Harriet Field Case Analysis

This presentation is going to talk about person- centred care, confidentiality, respecting privacy and dignity and protecting from risks and harm. The common core principles are important to every Health and Social Care setting as they provide a basis for a general understanding of promoting good mental health and recognising signs of poor mental health among everyone receiving care and support. The aim of care home are to meet the identified needs of individuals who live in that home. An older person might need to live in that care home for years. It is important for staff to be aware of responsibilities in delivering care to support the individuals who live at that home. These common principles of health will help develop the workforce that respond confidently to the individuals and supporting the life they are leading.

During hospitalizations, falls are amongst the highest preventable consistent adverse events. Preventing such undesirable events, enhances patient overall experience, as well as increased trust in the health care professional team (Fragata, 2011). The importance of fall prevention lies with the many serious unfavorable health outcomes it can pose on the patient. Falls have the potential increase length of hospital stay, limit mobility, independence, but can ultimately lead to health deterioration, including death. Worldwide, falls are the second leading cause of accidental death. In addition to the life-threatening health and safety risks falls have to the patient, it also as a financial impact,

The purpose of this essay is to critically discuss the importance of using an individualised person centred approach to nursing care with and for older people. The essay is going to be presented in three sections. The first section will define and discuss what person centred care is exactly and how it may be created. The second section will go on to discuss the beneficial results of this person centred care. Finally, the third section will convey how this person centred care can raise awareness of the importance of respect for the individual patient or person.

Patients are medicated, in an unknown environment, attached to lines, drains, and physiologically impaired in some manner. They are at a very high risk for falling. The American Hospital Association explains how participating hospitals have reduced falls by 27% by using the bundles and toolkits from Hospital Engagement Network (AHA HEN), this process requires the interdisciplinary team involvement. Each has their own role, nursing plays a critical role in fall prevention, they are with the patient for 12hours in a hospital setting and have direct care with assessing, creating a care plan, implementation of interventions, and evaluation. They can report any concerns or data to the

Each year, one out of three elderly people fall (U.S. Centers for Disease Control and Prevention [CDC], 2015). The CDC (2015) also reports that once an individual has fallen, the chance that they will fall again doubles. Falls also contribute to an increase in direct medical costs. The CDC (2015) states, “Direct medical costs for fall injuries are thirty-four billion dollars annually. Hospital costs account for two-thirds of the total.” The amount of elderly people who fall each year along with the economic costs that result from falls indicates that preventing patient falls remains an important goal for healthcare workers including nurses. Nurses can use the nursing process—assessment, diagnosis, planning, intervention, and evaluation—to prevent patient falls and meet the fall prevention standards set by various regulating bodies.

Personalisation is a social care approach which was officially introduced in December 2007 when the Putting People First: A shared vision and commitment to transformation of adult care (DOH, 2007) Concordat was published. It’s aim was to transform the adult social care and people’s experiences of support and

Mr. P is an 88-year-old man who was admitted to hospital after falling outside his home on an uneven sidewalk. He underwent a successful hip replacement surgery and has begun his rehabilitation on an acute care surgical unit. Mr. P’s 61-year-old son and daughter-in-law visit him frequently while he has been hospitalized, but they are unable to care for him after his discharge from the hospital. The physical therapist feels that Mr. P cannot adequately care for himself at home. (Fero, Herrick, & Hu, 2011, p. 113)

In Dorothea E. Orem’s Self-Care Deficit Nursing Theory, humans are defined as “men, women, and children cared for either singly or as social units and are the material object of nurses and others who provide direct care” (McEwen & Willis, 2014, p. 143).

In Erikson young adult stage is called intimacy vs. inferiority which where young adults build strong friendships and loving relationships and inferiority is the fear to having relationships (Feldman, 2014). This stage last to about the age thirty and Erikson believed that in this stage the individual gives up on their need to help someone who is in needs more continue developing a serious relationship with their future partner (Feldman, 2014). This is the last stage that will be discussed because this it the stage Laurie is in right now. Laurie has developed strong long lasting friendships over the year but more in the last few years. As mention above Laurie loves to help others and after nursing school she start a non-profit called “You

In assisted living, residents can socialize with peers, structured activities like field trips, dancing, and cultural events. A good social atmosphere helps people form friendships and improves overall resident wellness. Older adults who live alone often become isolated. At senior communities they can make friends, share a meal and enjoy festive occasions with one another. According to Andrew Steptoe, a professor of psychology at University College London, “Both social isolation and loneliness appeared initially to be associated with a greater risk of

