5 mg orally daily. turner-white. Drugs and the Elderly, Part 1: The Problems Facing Managed Care. AMA Citation Medically Complex Cases William H. is an 86yo African American female. Patient Falls: Healthcare Case Study ® Summary Why worry about patient falls? Plan of action to reduce patient falls Case Studies What are patient falls? Medication/ Reassessment Transport/ Safety Equipment. It should be noted that all names of individuals and places in this report have been changed in order to protect the patients' confidentiality (Nursing & midwifery council 2009). Impact Case Study Identifier: and the number of elderly patients. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). If the symptoms sound similar to those that you (or a loved one) are experiencing, please contact your primary physician or a mental health professional for an evaluation as soon as possible. patients in many ways: physically (i. Rose BD, Post TW. through touch, words of comfort) and spiritually (i. Several functional tests and assessments are used to identify the different impairments. He is admitted to the hospital for an exacerbation of his COPD. ) We are presenting case studies in this web site so students may become more familiar with case histories. Its case o agitated depression in old age. White cell count: 85. Luciana Gomes Furtado Nogueira 1, Ana Cláudia Torres de Medeiros 1, Greicy Kelly Gouveia Dias Bittencourt 1, Maria Miriam Lima da Nóbrega 1. 4 Gambling Addiction Case 4. Interview and Case Study: Assign the student to interview an older adult, either a well. How to Write a Case Study Paper for Nursing A well-written case study paper for a nursing program requires some planning and consideration. Patient Case 1. 31 This is illustrated in the following case studies. - List the reasons why elderly patients are more at risk for UTIs than the general population - Apply principles and concepts from the guidelines for the treatment of UTIs in otherwise healthy women to the geriatric population - Identify specific antibiotics that may be used for the treatment of UTIs in elderly patients. Falls in the elderly are incredibly challenging and medications often contribute to that challenge. Each case includes the patient documentation (Patient History and Periodontal Charting) and images (Radiographs and Intraoral images). Case Study for Stroke Awareness Month Posted on 5/02/08 Mario is a 66-year-old Hispanic male who presents to the emergency room at his local hospital with acute aphasia, right facial droop, and right-sided weakness. It should be noted that all names of individuals and places in this report have been changed in order to protect the patients' confidentiality (Nursing & midwifery council 2009). Paul Griner presents the final installment in a series of case studies for the IHI Open School. has helped to bring down the numbers and improve patient safety. I spent half of my time worrying about having an accident and wetting myself. The outreach geriatrician sees Mrs. This patient is representative of the typical postoperative geriatric patient. Two months ago, she started risperidone 0. Clinic edited the studies and created questions to make the studies more pertinent for our readers. Find a doctor at The Johns Hopkins Hospital, Johns Hopkins Bayview Medical Center or Johns Hopkins Community Physicians. Crohn's Disease Patient Case Study ML is an 84-year-old, male admitted with Cerebrovascular Accident. Case Studies - My Patient's Dying. Therefore the patient will be known as Mrs. Case Study: Patient with TIA Goal: Providing health care plan for a patient with Transient Ischemic Attack (TIA). What organisms are likely to be causing his pneumonia? 6. Voicing doubt— used to give patient an opportunity to re-examine negative beliefs about self or to allay fears ar ising from distorted perception [3]. Incidence: Altered Mental Status is very common in elderly patients who present to the ED. 31 This is illustrated in the following case studies. We would also like to thank Tarina Van Der Stockt, Clair Sparrius, Sue Klappa, Trisha Parsons, Nadia Deenen-Valies, and Alicia Fernandez Fernandez for their attention to detail in selecting the case reports for this database. Surgical Pathology Case Study: An Elderly Patient with Unexplained Pain, an Unremarkable CT Scan, and Enlarged Rugal Folds on EGD Case History The patient is a 72 year old woman who presented to her physician's office with postprandial pain and unintentional weight loss. 1 Federal University of Paraíba. In this case study, a geriatrician discusses how a physician might work through the ethics of this situation. Case study 32: Drugs in the elderly Scenario Lois is a 77-year old woman who has been your patient for a number of years. Case Study for Stroke Awareness Month Posted on 5/02/08 Mario is a 66-year-old Hispanic male who presents to the emergency room at his local hospital with acute aphasia, right facial droop, and right-sided weakness. This is a case of a patient with history of dementia who presented with agitation. Case Studies in Dental Hygiene, Third Edition, is a viable study guide to help students prepare for suc-cess on national, regional, and state examinations with a patient care focus. 