Not only is it dangerous for the patient to try and maneuver his walker up and down the stairs, it will also be painful. Since the patient lives alone and has limited contact with his son, he risks becoming completely isolated. He also jointly runs a bakery, which is located on the first floor of his apartment building, with his brother Karl. Therefore, Karl will be unavailable to help since he will be busy with the business and will not be receiving any help from Mr. Trosack. The apartment is also small and cluttered with spaces not suited for a walker.
Because Mr. Trosack is male and elderly he may be at higher risk of complications from NIDDM. (Ruigomez & Rodriguez 1998) The third health concern is his newly diagnosed hypertension. Hypertension is known as the silent killer and his blood pressures must be monitored and controlled. While he has probably been living with this condition as well, undiagnosed, he must now monitor his blood pressure to assess the efficacy of his new medication; and adapt his diet for this condition in addition to his NIDDM. Mr. Trosack also has some hearing loss and poor vision which can impact his ADL’s as he tries to recover and care for himself after surgery.
Secondly, balance in the monitoring of high-risk patients was inadequate. Staff failed to implement additional monitoring for Mr. B. The patient needed extra monitoring due to had an increased dosage due to high tolerance to the prescribed sedatives. Leaving an untrained family member to attend to a patient in respiratory crisis was not only unsafe; it was in violation of established conscious-sedation protocol. Mr. B. was vulnerable when he was left unattended.
Randall was able to have good clothes because his father would barely have enough to put food on the table and supply them with fresh new clothes. In Randall’s home they didn’t have any hot water and their parents would constantly get into arguments about not keeping the house clean but let’s face it who can keep a house clean when there are so many kids making it very hard to keep it clean. Richard on the other hand gets clothes from the welfare people but doesn’t like to wear their clothes because it has the big welfare patch on it and doesn’t’ want people to see that. In both of these essays they share a life event that happens to them and how they feel shame and embarrassment after those incidents happen. First, Randall tells us the way he felt shame and embarrassment with his classmates.
In a care home setting it may be hard to communicate with residents that have dementia, this is because they forget things, get upset and in the last stages of dementia, they can become violent. This can influence the communication method between you and the resident, as they may not understand what you are trying to explain, also if they are upset it can be confusing and stressful for them. It will affect the conversation because they will be agitated and wont listen to what you have got to say. Another example is in a special school for people with learning disorders. People who have learning disorders may have problems with reading and writing, this will affect the communication barrier as they cant show how they feel through writing and drawing.
They feel sad or angry at time, or scared and frustrated as the disease progresses. If a family member has dementia, it can be difficult for the family to stay positive. For everyone who suffers from dementia, living a healthy lifestyle is important. Living a healthy lifestyle is the best way to prevent dementia. Someone who suffers from dementia could result in losing weight and have poor nutrition because they struggle to find the words to ask for
The causes for homeostatic imbalance in hypertension are medication, weight, smoking, heredity, drinking, external stressors, age, disease, and race. The reason the feedback system cannot maintain homeostasis is because of the different effectors causing the arteries to constrict, thus causing your blood pressure to rise. If you don’t contain a homeostatic balance in the cardiovascular system, you at risk for having heart attacks, kidney damage, vision issues, strokes, and problems with the aorta. This is how I would explain hypertension to a 63 year old man with an 8th grade education. I would begin by explaining that blood pressure is the force that your blood exerts on your arteries.
This presents a problem not only for the providers and other employees, but also for the patients who legitimately require the use of narcotics for their pain control. Recently more physicians are hesitant to write narcotic drug prescriptions for their patients because the manpower to keep track of the people on these medications is not available. Doctors and pharmacists are required to take many unnecessary steps to ensure that the people receiving narcotic drugs are doing so legally. In order to protect themselves from audits by the Drug Enforcement Agency and malpractices suits, more and more doctors are calling each pharmacy before prescribing pain medication to ensure that a ptient is only using one pharmacy. Upon receiving a controlled prescription, the pharmacist will also call other pharmacies to check a patient history and then call the patient’s insurance carrier, if one is available, to check even further.
The fifth stage of AD is moderately severe cognitive decline in which an individual may need help with everyday tasks and even forget their own address, phone number, forget which day it is but also still not help with things such as eating or using the bathroom. The sixth stage of AD is severe cognitive decline where the individual will need help with everyday tasks, their behavior and mood will change and their memory will be much worse. The final stage is very severe cognitive decline where individuals can no longer adapt to their environment or do things they once knew how to do. They also won’t be able to carry on a conversation and their mobility will be more or less
I believe when they are on it too long, the brain develops wrong and can cripple them mentally in the long run. I feel that some doctors have a lack of understanding on these conditions and just give out medication to hopefully fix the problem, only in the short term. People need to learn to cope with their problems without