For the past seven years I have seen my great-grandmother struggle with mobility. She has a weak heart with two valves that are very weak. This cause for her to have poor blood flow to her legs. She has developed sores that cause throbbing pain with bloody discharge. She struggles to walk and care for herself every day. Yet she does not give up and refuses to use assisted living. I am not looking forward to any illness or issues with my mobility. I would like to be able to care for my self until I die. Sarcopenia for instance is the loss of muscle mass. This comes with old age and lack of exercise. If one has never exercised they will have muscle loss at a rate of 12% with not much of muscle to lose in the first place. I would not like to
Mrs Gale is a 70 year old widow and retired unskilled worker. The patient lives alone and relies on her son to provide basic care,
Sandra is sixty years old, she was diagnosed with dementia three years ago, however last year she suffered a massive stroke which affected her right side leaving her unable to use her right arm and leg which has left her having to use a wheelchair, Sandra is also suffering from depression which she takes antidepressants for. Sandra lives at home with her husband Michael who is sixty-five years old, they also have two children called Louise and Laura. Louise lives in Australia and worries about her mother not receiving the help she needs, she thinks that her mother should go into a care home, Laura lives close and
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.
A is an 87 year old women, with a long history of health troubles including chronic kidney disease, congestive heart failure, coronary artery disease, a pacemaker insertion for her atrial fibrillation, type 2 diabetes, dyslipidemia, colon cancer, breast cancer, mild cognitive impairment and most recently paranoid psychosis.
Mrs. Keller, 86 years old was diagnosed with dementia with signs of behavioral problems. She can still walk independently but needs minimum assistance in some basic activities of daily living.
More and more people will need care in old age, and if they are disabled. Millions of Americans suffer from a chronic illness, or some kind of disability, and many of these people will have limits in their daily activities. Some people experience
Shirley Caretaker is a 56 year-old widow who spent the last twenty-five (25) years working in the health care field as a Certified Nurse’s Assistant and Licensed Practical Nurse. Ms. Caretaker’s job-related knee pain was worsened by a work related accident, which also injured her hip and back. She cannot sit or stand for more than 30 minutes at a time, or walk for more than 10 minutes. Pain in her upper back radiates up her neck and through her fingers, which causes her arms and fingers to periodically feel
The worker met with Mrs. Marilyn Beaird on 8/18/15. She is bed and wheelchair bound and requires two assists when transported. Mrs. Beaird has diagnoses of Vascular Dementia and is unable to answer questions
- Dr. Vellios stated, my mom walks without crutches. When my mom is not even allowed to bear 100% of her weight on her left knee, only up to 50% with her crutches or walker
In early February of 2017, my eighty six year old grandmother fell and broke her arm in two places. Since then, she has been in a rehabilitation center called the Notting Hill of West Bloomfield. My family wanted the best care and recovery for my grandmother. After extensive research, my family found that Notting Hill was rated very highly for its physical and occupational therapy, and it did. However, from the first day the my grandmother was there, my grandmother, other family members of mine, and I noticed an unfortunate phenomenon that still occurs at this facility; patients are not being taken care of properly by the nurses and aides. There is a poor response time to the “help” light, there are many medication errors, there is frequent
A review of her medical record indicates that she has a history of functional decline, dementia, weakness, MRSA, cognitive communication deficit, presence of right artificial hip joint and HTN.
Our client, Ertha Williams is a 99 year old female who lives alone in a low-income apartment complex on the second floor in Monroe, Michigan. Ertha suffers from chronic kidney disease and has a history of hypertension and type one diabetes. Due to her chronic kidney disease Ertha has regular scheduled dialysis appointments three times a week, but since the death of her son and husband and her inability to drive it is difficult for Ertha to get to her dialysis appointments. She also has difficulties preparing the multiple medication she is required to take to manage her hypertension and diabetes. After her last dialysis appointment the nurse reported that Ertha appeared frail and emaciated. Ertha herself also stated that she worries about financial issues frequently and has good and bad days occasionally. Based on these findings Ertha is in need of some assistance to help alleviate some of the problems and stresses she is undergoing. Several nursing diagnoses can be established based on Ertha’s current situation and through these diagnoses it will be easier to establish what kind of services Ertha will need from the surrounding community of Monroe and what types of barriers she might encounter in attempting to access these services.
Musculoskeletal System (joint pain; stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; back pain; difficulty with activity of daily living, medications):Denies pain or stiffness in joints. Denies swelling, heat, or redness in her joints. Denies deformity of bones or joints. States no self or family history of arthritis. Complains of “achy fatigue” in lower legs at the end of the day. Uses a walker for increased stability. States she is “afraid of falling” so uses a walker at all times. States she fell in her kitchen late one night and bumped her head on the laundry room door. States she did not feel dizzy, just tripped over a kitchen chair with her walker. Called 911 for assistance but refused to go to the hospital for evaluation. Denies fractures or traumas to bones. States she has mild back pain when standing for prolonged periods of time. States she uses a shower chair to avoid fatigue in shower. States she bathes, grooms and dresses herself without assistance. Grandson assists with
In this case, an elderly male patient has reached an advanced stage of ALS. The patient was depended on ventilator support and was unable to move unassisted. He has lost the ability to talk, however, he still has some use of his facial muscles. Additionally, the patient does not have access to alternative modes of communication such as eye-controlled computers, due to their high cost. As his disease progressed, the patient’s family made the decision to move him to a long-term care facility, where nurses would be able to better respond to his now round the clock medical care needs.
Patient also, has history of hypertension, GERD, morbid obesity, anemia, and depression. She reported that the past few months, she has been feeling very weak and overall generalized deconditioning. Her ability to care for herself including her activities of daily living (ADLs), and her basic physical needs (like bathing, grooming, ambulation, meal preparation, transportation, errands, and housekeeping), had decreased, and cannot consistently carry them out.