5 mg orally daily. He continues to smoke cigarettes (reports one pack a day). 5 In this patient, mass effect on the right mesial temporal lobe is clearly evident on the magnetic resonance image (MRI) and is the likely explanation for her seizures ( Figure 2 ). Such review of case sheets were considered only once for each patient during one single admission. At 300 pages, the book can easily be read cover to cover during a four week rotation. Case study of an 85 year old lady who presented in ED via ambulance following a fall. It begins with him informing his granddaughter, "Jillian," of the diagnosis. We are a highly experienced team of lawyers dedicated to meet and exceed our clients' expectations. CHAPTER NINE Case studies in care of the elderly Jennifer Nitz, Susan Hourigan Case study 1: Colles' Fracture from a Fall 304 Case study 2: Bilateral Osteoarthritis in Knees 305 Case study 3: Palliative Care - Working in Community as Part of a Community Palliative Care Team 307 Case study 4: Post-operative Hemicolectomy 309 Case…. P is a 93 year old white female admitted to your facility. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). This is a case of a patient with history of dementia who presented with agitation. Case Study 1. Determine a patient's risk for coro-nary heart disease and treatment goals. Using MRI technology and an intensive tumor classification and assessment system led to more targeted surgical treatments and better outcomes for cancer patients. The outreach geriatrician sees Mrs. A 65 year old female presents to ambulance crew after call from her husband stating patient having possible CVA. He is a 70-year-old man with longstanding type 2 diabetes, dyslipidemia, hypertension for 8 years, chronic degenerative joint disease of the knees and back, gastroesophageal reflux disease (GERD), and angina pectoris status post myocardial infarction. Elderly patients with multiple comorbidities are at risk of experiencing adverse drug events. 5 In this patient, mass effect on the right mesial temporal lobe is clearly evident on the magnetic resonance image (MRI) and is the likely explanation for her seizures ( Figure 2 ). AACC uses Cookies to ensure the best website experience. A 38 year old female amateur astronomer, all the while knowing better, has smoked since she was 18 years old. The nurse comes into the room. Communicate these strategies to the patient and family, Geriatric Assessment Unit (GAU), team members, and the multiskilled worker. Case Studies - Opposition to Organ Donation. AMA Citation Medically Complex Cases William H. Smith is a 79 year old man living in an independent senior apartment. Case study 1. CASE STUDY 2 Mr. In some studies, all patients over a given age are included, whereas in others, patients with penetrating injuries, burns, and those with minor injuries, such as slip-and-falls, are excluded. This patient is a 63-year-old business executive, who came in initially January 2010. Prevention of patient falls - A case study. He is a 70-year-old man with longstanding type 2 diabetes, dyslipidemia, hypertension for 8 years, chronic degenerative joint disease of the knees and back, gastroesophageal reflux disease (GERD), and angina pectoris status post myocardial infarction. Professor Gina Brown, MD FRCR at the The Royal Marsden and Imperial College London, speaks about her work on this groundbreaking and award-winning trial study. This review uses a case study about an elderly woman with many comorbidities, followed by a comprehensive discussion of geriatric trauma and the challenges that result from a lack of guideline utilization to direct management. This Amputee Case Studies section of Physiopedia has been kindly sponsored by BACPAR. Janet Webb describes a case study involving a elderly woman who presents with a UTI, as an example of good nurse management using evidence-based nurse prescribing. A tray of uneaten food is on the bedside table. These elderly patients present particular therapeutic challenges, because they may be more frail and at greater risk of treatment-related. 