Case Management of Patient Returning Home After Hip Fracture and Surgery.

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Case Management for Mr. Trosack
Kimberly Demers
Western Governors University
Contemporary Nursing Issues
GNT1

May 28, 2013

Case Management for Mr. Trosack
Mr. Trosack is a 72 year old man who has recently suffered a fractured hip and total hip replacement. Prior to his fall at home, he was managing a bakery with his brother and was living at home alone in a second floor apartment. He has been in a rehabilitation facility for 2 weeks convalescing, and is being considered for discharge. He is a widow and has only one son who works full time and does not visit often. His son has made it clear to the hospital staff that he is not interested in any outside nursing help. He believes he and his wife will be able to care for Mr. Trosack even though they both work 60 hours a week on average.
Healthcare Issues
Mr. Trosack has many healthcare issues. Based on his advanced age, limited assistance from family, recent fall and surgery, and new medical diagnoses of hypertension and Type 2 Diabetes, as the case manager caring for Mr. Trosack, I believe it would be in his best interest to either extend his stay at the rehabilitation center and then reevaluate his situation, or transfer him to an assisted living facility.
Mr. Trosack is of advanced age and has recently sustained a significant fracture and has undergone major surgery. His one son works 60 hours a week and does not visit often. Upon visiting his home which is on the second floor of a house, several safety issues are of concern. The apartment is small and cluttered, and there are many scatter rugs and no safety features in the bathroom. Ambulating safely in the home with a walker is a major concern. Getting up and down two flights of stairs safely, is a major concern. Mr. Trosack does not eat at home much as he manages a bakery with his brother, and is there most of the time and usually

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