Daphne has hypertension, Type 2 diabetes and recently has been diagnosed with vascular dementia. Her diabetes and hypertension are well managed by her General Practitioner (GP), however he has concerns…
The GP refers Daphne to a geriatrician for a comprehensive geriatric assessment.
Before the assessment is undertaken, Daphne falls heavily in the shower and fractures her hip. Timothy contacts Jonathon, who calls an ambulance and after assessing Daphne the paramedics transfer her to hospital. Following surgery Daphne spends a month mobilising in the rehabilitation ward before being transferred to the sub-acute Transitional Care Unit. Here she is assessed for continuing transient ischaemic attacks (TIAs) and for further signs of cognitive impairment and memory loss. At the multidisciplinary team case conference it is decided that, due to Daphne’s increasing frailty and cognitive decline, her discharge planning will include an ACAT Assessment for high level care in a Residential Aged Care Facility (RACF). As Daphne’s Enduring Guardian and Power of Attorney, Timothy is contacted to participate in a family case conference with the multidisciplinary team, consisting of a geriatrician, resident medical officer (RMO), physiotherapist, occupational therapist, dietician, social worker, and a transitional unit registered nurse responsible for discharge planning.
Q1: In your allocated role as part of the HOSPITAL multidisciplinary team in the case conference, what are the issues you need to consider in order for Daphne to be admitted to residential care? - 150 words
As an occupational therapist, my role is to assess the home environment to make recommendations for residential care. The ability that Daphne has to look after herself needs to be taken into account, as someone who is unable to carry out daily life without significant help may require admission into residential care. As part of the hospital-based team, I would also consider what type of residential care that Daphne might need – some residential care homes offer ...
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