5 In this patient, mass effect on the right mesial temporal lobe is clearly evident on the magnetic resonance image (MRI) and is the likely explanation for her seizures ( Figure 2 ). case presentation •"your patient joan smith, age 76, had lab. Ying is an 84 year-old Asian male who lives in an apartment that adjoins his son's house. Nutrition: Imbalanced, less than body requirements related to. 5 mg twice daily because. 4 Hoarding Behavior Case 5. For elderly patients, a surgical procedure is an acute event with potential life- and autonomy-threatening adverse outcomes. After completing this case, audiology students should be able to: Assess the case and suggest strategies for increasing hearing aid use. This is a case commentary about a diabetic patient, in regards to the patient interviewed in a clinic setting. She has been having trouble for years with the smoke and the light of the cigarette. Case management for at-risk elderly patients: a review ACT Leung1 FRCP (Glasg), PhD ABSTRACT In Hong Kong, elderly patients recently discharged from hospital are at high risk of unplanned readmission, leading to the phenomenon of the 'revolving door syndrome'. There are specific things that you, as their healthcare provider, can do to reduce their chances of falling. The Hartford Institute for Geriatric Nursing (HIGN) is delighted to share that the National Association of Clinical Nurse Specialists (NACNS) has launched its REASN project, Seven CNS-specific geriatric problem-based case studies, framed by the NACNS Spheres of Influence model (patient, nurse, organization). This teaching strategy can be used with students in both beginning and advanced nursing courses. No studies, to date, have described best practice for fall management in patients with Alzheimer's dementia. The Difficult Patient This case represents a near miss involving prescription of a drug to which the patient has had a bad reaction in the past. With regards to the case study discussed, the patient was clearly at risk for perioperative pulmonary complications based on her respiratory assessment and a likely an unknown frailty index. Use a concept map format for the nursing diagnosis. About Frailty. EBSCOhost serves thousands of libraries with premium essays, articles and other content including Case Study: The Geriatric Patient. 31 This is illustrated in the following case studies. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). Major Depression in the Geriatric Population: a case study. P, was dying right in front of me. Design: A case-control study of risk factors for falls in hospital. A 59 year old black female is admitted at midnight with a diagnosis of Chest Pain. At approximately 40 minutes after arrival in the PACU, the patient sustains a cardiac arrest. They should not be used to make a diagnosis. An 89 year old male has a history of hypertension, diabetes, BPH, Advanced dementia, glaucoma, constipation, neuropathy, and osteoarthritis. Smith is a 79 year old man living in an independent senior apartment. Professor Gina Brown, MD FRCR at the The Royal Marsden and Imperial College London, speaks about her work on this groundbreaking and award-winning trial study. Rose BD, Post TW. Just in case Maggie was experiencing some level of pain, Clairmont's staff made sure one of the essential oils that eases muscle stiffness, joint pain, and aches was rubbed into her body first thing in the morning when the elderly tend to be most stiff and uncomfortable. A GP in North East Essex uses Phone Advice & Guidance and speaks to a consultant on the National Consultant Network to help an elderly patient. Case Study: Transitioning to the wards •Use ICU opioid administration records to guide •Consideration to acute issues while in the ICU •Consult conversion charts, reduce by 50% •Use long acting to prevent pain and manage opioid withdrawal (replace what is lost with d/c buprenorphine). He is asymptomatic. The Unfolding Case Study with Live Role Play is a teaching strategy designed to help students practice individualized, patient-centered care and strengthen teamwork and collaboration skills by utilizing the nursingContinue reading. Palliative and Hospice Care Clinical Case Studies. Case Study: Community Nursing Care Plan for an Elderly Patient With Urinary Incontinence and Social Interaction Problems After Prostatectomy. Bland, Pharm. 