CASE:
Mrs Tan, 80 year old Chinese lady admitted to hospital post fall- was found on the bathroom floor and was unable to get up. Before falling, she attempted to get up from toilet bowl after passing motion but her knees buckles after one to two steps. There was no loss of consciousness. As she was unable to get up and did not have a pendent-alarm, she had to wait four hours before daughter come home from work. Ambulance was called and she was brought to accident and emergency unit. She also reported feeling lower limb weakness over the past few days
Past medical history: Hypertension, Type 2 Diabetes, Atrial Fibrillation, bilateral osteoarthritis knees with TKR on right knee one year ago, history of fall within the last 6 months were two falls- indoor, loss balance, no loss of consciousness
Premorbid history: She was independent with her activity of daily living. Indoor, she was a furniture walker and mobilise independently. In the community, she walked with walking-stick independently with frequent rest every 30 metres due to (L) knee pain. Her daughter will push her on wheel-chair for
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Therapy programme will include strengthening, balance training and endurance training. Dietitian will also have a role to play to ensure adequate nutrition and education on proper diet to patient. Prior to discharge a home assessment would be conducted by the occupational therapy and recommendation will be given on necessary modification (5, 7). Functional activity training will also be incorporated to mimic home environment and achieve patient’s need and goals. Patient will also be given a home exercise programme and referred to community rehabilitation team for follow-up (6). If possible, the patient’s medical social worker or the discharge liaison officer should make a follow-up call to enquire on the recommended modification and to find out how patient is coping at home
Cultural norms and healthcare regulations may have some impact on how some interventions are executed but, ultimately, all Occupational Therapists have the same goal, and that is to provide client centered, purposeful, and meaningful interventions that will ultimately improve the quality of life those that we serve. Establishment of The field The Theories used in the fieild that we now know as Occupational
On 9/25/2015 SO EMT Perez was dispatched to VP-113 regaurding a fall. S/O EMT Perez knocked and announced his presence at the door and was greeted by the residents spouse and introduced to the fallen female resident a, Mrs. Dorothy Gish who was sitting upright on the living room floor by her rollater. Mrs. Dorothy Gish stated that she was sitting on her rollator when she slid onto the floor and was unable to pick herself up on her own strength. S/O EMT Perez performed a pelvic exam on Mrs. Gish which revealed no pain or grimace.
As you know I have been trying to meet with you to discuss your case with you since January of this year. Specifically, you had appointments scheduled for January 20, 2017, January 24, 2017, February 9, 2017, February 24, 2017 and, March 21, 2017. You failed to keep any of these appointments. The reason I wanted to meet with you was to explain why I was not interested in pursuing this case.
APTA vision statement for physical therapy “transforming society by optimizing movement to improve the human experience” is an important component that can contribute to the quality of life for all people. I do believe that making the best use of movement can improve one's human experience. The human body is made up of joints and tendons that had evolved to help humans achieve movement. The human body is designed with the ability of movement, no matter how small. Optimizing this ability should help transform society.
Falls can result in, reduced quality of life, functional
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Falls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is
In order for Monti to make effective progress and reach potential outcomes selecting and implementing appropriate assessments and treatment strategies is vital. A key element in the occupational therapy profession is using a holistic approach to treating to enhance quality of life. Therefore, during the evaluation process the implementation of one assessment will not target all the skill areas Monti is deficient in. Additionally, when treating the body as whole it is important to analyze how Monti interacts and completes the task by observing motivation, body position, movement patterns, coordination, attention, sensory processing functions, visual functions and awareness within his environment. After the completion of the evaluation process
A would need to be admitted to a acute ward to be monitor before and after the operation. Before Mrs. A was admitted to the ward accident and emergency phoned the ward to give handover of Mrs. A. Handover from ward to ward is helpful as it means you get a basic picture of the patient and what care they will need. It also gives the ward enough time to help get things into place. Mrs. A was a 83 year old lady who lived alone with once daily package of care which is privately funded.
Problem Identification Getting out of bed is one of the dangerous things that the elderly patients do when they are admitted in the hospital. Study conducted by Ambrose, Paul & Hausdorff, (2013) on patient falls reveals that a majority of falls in the elderly patients occur between 0700 and 1900, especially when they are getting out of bed to use the rest room. The cause of their falls is mainly due to unsteady gait, memory loss, confusion that comes with age. Memory loss and vision problems which occurs during old age in the elderly patients puts them at risk for falls. Other factors that can lead to falls are; Presence of throw rugs, psychotropic medications, lack of Vitamin D, and weakness of the lower extremities.
Occupational therapists use knowledge of sensory integration in planning and adapting activities for individuals with disabilities to achieve the desired outcomes. A routine of organized sequences of five stages reestablish the likelihood of an automatic, habitual response as well as restore environmental interaction for impaired individuals. Since the OBRA-87 requires nursing home to create individualized care plans for residents to focus on maintain and improving the ability to walk and complete ADLs, the five stages method is one of the treatment methods can be used by occupational therapy practitioners to focus on maintain and improving the ability to walk and complete ADLs, the five stages method is one of the treatment methods can be used by occupational therapy practitioners to facilitate balanced healthy routines in institutional care settings. It helps clients to achieve the greater ability in ADLs and decrease disruptive behaviors throughout the day. In addition, it helps clients to shift an attitude from “I can’t” to “I can” in order to improve quality of life, happiness, and
The STEADI (stopping elderly accidents, deaths, and injuries) program contains basic information about falls which covers standardized gait and balance assessment tools. In the hospital, the use the Morse Fall Scale is a fast and simple method of assessing a patient’s chances of a falling. However, the Morse scale may not be entirely predictive as there may be a need for further assessing the risk of falls among older adults. Although not employed currently on our unit, the Hendrich II Fall Risk Model maybe a tool that can narrow and finely pinpoint underlying risks, especially in those who are older adults.
This essay will discuss a chosen individual with hip fracture from practise placement and explore the context to which health and social care is administered in the UK. CMOP-E model will be used to examine the theoretical concepts of occupational therapy and the identification of occupational performance needs of the chosen patient. The role of multi disciplinary team participation will be discussed with reference to the patient’s treatment whilst demonstrating safe practise in relation to personal safety and safety of others. An 89 years old lady was admitted to the hospital due to a fall at home and fractures her right hip. Mrs Jones (pseudo name) lives alone in a three - bedroom house privately owned with stair lift, bedrooms and bathroom
Najla Morshidi NURS 301 Case Study Health History and Analysis of Finding A 75 year old female patient alert and oriented X 3, weigh 115 Lbs, her height 5?8?? , has a hearing aid and wear glasses for reading. The presented Patient has a history of hypertension diagnosed with CHF on 2013, positive for Hepatitis B due to contaminated blood transfusion. Had a cervical dysplasia on 1994 resolved by a total abdominal hysterectomy and bilateral oophorectomy the following year.