POST DISSERTATION:A CLINICAL FIELD STUDY IN THE USAGE OF UTILITARIED PARAMETERICATION IN THE COMMUNICOLOGY OF TREATMENT IN HEALTHCARE BY PARADIGMOGENTERRIC ATOMATESSEN FACTORING OF NATUNURTU DEVELOPMENT CRITERION FOR ACUITY IMMEDIATION DETERMINED GER

ABSTRACT- This Thesis parametricates the identification of tier responsive Healthcare by the populous sectorates of the medical and clinical nursing community towards the Adult-Gerontology populous in the focal branch of delivery methodology of Medicinal and Holistic treated Healthcare as it communicates condutiary environmental symbiomeasurable vantage stages of allacution between policy measured protocols of allotted distribution of care in the compartmetricated setting of: Private InHome delivery of Healthcare to Seniors. -INTRODUCTION- A conduction-conduit field study was completed in the comprisement of a parameterized compartmentalizing of ambulatory alerting protocols to have been as assessed for responsivity level modem activation on the behalf of the Healthcare providers and the attenuation of the Healthcare recipients involved in the to be determined call of action to the immediacy of the Healthcare alerting situational environment. This field study took place in a Healthcare setting that is premised on a national chain Healthcare company that outsources Healthcare providers to provide overseeing health care to private home health care seniors with their families approval for such rendered services. This nation wide chain of delivery in caregiving for seniors in the comfort of their own homes or supporting families homes is through the company known as THE KEY(formerly HomeCare Assistance). Contents: (A)INTRODUCTION (1)02-27-2024 (2)02-28-2024 (3)02-29-2024 (4)03-01-2024 (5)03-04-2024 (6)03-05-2024 (7)03-06-2024 (8)03-07-2024 (9)03-08-2024 (10)03-11-2024 (11)03-12-2024 (12)03-13-2024 (13)03-14-2024 (14)03-18-2024 (15)03-19-2024 (16)03-20-2024 (17)03-21-2024 (18)03-25-2024 (19)03-26-2024 (20)03-27-2024 (21)03-28-2024 (22)03-29-2024 (23)05-24-2024 (24)05-27-2024 (25)05-28-2024 (26)05-30-2024 (27)05-31-2024 (28)06-03-2024 (29)06-04-2024 (30)06-05-2024 (31)06-06-2024 (32)06-07-2024 (33)06-10-2024 (34)06-11-2024 (35)CONCLUSION INTRODUCTION: This Dissertation premises the days of my life as a Geriatric InHomehealthcare Nurse through my daily encounters with my one steady client, Jim. In this field study log book of my time spent caring for Jim, and his dog Rex; I have recorded the day to day occurrences between Jim, Rex and me. Entry of Logbook: (1)02-27-2024=Tuesday 1000am-1502pm:RN Notes Shift Note:Good Introductory shift today with Jim. We mostly talked and shared interesting facts about our own lives. Tasks completed were: Medications Reminder and walking with Jim. (2)02-28-2024=Wednesday 1001am-1501pm:RN Notes Shift Note: Good shift today with Jim. All prn Adls and prn Iadls were completed for Jim, per request for caregiver to attend to said tasks as prioritized by client. Tasks completed were:(1)clean living room (2)encourage physical activity for Jim to do (3)Walk with Client (4)Medications Reminder. (3)02-29-2024=Thursday 1000am-1502pm:RN Notes Shift Note: Good shift today with Jim. All prn Adls and prn Iadls have been completed for today. As prioritized per request from Jim. Tasks completed were: (1)Clean living room (2)Encourage physical activity (3)Medications Reminder (4)Walk with Jim. (4)03-01-2024=Friday 1000am-1500pm:RN Notes Shift Note: Today has been a good shift with Jim. Jim engaged with me in conversation about his past growing up with his sister and his friends in Massachusetts. As well as when and how he came to live and reside in his current place of residency. Jim had mentioned to me in detail about his current next door neighbors and that he has become friends with some of them. Jim also told me about his little dog Rex. Who he adores very much. Rex is slow in warming up to me. He does not trust me yet. It will take some time for him to get to know me better and to feel comfortable around me. Jim comforted Rex by telling him and petting him in my presence that "I'm a nice lady" and "I don't bring any harm to Rex and himself. " Jim uses a Cane to walk with inside and outside his house and to take himself on errands or to go out to breakfast and sometimes meet up with friends at a place called Huckleberrys for lunch and coffee. I have found Jim to be easy to get along with. He is considerate, personable and friendly with his caregiver while taking the time and attention to talk with me about his routine for assisted care as moderated in cohorsion with The Key and the VA for moderating his needed level of care. Jim has instructed me to take care of his house as apart of his care routine daily during my hours of operation at his house except during my time off from his care. Jim lives simply and with modest means. So he requires and acquires minimal care assistance from his caregiver. Only to the level assessment as required and clinically needed per authority from the VA, his Doctor and The Key for delivery of Homehealthcare