Elder Care Discharge

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Elder Care Discharge A Case Study Donna Pairadee Western Governors University Mr. Trosack is going to have a difficult time at home. Post-op Total Hip Replacement has many issues, and his living arrangements make it even more difficult. First of all, the flights of stairs are of great concern. Mr. Trosack presents as a patient that will never want to “bother anyone.” His independence could cause many problems. He will undoubtedly insist on carrying trash downstairs and groceries upstairs. The nurse must also anticipate that Mr. Trosack will try to work in the bakery as well. The frequent trips up and down any stairs pose a serious fall risk. This building has Mr. Trosack going up and down two flights of stairs. With Mr. Trosack, the discharge nurse needs to do a Fall Risk Assessment. The Morse Fall Scale (Mauk, 2010, p. 464) gives the nurse a numeric value for Risk Assessment. According to the Morse Fall Scale, any score greater than 25 is a high risk. Mr. Trosack would have a score of at least a 65. Further interview with him would determine if he knows his own limitations. Since Mr. Trosack is at high risk, fall prevention strategies must come into place. Safety within his home is also an issue. Mr. Trosack’s home is cluttered and full of “throw” rugs. This becomes another safety issue for this patient. According to the American College of Emergency Physicians (Physicians, n.d.), loose rugs are a safety hazard. The fact that Mr. Trosack has several of these rugs, including some stacked on other carpeted areas, poses a major safety risk for this patient. These rugs, because they are loose, may slip, fold, crease, and even catch the legs of either Mr. Trosack’s walker or himself. Mr. Trosack also has two new diagnoses: one for Hypertension, and another for non-insulin
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