1 Federal University of Paraíba. This statement is more than five years old and is provided solely for historical purposes. OVERVIEW OF THE INITIATIVES We conducted case studies of three organizations that implemented initiatives aimed at reducing hospital readmissions for children with asthma, elderly patients. The patient is a 71-year-old widowed man who is seen regularly in clinic for health maintenance and follow-up of his chronic insomnia and anxiety. It considers two case studies of variation derived from the HQSC Atlas and applies a generic framework to each in order to tease out the issues relevant to the local population, and to identify priorities for quality improvement. We report a case of skin lesion related to drugs and discuss consequences of polypharmacy in the elderly. The challenges and issues faced by those caring for the frail elderly include lack of coordination and continuity of care for patients with multiple conditions, the nursing shortage, polypharmacy and soaring medication costs, and transportation and access to health care services. No studies, to date, have described best practice for fall management in patients with Alzheimer's dementia. Nutrition: Imbalanced, less than body requirements related to. CHAPTER NINE Case studies in care of the elderly Jennifer Nitz, Susan Hourigan Case study 1: Colles' Fracture from a Fall 304 Case study 2: Bilateral Osteoarthritis in Knees 305 Case study 3: Palliative Care - Working in Community as Part of a Community Palliative Care Team 307 Case study 4: Post-operative Hemicolectomy 309 Case…. What organisms are likely to be causing his pneumonia? 6. administered% in% patients with genetic susceptibility. Thank You! 1. Other studies have shown that as many as 10% of older patients, who present to the ED acutely ill may have Delirium, although often. This revised edition also is an excellent review text for the graduating dental hygiene student who is preparing to take the National Board Dental Hygiene Examination. List the various host factors, or conditions which predispose a patient to developing pneumonia. 65 years old lady, Mrs. Each month, a case and a series of questions can be emailed to interested individuals 4-6 weeks in advance of publication. case study in hyponatremia geriatric medicine conference david j. EBSCOhost serves thousands of libraries with premium essays, articles and other content including Case Study: The Geriatric Patient. It considers two case studies of variation derived from the HQSC Atlas and applies a generic framework to each in order to tease out the issues relevant to the local population, and to identify priorities for quality improvement. Kelly Gustafson is a licensed clinical geriatric psychologist who works in private practice serving patients in a comprehensive care clinic, in long-term care facilities, in assisted living facilities, and in her outpatient clinic. An 88-year-old Man with Falls and Urinary Incontinence. For the activity, staff at our clinical simulation center identified SPs based on their age range approximating that of a geriatric patient. NURSING CARE FOR A PATIENT SCENARIO 2 Case Study - Nursing Care for a Patient Scenario (Mrs. One issue affecting elderly dehydration could be a patient's inability to voice his or her need for fluids. It covered all of the major medical (including psychiatric) and social issues that commonly come up while seeing geriatric patients. Initial consultation was done in July 2008. She complains of a squeezing type pain across her chest and into her left jaw area. The Difficult Patient This case represents a near miss involving prescription of a drug to which the patient has had a bad reaction in the past. 57 K/uL) along with presence of numerous immature monocytoid cells, dysplastic myeloid. Case Study: Community Nursing Care Plan for an Elderly Patient With Urinary Incontinence and Social Interaction Problems After Prostatectomy. A 14-yr-old male patient presents to your clinic complaining of sore throat and cough. Jones) Nursing Care Plan Area(s): Nutrition and Hydration Nursing diagnosis (1). There is no set age at which patients may be under the care of a geriatrician, or geriatric physician, a physician who specializes in the care of elderly people. The geriatric case manager contacts Amy to conduct an initial patient assessment and medication reconciliation. Each month, a case and a series of questions can be emailed to interested individuals 4-6 weeks in advance of publication. In some studies, all patients over a given age are included, whereas in others, patients with penetrating injuries, burns, and those with minor injuries, such as slip-and-falls, are excluded. This review uses a case study about an elderly woman with many comorbidities, followed by a comprehensive discussion of geriatric trauma