Case Study
Occupational Profile Annette is a 59-year-old female, who was independent with mobility, ADLS, and iADLS before she was admitted to an acute care hospital (Prizio, n.d.). Annette has many roles, including: wife, mother, friend, and museum greeter (Prizio, n.d.). Annette enjoys cooking, cleaning, reading, knitting, and crocheting (Prizio, n.d.). For her social life, Annette spends time with her two grandchildren, dines out with her husband, and watches movies with friends (Prizio, n.d.).
Annette’s reason for admittance at the hospital is an overall weakness, flu-like symptoms, and difficulty with breathing (Prizio, n.d.). She is diagnosed with diabetic acidosis, left upper lobe pneumonia, and a bacterial infection (Prizio, n.d.). Unfortunately, her condition becomes worse. Annette’s right lung collapses, her heart rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.). She is transferred to a long-term care facility for intravenous antibiotics, ventilator weaning, and rehabilitation (Prizio, n.d.). Annette’s goals by
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More specifically, Annette is a59-year-old female living in a 3-bedroom, 3-bathroom two-story home with an office and attached garage (Prizio, n.d.). Annette’s temporal context includes her status as an older adult. At her age, Annette may experience deviations in mental function and sensory function (Glover & Wright, 2013). Thus, healthcare professionals should be aware that Annette may have trouble hearing or processing information. It is vital to speak clearly and ensure Annette can comprehend the conversation-- as health care professionals should do with every
Mrs. Wong main goal after the duration of therapy is to remain in the independent care section of her home
Claire Conroy was an 84-year-old patient in a nursing home. She suffered from severe organic brain syndrome, necrotic decubitus ulcers, urinary tract infection, arteriosclerotic heart disease, hypertension, and diabetes mellitus. She was unable to speak or move, but sometimes able to follow people with her eyes. Nurses were not able to feed her by hand, so a nasogastric tube was inserted to be able to provide nutrition and give all her medications and fluid this route. Her only surviving relative, her nephew and legal guardian, requested the Superior Court of Essex County, New Jersey, to allow the nasogastric tube to be removed and thus allow Claire Conroy to die.
Resident E.V. has demonstrated the ability to cope by displaying effective coping patterns. She has the desire to become both healthier and live a healthier life style. Her goal is to gain recovery so she can walk on her own again and eventually move back into her house to help take care of her husband, whom has dementia. She is willing to modify her lifestyle accordingly if she is unable to gain complete recovery. However, she would like to be as independent as possible.
School Psychologist: On 3/17/17 was observed initially in his classroom, but the classroom moved to outside for recess. Benji’s teacher Mrs. Burke related academically that Benji appeared to have difficulties with processing information. Information has to be repeated multiple times before he will complete a task. When the class was asked to line up, Benjy received several reminders from multiple staff members, and then had to be guided to get in line.
Activities of daily living • Personal care: Selvin is unable to transfer independently, he manages getting in and out of bed but very slowly. Selvin is unable to complete his personal care, he gets help from his wife to complete personal care, and however, she is struggling due to her age and ill health as she suffers with arthritis. Mrs Johnson assists with all the ADLs tasks but this is becoming a challenge as she is no longer able to complete these tasks. • Medication: Wife support Selvin talking his
Good day Sir, our names are Logan Bosak and Kiera Markham, and we are pleased to represent Rebecca Nurse on this vitally important case. Your Excellency, the defendant stands hither accused falsely of witchcraft, a severe crime that should be dealt with the utmost care and understanding. You see Sir, Rebecca is a pious woman of high standing within the community, and as such, many citizens are surprised that Rebecca would be suspected of dealing with the devil. In fact, over thirty of the most prominent members of the community signed a petition attesting to Rebecca’s innocence and still others wrote individual petitions as well (Linder). Your Excellency must recall that Rebecca has not once strayed from her claim even as she was barraged with
Through the implementation of various rhetorical strategies, sensory imagery, and eloquent phrasing, Leah Hager Cohen effectively depicts the predominant idea that despite the stereotypical assumption that the audibly impaired cannot possibly be normal, her grandpa is, indeed, quite normal. The author employs vivid sensory imagery strategically throughout the essay. By strategically, she applies the images meticulously in order to fortify her ideas. She writes, “He smacked his lips and sucked his teeth…” (2, 5-6).
