Mr Trosack Case Study

2385 Words10 Pages
Safety, Communication, and Placement for the Older Adult In the case of Mr. Trosack there are a variety of healthcare issues that must be addressed when determining the most suitable discharge plan. One of the first concerns of the case manager is the issue of Mr. Trosack’s medications related to his new diagnoses of hypertension and diabetes, as well as his newly prescribed pain medication. The two major concerns are non-adherence to the medication regime and polypharmacy. Mr. Trosack and his family seem to be in denial regarding the diagnosis of diabetes which may result in his failure to take the medication correctly. He may also not be compliant regarding taking his medications and checking his blood sugars as he seems aggravated…show more content…
Trosack’s limited mobility. Planning for how he will safely move around his home is essential because his recent surgery combined with various safety hazards throughout his apartment and his new medication regime put him at an increased risk for another fall. There are many negative consequences that could result from Mr. Trosack suffering from a fall, including serious injury and even death. Mr. Trosack is at a high risk for a fall due to both intrinsic factors such as polypharmacy and limited mobility, as well as extrinsic factors such as stairs, clutter, and throw rugs. “Among older adults, falls are the leading cause of injury deaths. They are also the most common cause of non-fatal injuries and hospital admissions for trauma” (Mauk, 2009). When planning Mr. Trosack’s discharge is vital to determine what aids and or alterations he may need to safely move about his home. This can include safety rails in the bathroom, removal of clutter and throw rugs, hip protectors, non-skid shoes, adequate help around the home until he can safely negotiate stairs, and the installation of Lifeline should he suffer a…show more content…
Trosack is to be discharged home without formal support the family must be made aware of their vital role in caring for Mr. Trosack. Mr. Trosack will require daily visits from family members and they must be available by phone in case unexpected needs arise. Mr. Trosack will need someone to obtain his medications and see that he is taking them properly. They will also need to ensure Mr. Trosack is checking his blood sugars and blood pressures regularly and that the levels are within normal limits. They will also need to monitor for any side effects or adverse reactions to his medications and report them to his physician as needed. Family members will need to ensure Mr. Trosack has adequate supplies for dressing changes and blood glucose monitoring. Mr. Trosack will need transportation from the hospital and to follow up appointments and physical therapy. The family will need to evaluate whether or not the safety issues discussed above have been resolved and may need to collaborate with the occupational therapist to ensure Mr. Trosack can safely move around in his apartment. They will need to provide groceries and take out the trash daily as Mr. Trosack is unable to do so. They may also have to help him plan and prepare his meals and move food, plates, utensils etc. to easy to reach areas in the kitchen. As case manager my main concern would be whether or not Peter and Rita will have the time to provide all the essential care Mr.
Open Document