Elder Care Case Study
Mr. Trosack is a 72 year old man who fell down a long flight of stairs a month ago, underwent a total hip replacement and is in need of a discharge plan. He completed two weeks of rehabilitation in the hospital for his hip as well as diabetic teaching for his new onset of Diabetes. It was also discovered during this hospitalization that he needed to start taking medication for hypertension. Both he and his family are in denial about what it will take to get him home and deliver the care that is needed.
Healthcare Issues and their Importance
Discharge planning and management with an elderly person can become very complicated and should be approached with an open mind and the willingness to compromise with the family and patient himself, keeping in mind that the safety of the patient is top priority. Before Mr. Trosack can safely be discharged home several issues have to be considered. It is important that the case manager meet with the patient, his family as well as find out about the details of where he will be going and how much assistance from family and friends is available and dependable.
One of the issues that needs attention is his physical preparation to move back home. In his current state, he is not able to take care of himself without help. Based on the interview of his son and daughter in law, as well as taking into consideration their lack of help prior to the surgery, it doesn’t appear that they will be able to visit him often or consistently. That will not work immediately because Mr. Trosack will need daily assistance, for several more weeks. A rehabilitation center may be his best option in order to ensure his safety and avoid another fall. He will be able to continue physical therapy sessions in order to continue to improve as well as round the clock help when needed. He would receive more stair climbing training, hip strengthening exercises as well as gait training. Attending the rehab