Physical And Psychological Changes Of The Elder Person Is At High Risk For Falls And Injury

The multidisciplinary team (MDT) meeting that the author attended was regarding Laura 's case, a 62 year old lady that lives alone and had a fall followed by knee surgery on her right leg which now needed rehabilitation. Laura also has Hypertension, arthritis and was recently diagnosed with Parkinsons Disease, which is managed with medication.

The occurrence of falls among the elderly is related to multiple factors, such as inherent and external issues. Studies have proven that when appropriate intervention is put in place, falls are preventable. A quality improvement according to Polit & Beck (2012) is created to examine the willingness of individuals to understand these studies and put them into practice or to appraise the results of interventions already in place. This paper will examine a practice issue facilitated by the advanced practice nurse (APN), explore the theoretical underpinning of change, describe an improvement tool and model for improvement and allocated resources towards the prevention of fall among the elderly.

Client reported no known allergies to food or drugs. Client reported that she has 8 years daughter. Client indicated her physical health "average". Client reported that she does not have a current primary care physician at the time of assessment. Client reported that she is not currently pregnant and does not taking medication for medical purpose. Client denied any issues in this dimension. Indicated no current condition or medications that would interfere with treatment. Client exhibited adequate ability to tolerate and cope with physical discomfort. No immediate biomedical services are needed at the time of assessment.

Although older adults fall more frequently than younger people, falls are not considered as a normal part of aging. Falls and fall related injuries among older adults are major Public Health concern and represent significant reasons of mortality and morbidity in older populations. Koski et al., (1998) defines “fall” as a sudden, unintended loss of balance leaving the individual in contact with the floor or another surface such as a step or chair. Each year, approximately 1 in 3 persons aged 65 years or older fall and more than 1.6 million older U.S. adults go to emergency departments for fall-related injuries (Hyuma et al., 2013). Injuries related to fall are associated with significant disability, reduced independence and mobility, and increased risk of injury deaths. According to National Center for Injury Prevention and Control (2008), the major primary

This assignment will focus on the issue of Risk Assessment with relation to falls in the home in the elderly population. It will discuss the relationship between the community healthcare team and the individual client, the government policies related to the topic, and the influences of health policy upon the provision of community care. The role of the community nurse in public health education and promotion will also be explored. The client, in this particular instance, is Mrs Pugh.

Subjective: Client was born on April 11, 1952. According to client, she had history of both eye cornea transplants, and wears contact lenses for both eyes. In addition, she had right elbow dislocation in 2005. Next, client mentioned she is diabetic and currently taking hydrochlorothiazide (HCTZ) and metformin medications for her diabetes and high blood pressure. In addition, client mentioned she regularly visits her primary care physician for regular checkup. Next, client talked about her balanced concerned at gym while raising her opposite leg and arm for exercise. Furthermore, client mentioned that she likes to go at gym four times in a week, and she never has any balance problem during her household chores or dressing. Client lives alone in 3-bedroom house, and she had no steps or stairs in her house. She has a grab bar in her shower and she has step-in shower

On this date worker spoke with Ms. Ana Dyer, SW at Walker Co. Rehabilitation, for the purpose of linking Ms. Smith with long-term nursing home placement closer to home. Ms. Dyer stated they would not be able to accept Ms. Smith because of her current behaviors. Apparently, Ms. Smith is hallucinating about dead babies and has become a fall risk. After receiving surgery on her hip, she fell again and now has a hairline fracture.

Mr. Checketts main health issue is her poor mobility as a result of having a fall at home. It is also exacerbated by a fractured wrist, which might impede her progress, as she would probably have difficulty holding the walking frame. She will likely to have difficulty following the physiotherapist and respite facility mobility instructions because of her early dementia. There is also a big possibility that she will wander around without assistance or walking frame making her a falls risk.

Physical development continues to decline as one ages, typically experiencing weakened immune systems and a lessened ability to hear, see, smell and balance as well as before (Broderick & Blewitt, 2015). Because of such challenges, older adults are more prone to failing and hurting themselves, which can compound physical challenges and require adjustments to go about accomplishing once was normal daily life tasks.

At today’s visit she is found sitting in her room in her wheelchair. She is awake, alert and oriented. She reports that she has had multiple falls over the weekend. She denies pain, shortness of breath and chest pain. The facility staff reports that she has had multiple falls and seems to be falling more lately. The patient uses a wheelchair;

As adults age there are many changes that one may be challenged with. Aging adults begin to face cognitive, physical, and emotional issues that can present a challenge to health care professionals who are providing care. As one enters older adulthood, he or she is faced with potential memory loss. A struggle of forgetfulness can be a daily challenge that comes with aging. Degradation of the body can make everyday tasks increasingly challenging. With this degradation, simple activities such as walking, dressing oneself, eating, and showering can be limiting and difficult. Depression, loneliness, and a sense of

He also recommended at some point when her physical therapist feels she is ready to join the adapted therapeutic yoga program that meets weekly. They have found that yoga, mindful breathing along with a Tia Chi program help with pain control. Ms. Bambricks private health insurance has given approval for an extended number of physical therapy session so that is decreasing her stress and worry regarding that. Her being able to attend physical therapy consistently has helped to improve the range of motion of her cervical spine and upper body strength. She continues to use a walker for the right drop foot and the left ankle weakness. The numbness she has to the left side of her body continues, along with the right wrist pain and weakness. The attendant care and transportation services have made a great impact on her attendance to her therapy and medical appointments. Our next appointment will be with Neurologist Dr. Hakim on 5/24/18. We will address the coldness to her hand and foot along with the numbness in her

My client, Catherine, is a 47-year-old single female. She has one daughter who is 11 years old. Catherine has full custody as the child’s father is willfully absent. Currently she is on disability after being diagnosed with Fibromyalgia in 2010. Before this diagnosis she was a loan officer for a credit union. Catherine’s main health concerns are headaches, allergies and digestive issues. In the last 5 years Catherine has had many major traumas in her life. She was diagnosed in 2010 with Lyme disease, Fibromyalgia, hypothyroidism and chronic migraines where subsequently she was unable to work. It was once she contracted Lyme disease did all the other issues show themselves. In the last 2 months my client has been able to participate in an exercise

As people grow older, they develop dental problems which lead to nutritional intake issues. Cognitive function declines affecting memory, decision making, conversing, and problem solving. In addition, falls can occur with mental status disturbances. Lack of social interaction, depression, and anxiety also crop up in the elderly. Sleep patterns are altered by restless legs, snoring, and disrupted breathing sequences. At times, pain can be constant from arthritis, osteoarthritis, or other medical issues (Tabloski, 2014).

Rachel has recently begin a physical therapy program with me. She has complex musculoskeletal issues she are related to recurrent disabling episodes of back pain. Her condition requires regular physical therapy visits as well as regular participation in daily home exercise program that is best broken up to multiple periods throughout the day. She currently has limited ability for sitting and carrying which occur when she drives in to work.