Elder treatment case study example

Interdisciplinary Studies, Treatment, Case Study, Circumstance Studies

Excerpt from Case Study:

Older Care Example

Elder Treatment – Example

The targets of this research are to discuss how sociable isolation can affect an older adult’s recovery from surgery or perhaps illness and also to identify questions of safety when older adults come back home in the hospital after a major illness or surgical treatment. This job will on top of that assess the safety of an old adults living environment in a given scenario and determine appropriate discharge placement to get an older mature based on a given physical or psychological position. This operate will describe how particular psychological elements can play a role in the recovery process. Finally this job will measure the adequacy with the family or caregiver’s understanding of skills necessary to deliver treatment to an elderly adult within a given scenario and work together with a presented patient’s family members to develop an idea of maintain an older mature upon release from the medical center.

Assessment in the Situation

This patient can be an older adult by the name of Henry Trosack. He is 72 years of age and is in excellent overall health but hasn’t had a physical examination to get ten years previous his surgical treatment although this individual does have vitamins everyday. Mr. Trosack wearing reading glasses and has 60% loss of hearing in his kept ear. Mr. Trosack in conjunction with his brother manages a family-owned food handling business. Mr. Trosack lives in a two-bedroom apartment on the second floor. Mister. Trosack chop down while applying for the garbage down the long flight of steps ultimately causing the ground ground of the apartment building.

Whilst Mr. Trosack was in a healthcare facility for the hip alternative surgery, he was prescribed Lopressor 25 mg bid to get an average B/P of 160/100. Mr. Trosack was likewise diagnosed with noninsulin-dependent diabetes which is why he was recommended Glocophage 500 mg 2 times a day. Mister. Trosack can perform his own blood pressure checks and has been released a glucometer for use at home. Mr. Trosack is also heavy at 5’7″ and 210 lbs. Mr. Trosack runs on the walker and this will be his only means of assisted flexibility. It is important that Mr. Trosack is determined that he will probably be visiting the bakery.

The family of Mister. Trosack was interviewed and in addition they do not understand the advantages of medications staying taken for certain times and are also skeptical that Mr. Trosack has diabetes. The friends and family does not want outside breastfeeding care and don’t intend to stick to Mr. Trosack. Mr. Trosack’s apartment has its own safety concerns which should be addressed and specifically the need for delivery of groceries and someone to sign up for the garbage due to the two plane tickets of actions leading to the apartment.

In addition , there is expired food in the refrigerator and out of date prescriptions in Mister. Trosack’s treatments cabinet. There are also multiple spread rugs throughout the apartment. You will discover three healthcare issues present and this will require an interdisciplinary team in responding to the person’s discharge. This kind of team will probably be comprised of the dietician, the physical specialist, and the doctor.

The problems that are identified with regards to the discharge of Mr. Trosack include insufficient support to get care following surgery coupled with a need to get assistance in performing the next tasks: (1) taking medication on time so that as prescribed; (2) taking waste out and bringing household goods in to his upstairs apartment; (3) assistance with preparing meals and ingesting the foods which can be healthy because of diabetes and overweight in patient; (4) require blood pressure and glucose blood pressure measurements on a daily basis and (5) the fact that this affected person does not hear well in one particular ear and has damaged eyesight in addition the patient will be maneuvering on the walker in a small apartment following THR surgical treatment. If Mr. Trosack should be to stay by itself in his apartment (without a member of family present) then Mr. Trosack will need anyone to assist him at the very least via early each morning until this individual goes to bed each night. There is also the danger that Mr. Trosack will suffer a fall during the night getting out of bed to go to the bath room or to get something to drink.

II. Discharge Prepare of Attention

The dietician will treat the needs of the affected person in terms of his diet which will must think about that Mister. Trosack is a diabetic. Mister. Trosack will be instructed of what foods he ought to and should not really consume with diabetes and with his have to lose weight. When it is determined that Mr. Trosack will return to his house following his discharge then a physical specialist will provide recommendations for Mr. Trosack concerning his freedom and his utilization of the master in shifting about in the small house as well as educating the patient on what physical exercises he should perform to gain maximum range of motion following a total hip substitute surgery. Another case member of staff, the registered nurse, will teach Mr. Trosack concerning the following issues:

(1) Groceries becoming delivered to his apartment;

(2) Garbage becoming taken on the ground floor from his apartment;

(3) Removal of the tiny scatter area rugs located throughout his house.

(4) Daily use of glucometer checking his blood sugar;

(5) Daily checking out of his blood pressure.

(6) Follow-up appointments and transportation to and from these appointments.

(7) What medications that the individual will be currently taking, why it is necessary to take them, when to take the mediations, go over as well potential side effects and what to do in the event he encounters side effects from your medications. The nurse can additionally lawyer the patient in planning how he will re-fill his medicines.

There are different discharge solutions for Mr. Trosack and these have already been reviewed by the case workers for the sufferer. There are specifically three available options including:

(1) Home remedy;

(2) Outpatient therapy; and (3) Treatment facility remedy. (Sweet, nd, Wong Wong, 1999, DeFrances Podgornik, 2006)

Rehab center therapy will involve “direct copy from the medical center to a rehab facility. inch (Sweet, nd, Wong Wong, 1999, DeFrances Podgornik, 2006) This is a choice available for older patients whom live only and in the situation of Mister. Trosack, is the most appropriate choice for launch. Mr. Trosack will remain in Rehab remedy for several several weeks depending on how fast he recovers. This option is definitely chosen because Mr. Trosack does not possess family members which might be intelligently and actively linked to his aftercare. The work of Scheerlinck (2003) states the following concerning discharge of seniors patients following total hip replacement surgery:

“Early treatment and cultural reintegration of elderly people with a hip fracture can be described as major matter in the memory foam department. A specially trained “social nurse” discusses therapy options together with the hip bone fracture patients and their relatives right after surgery. According to the physiotherapist and the cosmetic surgeon, the most suitable remedy is selected. When rehab in the home environment or with relatives has ceased to be an option, a standardized kind is brought to a treatment center. Depending on vacancies during these centers and the health position of the individual a date of transfer is usually planned. ” (Scheerlinck, 2003)

Mr. Trosack will remain in the rehabilitation centre until it is definitely affirmed that he will have the ability to maneuver the steps leading to his apartment properly. Mr. Trosack will receive counseling from his caseworkers on a proper diet intended for diabetics, trained in monitoring his blood pressure and blood sugar levels and will be offered a great eye examination to see if he could be in need of prescription eyeglasses. Too, Mr. Trosack will be fitted with a assistive hearing device.

Summary and Conclusion

It is the opinion on this writer that the most appropriate sort of discharge has been chosen intended for Mr. Trosack and that he will certainly experience even more optimal restoration in a treatment center following his having total