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While caring for the elderly members of society, it is common for clinicians to come across ethical situations, especially while, screening and evaluating patients. Genesis rehab policy is that clinicians must first conduct screens before enrolling patients on rehab services. The screening process helps to filter out patients who are indicated for physical therapy on outpatient services versus patients who requires skilled home-health services. The other benefit of screen is to recognize patients who requires consultation to a specialist. “In primary care setting, PTs should be routinely triaging patients for need of referral” (Wenker, and Euhardy, 2011, P.361). One of the focal reason for administering screens prior to PT
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He is in his early 90’s, has multiple medical comorbidities, attends group exercise classes 3 times a week, very strong personality, fiercely independent, retired lawyer, now dependent on a 4-wheel walker due to multiple loss of balance(lately), and had to give up his dog (3 weeks ago) to the care of his caregiver since he was at risk of falling. According to the resident service director of ILF, patient was asked to use the walker inside the apartment which he refused to adhere to, he was told by his neurologist and his daughter to quit driving due to his neuropathy and other medical conditions, which he flat out refused to do so. He reacted very strongly by refusing to go back to the neurologist and is not on speaking terms with his daughter. He claims that he fired his neurologist since they didn’t seem to agree on anything. During the screening process, patient scored really poorly with the TUG test and the 30 sec chair rise test indicating a high fall risk category and poor bilateral lower extremity muscle performance skills sets. Physical therapist asked him about his medication management and he mentioned that his anti- depression pills were not effective at all.PT found patient crying out every time he mentioned his wife and stated that he missed his wife very much. Pt was having
Generally, social work is affiliated with the younger population or topics of abuse and neglect in the home. While this can be a vital part of the job description, social work is a diversified field with many other career opportunities. A social worker’s ethical job responsibilities are outlined in NASW Code of Ethics (1999). The following sections will review these responsibilities in relation to aging populations and a social workers practice.
Nowadays the issue of diversity is an important factor to consider as in most countries there is broad range of diversity within that country and its communities. There are different aspects of diversity that exist, such as; sexuality, gender, race and culture.
P3: Explain ways in which health and social care workers support the independence and wellbeing of older people. M2: Assess ways in which health and social care workers support the independence and wellbeing of older people. D1: Evaluate ways in which the sectors work together to support the independence and wellbeing of older people. Doris has stayed connected with her friend Frieda who lives on her own independently but recently she has had a fall and she has been referred to the local authorities. P1& M2 When promoting independence and wellbeing in older people it has to be done in a way where the person feels that they are able to do what they are being asked to do and if they say that they don’t
Patient L.H. is a 69-year-old married Caucasian male that is a retired teacher that lives at home with his
On 7/11/2015, CM did a visual and had client come to the social service office. CM completed Bi-Weekly ILP Review. In the meeting client appears to be wear out, and tired. She was constantly throbbing her forehead, like if she was having headache. CM inquires what the problem is. Client replies “she doesn’t like the shelter food and sometimes she doesn’t eat” CM advised the client to eat and nourished her body. CM also observed that client is depressed but she continues to refuse medical referral to see a psychiatrist and medical doctor. Client continues to mention her son who is in foster care, and the physical altercation she sustained many months ago here at this shelter. CM mentioned to the client she was a transferred from another shelter due to physical altercation, CM continues to relate to the client she
The objective of this study is to examine the evolution of programs and services for aging population over the last fifty years. Toward this end, this brief study will conduct a review of literature that addresses these shifts and changes in policy. The timeline of the history of the services and pogroms for the aging population in the United States is shown in the following timeline and an explanation for these develops will next follow the timeline.
Adrian is a 24-year-old Caucasian male who presents to CRU from RRC-W. He is ACOT for non-compliance. He is SMI designated. La Frontera is the outpatient treatment agency for Adrian. He also receive DD services from AZ Dept of Development Disabilities. Per amendment letter, client was being aggressive towards group home staff, and admitted to stating that he wanted to jump into traffic. He denies AVH, and DTO. His BP is elevated 139/81, he has a hx of HTN and high cholesterol. He will benefit from meeting the provider to discuss medication
The resident is an 88-year-old Caucasian male who has been married for 63 years along with a long-term care living arrangement. He has medical diagnoses of generalized muscle weakness, cutaneous abscess of buttocks, and lack of coordination. The resident rated his health status as a score of “7” because he stated that he felt pretty energetic most of the time.
Reminiscing to 2010, when I was faced with my grandmother 's illness during the adolescent years in my life I knew that I had a passion to care for the elderly (aging) population. From this passion, it ignited a fire so strong that I pursue my certified nursing assistant certification to gain a better understanding of working with the elderly population. By doing so, it has been a great benefit to my life; aging is an inevitable experience that we all will go through during our life. It is important to ensure that our elderly individuals are still able to enjoy the best quality of life after retirement. However, as we age, there will be a lifestyle change that the aging population must encounter.
Assessing and planning care of the elderly is important in enabling the older adult to have the best quality of life in their later years. Understanding their views on living day to day with what they hold dear, will help in planning care for the older person. In this paper, I will interview an older adult and describe various details as well as cultural relations surrounding my interviewed individual. I will perform functional assessments using the Tinetti, Katz, Home Safety, and Barthel tools, which will be included in the Appendix. I will compare any age-related changes and identify more than six preliminary issues that need to be addressed. Lastly, I will propose more than three alterations and
During the initial examination the physical therapist is trying to gather information through patient interview and test and measures to help determine a plan of care for the patient’s condition. One thing a physical therapist will be sure to determine is whether the patient is a candidate for physical therapy or if they present with signs and symptoms that is out of their scope of practice, to where the patient needs
The patient mother was spoken to before the assessment occurred. The patient mother reports that they have just moved to the area 2-3 months ago and she just got the patient insurance card 2 days ago. She reports that the patient was diagnosed with Bi-polar, ADHD; and PTSD due to a past event of sexually abuse. Patient mother reports 5 year old brother was at home and sleep. When asked did her younger son need medical assistance, she reply ,no, he is home probably sleep. The patient mother reports patient
Counselors will encounter different people from all walks of life. It is imperative that they become versatile in their approaches. When it comes to counseling the disability, ableism, and ageism it is essential that they be cognizant of the things that they will encounter. In addition, they will be faced with the elderly from different cultures. Therefore, they should be strategic in their approach. Essentially, there are some critical competencies that the counselor need to develop to counsel the elderly. The critical competencies are as follows: awareness, knowledge, and skills.
COMPARISON OF THE TREATMENT OF THE ELDERLY IN THE US, EUROPE AND THE REST OF THE WORLD.
The traditional norms and values of Indian society laid stress on showing respect and providing care for the elderly. Consequently, the older members of the family were normally taken care of in the family itself. The family, commonly the joint family type, and social networks provided an appropriate environment in which the elderly spent their lives. The advent of modernization, industrialization, urbanization, occupational differentiation, education, and growth of individual philosophy has eroded the traditional values that vested authority with elderly. These have led to defiance and decline