Elder Care Case Study

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| Elder Care Case Study | Contemporary Nursing Issues – GNT 1 | | | Hip fractures are common in the elderly. According to Medical Surgical Nursing: Assessment and Management of Clinical Problems,” more than 200,000 hip fractures occur annually. It is estimated that by the age of 90, 33% of all women and 17% of all men will have sustained a hip fracture” (Lewis, Heitkemper, Dirksen, O’Brien, and Bucher, 2007). One of the factors that contribute to a hip fracture in the older adult is a fall, and surgical repair is the preferred method of treatment. The National Institute of Health (NIH) states, “Mortality within the first year following fracture has been as high as 40%.” Collaborative team work is important in order to determine proper discharge for the elderly patient after having a total hip replacement. (THR) According to the scenario provided, Mr. Trosack, a 72 year old male, fell down 2 flights of stairs at his home and had to have a total hip replacement. This paper will be an overview of the healthcare issues the case manager must address when working with an interdisciplinary team to determine the most appropriate discharge plan. It will cover a healthcare assessment, some of the interdisciplinary team members involved in the rehabilitation, a safety assessment and finally a discussion of the discharge placement and the affects an older adult may have recovering from surgery. A1. Healthcare Issues and Importance Discharge planning, as well as, strong communication with the patient, family and rehabilitation team begins early during the hospitalization. Sending a patient home after THR involves many careful assessments for the case manager. Assessing safety is on top of the list. Because Mr. Trosack lives in a very small, cluttered apartment it is of most importance to have a detailed safety assessment made of his home so that if the
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