Elder Care Case Study
Elder Care - Case Study
The objectives of this study are to discuss how social isolation can affect an older adult's recovery from surgery or illness and to identify safety issues when older adults return home from the hospital after a major illness or surgery. This work will additionally assess the safety of an older adults living environment in a given scenario and determine appropriate discharge placement for an older adult based on a given physical or psychological status. This work will explain how specified psychological factors can play a role in the recovery process. Finally this work will assess the adequacy of the family or caregiver's knowledge of skills necessary to deliver care to an older adult in a given situation and collaborate with a given patient's family to develop a plan of care for an older adult upon discharge from the hospital.
Assessment of the Situation
This patient is an older adult by the name of Henry Trosack. He is 72 years of age and is in excellent health but has not had a physical examination for ten years preceding his surgery although he does take vitamins each day. Mr. Trosack wearing reading glasses and has 60% loss of hearing in his left ear. Mr. Trosack in combination with his brother manages a family-owned bakery. Mr. Trosack lives in a two-bedroom apartment on the second floor. Mr. Trosack fell while taking out the trash down the long flight of steps leading to the ground floor of the apartment building.
While Mr. Trosack was in the hospital for the hip replacement surgery, he was prescribed Lopressor 25 mg bid for an average B/P of 160/100. Mr. Trosack was also diagnosed with noninsulin-dependent diabetes for which he was prescribed Glocophage 500 mg twice a day. Mr. Trosack is able to perform his own blood pressure checks and has been issued a glucometer for use at home. Mr. Trosack is also overweight at 5'7" and 210 lbs. Mr. Trosack uses a walker and this will be his only means of assisted mobility. It is important that Mr. Trosack is determined that he will be going to the bakery.
The family of Mr. Trosack was interviewed and they do not understand the need for medications being taken at certain times and are skeptical that Mr. Trosack has diabetes. The family does not want outside nursing care and do not intend to stay with Mr. Trosack. Mr. Trosack's apartment has some safety problems which need to be addressed and specifically the need for delivery of groceries and someone to take out the garbage due to the two flights of steps leading to the apartment.
In addition, there is expired food in the refrigerator and out of date prescriptions in Mr. Trosack's medicine cabinet. There are also multiple scatter rugs throughout the apartment. There are three healthcare issues present and this will require an interdisciplinary team in addressing the patient's discharge. This team will be comprised of the dietician, the physical therapist, and the nurse.
The problems that are identified in regards to the discharge of Mr. Trosack include lack of support for care following surgery combined with a need for assistance in performing the following tasks: (1) taking medication on time and as prescribed; (2) taking garbage out and bringing groceries in to his upstairs apartment; (3) help with preparing meals and eating the foods that are healthy in light of diabetes and overweight in patient; (4) need to take blood pressure and glucose readings on a daily basis and (5) the fact that this patient does not hear well in one ear and has affected eyesight as well as that the patient will be maneuvering on a walker in a small apartment following THR surgery. If Mr. Trosack is to stay alone in his apartment (without a family member present) then Mr. Trosack will need someone to assist him at the very least from early in the morning until he goes to bed each night. There is also the danger that Mr. Trosack will suffer a fall during the night getting up to go to the bathroom or to get something to drink.
II. Discharge...
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