Moreover, WHO magnitude of fall worldwide attributes; Frequency of falls, fall in Injury, Need for medical attention and fall mortality rates has laid more emphasis on the rapid growth in population ageing across the globe (WHO. 2007). Specifically, St Helen fall strategy explained how injuries caused by fall are noted to be a concerned public health issue as it now accounts the most common cause of death among older adults (St Helen’s council, 2014 and Age UK, 2010). It is of no doubt that falls has a high impact on health outcomes, quality of life and life expectancy which invariably has been attributed to high economic burden to individuals and the Government (Keith et al, 2015). For instance, United Kingdom’s National Health Service (NHS) and social care system has consistently explained how falls and fall related injuries like fracture has a great impact on the financial aspect of the system.

Older people who are classified as frail usually have a high risk of having a fall. The community nurse should therefore screen all frail older patients for risk of falling. The nurse will ask the client and their carer whether they had a fall in the past year. If the client has fallen in the past year the nurse will ask about the frequency of the falls and their characteristics. The nurse should then ask the client if they have a fear of falling. The client should also be asked if they think they have any problems with walking or with their balance. If the client has answered yes to any of these questions then they may be at risk of falling. This information allows the community general nurse to plan and prioritise care for the client. If

Falls and fall-related injuries have a significant impact on the elderly population. One out of three older community-living adults fall each year causing a deteriorated quality of life, suffering, need for care, increased health care expenses, and decreased productivity (Quigley, Palacios & Spehar, 2006). According to Al-Faisal (2006), one half to two thirds of these falls happen in the older adult’s home, and are usually a result of unsafe home environments. Many experiments have studied factors that influence the risk of falls, and recent hospital discharges seems to be associated with this risk. Mahoney and colleagues (2000) conducted a study that concluded the rate of falls was significantly increased in the first month after being discharged from the hospital. Their findings also showed that 15% of all re-hospitalizations within the first month after discharge were contributable to fall-related injuries. Nonetheless, the elderly population who is at risk for falls is constantly growing. Adults 85 and older are estimated to be the fastest growing population group and this longevity is altering the connections between home, quality of life, and short and long term care (Horowitz, Nochajski, & Schweitzer, 2013).

Mrs Smith, 5 days prior to visiting hospital tripped and fell, her injury’s prevented her from standing up. At hospital she was diagnosed with a left fractured neck of the femur (L NOF) and required an immediate left total hip replacement surgery. Mrs Smith is 85 years old, lives with her husband at home, has no children however has a strong social support network through her church. She is involved in her community and continues to teach piano. Mrs Smith only known medicine issue is urinary incontinence. 10 days’ post-surgery Mrs Smith developed a urinary tract infection increasing her length of stay in the hospital. This led to the diagnosis of delirium, worsening of her continence issues impacting negatively on her mental health. This has resulted in slow progress in mobility and delay of her rehabilitation plan. Mrs Smith’s anxiety levels are heightened as she is fearful of falling again and is concerned whether she will be able to return home as her mother passed away shortly after she broke her hip. This case study will examine if Mrs Smith will be able to return home with an effective management & discharge plan based on a multidisciplinary team using a person centred approach. The treatment plan will endeavour to assist Mrs Smith to return home. A full health, coordination and function analysis is scheduled to assess to identify any underlying medical condition and possible risk factors for further falls.

Being the daughter of a Licensed Vocational Nurse and the eldest of seven children, Sister Callista Roy learned the importance of selflessness, caring and the importance of really knowing and caring for others. A scholar with a degree in sociology as well as nursing, and her involvement as a Sister in the church showed a true dedication of service of others. (Parker & Smith, 2010, p. 168). The Adaptation Model looks at a patient’s health through the lens of adaptation, being able to change based on environmental factors whether they are internal or external Shah, M. (2015). Compare and Contrast of Grand Theories: Orem’s Self-Care Deficit Theory and Roy’s Adaptation Model. International Journal of Nursing Didactics, 5(01), 39-42. doi:http://dx.doi.org/10.15520/ijnd.2015.vol5.iss01.28.39-42. This model was developed while completing her Master’s Degree influenced by Dorothy