Preview

Case Study Old

Better Essays
Open Document
Open Document
1282 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Case Study Old
ADVANCE PATHOPHYSIOLOGY
724.2.4-01-07
10/16/11

The elderly patient requires specific nursing care; especially those that had a major illness or surgery. In this essay I am going to discuss several safety issues of an older adult client after surgery and the importance of facilitating the appropriate plan of care. In the case study “Elder care case study” the client Mr. Trosack is being discharged after undergoing total hip replacement surgery. As the nurse case manager it is my duty to discuss a plan of care, assess the client’s situation, manage all aspects of the patient care and services, monitor and determine eligibility for treatments. A case manager must also conduct research analyze data coordinate patient care with the entire interdisciplinary team and family to ensure optimum outcomes of the patient needs and goals. When developing the plan of care for the elderly it is essential to identify key issues and concerns. With the use of the nursing process the nurse manager is able to assess, diagnosis, implement, and evaluate the patient’s expected goals. In the case study Mr. Trosack faced many healthcare issues (hypertension, diabetes, obesity, hip fracture), and /psychological factors (social isolation and depression). These healthcare issues can affect his overall recovery and
…show more content…
Trosack’s family the importance of support and the continuity of rehabilitation and care. I would provide options that would help in maintaining consistent care to the client. I would explain that Mr. Trosack requires a Home health aide and nursing services to help reinforce teaching on maintaining a clean and safe environment. These services would provide Mr. Trosack with a nurse and home health aide to help with appropriate medication administration, to help encourage adequate meals and healthy choices, and to make sure the client complies with rehabilitation homecare services such as home physical therapy and occupational

You May Also Find These Documents Helpful

  • Good Essays

    Nursing is concerned with human responses as they relate to the person’s environment whether it is in the hospital or in the community. With the help of the nursing process, nurses assess the person’s environment through the collection of subjective and objective data, perform risk assessments, identify safety hazards, and implement safety practices that will improve the patient’s health status and prevent further injury or…

    • 560 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Chapter 36 1

    • 373 Words
    • 2 Pages

    Emmanuel is a new nurse graduate who has been hired by the local hospital to work in the ambulatory surgery centre. Emmanuel is required to attend the hospital orientation to learn about facility policies and procedures. Of particular importance are the protocols that surround patient safety.…

    • 373 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Chronic Care Assignment

    • 1005 Words
    • 5 Pages

    Realistic and achievable goals will need to be established, and prioritised, this will help to determine the nursing interventions that will be required to assist the patient to manage their chronic illness. The nurse will have to reassess these goals continuously, to ensure that any new problems are identified early and can be incorporated into the care planning for the patient. A review of the Care Planning for the patient needs to be evaluated to ensure that all nursing interventions are effective. (Rita Funnell, 2005)…

    • 1005 Words
    • 5 Pages
    Powerful Essays
  • Satisfactory Essays

    Team Work Reflection

    • 141 Words
    • 1 Page

    This project taught me how to perform research and collect needed information by analyzing available literature and interviewing involve parties. It provided me with valuable knowledge about patient experience in the hospital and ways to improve it. His project also showed me the importance of team work. Because in order to provide quality care and improve patient safety all health care providers need to work as a team. I will use knowledge that I gained from this experience in my everyday practice. It will help met to analyze my nursing practice and care we provide and look for the solution to improve it. Nurses, as patient advocate, should always insure that patients receive best care possible and that in the end we see positive affect of…

    • 141 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Either young or old, we love our family members dearly, and disabilities does not focus on a specific age group. We would love to feel assured that they are being taken care of the best way possible. As we all know, time does not allow us to take care of them ourselves, with business to tend to of our own, it makes it almost impossible. There are a few options to assist with this matter, but making the best choice is always in our best of interests.…

    • 1083 Words
    • 4 Pages
    Good Essays
  • Best Essays

    Care Study Y2

    • 4736 Words
    • 19 Pages

    The aim of this assignment is to enable me as a student nurse to develop the knowledge needed to understand the role the nurse undertakes in providing holistic care for a patient. I will look at the nurse’s role in the postoperative care of a patient having undergone a unilateral total knee replacement, a patient whom I have cared for. I will discuss how the patient’s needs were assessed by the nursing team, and I will identify the main problems the patient will face.…

    • 4736 Words
    • 19 Pages
    Best Essays
  • Good Essays

    The nursing process of assessment; planning: intervention and evaluation assists health care professionals with problem solving, and advocates the personal holistic provision of care but at the patient from a holistic view, in order to provide effective care giving (Slevin 2001) then plan and set goals according to the information gathered. The…

