The Department of Human Resources received a report on Ms. Mary McGinnis on 10/7/15 alleging Michael McGinnis, caregiver/son of Ms. McGinnis, had not been giving medication properly. Patient scored a 0 on MMSE and son reported to ER doctor he gave her a dose of his methadone because she was in pain. On 10/13 worker made first victim contact at Senior Care. Ms. McGinnis was alert but unable to answer questions appropriately or aware of surroundings.…
The statistical data of falls during a particular period, the amount of expenses incurred for managing the injuries and other harm related to it, the effect of patient and family…
Discussion Board #6 – Case Study of Maria Diaz – Alexandra Dais – November 20, 2017 1. Identify the geriatric syndromes (tip: there are many) that Maria is experiencing. Provide assessment findings that support your response. Bladder Control Problems – Urinary incontinence is a common problem in our elderly generations. Urinary incontinence can lead to problems like falls, depression from embarrassment and isolation from not wanting to venture out in public (National Institutes of Health, 2017).…
About one third of the elder population over the age of 65 falls each year [TPS+01]. The risk of an elderly falling increases with age, which also applies for people with neurodegenerative diseases, dementia, delirium, or psychotropic medication [HA10]. As a result, fall related injuries are the number one reason for emergency room visits, and it is also the leading cause of deaths among adults above the age of 65 [JS06].…
What if hospitals begin turning away patients that have a high risk for fall? The high risk would include the elderly, especially Alzheimer’s, stroke patients who have balance problems, or the ones that are taking certain medications that could affect them physically. As part of the health care team, all patients are welcome and should not be turned away due to high risk for…
We were given a case study of an elderly woman, Mrs. Chung, who had gone through several health complications. Mrs. Chung is a 77-year-old woman who fell in her home and…
How Study to be Conducted This study will focus on protecting patients from fall and fall-related injuries after stroke in an Acute Rehab Unit. At first it would identify the patients who are at great risk of fall currently and after going back to the community. The Morse Fall Risk Assessment (MFA) tool will be used to initially identify fall risk patients in the unit. CDC’s Injury Center has created a tool kit, called STEADI (Stopping Elderly Accidents Deaths and Injuries).…
During the injury, A person may or may not experience a brief loss of consciousness and may go into a state of confusion and be unable to remember events that occur after the injury and before…
Falls often occur and Fall precautions including physical therapy guidelines must be put in place to minimize possibilities of injury. Adult daily living skills will most likely regress as the dementia progresses and self-care needs are seldom attended to. This becomes a challenge for an advocate as they begin to play an active role in attending to the intimate needs of a person affected by dementia; however, it becomes necessary in the continuation of care. For individuals with severe to profound intellectual disabilities, it presents more of a challenge since the level of functioning usually possesses an absence of complex skills. As dementia progresses, it affects basic functions which can become detrimental such as the ability to swallow whole food.…
Purpose of Study or Research Focus The current rate for falls after orthopedic surgery is 1-3 falls per 1000 patients per day. These fall result in a financial loss for the hospitals as well as a decrease in the health and wellbeing of the patient (Clarke, Timm, Goldberg, & Hattrup, 2011). Hospitals employ numerous ways to determine if a patient is a fall risk. There are also many interventions used with the purpose of fall prevention.…
One out of every three seniors over the age of sixty-five has a fall each year (Centers for Disease Control and Prevention, n.d.). According to the Centers for Disease Control and Prevention (n.d.), the emergency room treats over 2.5 million elderly and hospitalizes over 734 thousand every year. Roughly 50-75% of the nursing home geriatric…
During the observation, I noted that because of the increased population of geriatric patients , the PT has to take into consideration about the physical ,cognitive and neurological status of these patients to ensure that dangerous accidents and injuries do not occur during the treatment session. In the skilled nursing facility most of the diagnosis I saw were fall, strokes ,arthritis ,osteoporosis, pain due to cancer ,dementia ,Alzheimer's and incontinence . PT can do better by improving their balance and making them independent by teaching their family ,nursing staff and caregiver how to do transfers, gait training, and balancing that helps to improve their cognitive impairment . Because most of the patients were wheelchair bound and used assistive devices to move around. Physical therapist at the skilled nursing facility follows a standard protocol for physical assessment ,which includes measuring range of motion , muscle force, reflex activity, sensation, soft tissue status , balance and coordination ,and posture.…
With the advancement of medicine and technology, it is evident that there is a growing elderly population in the developed countries such as the United States. Perhaps, some casually phrase it as the “baby boomers getting older.” My experience as a nurse taught me that despite developments in modern medicine, there are challenges such as elderly independence and prevention of falls along with the combination of polypharmacy and multiple comorbidities posing as risks. The Center for Disease Control and Prevention (CDC) states that 2.5 million people, with ages 65 and older, are treated in the emergency room for fall injuries (Center for Disease Control and Prevention [CDC], 2013). Additionally, the CDC states that over 700,000 patients a year…
Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky, 2013). The National Database of Nursing Quality Indicators (NDNQI) defines a fall as “an unplanned descent to the floor with or without injury to the patient” (Miake-Lye, Hempel, Ganz, & Shekelle, 2013).…
Due to lack of support from the family member there was no proper care for the elderly person (Duglass2001). As there are many forms of elder abuse, such as psychological, physical, and sexual abuse. Also, neglect either by the person giving care as well as the elderly neglecting themselves (Dong2012). Even though this article discusses different types of elder abuse, and one of the ones is physical abuse. A number of studies have focused on the risk factors of associating with family caregivers that are abusing the elder.…