and the challenges that result from a lack of guideline utilization to direct management. Geriatric syndromes have wide-ranging implications for patients. Nutrition: Imbalanced, less than body requirements related to. I had never seen it before. Q3:List five (5) strategies you could tool to qualify Heroin to coalesce her tender, psychocollective and immaterial wants. Janet Webb describes a case study involving a elderly woman who presents with a UTI, as an example of good nurse management using evidence-based nurse prescribing. They are designed to be used in classroom setting or for staff development. lives with his wife in a retirement. Impact Case Study Identifier: and the number of elderly patients. However, older persons often do not present in a typical manner, and atypical responses to illness are common. Individual and Family Dynamics 28 Case 5. Each case includes the patient documentation (Patient History and Periodontal Charting) and images (Radiographs and Intraoral images). The behavior of a superior starts to put your patients at risk. She complains of a squeezing type pain across her chest and into her left jaw area. This teaching strategy can be used with students in both beginning and advanced nursing courses. 65 years old lady, Mrs. Case sheets of all the admitted elderly patients discharged or to be discharged from the hospital were reviewed each day during the study period. How to Write a Case Study Paper for Nursing A well-written case study paper for a nursing program requires some planning and consideration. A total of 16 SPs were trained. Case Study: A 52-Year-Old Woman With Obesity, Poorly Controlled Type 2 Diabetes, and Symptoms of Depression In this case, the patient's symptoms of depression. Case Study #1 History and Physical Chief concern: Patient is an 85 years old female, who presents with her son with a chief concern of a painful right second digit. Geriatric Case Study. Older person with amputation: Amputee Case Study Abstract. Palliative Pearls are clinical hospice case studies that offer brief evidenced-based reviews covering a range of hospice and palliative care topics. Gain expertise in primary care of older adults with a case-based approach to geriatric primary care and multimorbidity management. Case Study: A Patient. Setting: A district general hospital in the UK. The geriatric case manager contacts Amy to conduct an initial patient assessment and medication reconciliation. I had no experience on which to base my unsettling suspicions. His family reports that he has a long history of alcoholism with little to no intake for prolonged period. Geriatric Physical Therapy: A Case Study and a biopsychosocial or patient-centered approach must. is a 77-year-old female with a history of upper GI bleed, indeterminate pulmonary nodules, and more recently decreasing functionality at home involving muscle weakness and hand swelling, who presents today for follow-up of her hand swelling and urinary incontinence. Homer states that for the past two weeks he has not had any pep and that he feels too tired to finish chores. The American Academy of Orthopaedic Surgeons (AAOS) Clinical Practice Guideline Management of Hip Fractures in the Elderly is a summary of the available literature designed to help guide the surgeon and other qualified physicians in the management of this condition. The behavior of a superior starts to put your patients at risk. Upon arrival patient is found to be having a tonic-clonic seizure. This revised edition also is an excellent review text for the graduating dental hygiene student who is preparing to take the National Board Dental Hygiene Examination. She is a relatively poor historian. The Hartford Institute for Geriatric Nursing (HIGN) is delighted to share that the National Association of Clinical Nurse Specialists (NACNS) has launched its REASN project, Seven CNS-specific geriatric problem-based case studies, framed by the NACNS Spheres of Influence model (patient, nurse, organization). Other studies have shown that as many as 10% of older patients, who present to the ED acutely ill may have Delirium, although often. They have been reviewed by practicing nurses in each specific specialty, and they reflect areas of practice that may be addressed in the actual examination. 65 years old lady, Mrs. Case Study The case is of Mrs. Ying is an 84 year-old Asian male who lives in an apartment that adjoins his son's house. A tray of uneaten food is on the bedside table. These case studies may be used in a number of ways, such as: • Individual study followed by in class testing. 