In collaborative healthcare practice in the clinical setting, it can be an action dependent on opinions based on a process of reasoning that builds on academic learning. A multidisciplinary team comprises professionals from different specialities who work as a group towards care to the patient. The main reason for such a care strategy is diversity and complexity of healthcare, rapid advancement of medical specialities in terms of knowledge, technical dexterity of members of the team, enhanced client concerns about health and care, and many other intricate issues in present-day healthcare where no profession has superiority over another across the contexts of healthcare delivery plan to a patient. This is a case study of a patient, whose identity will remain undisclosed in this work for ethical and confidentiality reasons. A nickname, Mrs. Chang will be used throughout the work. This writer had an opportunity to assist in her care while she was admitted to the hospital following a trip and fall in the shower few days back, and she was admitted to the hospital due to her age of 82, frailty, baseline neurological disorder Parkinsonism with gradually declining cognition and deteriorating mobility, and lack of support at home and community, for further assessment and evaluation. In this work, based on nursing assessment of the case, a nursing discharge plan was enacted and presented with an attempt to critically analyzing the discharge plan based on her needs and at the same time finding evidence from contemporary literature about the justification of the discharge plan in association with other professionals involved in care, coordinated so that the family can participate in the care when the patient is discharged to the community.
This condition is characterized by gradual slowing of voluntary movement, muscular rigidity, stooped posture, and distinctive rigid gait. Over and above that, she has evidence of rheumatoid arthritis of both hands. She tripped and fell in the bathroom; this impairment of mobility may get accentuated with her rheumatic disease. A thorough examination of all her joints indicated osteoarthritis and associated osteoporosis, which are age related, and these would further aggravate her problem of mobility. During this admission, she was admitted since she sustained a fall at home in the bathroom, and she had been admitted to the hospital for observation and further evaluation. She had been on ibuprofen. This indicates her baseline chronic pain, which may further compromise her mobility. The impaired mobility was further accentuated by the fact that at home, she stayed with her husband who was older than her by 4 years, who himself might be frail enough to be insufficient to help her out in these activities at home.
The discharge plan must include provision for the patient to maintain joint mobility and range of motion while exhibiting adaptive coping behaviour. Improvement in muscle strength and endurance would be the goal. With age, there is baseline muscle wasting from the 50-80 years of age, and this is the result of aging process in the