Lee She Faces a Number

¶ … Lee she faces a number of problems related to: her hypertension, coronary artery disease, Parkinson's disease, the loss of memory and her lack of compliance. This is problematic for most health care professionals, because they need to create some kind of strategy that can address these issues. While at the same time, motivating her to embrace the fact that she needs some help to: prevent the situation from becoming even more serious. To deal with these challenges nurses must be able to use a number of different tools and tactics. To determine how to achieve these objectives requires: discussing the concerns about the various complications, interpreting the result of the Fall Risk Assessment, how one could subtly encourage her to seek outside care and prioritizing the best way an intervention will take place. Once this occurs, it will provide the greatest insights as to how the trained health care professional can provide the most effective assistance to Ms. Lee.

What are the complications / co-morbidities / geriatric syndromes for which she is at risk?

Ms. Lee is at risk of facing a number of different complications associated with, the various conditions that she is suffering from. A few of the most notable include: the possibility of heart attack, becoming infected with some form of cancer and there is the possibility that she could succumb the effects of Parkinson's disease. These are problematic, due to the fact that she is refusing to seek any kind of outside medical assistance. As, the lack of: effective primary care treatment and monitoring could make the situation worse.

Given the fact that the average life expectancy of an average woman in the United States is 81.5 years old, means that she is even more susceptible to any one of the different conditions that were mentioned earlier. (Park, 2011) At the same time, there is the possibility that she could have an adverse reaction to some of the prescription medications that she is taking. A few of the most notable include: Lopressor (which causes dizziness, depression, shortness of breath as well as nausea); Hydrodiuri (this can contribute to low blood pressure, dizziness in addition to an upset stomach) and Zoloft (which can cause insomnia, nausea, dizziness along with irritability). ("Lopressor," 2011) ("Hydrodiuri," 2011) (Mark, 2011) These different elements are important, because they are showing how Ms. Lee needs to seek out some kind of regular medical checkups. Otherwise, the odds increase that any one of these side effects could have an impact on her well being.

Interpret the results of the Fall Risk Assessment and any further assessments that need to be done

The Fall Risk Assessment is indicating that there are a number of different indicators that are showing how Ms. Lee is susceptible for: having a dangerous slip and fall accident. This is because she is suffering from a number of signs that are indicating that she is vulnerable to this kind of event. To include: unpredictable behavior, agitation, withdrawal and a lack of interest in seeking out some kind of treatment for her various health conditions. These different elements are important, because they are indicating that Ms. Lee needs to seek out regular treatment. As a result, some kind of consistent assessment must take place, in order to ensure that she is not subject to having a serious fall. This is because, of the overt signs that she is exhibiting from the side effects of the medication and her age. (Henrich, 2007, pp. 50 -- 57)

Based on the fact that Ms. Lee does not want to have an extensive diagnostic evaluation at the hospital, how would one approach her care?

The most logical approach is to have Ms. Lee go through a series of evaluations inside her home with health care professionals. This could be accomplished by having the doctor visit her apartment at least once per week. At the same time, select caregivers could begin to work with Ms. Lee on a regular basis. This will prevent her from suffering from the debilitating effects of the various diseases. While allowing her to receive, consistent monitoring for possible slip and fall accidents.

Prioritize the interventions that would prevent complications and maintain her quality of life as much as possible.

The biggest obstacle that will be faced by any kind of intervention with Ms. Lee, is that she is will want to maintain some kind of autonomy. To achieve this objective we should approach her in a series of steps. As, the care giver is spending more time with her as a kind of assistant. Once this occurs, we can then begin to point out how the doctor could conduct various examinations inside her apartment (which would help to support her autonomy). At the same time, this will allow for constant monitoring. This will prevent her medical conditions from become worse, while making certain that she is not subject to any kind of slip and fall.