Preview

Safety, Communication and Placement for the Older Adult

Powerful Essays
Open Document
Open Document
2213 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Safety, Communication and Placement for the Older Adult
Safety, Communication and Placement for the Older Adult
Steven F. Jacobson
Western Governors University

Introduction When an elderly person is injured and then discharged from the hospital their needs often extend beyond care one would immediately think of. There are concerns related to their ability to meet all the various requirements for return to previous level of functioning. The patient needs to not only take their medications, make appointments but they may need to change all or some portion of their lives in order to recover and prevent further injury. Involvement of family and other resources is a complicated process that not only involves the patient and their family but numerous other members of the interdisciplinary healthcare team.
Scenario
In this scenario, a 72 year old male patient, Mr. Trosack, is discharged from the hospital after surgery to replace a fractured hip. He does not participate in regular health screenings and does not take any prescription medications. His wife died two years ago and he continues to live in the same 2nd story apartment he has lived in for 40 years. He has one son who lives nearby but often works long hours. The patient also owns a bakery and would like to continue to own and operate the bakery upon discharge.
Three Healthcare Issues As the case manager there are many issues with this patient that must be addressed. The top three concerns I have established include: medication regimen, diet, and access to follow up appointments. Each of these concerns are important based on information obtained from patient and family interviews and knowledge about the patient and his past medical history. Medication regimen may be the hardest and most important. Mr. Trosback self admittedly does not take any medication and arrived at the hospital with undiagnosed hypertension. He also does not like the idea of being “disabled” and his impaired mobility along with his need to take medications he did not



Cited: Beers, M., & Berkow, R. (2005). The Merck manual of geriatrics (5th ed.). Whitehouse Station, NJ: Merck. Hawton, A., Green, C., Dickens, A., Richards, S., Taylor, R., Edwards, R., & ... Campbell, J. (2011) Johansen, A., Mansor, M., Beck, S., Mahoney, H., & Thomas, S. (2010). Outcome following hip fracture: post-discharge residence and long-term mortality. Age and Aging, 39(5), 653-656. doi: 10.1093/ageing/afq074 Mauk, K Mistry, R., Rosansky, J., McGuire, J., McDermott, C., & Jarvik, L. (2001). Social isolation predicts re-hospitalization in a group of older American veterans enrolled in the UPBEAT Program Proctor, R., Wade, R., Woodward, Y., Pendleton, N., Baldwin, R., Tarrier, N., & ... Burns, A. (2008) Strasser, D.C., Uomoto, J. M., & Smits, S. J. (2008). The rehabilitation team and polytrauma rehabilitation: Prescription for partnership

You May Also Find These Documents Helpful

  • Powerful Essays

    [7] Beers, M. H. & Berkow, R. (Eds.) (2000). The merck manual of geriatrics. (3rd Ed.). Whitehouse Station, NJ: Used by permission.…

    • 7719 Words
    • 31 Pages
    Powerful Essays
  • Powerful Essays

    Robnett, R. H., & Chop, W. C. (2010). Gerontology for the Health Care Professional (2nd ed.).…

    • 1751 Words
    • 8 Pages
    Powerful Essays
  • Satisfactory Essays

    11 Carson, Fran M. 12 Wilson, William A. 13 Utley, Harry T. 21 Fife, Lawrence R. 22 Smith, Lucy K. 31 Fay, Gretchen R. 32 Robey, Glenda B. 33 Schork, Thomas K. 51 Hardy, Barbara T. 99 Kipley, Carson C. Totals…

    • 703 Words
    • 3 Pages
    Satisfactory Essays
  • Better Essays

    Physical Therapy Benefits

    • 1590 Words
    • 7 Pages

    Physical therapist is provided in the patient's place of residence. While the majority of patients are senior citizens, there also are other patients who developmental disabilities or other conditions, and individuals of all ages who need help from a physical therapist because of injury or other causes. Home care may actually be provided in the patient's residence, a hospital emergency room, the caregiver's home, skilled nursing facility, residential facility, group home, hospice, or elsewhere in the community. In a hospice setting physical therapist provided to patients in the last phases of incurable disease so that they can do functional abilities for as long as possible and manage pain individuals of all ages who need help with rehabilitation because of injury or other causes. In a Research Center physical advisors and different experts conduct examination to enhance persistent/customer consideration results and backing the assemblage of learning in the field exercise based recuperation. In School/Preschool setting exercise based recuperation is given inside of an instructive domain, including preschool, basic, or auxiliary training offices But this determines a patient's ability to reintegrate into the workforce or community after illness or injury. Physical therapy benefits patients include victims of stroke, brain spinal cord burn or sports injuries post operative patient’s cerebral palsy patient’s arthritis sufferers and newborns with physical defects. Employment of physical therapists is projected to grow 36 percent from 2012 to 2022. For Patients to achieve these…

