Pathophysiology: Placement of Older Adults

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Case Study on Placement of Older Adults

Healthcare Issues
In Mr.Trosacks case study, there are several areas in which the case manager needs to address when planning for Mr. Trosacks discharge. To begin, the primary focus should be on proper care for a post op patient. This would include but not limited to; pain management, his ability to perform ADL’s and his accessibility and safety in his apartment. Education on his recent surgery and limitations he will now face and the possible duration of recovery would play a major role in his recovery process. This is important in planning for his recovery because he currently takes no medications and it is clear that he has no knowledge of the vitamins he takes. In addition, he has a cluttered medicine cabinet of old prescriptions. This shows that he is in definite need of education on medications and the importance of continuing them as prescribed to control the pain and the side effects associated with pain medications and the importance of antibiotics if he were to be prescribed them to prevent possible infection. As this could prove challenging, given his history of no prior medications at all at this time, and his complete independence prior to this incident. Another health issue would be his new diagnosis of hypertension and diabetes mellitus. Both of the diagnoses have a need for extensive education as well, not only for the patient but for his family as well. The importance of taking his medications appropriately has to be emphasized to him and his family. In addition, the importance of keeping his diabetes under control and the possible effects diabetes can have on the healing process. This would also require some dietary counseling/ consulting as it is stated in the case study that he spends a lot of time at the bakery, which is probably where Mr. Trosack eats most of his meals. Safety is also an issue for Mr. Trosack as his apartment is very cluttered and small. It needs safety bars placed in the bathroom. He also has to learn how to use a walker. He lives on the second floor with no elevator so there is the risk Mr. Trosack falling down the stairs. These are several issues that need to be focused on by the case manager and his interdisciplinary team for there to be an effective discharge schedule/plan. Each team member has to carry out a specific role in this case study to have positive results on Mr. Trosacks recovery and continuation of his well-being. Members and Roles of the Interdisciplinary Team

Case Manager
The interdisciplinary team in Mr.Trosacks case would be composed of several different people. The first member is the case manager, who plays a very important role within the interdisciplinary team. It is his/her responsibility to ultimately design a successful discharge plan for Mr.Trosack. The specific duties for the interdisciplinary teams are outlined. The interdisciplinary team will include the following case manager, nurse/ physician, pharmacist, dietician, Peter, his wife and Mr. Trosack’s brother. Nurse/Physician

The nurse and physician are responsible for educating the patient and family on the patients’ condition, new diagnosis and medications. Although physicians partake in this part of patient care very briefly if at all in the real world today, legally they are suppose to and responsible for the patients understanding. Pharmacist

A pharmacist is just a small part of the team and work is brief. The only encounter the patient or family may have with the pharmacist is when picking up prescriptions at the pharmacy. At that time, if further information were needed on a specific medication, the pharmacist would be the one to provide that information. Home Health Services

In Mr.Trosacks case, he will most likely need some homecare if he insists on staying in his own home. The caseworker again would be assessing the needs of the patient and family of Mr. Trosack. He would probably need a home health nurse just to assess...
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