¶ … patient was admitted due to a broken hip which required a total hip replacement (THR). This injury has required two weeks of in-hospital rehabilitation to this point, and Mr. Trosak will probably need more physical rehabilitation to completely recover from the injury. Since there are secondary concerns (such as some loss of cognitive function (text, 462)) after a fall, it will be necessary to monitor MR. Trosak. The falling incident could also reoccur due to the fact that the patient resides on the second floor of his apartment building. It will be necessary to ensure that Mr. Trosak understands the risk of a recurrence, and that he has sufficient assistance. Prior to being hospitalized for the fall, Mr. Trosak was not taking any prescription medication, and he has not had a physical examination for more than ten years. While admitted, the patient was found to have chronic hypertension, which is currently being controlled with medication, and he was also diagnosed with non-insulin dependent diabetes. Due to these conditions, Mr. Trosak is required to take daily medications which also need to be monitored. Both Mr. Trosak and his family did not exhibit concern regarding the necessity to take the medication daily. This is a concern since both of these conditions can result in the patient having further medical issues. Mr. Trosak's ability to take the medication at the prescribed time and being daily consistent with administration needs to be monitored also.

Another issue that is important from a healthcare perspective is Mr. Trosak's ability to attend appointments and take care of himself independently. Mr. Trosak's son and daughter-in-law have extensive work schedules which would make it difficult for them to provide the care that the patient may need. The patient has mobility...

Trosak's continued recovery. A personal physician who can monitor the medication and provide necessary post-hospitalization care is necessary because Mr. Trosak nor his family have the ability to provide this function. Since the patient has not had a regular physician for more than ten years, it is necessary to help him build a relationship with someone that he trusts in this role. Mr. Trosak will also need to continue to attend rehabilitation appointments. Although there is some debate regarding the efficacy of rehabbing after a THR (Vanwanseele, 2009), it is still considered to be the preferred course of action. Mr. Trosak has never before had mobility issues and this means that he needs understand what he can and cannot do safely. Also, it is necessary that he continue to rehab the leg because of his living situation. Since he lives in a second floor apartment it is important for him to have better mobilbity. Mr. Trosak will also need a social worker or nurse case manager to help him navigate the required appointments and resources available to him. It is difficult for any person to know all that is available to them when they become disabled, and the case manager could continue to monitor all facets of Mr. Trosak's care to ensure that it is optimum for his recovery.
Since maintaining the patients safety is of primary importance, a realistic assessment is necessary. Looking at the safety assessment there are two main issues which present themselves regarding discharge placement. The apartment in which Mr. Trosak…