Tina Jones Medical Genogram Nessrin Leonida School of Nursing Course Number: Nurs516 January term of 2017 Tina Jone’s Medical Genogram Tina Jones is a twenty- eight year old, African American, who was diagnosed with asthma when she was two. She verbalized that cats and dust trigger her asthma. She did have chicken pox as a child, and also has type two diabetes in her twenties. Tina’s paternal side consists of her grandfather, who died five years ago at the age of sixty- five due to colon cancer. He has a history of type two diabetes.
Mary Harvey, a 42-year-old African American female, postop day 2 from abdominal surgery. Has an NGT still. She is also Muslim. • Ms. White, a 60-year-old female, admitted 3 days ago with a diagnosis of bacterial pneumonia. She still is dyspneic with exertion and on 2L of oxygen via nasal cannula.
Theresa has lived in nursing homes with constant care since 1990; by 1996, Theresa's CAT scans showed abnormal structure, her cerebral cortex was gone and was replaced by cerebral spinal fluid. Over the span of a decade, Theresa's brain was starting to deterioraet due to the lack of oxygen that it suffered
Sara – Mel’s wife and caregiver– had deteriorated in physical and emotional health, until she discovered Joe’s Club. She could go and attend to her needs and get a well-deserved break at least a few times a week, like many other caregivers. I began to now understand the crucial role ADCs played in their lives and grew passionate about it. Outside of Joe’s Club, the awareness about ADCs barely existed and so many caregivers did not seek help that they deserved. To promote awareness, I used my Girl Scout Gold Award project to develop a community-based survey which was designed to assess the awareness, benefits, and challenges about the use of ADCs.
Her speech is slurred, which prevents her from communicating effectively as well as participating socially with her peers and staff members. She has decreased tone and finger strength in her right third digit, makes it difficult to use technology to communicate successfully as well. KT’s ACL score of 3.2, is indicative that she is dependent on caregivers for community mobility. Safety recommendation include security doors or locks to prevent wandering and/or getting lost She has an established health management routine as she demonstrates aversion when given new activities in addition to her expected normal routine.
It stresses the secondary benefit to be gained by improving performance in activity or occupation despite ongoing physical dysfunction. Supplementing external aids to promote problem-solving with residual capabilities is a crucial part of this frame of reference. Useful approaches within this frame of reference for the case of Sarah would be compensatory approach and adaptive skills approach. Compensatory approach is widely used to compensate for dysfunction in mobility, self-maintenance and domestic activities, and methods of compensation may include the supply of assistive equipment, modification of the environment and organization of social assistance. The adaptive skills approach aims at helping the person to adapt his/her existing skills to master problems and cope independently in various circumstances.
Cynthia Rodriguez Grant Proposal Kutztown University 10/27/15 October 27, 2015 Governor Thomas W. Wolf Room 225 Main Capital Building Harrisburg, Pennsylvania 17120 RE: PLACE Program: People living in accessible community environment Dear Governor Wolf: Lehigh Valley Center for Independent Living is pleased to present the PLACE Program proposal for your review. We look forward to your contribution with funding a wide range of community development programs and services at LVCIL, as well as decent housing and suitable living environments for the at risk of becoming homeless and homeless individuals and families that are disabled. The Lehigh valley community was not universally designed for all individuals; Persons with
As the assessment begins for Mrs. Adams there are many things that need to be addressed. Educating the patient on active participation in her healing will be of extreme importance. The interventions are only as good as the patient’s willingness to comply. We would need to begin with gaining control of the cleanliness of the apartment and that of Mrs. Adams. Opening the windows and allowing the sunlight to enter is important along with attempts at fixing the air conditioner.