10-35% of elderly outpatients experience ADRs May occur in as many as 44% of hospitalized elderly ADR risk doubles when drug use increases from 1 to 4 drugs; increases 14-fold in elders who use 7 drugs Beers MH, Baran RW, Frenia K. The purpose of this case report is to determine how a change in intrinsic motivation and environmental factors help physical and functional improvements in a 77-year-old male patient with Guillain Barré Syndrome (GBS) in the geriatric population. You can work together as a group. Clinical considerations in this case and others. Two months ago, she started risperidone 0. The Difficult Patient This case represents a near miss involving prescription of a drug to which the patient has had a bad reaction in the past. If you continue browsing the site, you agree to the use of cookies on this website. A 2012 study showed that only about 2% of adults who collapse on the street and receive CPR recover fully. Clinic edited the studies and created questions to make the studies more pertinent for our readers. Here's a case where we have a patient who is frequently falling, and I want to highlight a few points that we need to be thinking about. medications and treatment), emotionally (i. Robert Baral**COUNSELING**case study- Depression**4/02/2004 AD**page 3 I. Evaluating the Elderly Patient: the Case for Assessment Technology. 10-35% of elderly outpatients experience ADRs May occur in as many as 44% of hospitalized elderly ADR risk doubles when drug use increases from 1 to 4 drugs; increases 14-fold in elders who use 7 drugs Beers MH, Baran RW, Frenia K. Her other past medical problems include: diabetes mellitus, hypertension, osteoarthritis, depression and a history of. Benign, the Nurse, and Mrs. If the symptoms sound similar to those that you (or a loved one) are experiencing, please contact your primary physician or a mental health professional for an evaluation as soon as possible. turner-white. Geriatric syndromes have wide-ranging implications for patients. The geriatric case manager contacts Amy to conduct an initial patient assessment and medication reconciliation. I know where every bathroom is on every highway and street in the entire state. A Case Study in Alzheimer's Disease A 69-year-old woman presents with symptoms of forgetfulness that worsen over time. has helped to bring down the numbers and improve patient safety. She is a relatively poor historian. We are a highly experienced team of lawyers dedicated to meet and exceed our clients' expectations. The Difficult Patient This case represents a near miss involving prescription of a drug to which the patient has had a bad reaction in the past. It begins with him informing his granddaughter, "Jillian," of the diagnosis. Initial consultation was done in July 2008. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. (patient ref no: L6742) was brought to the clinic by her husband for complaints of swelling of both the legs since 3 years. People with weak immune systems are especially prone to it. Case Studies from the House Clinic. We would also like to thank Tarina Van Der Stockt, Clair Sparrius, Sue Klappa, Trisha Parsons, Nadia Deenen-Valies, and Alicia Fernandez Fernandez for their attention to detail in selecting the case reports for this database. Gain expertise in primary care of older adults with a case-based approach to geriatric primary care and multimorbidity management. The United Kingdom Prospective Diabetes Study (UKPDS), which followed patients with diabetes for an average of 8. By Dr Sean Brink on the 27 July 2016 A case of a 39-year-old man who presented with swelling and pain in his scrotum and penis highlights the importance of remaining vigilant to the risk of sepsis, red flags for sepsis in adults and the Sepsis Six care bundle. Written by two leading academic and clinical experts in geriatric primary care, Case Studies in Geriatric Primary Care. Homer is a 58 year old male Caucasian who farms in the community. An 88-year-old Man with Falls and Urinary Incontinence. Patient Case •74 year old female reports to her •10 studies made inclusion criteria. geriatric patients, particularly for patients not receiving care at a trauma center. Over the last two years, she has had a gradual decline in her cognitive function, primarily manifesting as difficulty with names and memory impairment. Here's a case where we have a patient who is frequently falling, and I want to highlight a few points that we need to be thinking about. Case Studies in the Management of Dyslipidemia by Shana Lettieri, PharmD, and Tricia M. Homer states that for the past two weeks he has not had any pep and that he feels too tired to finish chores. SAMPLE CASE STUDY BASED ON ACTUAL PATIENT International Academy of Medical Acupuncture Case Studies Case Number: 14 Patient Initials: JSW Initial Date of Patient Consult/Treatment: January 13th, 2004 Patient Age: 43 Gender: Female Occupation: Office Manager Subjective Patient Complaints: Adult onset asthma- Dyspnea, cough and occasional. 