3-In-In-One Sentence: A Case Study

Topical preparations such as cream and ointments can speed up healing process and prevent further tissue damage.There is also a vast range of equipment that is designed specifically to assist with moving and handling.- Chairs - Wheelchairs - Beds - Shower/Commode Chairs - Sliding Boards - Sliding Sheets - Low Friction Rollers - One Way Slides - Turntables - Hoists and Slings

Methodology: Participants: 15 total participants, age range 48-78; all community dwelling; independent with ambulation (no assistive devices needed), and independent with transportation.

She became unsteady on her feet, which made her use the wheelchair from time to time. I always tried to give her motivation and encouragement to drink and eat as well as other staff members.

This reflection case study will be discussing urinary continence management using Gibbs reflective framework (Gibbs,1988). This will include what is urinary incontinence management, the pathophysiology of urinary incontinence after stroke, how continence affect patient and current clinical practice and the role of the nurse and multi-disciplinary team within continence management. Also using the evidence based research and national guidelines.

Once a resident has improved with their mobility its down to the care staff to help encourage them to continue using this daily life skill by encouraging them to be as independent as possible with things they are known they are able to do reporting any

When I started my placement , Mrs . X who was suffering from Parkinsonism and dementia was on Indwelling urinary catheter for the management of urinary incontinence. Adhering to the results from the literature review I planned for initiating several steps to control incontinence in Mrs. X. My mentor was always with me with full support and guidelines. Fluid management was the first step started. An input output chart was kept and well maintained. Then steps wre also taken to manage constipation. Exercises were the last method practiced and the final result was really appreciable as she got a great reduction in the incontinence rate.

Task A – Plan You are planning an outing with a group of individuals. Some of the individuals need assistance with using the toilet, eating and drinking, and with their medication.

He wants to become independent in ADLs such as bathing, toileting, dressing, transfers and IADLs such as caring for his grandchildren and home management. CP is successful in communication, feeding, grooming, hygiene, and bowel/bladder management. He is contact guard for transfers, mobility and bathing. CP currently struggles to shower and dress his lower body, transfer from bed to wheel chair and wheelchair to toilet/shower bench.

He has full paralysis of lower extremities and trunk. Travis is currently using a wheelchair and learning to take care of himself. He is learning to use assistive devices for ADLs with the help of occupational therapy and physical therapy. He tolerates a regular diet well and drinks 1500-2000 mL per day. He is on a bowel-retaining program and takes Colace 100 mg by mouth twice a day to prevent fecal impaction. Although Emma seemed overwhelmed at times because of Travis’ condition, she is very supportive and asks staff several questions to become more familiar with her husband’s current condition. Also, the nursing staff at the rehabilitation facility is training Emma on bladder emptying and intermittent catheterization.

Assessment of the Situation: After the Due to the gait instability, poor balance, pain and, muscle weakness caused by the hip fracture and the surgery, Mr. Trosack has to use walker for ambulation. However, he lives in a small cluttered apartment, the bathroom is also small with no safety equipments installed, and there are many scatter rugs, this home environment highly put him at risk for falls. Using walker as an assistive device for ambulation and not being able to independently perform daily activities like before, these are the adjustments to the lifestyle changes which can lead a psychological problem as he states “he is being disabled”. Due to the fact that he is living alone, if the discharge destination is home, the feeling of being disabled and the isolated living conditions, may lead to a psychological disorder such as depression. Therefore, the interdisciplinary team will need to consider the impaired mobility issues when planning for the discharge placement.

The main objectives for the Urinary Continence Clinic Service are to: • Raise awareness of urinary continence related issues. • Provide care which is client focused, evidence based, and practical. • Accessible multidisciplinary services including assessment (urodynamics investigation where appropriate), diagnosis and management for people with urinary incontinence and other bladder dysfunctions.

Because I am at a title 1 school, I would have to create a targeted intervention for English Language Learners (ELL). In the ELL intervention group I would use sentence frames to help with scaffolding. Sentence frames are a simple yet powerful way for students to speak to each other in a respectful way and also a way that allows for understanding. Many of my ELL students are shy and don’t want to speak, using sentences frames can help facilitate that.

The Pa is requesting a grab bars to maximize safety while completing personal care I/O the tube and during transfers. The SC is recommending grab bars installation due to Pa’s declining health; sever unsteady gait, generalized weakness, and lack of other resource and/or informal support. The Pa was hospitalize recently and stayed 30 days in a skilled facility for rehab. The Pa had both PT and OT and home had since been d/c and is going to outpatient therapy.

Although, his physical environment at home is not supportive. There are five stairs that he must use to go into his home and a large flight of stairs needed to climb to get to the second floor. The second floor is where his bedroom and full bathroom are located. Thus, the areas he needs to access are spread apart, between the floors. His home also does not have rails or bars that he can hang onto when getting up from bed, or getting off the toilet. This is a safety hazard, that can result in another hospitalization.

Elder Care Case Study Elder Care Case Study Mr. Trosack is a 72 year old man who fell down a long flight of stairs a month ago, underwent a total hip replacement and is in need of a discharge plan. He completed two weeks of rehabilitation in the hospital for his hip as well as diabetic teaching for his new onset of Diabetes. It was also discovered during this hospitalization that he needed to start taking medication for hypertension. Both he and his family are in denial about what it will take to get him home and deliver the care that is needed.