    • 1590 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Long-term care facilities are a traditional approach to caring for the elderly or chronically ill members of society. These facilities are set up in a couple of different ways to provide specialized care depending on a person’s need. The first point of our discussion is assisted living facilities. These are apartment type communities that specialize in assisting seniors who may have a problem accomplishing there normal activities of daily living. The assisted living facilities provide a non-skilled staff to assist with these needs. The next type of long care facility is a skilled cared facility. These types of organizations are set up to provide long-term medical care to individuals who one cannot care for their own selves, and two require specialized medical care such as daily medicine administration or procedural care. Healthcare facilities such as these assist with, wound and dressing care, physical therapy, occupational therapy, respiratory therapy, and diagnostic testing on regular basis to insure your loved ones safety and over all wellbeing. Finally home health care by far the most affordable, physiologically beneficial, and socially beneficial form of care for our aging parents will be the third portion of our discussion.…

    • 1523 Words
    • 7 Pages
    Powerful Essays
  • Satisfactory Essays

    Module 9

    • 323 Words
    • 2 Pages

    Mrs. S. is an 83 year old woman with multiple medical problems, including chronic obstructive pulmonary disease (for which she sees a pulmonologist), atrial fibrillation and systolic heart failure (for which she sees a cardiologist), hypertension, diabetes, depression, and mild dementia. She comes to your provider's office today with a new list of medications. Her pulmonologist changed her inhaler from one brand/strength to another brand/strength, but she is not sure why. Her cardiologist took her off warfarin, and again she is not sure why.…

    • 323 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Rubin, K.H. and Mills, R.S.L. (1988) The many faces of social isolation in childhood. Journal of Consulting and Clinical Psychology, 56 (6), p.916-924.…

    • 17621 Words
    • 71 Pages
    Powerful Essays
  • Better Essays

    This patient is a very elderly woman and is need of a great deal of support and medical care. For her to achieve a healthy and happy lifestyle she does need these issues to be addressed. It is a lot of work for just one caregiver to manage on their own so family and nursing care should be resourced. Also proper medical care needs to be addressed to assure that her physical and mental needs are assessed and…

    • 2042 Words
    • 9 Pages
    Better Essays
  • Powerful Essays

    The solution is simple he needs to accept that he needs help, and change his quality of life and take control of his diabetes.…

    • 1020 Words
    • 5 Pages
    Powerful Essays
  • Powerful Essays

    Care of the Vulnerable Adult

    • 2365 Words
    • 10 Pages

    From the Elderly Care Scenario the patient, Mr. Jones is vulnerable because of his age (73 years), health (having suffered a stroke several…

    • 2365 Words
    • 10 Pages
    Powerful Essays
  • Better Essays

    The things we do as health professionals happens to be a never ending job. That's because there will always be a patient to educate and help them become their own self care agent. One of the many things we teach is either how to maintain their health or restore it. We also have to reach out to the families of the patients because they have to know the importance of the rehabilitation efforts and how demanding being part of a community life is necessary for independence. This all means that it is very crucial that both the patient and their support group understands the discipline it takes to either get better of an acute problem, or continue good health habits to maintain their health with whatever disability they may or may not have.…

    • 1178 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Senior Risk Assessment

    • 981 Words
    • 4 Pages

    Nurses must be able to assess and conclude whether a senior may have risk factors that could affect their health. There are many tools available to us to determine if various conditions will put our senior at risk and if so, we are able to teach and guide them toward proper solutions to help alleviate or eliminate deterioration of their health. The purpose of this paper is interview and assess a friend of the family. I will give a brief social history of the senior, conduct a nutritional screening, assess for any activities of daily living issues using the Katz index scale, and use a falls prevention scale for risks factors that could lead to injuries from a fall. I will also review her medications and her knowledge of each medication. Lastly,…

    • 981 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Facility Planning Part 1

    • 872 Words
    • 4 Pages

    Physicians and hospital administrators at the facility have begun to notice a rise in knee, spinal cord, and neurological conditions in the hospital (UPENN, 2011). They knew that many of their patients were either elderly or athletes who both disagree with long stays in a hospital. For the elderly patients, limited incomes were their primary reasons and the athletes simply do not have time to be confined to a hospital for rehabilitation. Many of them felt that having an outpatient rehabilitation and treatment center would benefit them in the long run. Penn Medicine conducted a study and found this information to be true.…

    • 872 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    patient interview

    • 1192 Words
    • 5 Pages

    On the 24th of July 2013, me n my groupmates interviewed a patient at Hospital Kepala Batas. His name is Tan Jin Kew aged 49. He is a single guy, no relatives or family and currently not working. His health problem started off with symptoms such as shivering and feverish. After a normal check up at a clinic, he came to know that he is suffering from kidney failure and have to undergo dialysis thrice a week 0and up to 4 hours long each time. He informed that he is being given 5 types of medication which regulates the blood pressure, supplies additional nutrients to the bone and also for urination.…

    • 1192 Words
    • 5 Pages
    Powerful Essays
  • Powerful Essays

    Age Is Just a Number

    • 1529 Words
    • 7 Pages

    Russell PHD, Charles and Hampton MD, Roy (12-2005): The Encyclopedia of the Aging and the Elderly…

    • 1529 Words
    • 7 Pages
    Powerful Essays