| Criteria 5
|
Level III Max Points
Points: 10 |
Level II Max Points
Points: 9 |
Level I Max Points
Points: 4 |
Not Present
0 Points |
| College-level academic writing | â—Â Â Â Â Â Â Writing style facilitates
communication. â—Â Â Â Â Â Â No grammar, word usage or punctuation errors. Geriatric Pain Assessment in Older Adults â—Â Â Â Â Â Â Overall style is consistent with professional work.
|
â—Â Â Â Â Â Â Writing style and
communication is unclear. Several confusing statements. â—Â Â Â Â Â Â Two grammar, word usage or punctuation errors.
|
â—Â Â Â Â Â Â Writing style and
communication is unclear. Paragraphs are out of order and unclear. Many confusing statements. â—Â Â Â Â Â Â Three grammar, word usage or punctuation errors. Geriatric Pain Assessment in Older Adults
|
â—Â Â Â Â Does not meet the criteria. |
| Criteria 6 10% |
Level III Max Points
Points: 10 |
Level II Max Points
Points: 8 |
Level I Max Points
Points: 4 |
Not Present
0 Points |
| Citations and Formatting | â—Â Â Â Â Â Â Provides five references
that are relevant to content and published within the last five years â—Â Â Â Â Â Â References and in text citations follow APA format guidelines. Geriatric Pain Assessment in Older Adults |
â—Â Â Â Â Â Â Provides four references
that are relevant to content and published within the last five years â—Â Â Â Â References and in text citations generally follow APA format guidelines. |
â—Â Â Â Â Provides three references that are relevant to content and published within the last five years
â—Â Â Â Â References and in text citations ensure that authorship is somewhat clear. |
â—Â Â Â Â Does not meet the criteria. |
| Maximum Total Points | 100 | 85 | 60 | 0 |
| Minimum Total Points | 86 points minimum | 61 points minimum | 1 point minimum | 0 |
