Resident Pleasant, Cooperative Case Study

I have spoken with the home care nurse regarding the wound and the physical therapist and occupational therapist. The physical therapist recommended a front wheeled walker as his weight bearing activity was progressing, including his transfers and more independence. The occupational

Three points for sensory perception was->were derived by the patient being able to respond to verbal stimuli and able to communicate his buttock discomforts to me. Three points for moisture was derived by observing the patient occasionally drooling on his arms that added moisture and could pose risk for ulcers. Two points for activity was derived by the patient being mostly wheelchair-bound, subsequently limited his ability to walk. Two points for mobility was derived from observing that the patient made occasional slight changes in body position while he was in his wheelchair. Two points for nutrition was derived by observing that his breakfast plate was only half eaten. Since he requires maximum assistance during the bed transfer and often slid down his bed, one pointed was chosen for friction and

• Client will transfer from the bed to bathroom with minimal assist and 2 or less verbal cue for safety awareness by D/C. • Client A will use a Reacher to don and doff putting pants on with minimal assist with minimal trunk support. • Client will be able to identify and demonstrate three ways to cope with depression by D/C. • Client will perform UE stretching routine independently daily by D/C The activities that would benefit client A is balancing in parallel bars and wheelchair push-ups. The wheelchair pushes up activity is for the strengthen of the triceps and shoulder blade muscles to help client transfer from his wheelchair to his bed. The client places their hands-on top of their chair wheels, lean forward at their hips, press down through their palms and straighten their elbows, pushing their shoulder blades down at the same time and try to lift to lift their backside from their chair seat.

Point Pleasant before the War was a major industrial business area that was thriving. The location of Point Pleasant allowed them to be a part of the transport of coal, salt, and other popular materials, the profit at the time was successful. They believed if things could stay that same Point Pleasant would stay a major area. As the War happen and then Laws made concerning slavery no longer being able to be profit ability for cheap labor, business took a hit after the War in to the Reconstruction period of the Southern states. These cause the area to decrease in population and business.

As Mrs B has diminished mobility we have to make sure she gets enough exercise and movement so she doesn’t get stiff, so it’s important that she goes for small assisted walks in the ward. Mrs B has a healthy appetite and likes to choose her own meals.

Mr. Reid said he needs help changing positions, moving his legs, stand by assistance to supportive assistance when walking due to legs giving out. He uses a cane and a borrowed scooter. He needs help with dressing, bathing, cleaning, home maintenance, and yard work. He

However, client demonstrate deficit in narrow BOS balance and tandem standing balance with closed eyes and slight resistance. In addition, client was concerned about her balance during one leg rising with opposite hand raising gym exercise. Client will attend occupational therapy services 3x per week and will be able to stand on balance board for 1 minute with wider BOS while holding side bar to improve her balance. For long term goal, client will attend occupational therapy services 3x per week and will be able to stand independently on balance board for 1 minute with narrow BOS to improve her endurance, strength and balance while standing. Client will get education from an occupational therapist for increasing her BOS while standing, and to hold side rail while walking/exercising to avoid future fall accident. It is also recommended that client will attend outpatient physical therapy service to address her balance

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

Many patients admitted to the stroke and orthopedic rehabilitation unit have impaired physical mobility. The length of time in rehabilitation is ten to fourteen days. Many times nurses, patients and family members form bonds that last long after the discharge. I recently had the opportunity to take care of a patient I will never forget. Mrs. C was admitted to the rehabilitation unit following recent hip surgery. She is eighty years old and had fallen raking leaves in her front yard. Mrs. C has a history of hypertension, arthritis and gout. Medications include aspirin, metoprolol and allopurinol as needed. Prior to admission Mrs. C lived independently and has two children who checked on her routinely. No cognitive or mental deficits are noted. Key parts of this paper include the introduction, NANDA, NIC and NOC elements, data, information, knowledge and wisdom and the conclusion.

I have come to a final decision to proceed with the elections Health Cooperative Group (546) effective 10/16/2016 and I want to handle the election is hiring my 546 10.16.2016 . The reason for that is my wife need to make appointments with a provider in the travel distance of us and it's very important that she see a provider as soon as possible, so I've made the decision to conduct the election are 546 school so that she can find a

• Is very mobile and will walk unaided. Develops their gross motor skills and enjoys to walk, run and climb. Can climb the stairs unaided and come down them with help.

Patient was encouraged to perform some activities of daily living such as feeding, grooming. She was encouraged to verbalize less fear of falling because anytime we want to reposition her, she will scream that she will fall. Patient was also anxious but we used distraction (TV) to reduce her anxiety. I wrote her favorite movie on the white board so that anybody can put it on for her.

The patient has a supportive neighbor who drove him home from the hospital and a senior services volunteer who drives him to the nursing home his son resides at. Strength in his right UE is 4/5 in shoulder movements, 3+/5 in elbow and hand, and 3-/5 in his wrist. He has edema in his wrist and fingers along with pain in most wrist movements. AROM in his elbow is a -25 degrees extension, wrist has 20 degrees of flexion and 15 degrees of extension, and his fingers are -1/3 of full ROM. The patient is right handed and also has impaired coordination during fine-motor and dexterity movements with his right UE but is left UE is WFL. The patient has a positive prognosis with nursing and occupational therapy interventions to return to a functional level of

This model emphasizes the “TR assists persons to recover following threats to health and to achieve as high a level of health as possible” (Shank & Coyle, 2002, p.56). The initiative to increase opportunities for residents to ambulate on the unit better will in yield an outcome of stronger muscles. The Centers for Disease Control and Prevention list several reasons why “physical activity is one of the most important things you can do for your health” (The Benefits of Physical Activity, 2015). This initiative will promote health by stimulating residents to walk around thus strengthening muscles. It also provides health protection against future falls. “Research shows that doing balance and muscle-strengthening activities each week along with moderate-intensity aerobic activity, like brisk walking, can help reduce your risk of falling” (The Benefits of Physical Activity,

Patient has also been having problems with functional urinary incontinence because of her inability to get to the bathroom in time. Her oral intake had decreased and she has lost 10 pounds in the last six months. Her baseline weight is 230 pounds. She ambulates with the walker, but only when she must go to the bathroom.