Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from essay:
Elder Care Case Study
Elder Care - Case Study
The objectives of this study are to discuss how social isolation can affect an older adult's recovery from surgery or illness and to identify safety issues when older adults return home from the hospital after a major illness or surgery. This work will additionally assess the safety of an older adults living environment in a given scenario and determine appropriate discharge placement for an older adult based on a given physical or psychological status. This work will explain how specified psychological factors can play a role in the recovery process. Finally this work will assess the adequacy of the family or caregiver's knowledge of skills necessary to deliver care to an older adult in a given situation and collaborate with a given patient's family to develop a plan of care for an older adult upon discharge from the hospital.
Assessment of the Situation
This patient is an older adult by the name of Henry Trosack. He is 72 years of age and is in excellent health but has not had a physical examination for ten years preceding his surgery although he does take vitamins each day. Mr. Trosack wearing reading glasses and has 60% loss of hearing in his left ear. Mr. Trosack in combination with his brother manages a family-owned bakery. Mr. Trosack lives in a two-bedroom apartment on the second floor. Mr. Trosack fell while taking out the trash down the long flight of steps leading to the ground floor of the apartment building.
While Mr. Trosack was in the hospital for the hip replacement surgery, he was prescribed Lopressor 25 mg bid for an average B/P of 160/100. Mr. Trosack was also diagnosed with noninsulin-dependent diabetes for which he was prescribed Glocophage 500 mg twice a day. Mr. Trosack is able to perform his own blood pressure checks and has been issued a glucometer for use at home. Mr. Trosack is also overweight at 5'7" and 210 lbs. Mr. Trosack uses a walker and this will be his only means of assisted mobility. It is important that Mr. Trosack is determined that he will be going to the bakery.
The family of Mr. Trosack was interviewed and they do not understand the need for medications being taken at certain times and are skeptical that Mr. Trosack has diabetes. The family does not want outside nursing care and do not intend to stay with Mr. Trosack. Mr. Trosack's apartment has some safety problems which need to be addressed and specifically the need for delivery of groceries and someone to take out the garbage due to the two flights of steps leading to the apartment.
In addition, there is expired food in the refrigerator and out of date prescriptions in Mr. Trosack's medicine cabinet. There are also multiple scatter rugs throughout the apartment. There are three healthcare issues present and this will require an interdisciplinary team in addressing the patient's discharge. This team will be comprised of the dietician, the physical therapist, and the nurse.
The problems that are identified in regards to the discharge of Mr. Trosack include lack of support for care following surgery combined with a need for assistance in performing the following tasks: (1) taking medication on time and as prescribed; (2) taking garbage out and bringing groceries in to his upstairs apartment; (3) help with preparing meals and eating the foods that are healthy in light of diabetes and overweight in patient; (4) need to take blood pressure and glucose readings on a daily basis and (5) the fact that this patient does not hear well in one ear and has affected eyesight as well as that the patient will be maneuvering on a walker in a small apartment following THR surgery. If Mr. Trosack is to stay alone in his apartment (without a family member present) then Mr. Trosack will need someone to assist him at the very least from early in the morning until he goes to bed each night. There is also the danger that Mr. Trosack will suffer a fall during the night getting up to go to the bathroom or to get something to drink.
II. Discharge Plan of Care
The dietician will address the needs of the patient in terms of his diet which must take into consideration that Mr. Trosack is a diabetic. Mr. Trosack will be instructed of what foods he should and should not consume with diabetes and with his need to lose weight. If it is determined that Mr. Trosack will return to his apartment following his discharge then the physical therapist will provide instructions for Mr. Trosack concerning his mobility and his use of the walker in moving about in his small apartment as well as instructing the patient on what exercises he should perform to gain maximum mobility following a total hip replacement surgery. The third case worker, the nurse, will instruct Mr. Trosack concerning the following issues:
(1) Groceries being delivered to his apartment;
(2) Garbage being taken downstairs from his apartment;
(3) Removal of the small scatter rugs located throughout his apartment.
(4) Daily use of glucometer checking his blood sugar;
(5) Daily checking of his blood pressure.
(6) Follow-up appointments and transportation to and from these appointments.
(7) What medications that the patient will be taking, why it is important to take them, when to take the mediations, discuss as well potential side effects and what to do if he experiences side effects from the medications. The nurse will additionally counsel the patient in planning how he will refill his medications.