57 K/uL) along with presence of numerous immature monocytoid cells, dysplastic myeloid. P is a 93 year old white female admitted to your facility. The behavior of a superior starts to put your patients at risk. Each month, a case and a series of questions can be emailed to interested individuals 4-6 weeks in advance of publication. He is a 70-year-old man with longstanding type 2 diabetes, dyslipidemia, hypertension for 8 years, chronic degenerative joint disease of the knees and back, gastroesophageal reflux disease (GERD), and angina pectoris status post myocardial infarction. This patient had very few comorbidities, an unlikely finding within the elderly population, that affected his outcomes. Case Study #1 History and Physical Chief concern: Patient is an 85 years old female, who presents with her son with a chief concern of a painful right second digit. Clinical Scenarios: A patient was diagnosed to have an acute left cerebral stroke. Employing the patient-centered collaborative care approach: a case study of complex geriatric patient with psychopathalogy of treatment resistant depression and primary hyperparathyroidism. Two months ago, she started risperidone 0. At 300 pages, the book can easily be read cover to cover during a four week rotation. He holds a Graduate Certificate in Intensive Care Paramedic Studies, and an MSc in Critical Care. 6 Leaving the Homestead: Challenges and Solutions. This teaching strategy can be used with students in both beginning and advanced nursing courses. Setting: A district general hospital in the UK. Objective: To explore risk factors associated with falls and to evaluate a strategy used by nurses to predict and prevent falls in a hospitalised cohort of elderly patients. The chief concern about tight control in elderly patients with diabetes is the risk for hypoglycemia. has helped to bring down the numbers and improve patient safety. Smith is an 89-year-old married male who is the primary caregiver for his 87-year-old wife who, four years ago, was diagnosed with Alzheimer's disease. He is admitted to the hospital for an exacerbation of his COPD. Clinic edited the studies and created questions to make the studies more pertinent for our readers. Geriatric syndromes have wide-ranging implications for patients. In the case study John undergoes surgery. The chief concern about tight control in elderly patients with diabetes is the risk for hypoglycemia. Elderly patients with multiple comorbidities are at risk of experiencing adverse drug events. Patient Falls: Healthcare Case Study ® Summary Why worry about patient falls? Plan of action to reduce patient falls Case Studies What are patient falls? Medication/ Reassessment Transport/ Safety Equipment. Case selection. Falls in the Elderly - case study. The impact of lower limb amputation on the geriatric patient can be complex. Mrs Brown is an 86 year old lady who lives with her elderly husband. ) We are presenting case studies in this web site so students may become more familiar with case histories. Oncology and cancer case studies provided by practicing oncology medical professionals provide their diagnosis and can view how your peers in cancer therapy answered. An 89 year old male has a history of hypertension, diabetes, BPH, Advanced dementia, glaucoma, constipation, neuropathy, and osteoarthritis. administered% in% patients with genetic susceptibility. begin? Did the patient's head or eyes deviate to one side? Were there automatisms of the face or hands? Did incontinence or tongue biting occur? What were the www. Are you searching for schizophrenia case study, paranoid schizophrenia case study example and schizophrenia case history. Professor, Department of Geriatric Medicine. turner-white. If you continue browsing the site, you agree to the use of cookies on this website. She complains of a squeezing type pain across her chest and into her left jaw area. Case Study 1. My patient, Ms. This is a case of a patient with history of dementia who presented with agitation. CASE REPORT DENGUE IN AN ELDERLY PATIENT Milton Luiz GORZONI(1), Irineu Francisco Delfino Silva MASSAIA(2) & Sueli Luciano PIRES(1) SUMMARY Although elderly populations are more exposed to the risk of getting dengue, the clinical peculiarities of this