Health models and prevention strategies for Mrs. C.'s independent living

Nursing Case Study: Mrs. C

Which model or models of health are most applicable to Mrs. C. And Why?

Since Mrs. C. appears to be in relatively good health and very independent, the best models of health to apply to her appears to be self-care combined with a holistic perspective. The integration of community and family connections is important, especially in the light of Mrs. C's tendency to fall and her pride in taking care of her daily necessities herself.

Which Healthy People 2020 objectives are of greatest importance to the Mrs. C.

The main important Objectives for Mrs. C. include quality of life, injury prevention, and, in the long-term, caregivers. Mrs. C. is currently enjoying a high quality of life, especially in terms of being able to handle the necessities of daily life herself. Injury prevention is currently of the highest concern, since she has reported falling. In the longer term, it may be necessary to determine Mrs. C's caregiver concerns, which could include either a family member or a professional.

3) What effect do the leading Health indicators have upon Mrs. C.

The main Health Indicators that affect Mrs. C. include potential chronic conditions. These need to be managed on a daily basis and can become exacerbated as time progresses.

4) What preventative measures could be performed at the following levels?

a) Primary

At the primary level, the nurse might provide some counseling to Mrs. C. In terms of her long-term healthcare plan. This can be supplemented with regular monitoring of her chronic conditions and behavior, especially in terms of preventing falls.

c) Tertiary

At the tertiary level, Mrs. C. may need to consider her long-term care options. She may need a permanent nurse or family member to live with her in her home. Ultimately, she may need to consider alternative living arrangements, either moving in with family members or into a care facility.

5) Correlate each preventative measure to the appropriate Healthy People 2020 (web site) Objective and Leading Health Indicator?

The primary-level counseling and behavior monitoring is correlated with the concern of preventing injuries as a result of falling. The secondary-level preventative action is related to Mrs. C's independence level and the possible worsening of her chronic conditions that might affect her sense of well-being. Finally, the tertiary-level intervention is related to ensuring Mrs. C's long-term and end-of-life well-being by means of optimal caregiving.

6) Briefly describe the conversation you would have with Mrs. C., regarding promoting her health?

I would begin by asking Mrs. C. what her specific concerns are about her continued health and well-being. I would then suggest that we take some precautionary measures relating to her tendency to fall. I would advise that she use technology such as a cell phone on her person or within easy reach, including emergency numbers that are easily programmed and dialed in case of falling and injury. I would also discuss long-term healthcare with her.

7) What risk factors might Kelly (the nurse practitioner) address with Mrs. C.

The most important risk factor is Mrs. C.'s tendency to fall combined with her great pride in her independence. A compromise will be needed to help Mrs. C. prevent potential serious injury as she ages, since she may be at higher risk of fractures. The pain of these could prevent her from obtaining help when she needs it.