There are other discharge options available for Mr. Trosack and these have been reviewed by the case workers for the patient. There are specifically three options available including:
(1) Home therapy;
(2) Outpatient therapy; and (3) Rehab facility therapy. (Sweet, nd, Wong & Wong, 1999, DeFrances & Podgornik, 2006)
Rehab facility therapy will involve "direct transfer from the hospital to a rehab facility." (Sweet, nd, Wong & Wong, 1999, DeFrances & Podgornik, 2006) This is an option available for older patients who live alone and in the case of Mr. Trosack, is the most appropriate choice for discharge. Mr. Trosack will remain in Rehab therapy for several weeks depending on how quickly he recovers. This option is chosen because Mr. Trosack does not have family members that are intelligently and actively involved in his aftercare. The work of Scheerlinck (2003) states as follows concerning discharge of elderly patients following total hip replacement surgery:
"Early rehabilitation and social reintegration of elderly individuals with a hip fracture is a major concern in the orthopedic department. A specially trained "social nurse" discusses rehabilitation options with the hip fracture patients and their relatives immediately after surgery. In accordance with the physiotherapist and the surgeon, the most suitable solution is selected. When rehabilitation in the home environment or with relatives is no longer an option, a standardized form is sent to a rehabilitation center. Depending on the vacancies in these centers and the health status of the patient a date of transfer is planned." (Scheerlinck, 2003)
Mr. Trosack will remain at the rehabilitation center until it is affirmed that he will be able to maneuver the steps leading to his apartment safely. Mr. Trosack will receive counseling from his caseworkers on a proper diet for diabetics, training in monitoring his blood pressure and blood sugar levels and will be offered an eye examination to see if he is in need of prescription eyeglasses. As well, Mr. Trosack will be fitted with a hearing aid.
Summary and Conclusion
It is the opinion on this writer that the most appropriate form of discharge has been chosen for Mr. Trosack and that he will experience more optimal recovery in a rehabilitation center following his having had total…[continue]
"Elder Care Case Study" (2011, March 09) Retrieved October 25, 2016, from http://www.paperdue.com/essay/elder-care-case-study-120908
"Elder Care Case Study" 09 March 2011. Web.25 October. 2016. <http://www.paperdue.com/essay/elder-care-case-study-120908>
"Elder Care Case Study", 09 March 2011, Accessed.25 October. 2016, http://www.paperdue.com/essay/elder-care-case-study-120908
Care Case Study Slide 1 Footnotes There have been enormous changes due to introduction of various cultural elements in the continuum of care. Before, when people were admitted to assisted living facilities or hospital settings, there were very little cultural elements outside of the majority culture which had sponsored the facility. For example, if a facility was associated with some sort of church or temple, there were elements of that religion
Elderly Care Case Study Discharging a patient from hospital is usually a complex process that is surrounded by many challenges. Therefore an appropriate discharge plan should be put in place so that there can be avoidance of re-hospitalization. As the case manager for Mr. Trosak case there are several healthcare issues that should be addressed when working with an interdisciplinary plan to determine the most appropriate discharge plan for Mr. Trosak. These
Sometimes, studies show that elderly patients are perceived not to be in pain because they do not complain about pain, or that the perceive it differently than younger people. In both receptive and non-receptive patients, one can observe facial tics and/or grimaces, blood pressure (elevated blood pressure sometimes indicates more pain), body temperature, and even mobility. For the functional patient, assessment can be done by observation of body movement, gait,
Ruth E. Mathias and a.E. Benjamin (2003) report that social workers are becoming increasingly concerned about elder abuse in long-term care settings (p. 174). A study conducted by these social scientists/authors, reveals that Medicaid related agency care demonstrates no harmful or increase in the abuse suffered by elderly people receiving care through private agencies, but that there is little social worker oversight, and because of that, reports and information
Aunt Hattie and Chester What might Chester have done to avoid this tragic outcome? Relatives like Chester want the best for their family and loved ones. However, when Aunt Hattie was no longer able to live completely independently, Chester had little choice but to seek some kind of care or assistance. For people like Hattie who are still capable of caring for themselves to a certain degree, assisted living facilities are
Policymaking Decisions and Processes of Allegheny County: According to "The Expansion of Human Services in Allegheny County, 1968-95," policy making decisions and processes experienced significant transformations following changes in the quality and quantity of amenities that occurred in the human service sector. These changes occurred in Allegheny County when Thomas Foerster served as a commissioner for nearly three decades. Since the county does not have Home Rule, it does not have
126). Although there are an increasing number of elderly in the United States today with many more expected in the future, the study of elder abuse is of fairly recent origin. During the last three decades of the 20th century, following the "discovery" of child abuse and domestic violence, scholars and professionals started taking an active interest in the subject of elder abuse. This increased attention from the academic