disease in this age range are not well known. Identifying Data D. Now the doctor must decide when a diagnosis of Alzheimer's disease should be made, how the family should be told and what support can be offered to the caregiver. They have been reviewed by practicing nurses in each specific specialty, and they reflect areas of practice that may be addressed in the actual examination. His family reports that he has a long history of alcoholism with little to no intake for prolonged period. Professor, Department of Geriatric Medicine. Our attorneys are here to help you through life's most difficult chapters. is a 57-year-old man with type 2 diabetes first diagnosed 2 years ago. Methods and analysis The study applies a case study design. Unfortunately, medication mismanagement scenarios such as these are all too common in the hospital environment and represent a significant threat to the health and well being of the frail elderly population, as well as a needless waste of scarce healthcare resources because of poor care management. Most elderly people in the United States and across the world suffer from Alzheimer's condition. Case Studies - Opposition to Organ Donation. P, was dying right in front of me. Alzheimer's disease is the most common type of dementia and the two terms are often used interchangeably. The cost of care for a patient with hip replacement varies greatly between patients in. Aspiration Pneumonia in Elderly Patients. 5 mg orally daily. I spent half of my time worrying about having an accident and wetting myself. He has previously worked and studied across Europe, North America and the Middle East. Please describe the three main categories of elderly patients. Clinical Skills Challenge - case study 1 03 April, 2008 By NT Contributor On the following pages are details of a fictional patient, complete with context, case history and test results. 19 In the geriatric population, there is a fivefold increase in a diabetic patient's susceptibility to UTI complications. Studying a Geriatric Patient with COPD Respiratory Case Study Elijah Stevens is 74 year old male with a history of COPD. Management of Hip Fractures in the Elderly Case Study Hip fractures are seen in many orthopaedic practices. Case Study: A 52-Year-Old Woman With Obesity, Poorly Controlled Type 2 Diabetes, and Symptoms of Depression In this case, the patient's symptoms of depression. According to several studies, Alzheimer's as a neurodegenerative condition, which starts slowly and then degenerates over a sustained period. What host factors may have predisposed this patient to pneumonia? 7. Nonepileptic Disorders That Mimic Epilepsy Syncope (vasovagal/neurocardiogenic, decreased. turner-white. This teaching strategy can be used with students in both beginning and advanced nursing courses. Bland, Pharm. This patient is representative of the typical postoperative geriatric patient. AHRQ Telehealth Project Helps Address Mental Health Needs Among Rural Elderly in New York State. is a 77-year-old female with a history of upper GI bleed, indeterminate pulmonary nodules, and more recently decreasing functionality at home involving muscle weakness and hand swelling, who presents today for follow-up of her hand swelling and urinary incontinence. These in-depth case studies have been designed specifically for dental hygiene students. At 300 pages, the book can easily be read cover to cover during a four week rotation. Taking into account all possible complications and post-operative goals is paramount for effective management of these patients. This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980). Kelly Gustafson is a licensed clinical geriatric psychologist who works in private practice serving patients in a comprehensive care clinic, in long-term care facilities, in assisted living facilities, and in her outpatient clinic. Uncomplicated female urinary tract infections (UTIs) occur when bacteria infect one or more structures in the urinary tract, causing irritation and often pain to the patient. Case Study: A Patient. PRESENTATION OF THE PATIENT We are presented with an elderly woman with a history of long term Multiple Sclerosis, married 40 years, presenting with severe depression and suicidal gestures. Coordinated plans of care should be developed for older adults with geriatric syndromes. A 2012 study showed that only about 2% of adults who collapse on the street and receive CPR recover fully. They are designed to be used in classroom setting or for staff development. This teaching strategy can be used with students in both beginning and advanced nursing courses. turner-white.