necessity. Basically Jim just requests of me to upturn his bed, cleaning up and replacement of Doggy waste pads with new waste pads for Rex to use as needed. To clean the coffee pot and filtration equipment after being used up daily. For the kitchen, bathroom and bedroom floors to be mopped as needed. For the living room carpet to be vacuumed as needed. Garbage emptied and taken out of his house as needed. Daily medications and fluid intake reminders. Also washing,drying and putting away dishes daily. And one to two times a week running errands for Jim as needed. Tasks completed today were: (1) making his bed(2)putting a clean Doggy waste pad on bedroom floor for Rex to use(3)encouraging physical activity for Jim to do(4)Medication Reminders(5) cleaning coffee pot and filtration equipment (6) washing, drying and putting away the dishes (7)followed by walking with Jim to the kitchen so he could fix himself a bowl of cereal for his breakfast. (5)03-04-2024=Monday 1000am-1500pm:RN Notes Shift Note: Today was a good shift with Jim. We talked of weekender pleasantries and doted on Rex. Jim mentioned to me that over the weekend and early that morning before I arrived to his house he noticed he was walking slower. His muscle coordination and stamina was seemingly more sluggish of function and dysjunctive than usual even though he had used his Walking Cane to assist with his momentum. He attributed his symptomalogy to getting older. In my professional opinion, I think Jim's walking condition could be diagnosed as him having an experienteural systemic geriatricueneuraleviaductive chromoseptumaladium of statischemaparalypticomatic proportions. This would entail for Jim a bouted symptomatic experience of neuropathic ischemobility because his muscular fibrosia factorment will tire on him onsetting a psoriatic dysthymia feeling of neuropathic hypersensoresonation throughout his muscular defiberoplasity creating a recurring ambulatory cytoneuratomic dysfunction of trajectory movement for Jim. Tasks I completed for Jim today were: (1)making up his bed(2)changing out the Doggy waste paper pads(3)washing, drying and putting away dishes (4) putting three bags of Jim's laundry in his car for him to take to Tumble a laundry mat near his place of residence (5) retrieving a case of bottled water from his car and putting in the kitchen for his use (6) brought up a role of paper towels from the basement and placed on dispenser in kitchen (7) emptied and took out the trash(8) made a pot of coffee for Jim. (6)03-05-2024=Tuesday 1000am-1500pm:RN Notes Shift Note: Another pleasant shift with Jim today. He showed me his pill box as a reminder for me to refill his medications in the pill box. For one week worth at a time. Jim regularly takes a routine amount of medications which amount to the consistency of 4 pills that I remind him to take daily. Jim followed up with informing me that he was now going out to breakfast and meet up with some friends of his at breakfast. He would go see frank at Hogan's and partake in a breakfast and coffee with him. Jim's dog Rex is slowly starting to warm up to me at this point when he and I are alone together in Jim's house and Jim is out to breakfast or running errands. Rex is beginning to come to me for attention out of curiosity it seems to me. Tasks I completed for Jim today were: (1) remade Jim's bed(2) changing out the Doggy waste pads for Rex to use(3) emptying the trash into kitchen garbage disposal from living room and bathroom trash cans(4) letting Rex outside in the yard to play and potty(5) refilling the pill box(6) Medications Reminder to Jim (7) fluid intake Reminder to Jim (8) washing, drying and putting away dishes (9)made fresh pot of coffee for Jim(10) walking with Jim in his house. EMERGENCY NOTE: Jim was calling for assistance outside his house when he got back from the laundromat carrying a big bag of laundered clothes with him. I did not hear his call for help right away. About five minutes later I distinctly heard his voice calling for me to come and assist him. Jim had fallen on the ground. He was trying to lift himself up but was unsuccessful in the process. I took immediate action to pick Jim up from the ground. He had been on bended knees and had his Cane lying beside him. It had not been of preventive use for him to avoid the fall. He still had an incidental fall anyway. I asked Jim if he hurt anywhere on his body from the fall and checked for cognitive functioning incase he might have lapsed into cognitive faculty loss or delirium, etcetera. He assured me that he was mentally coherent and did not feel any symptoms of pain from his fall. He just felt limbically tired. IMPORTANT NOTE: Jim told me that he takes a Regulation prescription of medication due to a recurring neuropathic condition that had developed with his hands that has given him a complex seizure symptopathology reaction due to a neural corpus plexium staticoma dyscoordinate malfunctioning with his hands. His hands will suspend in a symptodirhythmic state of seizure clutching and spasmodic freezing. This seems to happen