Why Brenda Is An Independent Right Hand Dominant Woman

Participants: 15 total participants, age range 48-78; all community dwelling; independent with ambulation (no assistive devices needed), and independent with transportation.

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.

After evaluation, Suzy needs assistance to set up and move from wheelchair to bed. She can stand, pivot with assistance, and is cooperative. She is about 5 feet tall and weighs about 100 pounds. Explaining the procedures is important for the resident to understand what will be done and how (Anon., n.d.). After explaining procedures and ensuring Suzy understands, place right arm under shoulders, left arm over legs, gripping Suzy's right knee, bending and bracing knees against the and keeping back as straight as possible to avoid injury, using

Alyssa, a 56 year old patient at LA Hospice has been admitted in December with a brain tumor, following having stage 3 lung cancer. Alyssa is currently getting radiation treatment along with chemo therapy. Alyssa and her husband John both do not have medical insurance, leaving them with using Medicare. Her functional status is having to use a walker if she has enough strength that day. Alyssa is forgetful from time to time having short-term memory. She has fallen several times in the past and has broken quite a few bones. The last time she had fallen was a week before getting admitted. A nurse or physician is watching her 24/7 every day. The nurse has to write down every symptom and change in her health every day. Alyssa’s overall goal is to be able to go back home and continue her treatment. Alyssa said “I know I can be strong enough to fight this battle, I have to for my husband.” Jenna the IDT talks with her husband about her situation. Jenna asks “Here at LA Hospice we

Greta Balodis is a widowed 75-year-old and has been living independently in her home until recently (School of Nursing & Midwifery 2014). This is because, over the past two years Greta’s health has taken a significant decline, due to this Greta’s daughter and her family moved back to Adelaide to provide care for Greta. She has recently been diagnosed with atrial fibrillation and right sided cerebrovascular accident (CVA), due to this Greta has mild residual left-sided hemiplegia and resolving dysphagia. This scenario followed Greta and her transition into residential health care facility and the contributing factors which may impact this.

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

Use of fall prevention strategies (call light within reach & bed alarm activated) to protect patient from falling since patient has history of

Mrs. Cabrera is a 64 years old women with history of high blood pressure, vertigo, and bilateral meniscectomy 3 years ago. Client is currently taking medication on a daily basis for her health conditions. Patient takes pain killer medication at least 3-4 times a week if knee pain is present after ambulating around the home for household activities. Client lives with daughter, grandchildren, and other family members. Patient has a supporting family nucleus, they agreed to make arrangement if necessary to avoid and prevent any potential fall risk.

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

Patient is a 76 y/o male that lives with family members and his wife who has Alzheimer’s disease. They live in a single family home with 1 step to enter. Pt has 2 daughters and 1 son who live locally and assist him and his wife with driving to the grocery store. The reason that the patient was referred to Occupational Therapy is because of his decline in strength, decrease in functional mobility, and decrease in transfers along with his reduced participation in his activities of daily living. Pt’s prior level of function was moderate independent with the assist of adaptive equipment such as a rolling walker. His prior level of function doing his ADL’s was moderate independent in hygiene, grooming, bathing, toileting, UB &

Maureen is 74, and was an emergency admission to hospital due to a fall on 20/12/15. Falls are the largest cause of emergency hospital admissions for older people, and significantly impact on long term outcomes (NHS, 2015). Maureen is a widow and lives at home alone. She has a daughter who visits regularly but works fulltime. A detailed process map was concluded in terms of Maureen’s journey (see appendix 1).

Harriet Field is an 85-year-old lady, admitted to hospital due to a fall that consequently resulted in a fractured right neck of femur (NOF), requiring a hemiarthroplasty; Mrs Field lives alone without any community assistance or care, however, has a past medical history of several falls without hospitalisation (College of Nursing & Health Sciences 2015). This paper will explore Mrs Field’s situation in depth, discussing complex care needs, transition from hospital-to-home and ways to ploy stratagems to avoid hospital readmission (College of Nursing & Health Sciences 2015). Due to Mrs Field’s current situation and past medical history of falls, it is evident that without intervention or support, further complications, including readmission

Doesn't leave her house very often, and is taken to her appointments by neighbors, or her daughter. This doesn't necessarily mean that should doesn't get a lot of physical exercise but assuming she doesn't need/want to have any new falls I can't imagine she has exercise equipment in her house, nor goes for unaccompanied walks. Staying physical will aid her balance which was stated to be 'poor' this will also help strengthen her joints and muscles.

Upon review of this case study, it became paramount to differentiate between the diagnosis of the fall. The plan of care was dependant on the evaluation from the history and physical exam. The history of present illness needed to extract enough information to determine the cause of the fall as this would guide the treatment. The timing of the fall, the loss of consciousness would give clues to differentiate between a fall that was related to intrinsic or extrinsic. Secondarily, identifying and learning more related to community resources was critical. I was unaware of services available to help patients with dementia in the sorrowing tri-city area. Thirdly, I was able to recognize how essential it is to integrate the family in the plan and to offer support to them. The daughter, in this case, was the sole caretaker and resources were made available to her.

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.