Foster care is defined as a service offering community based living environment for adults who cannot live independently. Sylvester, the patient herein seems to experience physical and/or mental impairment; he needs supervision and/or personal care. As his only daughter is away from him and cannot join him, foster care is desirable. Adult foster care is a 24 hours service offering supervision, protection, and personal care along with food and room. They may also be offering additional services. The home may house small number of groups of individuals like this patient taken care of by a primary care giver who also resides at home along with them (Ebersole, Hess, 1998).This refers to functional changes associated with old age. This is due to lack of sufficient physical or psychological energy necessary for daily activities. Usual activities such as self-care, dressing, feeding self and toileting, transfer, walking, climbing of stairs and ambulatory aid are assessed. Sensory deficits such as hard of hearing, poor vision are noticed. Interventions include establishment of goals to improve activity level of the patient within the context of patient’s physical limitations and energy level so as to improve quality of life. Use of cane or walker is to be encouraged. Wheel chair may be kept in place whenever patient feels like using it. To coordinate the services if interdisciplinary team while prescribing activity regiment for the patient. Having the physician to prescribe treatment for the patient’s medical condition, attendance of physical therapist who will design a exercise regimen, reference to dietician for an ideal nutrition plan, reference to. Nursing for Health and Wellbeing 2011.
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Nursing for Health and Wellbeing 2011
Student Name :
Student Number :
Patient Name: Mr. Sylvester
Nursing Issue: Geriatric: Risk of falls (00155) (2000) Domain 11Safety /Protection (Herdman, 2008, p312).
Goals/s: improving quality of life and preventing falls.
The 78 years-old Mr Sylvester’s condition has been assessed as a risk for falls following NANDA-I diagnoses and interventions are suggested in the accompanying form. He has the option of either remaining at home with home modifications carried out or move to a foster care facility . In case of his choosing to remain at home with modifications carried out, it would be advisable to arrange for the daily visit of a carer on part-time or full time basis. Even if he moves to a foster care, he may choose to return to his own home later on some improvement to his conditions and hence, the home medications may be carried out in anticipation of his future return. As he shows signs of activity intolerance, interventions towards that end have also been suggested. Besides, he needs specific interventions in regards to his hearing impairment and poor visions suspected to contribute to his falls. It is hoped that the accompanying form containing the said interventions would form the basis of a holistic care to be provided to the patient.
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