Placement of Older Adults - Research Paper Example

? Case Study on Placement of Older Adults College Healthcare Issues In Mr,Trosacks case study there are three main areas whichthe case manager need to emphasize when carrying out his duties with the interdisciplinary team. They both need to work together and assess Mr. Trosacks discharge schedule and pinpoint out the key issues they need to work on. They keys areas are tare his chances of falling while taking the flight stairs, chances of been depressed and how Mr.Trosack will take his multiple medications that is (polypharmacy).These are the main major points that need to be focused by the case manager and his team and his interdisciplinary team for them to have an effective discharge schedule/plan. Each team player has to carry out a specific role in this case study to have positive results on Mr. Trosacks considering him as a case of social isolation. The family of Mr. Trosack interview will check whether it is capable of proving good care is the patient is discharged from the hospital. The case study team has to very keen on cases of depression which might affect his situation in recovering, there must also be therapist ,a person who will prescribe his medication(pharmacist) and an assistant who will take care of him while at home. After gathering all this information a suitable discharge plan will be recommended and a discharge plan placement will be effected. (Idler & Benyamini1997). Members of Interdisciplinary Team The interdisciplinary teams in Mr.Trosacks case should comprise of the case manager who liaise the interdisciplinary team to craft out successful discharge plan for Mr.Trosacks.The specific duties for the interdisciplinary teams are outlined. In this case the patient is isolated while recovering from hip surgery, and the case or effects of isolation are known.The interdisciplinary team should include the following case manager that is the nurse, therapist and pharmacist. Roles of Interdisciplinary Team Therapist A therapist is someone who helps you understand problem related to your illness and helps see the positive side of life. In the interdisciplinary team there will be the therapist who would administer therapy into Mr. Trosacks will be able make him understand his specific needs as a patient and offer him hopeful solutions for change throughout the therapy formality. Pharmacist A pharmacist administers medicines to patients when a doctor recommends it and advices patients on correct prescription while taking their medicines. The pharmacist will ensure that Mr.Trosacks takes his medication on time and will from time to time check whether there are any side effects. Home care co-coordinator. Mr.Trosack will need a homecare co-coordinator who will be assisting small errand s mainly involving picking of grocery, will also be assisting Mr. Trosacks with the walker who will walking in his apartment because there is no elevator. The safety issues that could affect determination discharge plan include social isolation and this could affect his recovery plan due to depression. Mr.Trosacks lives alone ismall apartment which is clustered and there is little room for his walker, also the bathroom is tiny and there is no safety features which might help him in case of any accident. The bathroom cabinet where he keeps his medicine has old prescription medicine and this might confuse him if he comes home and puts the new medicaments together with the old medicine. To get into the apartment you have to take the stairs and this will pose a great danger to Mr.Trosacks as he has to use a walker while climbing down the stairs or up the stairs and he may assistance of someone. Family ability to care for Mr.Trosack The basic safety mode of Mr.Trosack is after replacement of his hip is for his son and the wife to take care of Mr.Trosack. His family does not visit Mr.Trosack quite often and the small apartment is cluttered. Mr Trosack is diabetic and the need for nursing assistance is needed, but Mr.Trosack maintains that is capable of taking care of himself. There are several issues that need to be addressed which pose great danger Mr Trosack health like the issue of the stairwell has no protection devices, there is no elevator and many more issue like dumping trash. Despite of this fact the family is aloof of this dangers and further discussion with family reveals that his family will have to be committed or Mr. Trosack will have to be taken to a nursing home (Tullmann & Dracup, 2000). Social Isolation When you have a good discharge plan for your elderly patient chances of him/her of being readmitted to hospital are almost nil. This creates a high chance in patient’s recovery progress; it also ensures the correct prescription is followed and prepares the care taker to adequately prepare to care of their loved elderly patients. Research on health care issues on the older adults has shown that patients who do not have a good discharge plan are more likely readmitted back to hospitals more quickly and sick than they were before. This has raised eyebrows and has called for critical and corrective measures to plan for a good effective care plan after being discharged from hospital. A good discharge plan ensures that there is a consistent follow up on patient improvement, and this decreases chances of patients being readmitted to hospitals to a lower level and this cuts health care costs. (Adler & Matthews1994) A good and effective discharge plan should have simple measures like having telephone contacts round the clock, for follow up on appointments should be planned before your patient is discharged from hospital. Errors on administering medication do sometimes occur and it should be taken into account that proper review on medication is reconciled to ensure that chances of duplications are minimal to avoid any side effects (Tullmann& Dracup)(2000). Psychological Factors Psychological factors play a very important role in ones health; effects tend to be high when someone undergoes through intense pain moments. Pain management skills mostly depend on how someone has been able to manage pain since when he was a kid. Psychologically a patient will be affected by pain and there is need to keep the patient busy through distraction. Psychological factors such as stress can could cause severe illness to patients and further deteriorate their health in severely. There are factors that contribute to psychological effects are hostility towards patient. (Karp & Weiner 2008) Discharge Plan for Mr Trosack The discharge plan in Mr.Trosack case in regard to safety should comprise of a nurse who will be able to care of him and ensure that he takes prescribed drugs as required by the doctor. Should that fail Mr.Trosacks need to be taken care in nursing as where he stays there are no support rails to prevent him from falling while climbing down the stairs. There is also no proper disposal of trash and this may cause health problems to the patient.The refrigerator is full of expired food and Mr Trosacks needs to be replenish his stock may be once a day and this may further complicate his health as he will need to come down everyday by use of staircase as there is no elevator. References Adler, N., & Matthews, K. (1994). Health psychology: Why do some people get sick and some Idler, E. L., & Benyamini, Y. (1997). Self-rated health and mortality: a review of twenty-seven community studies. Journal of health and social behavior, 21-37. Karp, J. F., Shega, J. W., Morone, N. E., & Weiner, D. K. (2008). Advances in understanding the mechanisms and management of persistent pain in older adults†. British journal of anaesthesia, 101(1), 111-120. stay well?. Annual review of psychology, 45(1), 229-259. Tullmann, D. F., & Dracup, K. (2000). Creating a healing environment for elders. AACN Advanced Critical Care, 11(1), 34-50. Read More