    • 1486 Words
    • 6 Pages
    Good Essays
  • Good Essays

    Nursing diagnosis plays a vital role in the plan of care.In the plan of care, after the assessment, the available data is collected and reviewed and the nursing diagnosis is made.…

    • 339 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Nursing Process Paper

    • 1296 Words
    • 4 Pages

    Using APA format, the information from this course, and your assigned readings write a six (6) to ten (10) page paper (excludes cover and reference page) addressing the application of the nursing process to a patient care scenario. Use these directions and the scoring rubric as you develop the paper. Outlines and abstracts are NOT required with this paper. Do not include the scenario in the paper…

    • 1296 Words
    • 4 Pages
    Powerful Essays
  • Good Essays

    Senior Risk Assessment

    • 981 Words
    • 4 Pages

    Nurses must be able to assess and conclude whether a senior may have risk factors that could affect their health. There are many tools available to us to determine if various conditions will put our senior at risk and if so, we are able to teach and guide them toward proper solutions to help alleviate or eliminate deterioration of their health. The purpose of this paper is interview and assess a friend of the family. I will give a brief social history of the senior, conduct a nutritional screening, assess for any activities of daily living issues using the Katz index scale, and use a falls prevention scale for risks factors that could lead to injuries from a fall. I will also review her medications and her knowledge of each medication. Lastly,…

    • 981 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Asthma and Patient

    • 1347 Words
    • 5 Pages

    Gulanick, M., & Myers, J. (2007). Nursing care plans: Nursing diagnosis and intervention (6th ed.). St. Louis, MO: Mosby & Elsevier…

    • 1347 Words
    • 5 Pages
    Better Essays
  • Good Essays

    In this twenty first century, where modern health care system is evolving rapidly and getting more complex by the day. Patient are being diagnosed with new diseases, prescribed new medications, newer test are being ordered and new sophisticated procedures are being performed. In this current demanding healthcare system, physicians are spending less and less time with their patients. This is where nurses step in. Now nurses are not just responsible for bedside patient care, they are now expected to be the patients educator, patients advocate, counselor and at times are nurses are responsible for doing more and more interventional procedures, like Peripherally inserted central catheters. In 2010, Institute of Medicine (IOM) and Robert Wood Johnson Foundation (RWF) did a research and made recommendations on the future of nursing, leading change and advancing health. The report stress on providing a patient centered, safe, quality and affordable and accessible to the patient population.…

    • 815 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Elderly Trauma Patient

    • 4640 Words
    • 19 Pages

    As the population of our world grows older on average, the question of how to care for them becomes increasingly complex. With the longer life expectancy there exists a kind of Achilles heal regarding elderly trauma patients and the response to treatment for life-threatening injuries. The older trauma patient is often times a victim of slow trauma (occurring over years of injuries and illnesses) before they are made victims of the trauma that gets them admitted to the hospital. Just because we are getting older before we die does not mean we are any healthier. We may last longer but the quality of our health and lives is in question when we sustain an injury or insult that would be serious even in a much younger and healthier patient. So the question is: “What, if anything , can we do to improve overall outcome of trauma in the elderly?”. The situation presented in this paper asks the question as applied to a younger elderly patient with multiple co-morbidities prior to sustaining a multi-system trauma.…

    • 4640 Words
    • 19 Pages
    Powerful Essays
  • Powerful Essays

    Safety Intervention

    • 1668 Words
    • 7 Pages

    The goal of a nurse is to promote holistic health and well-being for their clients as well as educate and carry out preventive measures to protect clients from illness and injury. Safety is an issue that can protect both nurses themselves as well as their clients and surrounding community. Ergonomics of nurses and performing in a manner of proper technique protects the nurse directly and the client indirectly. Training for terrorism also affects both nurse and client. Researchers and organizations spend large amounts of time and money to determine the most effective methods and technology to ensure safety and continue the vision of improved nursing care.…

    • 1668 Words
    • 7 Pages
    Powerful Essays
  • Best Essays

    Gibbs Reflection

    • 3124 Words
    • 13 Pages

    A 89 year old woman was admitted to the recovery ward for monitoring after a dynamic hip screw procedure of the right hip. The patient was received by myself and I immediately began the ABCDE approach to caring for the patient while the anaesthetist began his verbal handover of the patients medical history, intra operative care and instructions for post operative care including iv fluids and analgesia. The anaesthetist explained the patient had advanced…

    • 3124 Words
    • 13 Pages
    Best Essays